Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study

Yeji Kim, Daniel L Chao Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, CA, USA Purpose: To investigate the utility of smartphone ophthalmology for medical students for learning fundoscopy compared with direct ophthalmoscopy.Methods: After 1 hour of didactic...

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Autores principales:	Kim Y, Chao DL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Smart phone ophthalmoscopy direct ophthalmoscopy medical student education Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7e0c7e49337e4863b9833f7f61801a70
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spelling	oai:doaj.org-article:7e0c7e49337e4863b9833f7f61801a702021-12-02T03:06:51ZComparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study1177-5483https://doaj.org/article/7e0c7e49337e4863b9833f7f61801a702019-02-01T00:00:00Zhttps://www.dovepress.com/comparison-of-smartphone-ophthalmoscopy-vs-conventional-direct-ophthal-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yeji Kim, Daniel L Chao Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, CA, USA Purpose: To investigate the utility of smartphone ophthalmology for medical students for learning fundoscopy compared with direct ophthalmoscopy.Methods: After 1 hour of didactic instruction on ophthalmoscopy, second-year medical students in a small group setting were randomized to start training with the direct ophthalmoscope vs smartphone ophthalmoscope and crossed over to the other instrument through the session.Main outcome measures: Ability to visualize the optic nerve and retinal blood vessels in an undilated pupil as well as a survey evaluating ease of use, confidence, and ability to visualize the optic nerve with the two instruments.Results: One hundred and one medical students participated. Significantly more medical students were able to visualize the optic nerve with the smartphone ophthalmoscope vs the direct ophthalmoscope in an undilated pupil (82.3% vs 48.5%, P<0.0001). Students reported a more positive experience with the smartphone ophthalmoscope, specifically regarding ease of use (median of 4 vs 3; P<0.0001), their confidence in performing ophthalmoscopy (median of 4 vs 3; P<0.0001), and their ability to visualize features of the optic nerve (median 4 vs 3; P<0.0001). A significant number of participants preferred the smartphone ophthalmoscope over the traditional direct ophthalmoscope for learning how to identify the optic disc and for evaluating patients (78.2% and 77.2%, respectively; P<0.0001).Conclusion: Smartphone ophthalmoscopy may serve as a useful adjunctive tool to teach direct ophthalmoscopy as well as being an alternative for examining the fundus for noneye care physicians. Keywords: smartphone ophthalmoscopy, direct ophthalmoscopy, medical student educationKim YChao DLDove Medical PressarticleSmart phone ophthalmoscopydirect ophthalmoscopymedical student educationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 391-401 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Smart phone ophthalmoscopy direct ophthalmoscopy medical student education Ophthalmology RE1-994
spellingShingle	Smart phone ophthalmoscopy direct ophthalmoscopy medical student education Ophthalmology RE1-994 Kim Y Chao DL Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
description	Yeji Kim, Daniel L Chao Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, CA, USA Purpose: To investigate the utility of smartphone ophthalmology for medical students for learning fundoscopy compared with direct ophthalmoscopy.Methods: After 1 hour of didactic instruction on ophthalmoscopy, second-year medical students in a small group setting were randomized to start training with the direct ophthalmoscope vs smartphone ophthalmoscope and crossed over to the other instrument through the session.Main outcome measures: Ability to visualize the optic nerve and retinal blood vessels in an undilated pupil as well as a survey evaluating ease of use, confidence, and ability to visualize the optic nerve with the two instruments.Results: One hundred and one medical students participated. Significantly more medical students were able to visualize the optic nerve with the smartphone ophthalmoscope vs the direct ophthalmoscope in an undilated pupil (82.3% vs 48.5%, P<0.0001). Students reported a more positive experience with the smartphone ophthalmoscope, specifically regarding ease of use (median of 4 vs 3; P<0.0001), their confidence in performing ophthalmoscopy (median of 4 vs 3; P<0.0001), and their ability to visualize features of the optic nerve (median 4 vs 3; P<0.0001). A significant number of participants preferred the smartphone ophthalmoscope over the traditional direct ophthalmoscope for learning how to identify the optic disc and for evaluating patients (78.2% and 77.2%, respectively; P<0.0001).Conclusion: Smartphone ophthalmoscopy may serve as a useful adjunctive tool to teach direct ophthalmoscopy as well as being an alternative for examining the fundus for noneye care physicians. Keywords: smartphone ophthalmoscopy, direct ophthalmoscopy, medical student education
format	article
author	Kim Y Chao DL
author_facet	Kim Y Chao DL
author_sort	Kim Y
title	Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
title_short	Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
title_full	Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
title_fullStr	Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
title_full_unstemmed	Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study
title_sort	comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the cosmos study
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/7e0c7e49337e4863b9833f7f61801a70
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Comparison of smartphone ophthalmoscopy vs conventional direct ophthalmoscopy as a teaching tool for medical students: the COSMOS study

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