Training in the year of the eye: the impact of the COVID-19 pandemic on ophthalmic education

Bakshi, Shaunak K; Ho, Allen C.; Chodosh, James; Fung, Adrian T.; Chan, R.V. Paul; Ting, Daniel Shu Wei

doi:10.1136/bjophthalmol-2020-316991

Cited by 27 publications

(31 citation statements)

References 8 publications

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“…In PDT, there are many examinations reporting a choroidal thickness decrease after treatment 7 – 9 . In SMPL treatment, several reports showed no significant changes in choroidal thickness before and after treatment, while others showed a slight decrease 7 , 8 , 10 , 11 . Park et al reported no significant changes in choroidal thickness 3 months after SRT 19 .…”

Section: Discussionmentioning

confidence: 96%

“…In the PLACE Trial, half-dose PDT was superior to SMPL treatment, with 67% of PDT-treated patients achieving a complete resolution of SRF, as compared to 29% of SMPL patients at 7–8 months after treatment 7 . Ho et al reported that 87% of half-dose PDT patients and 50% of SMPL patients had complete resolution of SRF at 3 months after treatment 8 . PDT induces choroidal vascular changes and remodeling, a decrease of choroidal thickening to near-normal levels, and an associated decrease in extravascular leakage 33 .…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy

Kyo

Yamamoto

Hirayama

et al. 2021

Sci Rep

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The purpose of this study was to investigate the factors of clinical outcome of selective retina therapy (SRT) for central serous chorioretinopathy (CSC). This retrospective study included 77 eyes of 77 patients, who were treated with SRT for CSC and observed at least 6 months after the treatment. SRT laser (527 nm, 1.7 µs, 100 Hz) was used for treatment. The mean best-corrected visual acuity (logMAR), central macular thickness (CMT) and central choroidal thickness were changed from baseline to at 6-months follow-up with significant difference. The multivariate analyses found that the rate of change (reduction) in CMT was associated with focal leakage type on fluorescein angiography (FA) (p = 0.03, coefficient 15.26, 95% confidence interval 1.72–28.79) and larger baseline CMT (p < 0.01, coefficient − 0.13, 95% confidence interval − 0.13 to − 0.05). Complete resolution of subretinal fluid was associated with nonsmoking history (p = 0.03, odds ratio 0.276, 95% confidence interval 0.086–0.887) and focal leakage type on FA (p < 0.01, odds ratio 0.136, 95% confidence interval 0.042–0.437). These results may be useful for predicting the therapeutic effectiveness of SRT.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy

Kyo

Yamamoto

Hirayama

et al. 2021

Sci Rep

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“…A virtual curriculum will need to address the lack of clinical experiences in ophthalmology, and should include observation time, the support of mentorship, and optimization of technology to simulate real clinical hours. 3 …”

Section: Implementation Of a Novel Neuro-ophthalmology Elective Durimentioning

confidence: 99%

“…Didactic meetings such as academic lectures, departmental grand rounds, and seminars have been converted to online video conferences using platforms such as Cisco WebEx and Zoom. 3,12,17,25,36 The virtual format of these meetings may be more convenient in some situations and can allow for increased availability of national and international speakers at a lower cost; however, the virtual format results in less opportunity for medical students and trainees to interact and network with faculty members. 36 Social media formats such as Twitter and Facebook may also be used to disseminate medical educational material and may help foster community between medical students, trainees, and specialized physicians.…”

Section: Innovative Learning Modalities Used To Continue Clinical Medical Education During Covid-19mentioning

confidence: 99%

A virtual COVID-19 ophthalmology rotation

Wendt

Abdullah

Barrett

et al. 2021

Survey of Ophthalmology

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The coronavirus (COVID-19) pandemic temporarily suspended medical student involvement in clinical rotations, resulting in the need to develop virtual clinical experiences. The cancellation of clinical ophthalmology electives and away rotations reduces opportunities for exposure to the field, to network with faculty, conduct research, and prepare for residency applications. We review the literature and discuss the impact and consequences of COVID-19 on undergraduate medical education (UME) with an emphasis on ophthalmic UME. We also discuss innovative learning modalities used from medical schools around the world during the COVID-19 pandemic such as virtual didactics, online cases, and telehealth. Finally, we describe a novel, virtual neuro-ophthalmology elective created to educate medical students on neuro-ophthalmology foundational principles, provide research and presentation opportunities, and build relationships with faculty members. These innovative approaches represent a step forward in further improving medical education in ophthalmology during COVID-19 and beyond.

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“…However, during the past year, residency programs have been negatively impacted by this crisis worldwide. [1][2][3][4] Major reasons for this detrimental effect are restriction and suspension of clinical activities and elective surgeries, cancellation of conventional lecturing sessions and educational courses, periodic lockdown of cities, persistent psychological and emotional stress on both trainers and trainees as a consequence of close contact with patients, in addition to loss of colleagues, family members or friends. Moreover, in order to reducing the chance of exposure…”

mentioning

confidence: 99%