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    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.
    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).