Simulation-based training improves fundus identification success in ophthalmology education

This systematic review and meta-analysis evaluated the effectiveness of simulation-based training compared to traditional training methods for teaching fundus examination. The analysis included 772 participants across simulated settings. The primary outcome was the successful fundus identification rate, with secondary outcomes including simulation favorability, posttest results, and perceived benefits.

Pooled results showed that 63.1% of participants correctly identified fundus structures after simulation-based training. Additionally, 75.6% of participants preferred simulation over traditional training methods. These findings suggest that simulation may enhance learning outcomes in ophthalmology education.

However, the authors note important limitations, including limited study numbers and heterogeneity in how outcomes were assessed. Adverse events were not reported, and funding sources were not disclosed. The certainty of the evidence is limited, and interpretation of fundus identification outcomes should be cautious.

Despite these caveats, the review supports the integration of simulation-based training into ophthalmology curricula to enhance training outcomes. Further research with standardized assessments and larger sample sizes is needed to confirm these findings.