ABSTRACT
We evaluated a web-based training aimed at improving the review of fundus photography by emergency providers. 587 patients were included, 12.6% with relevant abnormalities. Emergency providers spent 31 minutes (median) training and evaluated 359 patients. Median post-test score improvement was 6 percentage points (IQR: 2–14; p = 0.06). Pre- vs. post-training, the emergency providers reviewed 45% vs. 43% of photographs; correctly identified abnormals in 67% vs. 57% of cases; and correctly identified normals in 80% vs. 84%. The Fundus photography vs. Ophthalmoscopy Trial Outcomes in the Emergency Department studies have demonstrated that emergency providers perform substantially better with fundus photography than direct ophthalmoscopy, but our web-based, in-service training did not result in further improvements at our institution.
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Acknowledgments
This study was supported in part by an unrestricted departmental grant (Department of Ophthalmology) from Research to Prevent Blindness, Inc., New York, and by NIH/NEI core grant P30-EY006360 (Department of Ophthalmology).
Dr. Bruce received research support from the NIH/NEI (K23-EY019341) and the Knights Templar Eye Foundation, and received the American Academy of Neurology Practice Research Fellowship.
Dr. Wright received research support from NIH/PHS (KL2-RR025009).
Dr. Biousse received research support from NIH/PHS (UL1-RR025008).
Dr. Newman is a recipient of the Research to Prevent Blindness Lew R. Wasserman Merit Award.
No conflicting relationship exists for any author.