Primary health eye care: evaluation of the competence of medical students in performing fundoscopy with the direct ophthalmoscope

  • Johannes Stephanus Van Velden Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
  • Colin Cook Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
  • Landon Myer School of Public and Family Medicine, University of Cape Town
  • Nagib Du Toit Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
Keywords: Primary health eye care, direct ophthalmoscope, teaching ophthalmoscopy, ophthalmoscopy training, essential basic medical skill

Abstract

Background: To evaluate the skill of fifth-year medical students at the University of Cape Town in the performance of fundoscopy at the end of their ophthalmology rotation. Methods: The design was a prospective cohort study. The study was conducted at Groote Schuur Hospital in Cape Town. The ability of fifth-year medical students to perform fundoscopy on mannequin heads fitted with fundus photographs using direct ophthalmoscopes was evaluated. The outcome measures used were ability to see the fundus and ability to recognise fundus pathology. Results: The fundus photographs could be seen in 95% of cases. The correct diagnosis could be made in only 57% of cases. Conclusion: Medical students at the University of Cape Town need more than the current one week of practical ophthalmology training to improve their fundoscopy skills.

Author Biographies

Johannes Stephanus Van Velden, Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
MBChB (Stell), Dip Ophth(SA), FC Ophth (SA), MMED Ophth (UCT) Registrar in Ophthalmology University of Cape Town
Colin Cook, Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
MBChB (UCT), FC Ophth(SA), FRCOphth, MPH(UCT) Professor and Head: Ophthalmology Groote Schuur Hospital University of Cape Town
Landon Myer, School of Public and Family Medicine, University of Cape Town
MBChB, PhD School of Public and Family Medicine University of Cape Town
Nagib Du Toit, Division of Ophthalmology, Groote Schuur Hospital, University of Cape Town
MBChB (UCT), Dip Ophth (SA), FRCS (Ed), FC Ophth (SA), MMED Ophth (UCT) Consultant: Ophthalmology Groote Schuur Hospital University of Cape Town
Published
2010-02-07
Section
Original Research