Refining Neuro-ophthalmology Examination Proficiency in Neurology Residents Through Simulation-based Training
Abdullah Salama1, Karan Tarasaria2, Lakshmi Leishangthem1
1UConn Health, 2Hartford HealthCare
Objective:
To evaluate the effectiveness of simulation-based training in improving neuro-ophthalmology examination proficiency among neurology residents.
Background:
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.
Design/Methods:
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.
Results:
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.
Conclusions:
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.
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.