Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students

Abstract Objective Ocular fundus disease is one of the most complex areas of ophthalmology and a difficulty in ophthalmic education and training. Fundus imaging is an essential tool and reliable method for teaching fundus diseases. At present, the development of fundus imaging has entered the multim...

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Main Authors: Shi Xuehui, Wang Haiyan, Yang Fan, Zhou Jinqiong, Wei Wenbin
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06967-5
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author Shi Xuehui
Wang Haiyan
Yang Fan
Zhou Jinqiong
Wei Wenbin
author_facet Shi Xuehui
Wang Haiyan
Yang Fan
Zhou Jinqiong
Wei Wenbin
author_sort Shi Xuehui
collection DOAJ
description Abstract Objective Ocular fundus disease is one of the most complex areas of ophthalmology and a difficulty in ophthalmic education and training. Fundus imaging is an essential tool and reliable method for teaching fundus diseases. At present, the development of fundus imaging has entered the multimodal era. The traditional teaching mode is difficult to meet the current increasing teaching needs. This study aims to evaluate the application value of case-based learning (CBL) combined with multimodal imaging in clinical teaching of ocular fundus diseases. Methods All the thirty-four postgraduate students studying at the Ophthalmology Center of Beijing Tongren Hospital affiliated to Capital Medical University were included. All the students were during the standardized training period for residents at the same level of training. The traditional teaching group included 16 students who studied from September to December 2023, and the CBL multimodal imaging teaching group included 18 students who studied from January to April 2024. All students were initially tested for basic knowledge of ocular fundus diseases. After the basic training and examination, the traditional teaching group was taught the characteristics of various common fundus diseases in each imaging mode; the CBL multimodal imaging teaching group was taught the characteristics of multimodal imaging based on each disease of common fundus diseases. The two groups conducted single mode imaging and multimode imaging examination in stages as the teaching schedule, and finally took the theoretical examination and clinical case analysis examination. The score results of the theory examination, image analysis and case analysis examination were compared at each stage. Results There was no statistically significant difference between the two groups in the scores of fundus basic knowledge examination, basic imaging knowledge examination, and single mode image analysis (P = 0.44, 0.62,0.38). The scores of multimode image analysis, final theoretical examination, and case analysis in the CBL multimode imaging group were all significantly higher than those in the traditional teaching group (P = 0.02, 0.01, 0.02). Meanwhile, the proportion of students with better performance in final theoretical examination and case analysis examination was higher in the CBL multimodal imaging teaching group than that in the traditional teaching group. In the questionnaire survey, CBL multimodal imaging teaching mode has incomparable advantage over traditional teaching mode in students’ learning interest and initiative(P = 0.001). And students in CBL multimodal imaging teaching group also had higher recognition and subjective evaluation on their study ability, clinical thinking and case analysis ability than that in traditional teaching group(P = 0.01, 0.02, 0.01). Conclusion CBL combined with multi-modal imaging is an efficient method in the ocular fundus disease teaching of postgraduate students. It helps to increase students’ image discrimination and case analysis abilities, and improve their clinical work.
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spelling doaj-art-cb1c44b6de104468a75d7e2f0002313d2025-08-20T02:41:32ZengBMCBMC Medical Education1472-69202025-03-0125111010.1186/s12909-025-06967-5Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate studentsShi Xuehui0Wang Haiyan1Yang Fan2Zhou Jinqiong3Wei Wenbin4Beijing Key Laboratory of Ophthalmology & Visual Sciences, Medical Artificial Intelligence Research and Verification Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Ophthalmology & Visual Sciences, Medical Artificial Intelligence Research and Verification Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Ophthalmology & Visual Sciences, Medical Artificial Intelligence Research and Verification Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Ophthalmology & Visual Sciences, Medical Artificial Intelligence Research and Verification Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Ophthalmology & Visual Sciences, Medical Artificial Intelligence Research and Verification Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityAbstract Objective Ocular fundus disease is one of the most complex areas of ophthalmology and a difficulty in ophthalmic education and training. Fundus imaging is an essential tool and reliable method for teaching fundus diseases. At present, the development of fundus imaging has entered the multimodal era. The traditional teaching mode is difficult to meet the current increasing teaching needs. This study aims to evaluate the application value of case-based learning (CBL) combined with multimodal imaging in clinical teaching of ocular fundus diseases. Methods All the thirty-four postgraduate students studying at the Ophthalmology Center of Beijing Tongren Hospital affiliated to Capital Medical University were included. All the students were during the standardized training period for residents at the same level of training. The traditional teaching group included 16 students who studied from September to December 2023, and the CBL multimodal imaging teaching group included 18 students who studied from January to April 2024. All students were initially tested for basic knowledge of ocular fundus diseases. After the basic training and examination, the traditional teaching group was taught the characteristics of various common fundus diseases in each imaging mode; the CBL multimodal imaging teaching group was taught the characteristics of multimodal imaging based on each disease of common fundus diseases. The two groups conducted single mode imaging and multimode imaging examination in stages as the teaching schedule, and finally took the theoretical examination and clinical case analysis examination. The score results of the theory examination, image analysis and case analysis examination were compared at each stage. Results There was no statistically significant difference between the two groups in the scores of fundus basic knowledge examination, basic imaging knowledge examination, and single mode image analysis (P = 0.44, 0.62,0.38). The scores of multimode image analysis, final theoretical examination, and case analysis in the CBL multimode imaging group were all significantly higher than those in the traditional teaching group (P = 0.02, 0.01, 0.02). Meanwhile, the proportion of students with better performance in final theoretical examination and case analysis examination was higher in the CBL multimodal imaging teaching group than that in the traditional teaching group. In the questionnaire survey, CBL multimodal imaging teaching mode has incomparable advantage over traditional teaching mode in students’ learning interest and initiative(P = 0.001). And students in CBL multimodal imaging teaching group also had higher recognition and subjective evaluation on their study ability, clinical thinking and case analysis ability than that in traditional teaching group(P = 0.01, 0.02, 0.01). Conclusion CBL combined with multi-modal imaging is an efficient method in the ocular fundus disease teaching of postgraduate students. It helps to increase students’ image discrimination and case analysis abilities, and improve their clinical work.https://doi.org/10.1186/s12909-025-06967-5Case-based learningMultimodal imagingPostgraduate studentsOcular fundus disease teachingMedical education
spellingShingle Shi Xuehui
Wang Haiyan
Yang Fan
Zhou Jinqiong
Wei Wenbin
Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
BMC Medical Education
Case-based learning
Multimodal imaging
Postgraduate students
Ocular fundus disease teaching
Medical education
title Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
title_full Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
title_fullStr Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
title_full_unstemmed Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
title_short Application and evaluation of case-based multimodal imaging in the ocular fundus disease teaching of postgraduate students
title_sort application and evaluation of case based multimodal imaging in the ocular fundus disease teaching of postgraduate students
topic Case-based learning
Multimodal imaging
Postgraduate students
Ocular fundus disease teaching
Medical education
url https://doi.org/10.1186/s12909-025-06967-5
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AT yangfan applicationandevaluationofcasebasedmultimodalimagingintheocularfundusdiseaseteachingofpostgraduatestudents
AT zhoujinqiong applicationandevaluationofcasebasedmultimodalimagingintheocularfundusdiseaseteachingofpostgraduatestudents
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