Prompting better feedback: investigating the effect of targeted form design on quality of narrative feedback in ophthalmology CBME assessments.

Objective: Competency-based medical education (CBME) requires a variety of assessments evaluating resident performance. Assessment form design may influence narrative feedback quality. To evaluate the effect of including targeted written comment prompts in entrustable professional activity (EPA) assessment forms on the quality of narrative feedback in CBME ophthalmology resident trainee assessments.

Is time really of the essence? Timeliness of narrative feedback in ophthalmology CBME assessments.

Purpose: Competency-based medical education relies on a strong program of assessment, and quality comments play a vital role in ensuring its success. The goal of this study is to determine the effect of the timeliness of assessment completion on the quality of the feedback.

Materials And Methods: Using the Quality of Assessment for Learning (QuAL) score 2478 assessments were evaluated.

Using a rapid-cycle approach to evaluate implementation of competency-based medical education in ophthalmology.

Objective: As competency-based medical education is being implemented across Canada, there is an increasing need to evaluate the progress to date, including identification of strengths and weaknesses, to inform program development. Ophthalmology is preparing for a national launch in coming years. The purpose of this study was to describe key stakeholders' lived experiences in the competency-based medical education foundation-of-discipline stage in one ophthalmology department.

Smartphone Compatible versus Conventional Ophthalmoscope: A Randomized Crossover Educational Trial.

 The aim of the study is to compare performance and ease-of-use (EOU) of optic disk assessment using a smartphone direct ophthalmoscope attachment (D-EYE) to the gold standard direct ophthalmoscope (DO).  The type of study involved is prospective, randomized, crossover, and educational trial.  The participants involved were first year medical students inexperienced in ophthalmoscopy.

Involving ophthalmology departmental stakeholders in developing workplace-based assessment tools.

Objective: As competency-based medical education (CBME) rolls out across Canada, the assessment process is changing. Our purpose was to involve stakeholders in the selection and modification of workplace-based assessment (WBA) tools for use in an ophthalmology residency program.

Design: This is a qualitative case study conducted in one ophthalmology department at a midsized teaching hospital in eastern Ontario.

Use of a fundus photograph matching program in imparting proficiency in ophthalmoscopy.

Objective: To determine whether practice using an online fundus photograph program results in a long-term increase in proficiency with direct ophthalmoscopy skills in medical students.

Design: This study was a prospective medical education trial. Students were enrolled to participate in a voluntary Objective Structured Clinical Examination (OSCE) using 5 patients with ocular findings.

Creation and validation of a simulator for corneal rust ring removal.

Objective: To create and validate a simulation model for corneal rust ring removal.

Methods: Rust rings were created on cadaveric eyes with the use of small particles of metal. The eyes were mounted on suction plates at slit lamps and the trainees practiced rust ring removal.

Evaluation of an online peer fundus photograph matching program in teaching direct ophthalmoscopy to medical students.

Objective: Direct ophthalmoscopy is an important clinical skill that is often poorly performed by medical professionals and students. This is attributable to a declining emphasis on ophthalmology in medical school. We present and evaluate a self-directed approach of teaching ophthalmoscopy to medical students that is suitable for the current medical curriculum.

YouTube videos in the English language as a patient education resource for cataract surgery.

Purpose: To assess the quality of the content of YouTube videos for cataract surgery patient education.

Setting: Hotel Dieu Hospital, Kingston, Ontario, Canada.

Design: Observational study.

Bone strength estimates relative to vertical ground reaction force discriminates women runners with stress fracture history.

Purpose: To determine differences in bone geometry, estimates of bone strength, muscle size and bone strength relative to load, in women runners with and without a history of stress fracture.

Methods: We recruited 32 competitive distance runners aged 18-35, with (SFX, n=16) or without (NSFX, n=16) a history of stress fracture for this case-control study. Peripheral quantitative computed tomography (pQCT) was used to assess volumetric bone mineral density (vBMD, mg/mm), total (ToA) and cortical (CtA) bone areas (mm), and estimated compressive bone strength (bone strength index; BSI, mg/mm) at the distal tibia.

Drug-prescribing patterns among optometrists and nonophthalmologist physicians at a tertiary care centre in Kingston, Ontario.

Objective: To report on patterns of optometry prescribing and adherence to prescribing regulations at a tertiary care ophthalmology centre.

Design: Prospective cohort study.

Participants: All new referrals from optometrists and other health care professionals to the emergency eye care service (n = 1965) between July 2011 and June 2012, as well as optometry referrals to 2 subspecialty services (glaucoma [n = 71] and cornea [n = 212]).

Punctal Plug Retention Rates for the Treatment of Moderate to Severe Dry Eye: A Randomized, Double-Masked, Controlled Clinical Trial.

Purpose: To compare retention rates of Super Flex (Eagle Vision, Memphis, Tennessee, USA; Softplug-Oasis Medical Inc, Glendora, California, USA) vs Parasol (Odyssey Medical, Memphis, Tennessee, USA; Beaver Visitec International, Waltham, Massachusetts, USA) punctal plugs.

Design: Randomized, double-masked, interventional controlled clinical trial.

Methods: Institutional study at Hotel Dieu Hospital (Queen's University) of 50 eyes, from patients with moderate to severe dry eye.

Relative importance of the components of the Canadian Residency Matching Service application.

Objective: The primary goal of this project was to investigate Canadian ophthalmology residency program directors' and department heads' perceptions about the relative importance of the various components of the Canadian Residency Matching Service (CaRMS) application package. Secondary goals were: (i) to investigate the perceptions of all program directors and department heads at Queen's University's residency programs; and (ii) to compare faculty's perceptions with the perceptions of medical students at Queen's University.

Design: Survey.

Evaluating the need for close follow-up after removal of a noncomplicated corneal foreign body.

Purpose: The purpose of this study was to evaluate the need for close follow-up after removal of noncomplicated corneal foreign bodies.

Methods: This is an observational prospective cohort study of 60 eyes in noncontact lens wearers with corneal foreign bodies outside the visual axis. Foreign bodies were removed and patients were followed as per the Wills Eye Manual guideline for 1 to 3 days after foreign body extraction, and every 3 to 5 days until resolution of the epithelial defect.

Orbital compartment syndrome in a burn patient without aggressive fluid resuscitation.

Introduction: Orbital compartment syndrome may rarely occur in the setting of burns where therapy includes aggressive fluid resuscitation.

Case: We report a case of bilateral orbital compartment syndrome in a 13-year-old male, with superficial facial burns secondary to hydrobromic acid, who did not receive aggressive fluid resuscitation. The patient was treated successfully with bilateral lateral canthotomy and cantholysis.

Electromyographic analysis of the rotator cuff in postoperative shoulder patients during passive rehabilitation exercises.

Background: Numerous rehabilitation protocols exist for postoperative rotator cuff repairs. Because the goal of early rehabilitation is to prevent postoperative adhesions while protecting the repaired tendons, it would be advantageous to know which range-of-motion exercises allow the rotator cuff to remain the most passive in a painful, guarded, postsurgical shoulder.

Methods: Twenty-six subjects who had undergone subacromial decompression, distal clavicle resection, or a combination of both procedures volunteered to participate within the first 4 days after surgery.

Influence of Donor Tissue Factors on Detachment Rate in DSAEK Patients.

Purpose. To determine whether the rate of graft detachment in patients undergoing the DSAEK procedure is influenced by the time elapsed between donor death and tissue implantation. Methods.

Effect of prophylactic nonsteroidal antiinflammatory drugs on cystoid macular edema assessed using optical coherence tomography quantification of total macular volume after cataract surgery.

Purpose: To evaluate the efficacy of prophylactic administration of the topical nonsteroidal antiinflammatory drug (NSAID) ketorolac tromethamine 0.5% on acute (within 4 weeks of surgery) cystoid macular edema (CME) and total macular volume (TMV) in patients having phacoemulsification cataract surgery.

Setting: Department of Ophthalmology, Queen's University, Hotel Dieu Hospital, Kingston, Ontario, Canada.

In situ versus whole-globe harvesting of corneal tissue from remote donor sites: effects on initial tissue quality.

Purpose: There are 2 methods of corneal tissue procurement currently in widespread use: in situ extraction of the corneal button directly to preservation media and whole-globe enucleation of eyes with removal of the button to preservation media at a later time. This study evaluates the effects of these 2 procurement procedures on the initial quality of donor corneal tissue.

Methods: Slit-lamp examination results and endothelial cell counts were compared for a total of 468 donor corneas harvested at 2 remote locations: one where in situ procurement was practiced and the other that used whole-globe enucleation procedures.

Punctal plugs in the management of dry eyes.

Punctal plugs appear to be a relatively safe, effective, and reversible method of preserving aqueous and artificial tears on the ocular surface to reduce the signs and symptoms of dry eye. An absorbable plug may be used temporarily to assess the effectiveness of this therapy prior to insertion of a longterm nonabsorbable plug (Freeman-type, Herrick Lacrimal Plug, or SmartPlug) or cautery. Indications and contraindications for use of punctal plugs are discussed, as are features of various plugs, techniques of insertion and removal, complications, and outcomes.