The contribution of simulation in training for funduscopic examination

Abstract

Introduction: Simulation is emerging as an essential part of health sciences training programs as it provides safer patient care by reducing the risk of error. In the healthcare environment, simulation continues to spread in emergency specialties, but it is still underdeveloped in ophthalmology and there is a shortage of publications on this subject in Tunisia.

Objective: To evaluate the effectiveness of procedural simulation as a teaching tool for funduscopic examination training. Methods and population studied: This was a prospective study including students who underwent procedural simulation training sessions during their ophthalmology internship. The included students were assessed at the initiation and end of each session by a pre-test and post-test. The procedure for performing the funduscopic examination was evaluated by a specific performance score. Student satisfaction was assessed at the end of each session.

Results: During the study period, four groups of 12 students were included, for a total of 48 participants spread over 4 simulation sessions. Simulation training improved post-test. assessment scores with an overall median delta of +4.00. It also provided specific skills for performing the funduscopic examination, with an overall median specific performance score of 5.5/8 (5/8 to 7/8). The majority of students were satisfied upon completion of the simulation session.

Conclusion: The training of fundus examination using an ophthalmoscopic simulator can improve the skills and knowledge of ophthalmic learners. This type of training can be an innovative addition to traditional learning.

Modèle de Mannequin utilisé dans les ateliers de simulation procédurale pour la réalisation du fond d’œil (1a : Vue Antérieure, 1b : Vue Postérieure).

Déroulement du temps d’apprentissage lors des ateliers de formation.

score de performance spécifique à la réalisation du fond d’œil

Etude comparative entre le score global médian du pré-test et du post-test

Etude comparative entre le score global médian du pré-test et du post-test

: Etude descriptive de delta-test global.

Etude descriptive de score global médian de performance spécifique.