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The combined influence of knowledge, training and experience when grading contact lens complications

Identifieur interne : 000994 ( Istex/Corpus ); précédent : 000993; suivant : 000995

The combined influence of knowledge, training and experience when grading contact lens complications

Auteurs : Nathan Efron ; Philip B. Morgan ; Ritu Jagpal

Source :

RBID : ISTEX:011B6D1889FCA53FF1EED8D5BD3534A75969B9C9

English descriptors

Abstract

Purpose: A study was conducted to evaluate the influence of knowledge, training and experience (clinical skills set) when assessing the severity of contact lens complications.

Url:
DOI: 10.1046/j.1475-1313.2003.00091.x

Links to Exploration step

ISTEX:011B6D1889FCA53FF1EED8D5BD3534A75969B9C9

Le document en format XML

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<p>Purpose: A study was conducted to evaluate the influence of knowledge, training and experience (clinical skills set) when assessing the severity of contact lens complications.</p>
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<p>Methods: Nine optometrists (who were in possession of a relevant clinical skills set) and nine ‘non‐optometrists’ (subjects without the clinical skills set) were each invited to grade – to the nearest 0.1 increment – an image of each of 16 contact lens complications using Efron Grading Scales for Contact Lens Complications. This procedure was repeated 2 weeks later, yielding a total data base comprising 576 individual grading estimates.</p>
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<p>Results: The mean of the test and retest grading estimates was the same for the optometrists (2.8 ± 0.7) and the non‐optometrists (2.6 ± 0.9) (F1,15,1 = 1.3, p = 0.26); that is, non‐optometrists can grade accurately. Median grading reliability for optometrists (±0.41) was lower than (i.e. superior to) that for non‐optometrists (±0.67) (p = 0.001). Non‐optometrists tended to display a reluctance to grade by interpolation and to less reliably grade subtle clinical signs.</p>
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<p>Conclusions: When averaged over several attempts, non‐optometrists will arrive at similar estimates of severity to optometrists when grading ocular complications of contact lens wear; however, they will do so less reliably. The relative contribution of the three attributes of the clinical skills set to grading performance is presently unclear.</p>
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: Prof. Nathan Efron. 
E‐mail address:
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<title type="main">The combined influence of knowledge, training and experience when grading contact lens complications</title>
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<i>N. Efron et al</i>
</title>
<title type="short">
<i>Grading contact lens complications</i>
</title>
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<personName>
<givenNames>Philip B.</givenNames>
<familyName>Morgan</familyName>
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<personName>
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<keyword xml:id="k1">accuracy</keyword>
<keyword xml:id="k2">contact lens complications</keyword>
<keyword xml:id="k3">experience</keyword>
<keyword xml:id="k4">grading scales</keyword>
<keyword xml:id="k5">knowledge</keyword>
<keyword xml:id="k6">reliability</keyword>
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<p>
<b>Purpose:</b>
A study was conducted to evaluate the influence of knowledge, training and experience (clinical skills set) when assessing the severity of contact lens complications.</p>
<p>
<b>Methods:</b>
Nine optometrists (who were in possession of a relevant clinical skills set) and nine ‘non‐optometrists’ (subjects without the clinical skills set) were each invited to grade – to the nearest 0.1 increment – an image of each of 16 contact lens complications using Efron Grading Scales for Contact Lens Complications. This procedure was repeated 2 weeks later, yielding a total data base comprising 576 individual grading estimates.</p>
<p>
<b>Results:</b>
The mean of the test and retest grading estimates was the same for the optometrists (2.8 ± 0.7) and the non‐optometrists (2.6 ± 0.9) (
<i>F</i>
<sub>1,15,1</sub>
 = 1.3,
<i>p</i>
 = 0.26); that is, non‐optometrists can grade accurately. Median grading reliability for optometrists (±0.41) was lower than (i.e. superior to) that for non‐optometrists (±0.67) (
<i>p</i>
 = 0.001). Non‐optometrists tended to display a reluctance to grade by interpolation and to less reliably grade subtle clinical signs.</p>
<p>
<b>Conclusions:</b>
When averaged over several attempts, non‐optometrists will arrive at similar estimates of severity to optometrists when grading ocular complications of contact lens wear; however, they will do so less reliably. The relative contribution of the three attributes of the clinical skills set to grading performance is presently unclear.</p>
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<abstract>Purpose: A study was conducted to evaluate the influence of knowledge, training and experience (clinical skills set) when assessing the severity of contact lens complications.</abstract>
<abstract>Methods: Nine optometrists (who were in possession of a relevant clinical skills set) and nine ‘non‐optometrists’ (subjects without the clinical skills set) were each invited to grade – to the nearest 0.1 increment – an image of each of 16 contact lens complications using Efron Grading Scales for Contact Lens Complications. This procedure was repeated 2 weeks later, yielding a total data base comprising 576 individual grading estimates.</abstract>
<abstract>Results: The mean of the test and retest grading estimates was the same for the optometrists (2.8 ± 0.7) and the non‐optometrists (2.6 ± 0.9) (F1,15,1 = 1.3, p = 0.26); that is, non‐optometrists can grade accurately. Median grading reliability for optometrists (±0.41) was lower than (i.e. superior to) that for non‐optometrists (±0.67) (p = 0.001). Non‐optometrists tended to display a reluctance to grade by interpolation and to less reliably grade subtle clinical signs.</abstract>
<abstract>Conclusions: When averaged over several attempts, non‐optometrists will arrive at similar estimates of severity to optometrists when grading ocular complications of contact lens wear; however, they will do so less reliably. The relative contribution of the three attributes of the clinical skills set to grading performance is presently unclear.</abstract>
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<topic>knowledge</topic>
<topic>reliability</topic>
<topic>training</topic>
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