Evidence map›Paper›PMID 38539205›Full record

ArticleBMC medical education2024

Needs assessment for direct ophthalmoscopy training in neurology residency.

Jasmeet Saroya, Noor Chahal, Alice Jiang, Douglas Pet, Nailyn Rasool, Mark Terrelonge, Madeline Yung

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Training Pathways to Academic Neuro-Ophthalmology: A Comparative Study of Ophthalmology and Neurology Residencies.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jasmeet SaroyaUCSF Department of Ophthalmology Wayne and Gladys Valley Center for Vision, Box 4081, 490 Illinois Street, San Francisco, CA, 94158, USA.
Noor ChahalUCSF Department of Ophthalmology Wayne and Gladys Valley Center for Vision, Box 4081, 490 Illinois Street, San Francisco, CA, 94158, USA.
Alice JiangUCSF Department of Ophthalmology Wayne and Gladys Valley Center for Vision, Box 4081, 490 Illinois Street, San Francisco, CA, 94158, USA.
Douglas PetDepartment of Neurology, University of California, San Francisco, CA, USA.
Nailyn RasoolUCSF Department of Ophthalmology Wayne and Gladys Valley Center for Vision, Box 4081, 490 Illinois Street, San Francisco, CA, 94158, USA.
Mark TerrelongeDepartment of Neurology, University of California, San Francisco, CA, USA.
Madeline YungUCSF Department of Ophthalmology Wayne and Gladys Valley Center for Vision, Box 4081, 490 Illinois Street, San Francisco, CA, 94158, USA. madeline.yung@ucsf.edu.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessment of the ocular fundus, traditionally by direct ophthalmoscopy (DO), is essential to evaluate many neurologic diseases. However, the status of DO training in neurology residencies is unknown. We conducted a needs assessment to determine current attitudes, curricula, and gaps in DO training.

methodsA survey was developed and administered to residents and program directors (PDs) at ACGME accredited neurology residencies in the United States. The survey assessed factors such as current DO curricula, perceived importance of DO, confidence of skills, and need for improvement. Data analysis was performed using the Mann Whitney U test and Fisher Exact Test.

resultsNineteen PDs (11.6%) and 74 (41.1%) residents responded to the survey. 97.1% of residents and 100.0% of PDs believe DO is an important skill to learn. 29.4% of PDs expected graduating residents to have completed > 10 supervised DO exams, while 0.0% of graduating fourth year residents reported doing so (p = 0.03). 35.7% of graduating residents had never correctly identified an abnormal finding on DO. The number of times residents practiced DO unsupervised correlated with increasing confidence in all components of the DO exam (p < 0.05). Residents who felt their program emphasized DO were more likely to perform DO at least once a week compared to residents who did not perceive program emphasis (61.9% vs. 35.0%, p = 0.02) and were more confident in DO (p < 0.05). 66.7% of residents and 42.1% of PDs were not satisfied with current levels of DO training. 96.7% of residents and 78.9% of PDs felt it was important to improve curriculum for DO training. Supervised practice and practice skills sessions were identified as the most helpful interventions to improve DO training.

conclusionsThe vast majority of neurology PDs and residents believe DO is an important skill to learn, are unsatisfied with the current level of DO training, and advocate for improvement in DO curricula. Current DO curricula have limited formal didactic training and supervised practice. The bulk of DO learning occurs through unsupervised practice, which is influenced by motivational factors such as perceived residency emphasis on DO learning.

Indexed as

Internship and ResidencyNeurologyCurriculumEducation, Medical, GraduateHumansLearningNeeds AssessmentOphthalmoscopySurveys and QuestionnairesUnited StatesEducationFundoscopyNeurologyResidency

Identifiers

PMID38539205
PMCPMC10967108
OpenAlexW4393226326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.