RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0043-1760831
Virtual Ophthalmology Rotation for Visiting Medical Students: An Opportunity to Enhance Diversity in the Workforce
Funding The work of John Kwagyan, PhD is supported by: Howard University Research Centers of Minority Institutions (HU-RCMI) with a research grant from the National Institute of Health - National Institute of Minority Health and Health Disparities (NIH-NIMHD) (U54MD007597).![](https://www.thieme-connect.de/media/10.1055-s-00033285/202301/lookinside/thumbnails/10-1055-s-0043-1760831_375-1.jpg)
Abstract
Introduction We created a virtual rotation to facilitate the exposure of ophthalmology to medical students and serve as a pilot program to help attract students from under-represented in medicine (URM) backgrounds. In addition to the rotation eliminating the financial burdens associated with in-person away rotations, we offered a not-for-credit (i.e., drop-in) option that included sessions outside the typical clinic hours. This option reduced scheduling conflicts as a barrier to enrollment and allowed junior medical students and postgraduates to participate and hopefully further develop an interest in ophthalmology.
Methods Before the rotation, participants completed a pre-test and a survey to collect data on learners' backgrounds and interest in applying for ophthalmology residency. The rotation included live lectures, case-based discussions, chart reviews, and guided self-study. Following the rotation, participants completed a post-test and a survey to query applicants on the online rotation's utility and delivery.
Results Eleven learners enrolled in the course and completed the prerotation survey and test. Approximately one-third (4/11; 36%) were URM students and two-thirds (7/11; 64%) were female. All responded they were planning to apply for ophthalmology residency. All responded they strongly agreed that the rotation increased their general knowledge in ophthalmology, and 89% (9/11) strongly agreed that it improved their ability to diagnose and manage actual patients. Nearly all (7/8; 87.5%) strongly agreed the rotation provided the opportunity to seek support for the residency application process, and all found the online platform reliable and easy to access. Exam scores improved significantly from pre- to post-tests (60 vs. 79%; p < 0.01).
Conclusions The rotation attracted a substantial proportion of URM students. Learners reported that the virtual rotation effectively taught and supported their endeavors to become ophthalmologists. Virtual rotations for visiting students can reduce barriers such as travel, financial costs, and time constraints that might otherwise hinder exposure to specialty training that is not offered or is underrepresented at students' home institutions. Increasing exposure and offering mentorship through this novel platform deserves further study to enhance diversity and inclusion in medicine.
Keywords
COVID-19 - virtual education - diversity - ophthalmology - medical education - under-representedPublikationsverlauf
Eingereicht: 31. August 2022
Angenommen: 14. Dezember 2022
Artikel online veröffentlicht:
28. Januar 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Xierali IM, Nivet MA, Wilson MR. Current and future status of diversity in ophthalmologist workforce. JAMA Ophthalmol 2016; 134 (09) 1016-1023
- 2 Moxon NR, Goyal A, Giaconi JA. et al. The state of ophthalmology medical student education in the united states: an update. Ophthalmology 2020; 127 (11) 1451-1453
- 3 Final Report and Recommendations for Medical Education Institutions of LCME-Accredited, U.S. Osteopathic, and Non-U.S. Medical School Applicants. AAMC website. Accessed July 5, 2022 Published April 14, 2021 at: https://www.aamc.org/about-us/mission-areas/medical-education/away-rotations-interviews-2020-21-residency-cycle
- 4 Montgomery Rice V. Diversity in medical schools: a much-needed new beginning. JAMA 2021; 325 (01) 23-24
- 5 Allen RC, Harper RA. Basic Ophthalmology: Essentials for Medical Students. 10th ed. San Francisco, CA: American Academy of Ophthalmology; 2016
- 6 Ophthalmology Resources for Medical Students. American Academy of Ophthalmology. Accessed July 5, 2022 at: https://www.aao.org/medical-students
- 7 Recorded Webinars. Heidelberg Engineering Academy Web site. Accessed July 5, 2022 Accessed July 5, 2022 at: https://academy.heidelbergengineering.com/mod/page/view.php?id=1869
- 8 DeVaro SN, Uner OE, Khalifa YM, Graubart EB. Ophthalmology education in COVID-19: a remote elective for medical students. J Acad Ophthalmol 2020; 12 (02) e165-e170
- 9 Tsui E, Wells MB, Mohamed M. et al. Virtual ophthalmology rotations – a real possibility during the COVID-19 pandemic and beyond. J Acad Ophthalmol 2020; 12: e195-e199
- 10 Frisbie J, Cornman H, Swamy R. et al. A novel interactive virtual medical student clinical rotation for ophthalmology. J Acad Ophthalmol 2022; 14: e52-e59
- 11 Friedman DS, Wolfs RC, O'Colmain BJ. et al; Eye Diseases Prevalence Research Group. Prevalence of open-angle glaucoma among adults in the United States. Arch Ophthalmol 2004; 122 (04) 532-538
- 12 Zhang X, Saaddine JB, Chou CF. et al. Prevalence of diabetic retinopathy in the United States, 2005-2008. JAMA 2010; 304 (06) 649-656
- 13 Aguwa UT, Srikumaran D, Brown N, Woreta F. Improving racial diversity in the ophthalmology workforce: a call to action for leaders in ophthalmology. Am J Ophthalmol 2021; 223: 306-307
- 14 Yousuf SJ, Kwagyan J, Jones LS. Applicants' choice of an ophthalmology residency program. Ophthalmology 2013; 120 (02) 423-427
- 15 Knight OJ, Padovani-Claudio DA, Croteau-Chonka CC, Olivier MMG, Miller-Ellis EG. Rabb–venable excellence in ophthalmology research program: contributions to ophthalmology workforce diversity. J Acad Ophthalmol 2021; 13: e298-e303
- 16 Olivier MMG, Forster S, Carter KD, Cruz OA, Lee PP. Lighting a pathway: the minority ophthalmology mentoring program. Ophthalmology 2020; 127 (07) 848-851