[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 35.175.191.72. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    1 Comment for this article
    Fundoscopy in the multiple-scan era
    Kathleen Welch, MD | Primary Care, Retired
    A patient with clinical history of increasing headache and new confusion after head trauma (hitting a window frame 2 days earlier). I did not see papilledema, but the neurosurgron didn't even do fundoscopy, he just ordered a head CT and saw the subdural. Specialists need technology at their beck and call. Not realistic for rural GPs.
    CONFLICT OF INTEREST: None Reported
    Research Letter
    Medical Education
    September 20, 2019

    Effect of the iExaminer Teaching Method on Fundus Examination Skills: A Randomized Clinical Trial

    Author Affiliations
    • 1Department of General Medicine, Chiba University Hospital, Chiba, Japan
    • 2Department of Medical Education, Kyushu University, Fukuoka, Japan
    JAMA Netw Open. 2019;2(9):e1911891. doi:10.1001/jamanetworkopen.2019.11891

    Studies have shown that mastery of fundus examination skills is not as high as desired among general practitioners, which implies that innovative teaching methods are needed1,2 because there is no way for a teacher to verify if learners have obtained a proper view of the fundus.3,4 Sharing a visual field between learners and their teacher would facilitate the acquisition of those skills.

    The iExaminer system consists of a PanOptic ophthalmoscope, an iPhone (Apple Inc), an adapter, and an application.5 This system allows learners and their teacher to share the same visual perspective. Our objective was to compare the effect of the iExaminer teaching method on fundus examination skills compared with the traditional teaching method (Figure).

    ×