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In this day and age, care of patients involved many disciplines and many health professionals. So it is important for health professionals to come together to learn about diseases and how we manage these diseases together, rather than learn in their own professional silos.

 

 

 

 

 

 

 

~ Assoc Prof Kevin Tan
Senior Consultant, Neurology, National Neuroscience Institute

 

 
  
Programme >
 

Ophthalmology Symposium
Innovating Ophthalmic Education

 

 Track type: Symposium

 

 Duration: 90 minutes

 

 Location: Academia, Level 2, PSL 2

Topic 1:

Fundoscopy for the Future


 Speaker: Assoc Prof Ian Yeo


 

Fundoscopy is often viewed as a difficult or considered with little confidence by many medical students and non-ophthalmologists. As such, it is an infrequently used tool by non-ophthalmologists despite its ability to aid in the assessment and management of many systemic conditions. 
 

Current practice of fundoscopy skills training for medical students involves the use of static head models and ‘live’ patients.

Yet this skill is commonly found in nearly all textbooks of physical diagnosis and is considered to be part of the physical examination.


The difficulties encountered by the medical students or Residents are frequently compounded by an inability to merely hold the ophthalmoscope effectively. Non-ophthalmologists are more likely to reach a correct diagnosis if shown a photograph of retinal pathology than if asked to view the fundus directly. 

 

The undergraduate medical education requires the students to develop the competence to use direct ophthalmoscope to recognize retinal signs of life-threatening disorders. These signs include papilloedema, retinal haemorrhages, retinal artery occlusion, retinal vessel leakage and dot haemorrhages.

 

There has been less focus on methods to impart a competence in identifying retinal signs of uncommon life-threatening diseases or screen for diabetic retinopathy and glaucoma. Without this skill, the future ophthalmologist or non-ophthalmologist run the risk of either missing important clinical findings during their subsequent years of practice or of compensating by ordering unnecessary tests. 
 

The fundoscopy trainer is a new electronic retinal simulator that allows users to learn fundoscopy skills and teach them to identify many retinal signs without putting patients through discomfort of prolonged light shining in their eyes. It also offers a more realistic simulation of retinal fundoscopy. We believe this is a worthwhile investment that could reap significant returns by producing physicians with the confidence and skills to examine the fundi.


 



Topic 2:

No More: See One, Do One, Teach One

 Speaker: 
Dr Christine Yau

With the increasing complexity of modern surgeries, the traditional notion of “see one, do one, teach one” is now outdated. Newer methods to help trainees gain competency without compromising on patient safety have to be explored. 
 
Touch Surgery (Kinosis Ltd) is an interactive mobile application that helps trainee surgeons rehearse the steps of an operation on a smartphone before entering the operating theatre. It was introduced in Britain three years ago and set about digitising numerous operations ranging from urology to plastic surgery. The application breaks each operation into natural sections, providing detailed explanations of each step. Short tests at the end of each section reinforce the information taught. The first of its Ophthalmology modules, is a cataract module authored by Singapore National Eye Centre (SNEC), launched last year. 
 
In the pipeline are plans to further include other types of eye surgeries in order to make the simulator a comprehensive experience. Research has also been carried out to evaluate the validity of the application.



Topic 3: 

Who's More Burnt Out: Residents or Faculty?

 Speaker:
Adj Assoc Prof Audrey Chia

In a survey of Residents and Faculty, it was found that both Residents and Faculty were prone to burnout, although the types of stressors in each group were different. While Faculty found the volume of work and demands on time most stressful, the Residents were more stressed preparing for examinations and being on call.
 

 
Topic 4: 

Electronic Eye Education


 Speaker:
 
Adj Assoc Prof Rahat Husain

DigiSNEC is a series of online lectures aimed at Ophthalmology Residents. The topics are determined by the DigiSNEC team and distributed to the Faculty. The format is such that each lecture should last 10-12 minutes and retain a certain structure that is relevant and concise (such as diagnosis, management, differential diagnosis, evidence base etc). The powerpoint slides are voiced over by the specialists in an informal manner.

 
The presentations are made available to Residents to be accessed at any time and on multiple platforms. One of the aims of this project is to facilitate the flipped classroom model of teaching whereby before any lecture, Residents would be asked to watch the digiSNEC presentation so that the lecture time is given over to case discussion and questions and answers (i.e. moving away from a didactic style).

 
*Information is correct at time of update
 

 
 
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