Fundus Photography vs. Ophthalmoscopy Outcomes in the Emergency Department (FOTO-ED) Phase III: Web-based, In-service Training of Emergency Providers. (3rd September 2018)

• Record Type: Journal Article
• Authors: Bruce, Beau B.; Bidot, Samuel; Hage, Rabih; Clough, Lindsay C.; Fajoles-Vasseneix, Caroline; Melomed, Mikhail; Keadey, Matthew T.; Wright, David W.; Newman, Nancy J.; Biousse, Valérie
• Is Part Of: Neuro-ophthalmology. Volume 42:Number 5(2018)
• Page Start: 269
• Page End: 274
• Publication Date: 2018-09-03
• Subjects: Fundus photography -- training -- telemedicine; Neuroophthalmology -- Periodicals; 617.7
• DOI: 10.1080/01658107.2017.1419368
• Languages: English
• ISSNs: 0165-8107

Abstract

ABSTRACT: We evaluated a web-based training aimed at improving the review of fundus photography by emergency providers. 587 patients were included, 12.6% with relevant abnormalities. Emergency providers spent 31 minutes (median) training and evaluated 359 patients. Median post-test score improvement was 6 percentage points (IQR: 2–14; p = 0.06). Pre- vs. post-training, the emergency providers reviewed 45% vs. 43% of photographs; correctly identified abnormals in 67% vs. 57% of cases; and correctly identified normals in 80% vs. 84%. The Fundus photography vs. Ophthalmoscopy Trial Outcomes in the Emergency Department studies have demonstrated that emergency providers perform substantially better with fundus photography than direct ophthalmoscopy, but our web-based, in-service training did not result in further improvements at our institution.