Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist

Julia D Rossetto, Luiz Alberto S Melo Jr, Mauro S Campos, Ivan M Tavares Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil Objectives: To assess agreement among ophthalmology residents and a glaucoma expert...

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Autores principales:	Rossetto JD, Melo LA Jr, Campos MS, Tavares IM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Glaucoma Optic Nerve Internship and Residency Hospitals Teaching. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/cc7d12d3ead4482aafc3c70ae2a72c2a
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spelling	oai:doaj.org-article:cc7d12d3ead4482aafc3c70ae2a72c2a2021-12-02T06:55:51ZAgreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist1177-5483https://doaj.org/article/cc7d12d3ead4482aafc3c70ae2a72c2a2017-07-01T00:00:00Zhttps://www.dovepress.com/agreement-on-the-evaluation-of-glaucomatous-optic-nerve-head-findings--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Julia D Rossetto, Luiz Alberto S Melo Jr, Mauro S Campos, Ivan M Tavares Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil Objectives: To assess agreement among ophthalmology residents and a glaucoma expert in the evaluation of cross-sectional glaucomatous optic nerve head characteristics using stereoscopic photographs. Methods: Twenty stereo photographs were analyzed by ophthalmology residents just after completion of their first (First-Year Group) or third (Third-Year Group) year of residency and by a glaucoma expert. The agreement was assessed using the kappa statistic (κ) and limits of agreement. Results: Agreement among resident groups and the expert ranged from poor to moderate. Agreement between Third Years and the expert seems to be better than that between First Years and the expert, especially in the evaluation of “nasal cupping”, “barring circumlinear vessel,” “notching”, and “retinal nerve fiber layer defect” criteria. However, no improvement was seen in the agreement with the expert regarding glaucomatous optic neuropathy, which was 64% (κ=0.19) for First Years and 63% (κ=0.20) for Third Years. Conclusion: Agreement between residents and the expert was poor to moderate and similar when comparing both groups. This may suggest that the residents learn how to identify glaucoma signals during the first year of training, and the results of this study may facilitate the creation of targeted teaching tools in residency training. Keywords: optic disk, residency and internship, medical education, glaucoma Rossetto JDMelo LA JrCampos MSTavares IMDove Medical PressarticleGlaucomaOptic NerveInternship and ResidencyHospitalsTeaching.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1281-1284 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma Optic Nerve Internship and Residency Hospitals Teaching. Ophthalmology RE1-994
spellingShingle	Glaucoma Optic Nerve Internship and Residency Hospitals Teaching. Ophthalmology RE1-994 Rossetto JD Melo LA Jr Campos MS Tavares IM Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
description	Julia D Rossetto, Luiz Alberto S Melo Jr, Mauro S Campos, Ivan M Tavares Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil Objectives: To assess agreement among ophthalmology residents and a glaucoma expert in the evaluation of cross-sectional glaucomatous optic nerve head characteristics using stereoscopic photographs. Methods: Twenty stereo photographs were analyzed by ophthalmology residents just after completion of their first (First-Year Group) or third (Third-Year Group) year of residency and by a glaucoma expert. The agreement was assessed using the kappa statistic (κ) and limits of agreement. Results: Agreement among resident groups and the expert ranged from poor to moderate. Agreement between Third Years and the expert seems to be better than that between First Years and the expert, especially in the evaluation of “nasal cupping”, “barring circumlinear vessel,” “notching”, and “retinal nerve fiber layer defect” criteria. However, no improvement was seen in the agreement with the expert regarding glaucomatous optic neuropathy, which was 64% (κ=0.19) for First Years and 63% (κ=0.20) for Third Years. Conclusion: Agreement between residents and the expert was poor to moderate and similar when comparing both groups. This may suggest that the residents learn how to identify glaucoma signals during the first year of training, and the results of this study may facilitate the creation of targeted teaching tools in residency training. Keywords: optic disk, residency and internship, medical education, glaucoma
format	article
author	Rossetto JD Melo LA Jr Campos MS Tavares IM
author_facet	Rossetto JD Melo LA Jr Campos MS Tavares IM
author_sort	Rossetto JD
title	Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
title_short	Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
title_full	Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
title_fullStr	Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
title_full_unstemmed	Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
title_sort	agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/cc7d12d3ead4482aafc3c70ae2a72c2a
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Agreement on the evaluation of glaucomatous optic nerve head findings by ophthalmology residents and a glaucoma specialist

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