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Abstract Details

Assessing the Impact of a Multi-Modal Neuro-Ophthalmology Educational Workshop on Resident Confidence in the Neuro-Ophthalmology Examination
Education, Research, and Methodology
P1 - Poster Session 1 (8:00 AM-9:00 AM)
15-005

The Neuro-Ophthalmology examination is essential for neurological localization. However, increased workloads and limited exposure make it challenging for residents to become proficient. This study aims to identify gaps in Neuro-Ophthalmology training and assess resident responsiveness to a multi-modal Neuro-Ophthalmology workshop.

To identify gaps in Neuro-Ophthalmology training and assess resident responsiveness to a multi-modal Neuro-Ophthalmology workshop.

This is a single-center, mixed methods, quantitative-qualitative (convergent parallel design) survey-based study evaluating resident confidence in neuro-ophthalmological examination. The utility of a didactic-based and hands-on Neuro-Ophthalmology workshop covering evaluation of visual fields, extraocular movements (EOM), and fundoscopic exam was assessed. A survey composed of Likert scales (1=strongly agree, 5=strongly disagree) and open-ended questions for qualitative feedback was administered before and after the workshop. Descriptive data and paired comparisons (Wilcoxon signed-rank test) are reported.

16 adult and pediatric neurology residents (81% adult, median post-graduate training-year 3, [range 1-4]) participated in the 2-hour workshop. Pre-workshop surveys revealed that residents were least confident in disc edema assessment (median rating 4 [range 2-5]) and reported an unmet need for teaching and feedback about examination techniques (median rating 4 [range 2-5]). Post-workshop surveys demonstrated a significant improvement (p<0.05) in overall confidence in exam skills, specifically when identifying relative-afferent pupillary defects and pathognomonic characteristics of ophthalmological disorders. Fundoscopic exam confidence did not improve significantly, but results were limited given early termination of breakout sessions. Videos of EOM abnormalities and immediate feedback from instructors were reported as most helpful. Residents suggested increasing workshop length for future sessions.

A combined didactic-based and hands-on Neuro-Ophthalmology workshop is helpful in identifying gaps in Neuro-Ophthalmology training and increasing resident confidence. Additional instruction in visual acuity and fundoscopic assessments may be beneficial in future workshops. We aim to utilize our findings to create an optimized Neuro-Ophthalmology curriculum with future application to other aspects of resident training.

Authors/Disclosures
Jieun Kang, MD (VUMC)
PRESENTER
Dr. Kang has nothing to disclose.
Alexis Flowers, MD Dr. Flowers has received intellectual property interests from a discovery or technology relating to health care.
Christopher David Lee, MD (Vanderbilt University Medical Center) Dr. Lee has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Argenx.
Patrick J. Lavin, MB, BCh Dr. Lavin has nothing to disclose.
Shailee Samir Shah, MD (Vanderbilt Multiple Sclerosis Center) Dr. Shah has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Horizon Therapeutics. Dr. Shah has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Genentech. Dr. Shah has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Genentech. Dr. Shah has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Alexion. Dr. Shah has received publishing royalties from a publication relating to health care.