American Academy of Ophthalmology

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    \"漂浮物,“所有年龄段的患者都有常见的抱怨,被用作查询术语,因为它影响了30%的搜索眼睛护理的人。美国眼科学会网站的“漂浮物”部分被用作问题和答案的来源(www。aao.org)。漂浮物是随着眼睛的移动而移动的视觉障碍。它们可能与视网膜脱离有关,这可能会导致视力丧失。随着大型语言模型(LLM)聊天机器人ChatGPT的出现,吟游诗人与虚拟助理(VA),GoogleAssistant,还有Alexa,我们分析了他们对“漂浮物”的反应。\"
    使用AAO.org,“公众和患者,“及其相关小节,\"EyeHealthA-Z\":Floaters和闪光灯链接,我们问了四个问题:(1)什么是漂浮物?(2)什么是闪光?(3)闪光和偏头痛?(4)漂浮物和闪光治疗?到ChatGPT,巴德,GoogleAssistant,Alexa如果突出显示,则识别美国眼科学会(AAO)关键字。美国教育部批准的“Flesch-Kincaid等级”公式,用于评估回答的阅读理解水平。
    对于聊天机器人和虚拟助手,GoogleAssistant是唯一使用“眼科医生”一词的人。“没有提到漂浮物的紧迫性或紧急性质。AAO.org显示出较低的读数水平与LLM和VA(p=.11)。ChatGPT的阅读理解水平,巴德,GoogleAssistant,Alexa更高(12.3、9.7、13.1、8.1级),高于AAO.org(7.3级)。LLM与VA的字数较高(p<.0286)。
    目前,ChatGPT,巴德,GoogleAssistant,和Alexa相似.存在事实信息,但所有人都错过了诊断视网膜脱离的紧迫性。翻译相关性:LLM和虚拟助手都是免费的,我们的患者将使用它们来获取“漂浮物”信息。ChatGPT可能存在遗漏错误,并且缺乏寻求医生护理的紧迫性。
    UNASSIGNED: \"Floaters,\" a common complaint among patients of all ages, was used as a query term because it affects 30% of all people searching for eye care. The American Academy of Ophthalmology website\'s \"floaters\" section was used as a source for questions and answers (www.aao.org). Floaters is a visual obstruction that moves with the movement of the eye. They can be associated with retinal detachment, which can lead to vision loss. With the advent of large language model (LLM) chatbots ChatGPT, Bard versus virtual assistants (VA), Google Assistant, and Alexa, we analyzed their responses to \"floaters.\"
    UNASSIGNED: Using AAO.org, \"Public & Patients,\" and its related subsection, \"EyeHealth A-Z\": Floaters and Flashes link, we asked four questions: (1) What are floaters? (2) What are flashes? (3) Flashes and Migraines? (4) Floaters and Flashes Treatment? to ChatGPT, Bard, Google Assistant, and Alexa. The American Academy of Ophthalmology (AAO) keywords were identified if they were highlighted. The \"Flesch-Kincaid Grade Level\" formula approved by the U.S. Department of Education, was used to evaluate the reading comprehension level for the responses.
    UNASSIGNED: Of the chatbots and virtual assistants, Google Assistant is the only one that uses the term \"ophthalmologist.\" There is no mention of the urgency or emergency nature of floaters. AAO.org shows a lower reading level vs the LLMs and VA (p = .11). The reading comprehension levels of ChatGPT, Bard, Google Assistant, and Alexa are higher (12.3, 9.7, 13.1, 8.1 grade) vs the AAO.org (7.3 grade). There is a higher word count for LLMs vs VA (p < .0286).
    UNASSIGNED: Currently, ChatGPT, Bard, Google Assistant, and Alexa are similar. Factual information is present but all miss the urgency of the diagnosis of a retinal detachment. Translational relevance: Both the LLM and virtual assistants are free and our patients will use them to obtain \"floaters\" information. There may be errors of omission with ChatGPT and a lack of urgency to seek a physician\'s care.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的分析美国眼科学会(AAO)领导力发展计划(LDP)的有效性,报告该计划对参与者获得眼科领导职位的影响,并确定改善未来LDP计划的机会。设计通过使用在线问卷和回顾性监测对AAOLDP毕业生进行开放队列研究。参与者和方法AAOLDP毕业生从1999年到2019年参加了这项研究。通过电子邮件分发了Likert规模的调查。在线回复匿名提交给伯克利哈斯商学院的一个团队进行分析。对毕业生的性别人口统计和眼科领导职位进行了单独审查。进行了回归分析以确定调查结果是否支持测量的影响与AAOLDP计划的感知有效性之间的有意义的关系。提升到全国AAO相关组织的领导地位,区域,state,并对AAO自民党毕业生的亚专业水平进行了整理。结果381名潜在受访者,返回了203份调查答复(53.3%)。158人报告说,他们目前担任领导职务(77.8%)。统计分析表明,该计划的整体价值被视为非常有效(M=4.6),这些发展计划的结合对AAOLDP总体上被认为是有效的做出了重大贡献,F(11,191)=24.79;p<0.001,R2为0.59。对383名毕业生的纵向追踪显示,268人(70.0%)曾担任AAO委员会/专责小组成员,议员们,或外部组织的代表。共有242名(63.2%)毕业生担任州主席或主席,亚专业,或专业兴趣眼科学会。25(6.5%)曾担任AAO最高领导层,其中2人当选为AAO主席。与美国整体和受训眼科人群相比,在LDP计划中发现的女性参与者比例更高。结论AAOLDP已经实现了其最初的目标,即有效培养对整个行业感兴趣并准备担任领导角色的大型眼科医生。制定更具体的结果措施来评估该计划,以及直接最优编程,需要进一步实现其目标。
    Objective  This study aimed to analyze the effectiveness of the American Academy of Ophthalmology (AAO)\'s Leadership Development Program (LDP), report the program\'s impact on participants in attaining ophthalmic leadership positions, and identify opportunities to improve future LDP programming. Design  An open cohort study was performed on AAO LDP graduates by using an online questionnaire and retrospective monitoring. Participants and Methods  AAO LDP graduates from 1999 to 2019 participated in the study. A Likert-scale survey was distributed via email. Online responses were submitted anonymously to a team at the Berkeley Haas School of Business for analysis. A separate review of gender demographics and ophthalmic leadership positions held by graduates was performed. Main Outcomes Measures  Regression analysis was performed to determine whether survey results supported a meaningful relationship between the measured impact and the AAO LDP program\'s perceived effectiveness. Ascension into leadership positions of AAO-related organizations at the national, regional, state, and subspecialty level by AAO LDP graduates was collated. Results  Of 381 potential respondents, 203 survey responses were returned (53.3%). 158 reported that they are currently holding a leadership position (77.8%). Statistical analyses indicated that the overall value of the program was seen as highly effective (M = 4.6), and that the development programs combined contributed significantly to AAO LDP being judged as effective overall, F (11,191) = 24.79; p  < 0.001 with an R 2 of 0.59. Longitudinal tracking of the 383 graduates revealed that 268 (70.0%) have served as AAO committee/task force members, councilors, or representatives to outside organizations. A total of 242 (63.2%) graduates have served as president or chair of a state, subspecialty, or specialized interest ophthalmology society. 25 (6.5%) have served at the highest level of AAO leadership and two have been elected AAO President. A higher percentage of participants identifying as female was found in the LDP program compared with both U.S. overall and trainee ophthalmic populations. Conclusion  The AAO LDP has fulfilled its initial goals of effectively developing a large cohort of ophthalmologists interested in and prepared to take on leadership roles across the profession. Development of more specific outcome measures to evaluate the program, as well as direct optimal programming, are needed to further the success of its aims.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:尽管越来越重视循证医学,目前尚不清楚眼科临床实践指南背后的证据.此系统分析的目的是了解支持美国眼科学会(AAO)首选实践模式(PPP)指南的证据水平(LOE)。评估随时间的变化,并比较眼科亚专业的LOE。
    方法:全面审查了所有当前的PPP指南及其前身,以确定提供LOE的所有建议(I[随机对照试验],II[病例对照或队列研究],和III[非分析研究])。
    结果:24个当前的PPP中有23个是先前版本。在先前版本的PPP中,LOE的建议数量从以前的PPP中的1254个减少到当前的PPP中的94个。使用LOEI的建议数量从114减少到83,LOEII从147减少到2,LOEIII从993减少到9。然而,LOEI建议的比例从9%增加到88%,由低于LOEI的证据报告不成比例地减少所致。按亚专业划分的亚组分析显示出相似的趋势(先前PPPs与当前PPPs中的LOEI建议:视网膜:57[12%]vs19[100%];角膜:33[5%]vs24[100%];青光眼:9[23%]vs17[100%];白内障:13[17%]vs18[100%])。
    结论:PPP指南中LOE报告的趋势表明,从2012年到2021年,随机对照试验的证据越来越受到重视。报告的LOE建议数量的下降表明未来指南需要改进的领域,因为LOE的存在对于促进临床实践指南的解释至关重要。
    BACKGROUND: Despite the increased emphasis on evidence-based medicine, the current state of evidence behind ophthalmology clinical practice guidelines is unknown. The purpose of this systematic analysis was to understand the levels of evidence (LOE) supporting American Academy of Ophthalmology (AAO) Preferred Practice Pattern (PPP) guidelines, assess changes over time, and compare LOE across ophthalmology subspecialties.
    METHODS: All current PPP guidelines and their immediate predecessors were comprehensively reviewed to identify all recommendations with LOE provided (I [randomized controlled trials], II [case-control or cohort studies], and III [nonanalytic studies]).
    RESULTS: Twenty-three out of 24 current PPPs had a prior edition. Among the PPPs with a prior edition, the number of recommendations with LOE decreased from 1254 in prior PPPs to 94 in current PPPs. The number of recommendations with LOE I decreased from 114 to 83, LOE II decreased from 147 to 2, and LOE III decreased from 993 to 9. However, the proportion of LOE I recommendations increased from 9 to 88%, driven by a disproportionate decrease in reporting of evidence lower than LOE I. Subgroup analysis by subspecialty showed similar trends (LOE I recommendations in prior PPPs vs current PPPs: retina: 57 [12%] vs 19 [100%]; cornea: 33 [5%] vs 24 [100%]; glaucoma: 9 [23%] vs 17 [100%]; cataract: 13 [17%] vs 18 [100%]).
    CONCLUSIONS: Trends in LOE reporting in PPP guidelines indicate an increasing emphasis on evidence from randomized controlled trials from 2012 to 2021. The decline in the number of recommendations with LOE reported suggests an area for improvement in future guidelines as the presence of LOE is crucial to facilitate interpretation of clinical practice guidelines.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Historical Article
    This paper summarizes the personal experience of an ophthalmologist who has been involved in medical education for over 60 years. With clinical experience and leadership positions within ophthalmology and in broad medical organizations, this paper chronicles the evolution of educational practice and approaches for over a half-century.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Historical Article
    This paper summarizes the personal experience of an ophthalmologist who has been involved in medical education for over 60 years. With clinical experience and leadership positions within ophthalmology and in broad medical organizations, this paper chronicles the evolution of educational practice and approaches for over a half century.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Historical Article
    The circumstances leading to and the process of establishing a code of ethics for members of the American Academy of Ophthalmology are recounted by the original chairman of the Ethics Committee.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • DOI:
    文章类型: Letter
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Historical Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号