Document Type
Article
Publication Date
9-1-2024
Abstract
INTRODUCTION: Eye emergencies make up nearly 3% of US emergency department (ED) visits. While emergency physicians (EP) should diagnose and treat these ophthalmologic emergencies, many trainees report limited ocular exposure and insufficient training throughout their residency to confidently conduct a thorough slit-lamp exam.
METHODS: We created an interdisciplinary, simulation-based mastery learning (SBML) curriculum to teach emergency attending physicians how to operate the slit lamp with multimodal learning methodology at a tertiary academic center. The EPs first demonstrate their initial slit-lamp competency with a 20-item checklist, and they then review the necessary curricular content to pass their independent readiness test before completing their in-person teaching and demonstration session with an ophthalmology attending to demonstrate procedural mastery (minimal passing score >90%).
RESULTS: Fifteen EPs were enrolled; all completed the final exam of the curriculum. The pre- and post-curriculum checklist scores increased by an average of seven points (P = .002); 86.7% of EPs felt confident in completing a slit-lamp exam after the curriculum, compared to 20% at the beginning. Five of 15 reported teaching learners within the two-month post-curricular period, ranging from 5-30 students. The hands-on teaching was the most positively reviewed element of the curriculum.
CONCLUSION: The SBML program successfully trained EPs on performing a comprehensive slit-lamp exam with promising results of downstream education to junior learners. We encourage other institutions to leverage SBML as a teaching modality for procedural-based training and advocate cross-discipline education initiatives.
Recommended Citation
Hamou, Samara; Ghiaee, Shayan; Chung, Christine; Lloyd, Maureen; Khem, Kelly; and Zhang, Xiao, "Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice" (2024). Department of Emergency Medicine Faculty Papers. Paper 248.
https://jdc.jefferson.edu/emfp/248
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
39319803
Language
English
Included in
Diagnosis Commons, Emergency Medicine Commons, Medical Education Commons, Ophthalmology Commons
Comments
This article is the author's final published version in Western Journal of Emergency Medicine, Volume 25, Issue 5, 2024, Pages 725 - 734.
The published version is available at https://doi.org/10.5811/westjem.18514.
Copyright © 2024 Hamou et al