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Abstract Details

Refining Neuro-ophthalmology Examination Proficiency in Neurology Residents Through Simulation-based Training
Neuro-ophthalmology/Neuro-otology
S14 - Neuro-ophthalmology/Neuro-otology (12:03 PM-12:15 PM)
005

Developing neuro-ophthalmological exam skills is crucial for accurate diagnosis and avoiding potential pitfalls in many urgent, vision- and life-threatening conditions. However, neurology residents often receive limited formal training in this subspecialty. Simulation-based training (SBT) has proven to be an effective method for improving clinical skills by offering a controlled, feedback-rich environment. Here, we present pretest and posttest results from a cohort of neurology residents over the past year, demonstrating the positive impact of SIM neuro-ophthalmology exam workshops on their performance.  

  

To evaluate the effectiveness of simulation-based training in improving neuro-ophthalmology examination proficiency among neurology residents.

Over one year, we conducted three in-person SIM sessions to enhance neurology residents' neuro-ophthalmology exam skills. Residents took a pre-SIM test on neuro-ophthalmology skills knowledge, participated in hands-on SIM scenarios covering key exam techniques, and received feedback from clinical faculty. A post-SIM test, identical to the pre-test, was given to assess performance and knowledge improvement. Statistical analyses were performed to compare pre- and post-workshop scores.  

Of the 17 participants, most were PGY4 residents (n=7). Pre-SIM scores averaged 41.2%, ranging from 20% to 60%. Post-SIM scores improved to an average of 69.4%, with a range of 40% to 100%, showing significant skill improvement. The average score increased by 120.6%, with some residents improving by up to 400% with 88% of residents showing improvement.  

  

The implementation of neuro-ophthalmology exam simulation sessions resulted in marked improvement in neurology residents' examination skills. Post-SIM test scores consistently outperformed pre-SIM scores, highlighting the effectiveness of the in-person training and feedback provided. Effective training of the residents is essential to avoid diagnostic pitfalls caused by limited neuro-ophthalmology skill set. This simulation-based model should be encouraged in other residency programs to enhance resident competency in critical neuro-ophthalmology skills.  
Authors/Disclosures
Abdullah Salama
PRESENTER
Mr. Salama has nothing to disclose.
Karan Tarasaria, MBBS Dr. Tarasaria has nothing to disclose.
Lakshmi Leishangthem, MD, MBBS (UConn Health) Dr. Leishangthem has nothing to disclose.