Cargando…

Smartphone ophthalmoscopy: patient and student practitioner perceptions

It can take several years to become proficient at direct ophthalmoscopy; the instrument’s single eyepiece allows only one individual to view the image at a time, which is considered disadvantageous during teaching. The introduction of smartphone ophthalmoscopes enables groups of teachers and student...

Descripción completa

Detalles Bibliográficos
Autores principales: Nagra, Manbir, Huntjens, Byki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890584/
https://www.ncbi.nlm.nih.gov/pubmed/31797206
http://dx.doi.org/10.1007/s10916-019-1477-0
_version_ 1783475636749205504
author Nagra, Manbir
Huntjens, Byki
author_facet Nagra, Manbir
Huntjens, Byki
author_sort Nagra, Manbir
collection PubMed
description It can take several years to become proficient at direct ophthalmoscopy; the instrument’s single eyepiece allows only one individual to view the image at a time, which is considered disadvantageous during teaching. The introduction of smartphone ophthalmoscopes enables groups of teachers and students to view images together which could encourage peer-to-peer learning. In addition, the technology is significantly cheaper than the direct ophthalmoscope. User acceptability and engagement is essential to the success of any (medical) technological innovation. We sought to understand student opinions of a new commercially-available smartphone device for fundus examination, and compare usability to the traditional ophthalmoscope, from the perspective of both student practitioners and patients. Fifty-four undergraduate optometry students with prior experience of the traditional direct ophthalmoscope were asked to examine at least one eye with the D-EYE smartphone ophthalmoscope and also given an opportunity to experience the D-EYE from a patient’s perspective. Minimal instructions were provided and all examinations conducted through undilated pupils. Participants completed an opinion survey to feedback on aspects such as the ease of handling and working distance. Compared to the direct ophthalmoscope, 92% of students preferred the (longer) working distance of the D-EYE; 77% felt it was easier to handle; and 92% preferred the patient experience with the D-EYE. Despite the positive feedback, only 43% of students preferred the D-EYE when assuming the role of the practitioner. Free text responses indicated that students felt the D-EYE may be most useful as a teaching tool. Student opinions indicated that smartphone ophthalmoscopes are an effective training tool for students as an accompaniment to learning the traditional ophthalmoscope method.
format Online
Article
Text
id pubmed-6890584
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-68905842019-12-19 Smartphone ophthalmoscopy: patient and student practitioner perceptions Nagra, Manbir Huntjens, Byki J Med Syst Education & Training It can take several years to become proficient at direct ophthalmoscopy; the instrument’s single eyepiece allows only one individual to view the image at a time, which is considered disadvantageous during teaching. The introduction of smartphone ophthalmoscopes enables groups of teachers and students to view images together which could encourage peer-to-peer learning. In addition, the technology is significantly cheaper than the direct ophthalmoscope. User acceptability and engagement is essential to the success of any (medical) technological innovation. We sought to understand student opinions of a new commercially-available smartphone device for fundus examination, and compare usability to the traditional ophthalmoscope, from the perspective of both student practitioners and patients. Fifty-four undergraduate optometry students with prior experience of the traditional direct ophthalmoscope were asked to examine at least one eye with the D-EYE smartphone ophthalmoscope and also given an opportunity to experience the D-EYE from a patient’s perspective. Minimal instructions were provided and all examinations conducted through undilated pupils. Participants completed an opinion survey to feedback on aspects such as the ease of handling and working distance. Compared to the direct ophthalmoscope, 92% of students preferred the (longer) working distance of the D-EYE; 77% felt it was easier to handle; and 92% preferred the patient experience with the D-EYE. Despite the positive feedback, only 43% of students preferred the D-EYE when assuming the role of the practitioner. Free text responses indicated that students felt the D-EYE may be most useful as a teaching tool. Student opinions indicated that smartphone ophthalmoscopes are an effective training tool for students as an accompaniment to learning the traditional ophthalmoscope method. Springer US 2019-12-03 2020 /pmc/articles/PMC6890584/ /pubmed/31797206 http://dx.doi.org/10.1007/s10916-019-1477-0 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Education & Training
Nagra, Manbir
Huntjens, Byki
Smartphone ophthalmoscopy: patient and student practitioner perceptions
title Smartphone ophthalmoscopy: patient and student practitioner perceptions
title_full Smartphone ophthalmoscopy: patient and student practitioner perceptions
title_fullStr Smartphone ophthalmoscopy: patient and student practitioner perceptions
title_full_unstemmed Smartphone ophthalmoscopy: patient and student practitioner perceptions
title_short Smartphone ophthalmoscopy: patient and student practitioner perceptions
title_sort smartphone ophthalmoscopy: patient and student practitioner perceptions
topic Education & Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890584/
https://www.ncbi.nlm.nih.gov/pubmed/31797206
http://dx.doi.org/10.1007/s10916-019-1477-0
work_keys_str_mv AT nagramanbir smartphoneophthalmoscopypatientandstudentpractitionerperceptions
AT huntjensbyki smartphoneophthalmoscopypatientandstudentpractitionerperceptions