Keli Vicenzi, Ruth Liane Henn, Ana Paula Weber, Vanessa Backes, Vera Maria Vieira Paniz, Talita Donatti, Maria Teresa Anselmo Olinto
[Food insecurity and overweight in first grade students in the municipal school system in São Leopoldo, Rio Grande do Sul State, Brazil]
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simulation training important component medical education former studies diagnostic simulation training direct indirect funduscopy already proven effective training method prospective controlled trial investigated effect simulatorbased fundus biomicroscopy training completing 1week ophthalmology clerkship medical students saarland university medical center n 30 blockrandomized two groups traditional group received supervised training examining fundus classmates using slit lamp simulator group trained using slit lamp simulator participants pass objective structured clinical examination osce two masked ophthalmological faculty trainers graded students skills examining patients fundus using slit lamp subjective assessment form postassessment surveys obtained data described using median interquartile range iqr twentyfive students n 14 simulator group n 11 traditional group n 11 eligible statistical analysis interrater reliability verified significant overall score well subtasks 0002 except subtask 1 p 012 overall performance medical students fundus biomicroscopy osce statistically ranked significantly higher simulator group 270 525280 30 vs 200 75160 100 observers interrater reliability irr 0001 significance level p 0003 observer 1 p 0001 observer 2 subtasks scores given students trained using simulator consistently higher given students trained traditionally students postassessment forms confirmed results students could learn practical backgrounds fundus biomicroscopy p 004 identification p 0001 localization p 0001 pathologies significantly better simulator traditional supervised methods well complemented simulation training data indicate simulator helps first patient contacts enhances students capacity examine fundus biomicroscopically