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{
    "pk": 18514,
    "title": "Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Eye emergencies make up nearly 3% of US emergency department (ED) visits. While emergency physicians (EP) should diagnose and treat these ophthalmologic emergencies, many trainees report limited ocular exposure and insufficient training throughout their residency to confidently conduct a thorough slit-lamp exam.</p>\n<p><strong>Methods: </strong>We created an interdisciplinary, simulation-based mastery learning (SBML) curriculum to teach emergency attending physicians how to operate the slit lamp with multimodal learning methodology at a tertiary academic center. The EPs first demonstrate their initial slit-lamp competency with a 20-item checklist, and they then review the necessary curricular content to pass their independent readiness test before completing their in-person teaching and demonstration session with an ophthalmology attending to demonstrate procedural mastery (minimal passing score &gt;90%).</p>\n<p><strong>Results: </strong>Fifteen EPs were enrolled; all completed the final exam of the curriculum. The pre- and post-curriculum checklist scores increased by an average of seven points (P = .002); 86.7% of EPs felt confident in completing a slit-lamp exam after the curriculum, compared to 20% at the beginning. Five of 15 reported teaching learners within the two-month post-curricular period, ranging from 5–30 students. The hands-on teaching was the most positively reviewed element of the curriculum.</p>\n<p><strong>Conclusion:</strong> The SBML program successfully trained EPs on performing a comprehensive slit-lamp exam with promising results of downstream education to junior learners. We encourage other institutions to leverage SBML as a teaching modality for procedural-based training and advocate cross-discipline education initiatives.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "slit lamp"
        },
        {
            "word": "simulation-based mastery learning"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "ophthalmology"
        },
        {
            "word": "faculty development"
        },
        {
            "word": "education"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2vd850gg",
    "frozenauthors": [
        {
            "first_name": "Samara",
            "middle_name": "",
            "last_name": "Hamou",
            "name_suffix": "",
            "institution": "Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Shayan",
            "middle_name": "",
            "last_name": "Ghiaee",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Emory University, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Christine",
            "middle_name": "",
            "last_name": "Chung",
            "name_suffix": "",
            "institution": "Department of Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Maureen",
            "middle_name": "",
            "last_name": "Lloyd",
            "name_suffix": "",
            "institution": "Department of Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Kelly",
            "middle_name": "",
            "last_name": "Khem",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Xiao Chi",
            "middle_name": "",
            "last_name": "Zhang",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania",
            "department": ""
        }
    ],
    "date_submitted": "2023-10-20T05:08:57Z",
    "date_accepted": "2024-03-27T15:51:21.659000Z",
    "date_published": "2024-08-16T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/westjem/article/18514/galley/25961/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18514/galley/24009/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18514/galley/25961/download/"
        }
    ]
}