We have used strategies similar to those described by Li and He to educate medical students in the use of direct ophthalmoscopy. However, even intense longitudinal training programs in direct ophthalmoscopy have not been shown to result in sustained skill retention. Furthermore, our studies show improved accuracy with fundus photography vs direct ophthalmoscopy immediately after training and 1 year later. We believe that ocular fundus photograph interpretation is an important component of any ophthalmology curriculum because fundus cameras, especially non-mydriatic ones, are becoming increasingly common, especially outside the ophthalmology clinic.
References
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- 2. Mackay D.D., Garza P.S., Bruce B.B., Bidot S., Graubart E.B., Newman N.J., Biousse V., and Kelly L.P.: Teaching Ophthalmoscopy to Medical Students (TOTeMS) II: A one-year retention study. Am J Ophthalmol 2014; 157: pp. 747-748
- 3. Kelly L.P., Garza P.S., Bruce B.B., Graubart E.B., Newman N.J., and Biousse V.: Teaching ophthalmoscopy to medical students (the TOTeMS study). Am J Ophthalmol 2013; 156: pp. 1056-1061
- 4. Bruce B.B., Lamirel C., Wright D.W., et al: Nonmydriatic ocular fundus photography in the emergency department. N Engl J Med 2011; 364: pp. 387-389
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