Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice.
Introduction: Eye emergencies make up nearly 3% of US emergency department (ED) visits. While emergency physicians (EP) should diagnose and treat these ophthalmologic emergencies, many trainees report limited ocular exposure and insufficient training throughout their residency to confidently conduct...
| Publicado en: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 25; no. 5; pp. 725 - 735 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180142246&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180142246 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Sep2024 vid: 25 iid: 5 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 180142246 180142246 180142246 10.5811/westjem.18514 180142246 ppf: 725 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice. aug: au: Hamou, Samara Ghiaee, Shayan Chung, Christine Lloyd, Maureen Khem, Kelly Xiao Chi Zhang affil: Sidney Kimmel Medical College, Philadelphia, Pennsylvania. sug: subj: Emergency Service Physicians, Emergency Education Slit Lamp Examination Education Education, Interdisciplinary Teaching Methods Outcomes of Education Evaluation Human United States Tertiary Health Care Academic Medical Centers Curriculum Evaluation Simulations Professional Competence Checklists Confidence Descriptive Statistics Wilcoxon Signed Rank Test McNemar's Test Post Hoc Analysis Data Analysis Software Intraclass Correlation Coefficient Questionnaires ab: Introduction: Eye emergencies make up nearly 3% of US emergency department (ED) visits. While emergency physicians (EP) should diagnose and treat these ophthalmologic emergencies, many trainees report limited ocular exposure and insufficient training throughout their residency to confidently conduct a thorough slit-lamp exam. Methods: We created an interdisciplinary, simulation-based mastery learning (SBML) curriculum to teach emergency attending physicians how to operate the slit lamp with multimodal learning methodology at a tertiary academic center. The EPs first demonstrate their initial slit-lamp competency with a 20-item checklist, and they then review the necessary curricular content to pass their independent readiness test before completing their in-person teaching and demonstration session with an ophthalmology attending to demonstrate procedural mastery (minimal passing score >90%). Results: Fifteen EPs were enrolled; all completed the final exam of the curriculum. The pre- and postcurriculum checklist scores increased by an average of seven points (P = .002); 86.7% of EPs felt confident in completing a slit-lamp exam after the curriculum, compared to 20% at the beginning. Five of 15 reported teaching learners within the two-month post-curricular period, ranging from 5–30 students. The hands-on teaching was the most positively reviewed element of the curriculum. Conclusion: The SBML program successfully trained EPs on performing a comprehensive slit-lamp exam with promising results of downstream education to junior learners. We encourage other institutions to leverage SBML as a teaching modality for procedural-based training and advocate cross-discipline education initiatives. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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