To evaluate the effectiveness of a one-day training intervention on direct ophthalmoscopy skills among allied ophthalmic personnel (AOP) students in Zambia.
Approach:
Key Findings:
Both groups improved over the study period, indicating that practice supports skill development.
The intervention group showed significantly greater improvements in overall knowledge, examination technique, and disc classification.
80% of participants had performed direct ophthalmoscopy fewer than five times before the study.
Interpretation:
Embedding frugal, competency-based ophthalmoscopy modules into AOP curricula could enhance glaucoma detection capabilities in low-resource settings.
Limitations:
The study had a small sample size of 30 students.
Limited previous exposure to ophthalmoscopy among participants may affect generalizability.
Conclusion:
Modest gains in recognizing glaucomatous features may require additional reinforcement through refresher teaching or supervised practice.
The key is execution, understanding the clinical landscape, controlling device cost, engineering the intraoperative workflow, and scheduling/staffing with intention.