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Evaluation of Computer-Based Retinopathy of Prematurity (Rop) Education for Ophthalmology Residents: A Randomized, Controlled, Multicenter Study Publisher Pubmed



Roohipoor R1, 2 ; Alvarez R3 ; Brodowska K4 ; Yaseri M5 ; Kloek C1 ; Riazi M2, 6 ; Nourinia R7 ; Nikkhah H7 ; Prajna NV8 ; Krishnan C9 ; Tuli S10 ; Green L11 ; Srikumaran D12 ; Shah AS13 Show All Authors
Authors
  1. Roohipoor R1, 2
  2. Alvarez R3
  3. Brodowska K4
  4. Yaseri M5
  5. Kloek C1
  6. Riazi M2, 6
  7. Nourinia R7
  8. Nikkhah H7
  9. Prajna NV8
  10. Krishnan C9
  11. Tuli S10
  12. Green L11
  13. Srikumaran D12
  14. Shah AS13
  15. Mantagos IS13
  16. Chiang M14, 15
  17. Chan RVP16, 17
  18. Loewenstein J1
Show Affiliations
Authors Affiliations
  1. 1. Massachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, MA, United States
  2. 2. Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pontifical Catholic University, Santiago, Chile
  4. 4. University Hospitals of Cleveland, Cleveland, OH, United States
  5. 5. Biostatistics Department, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Ophthalmology, Gavin Herbert Eye Institute, University of California Irvine, Irvine, CA, United States
  7. 7. Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8. Aravind Eye Hospitals, Madurai, India
  9. 9. Tufts University Medical School, Boston, MA, United States
  10. 10. Department of Ophthalmology, University of Florida, Gainesville, FL, United States
  11. 11. Sinai Hospital, Baltimore, MD, United States
  12. 12. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  13. 13. Boston Children's Hospital, Harvard Medical School Departments of Ophthalmology, Boston, MA, United States
  14. 14. Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, United States
  15. 15. Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR, United States
  16. 16. Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, United States
  17. 17. Center for Global Health, College of Medicine, University of Illinois at Chicago, Chicago, IL, United States

Source: Journal of AAPOS Published:2019


Abstract

Purpose: To evaluate the effect of a computer-based training program—Massachusetts Eye & Ear ROP Trainer—on residents' knowledge of retinopathy of prematurity (ROP) management. Methods: In this prospective, randomized study, ophthalmology residents from nine different training programs consented to participate. Those who completed the study were randomly assigned to either the Trainer or the control group. The ROP Trainer was created using clinical cases encompassing the stages of ROP in digital pictures and videos. It includes sections on screening decisions, examination techniques, and diagnosis, and a reference section with the expert video clips and a searchable image library. Subjects in the control group were asked to study standard print material on ROP. A pre- and post-test, consisting of theoretical and practical (diagnosis) questions, and a post-intervention satisfaction test were administered. Accuracy of ROP diagnosis was assessed. Results: A total of 180 residents agreed to participate, of whom 60 completed the study. Residents in the Trainer group had statistically significant improvements (P = 0.003) in ROP knowledge and diagnostic ability (P = 0.005). Residents randomized to the Trainer group were more satisfied with the training materials than were those in the control group. There was no significant difference in improving knowledge by year of training, sex, or country. Considering all training levels, a statistically significant increase was observed in sensitivity for the diagnosis of preplus or worse, zone I or II, ROP stage, category, and aggressive posterior ROP in the Trainer group. Conclusions: In this study, the Trainer was shown to significantly improve ROP knowledge and diagnostic skills of residents, regardless of sex, year, of training, or country.(Figure presented.) © 2019 American Association for Pediatric Ophthalmology and Strabismus
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