Journal of academic ophthalmology (2017)最新文献

{"title":"Telemedicine Training in Ophthalmology Residency Programs.","authors":"Ryan S Meshkin, Kanza Aziz, Marguerite C Weinert, Alice C Lorch, Grayson W Armstrong","doi":"10.1055/s-0043-1772789","DOIUrl":"https://doi.org/10.1055/s-0043-1772789","url":null,"abstract":"Prior tothe coronaviruspandemic,surgicalspecialties utilized telemedicine sparingly. One study cites prepandemic rates of surgical telehealth use to be less than 1% of new patient encounters, 1 while another study found fewer than 2% of clinicians provided any outpatient care via telemedicine. 2 Within the fi eld of ophthalmology, telemedicine models were largely limited to screening and referral for diabetic retinopathy, 3 age-related macular degeneration, 4 and glaucoma. 5 With the onset of the coronavirus pandemic, however, telemedicineutilizationfortriage,diagnosis,andmanagement of disease increased considerably. An astonishing 34% of new patient encounters across surgical specialties were conducted via telehealth at the height of the pandemic. 1 Two signi fi cant questions have arisen in the wake of the early adoption of telemedicine: what is the staying power of telemedicine among surgical subspecialties, and are physicians appropriately trained to utilize telemedicine? Telemedicine utilization declined in late 2020 with the resumption of in-person care, though the proportion of patient visitsconductedviavirtual means remained markedly higher than it had been prepandemic. 1,6","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"15 2","pages":"e172-e174"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/74/10-1055-s-0043-1772789.PMC10421718.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved Performance of ChatGPT-4 on the OKAP Examination: A Comparative Study with ChatGPT-3.5.","authors":"Sean Teebagy,&nbsp;Lauren Colwell,&nbsp;Emma Wood,&nbsp;Antonio Yaghy,&nbsp;Misha Faustina","doi":"10.1055/s-0043-1774399","DOIUrl":"https://doi.org/10.1055/s-0043-1774399","url":null,"abstract":"<p><p><b>Introduction:</b>  This study aims to evaluate the performance of ChatGPT-4, an advanced artificial intelligence (AI) language model, on the Ophthalmology Knowledge Assessment Program (OKAP) examination compared to its predecessor, ChatGPT-3.5. <b>Methods:</b>  Both models were tested on 180 OKAP practice questions covering various ophthalmology subject categories. <b>Results:</b>  ChatGPT-4 significantly outperformed ChatGPT-3.5 (81% vs. 57%; <i>p</i> <0.001), indicating improvements in medical knowledge assessment. <b>Discussion:</b>  The superior performance of ChatGPT-4 suggests potential applicability in ophthalmologic education and clinical decision support systems. Future research should focus on refining AI models, ensuring a balanced representation of fundamental and specialized knowledge, and determining the optimal method of integrating AI into medical education and practice.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"15 2","pages":"e184-e187"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/e4/10-1055-s-0043-1774399.PMC10495224.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10578784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Barriers to Increasing Diversity within Oculofacial Plastic Surgery.","authors":"Johsias A Maru, Nicole D Carvajal, Alejandra G de Alba Campomanes, Neeti Parikh, Davin C Ashraf, Robert C Kersten, Bryan J Winn, M Reza Vagefi, Seanna R Grob","doi":"10.1055/s-0042-1758561","DOIUrl":"10.1055/s-0042-1758561","url":null,"abstract":"<p><p><b>Purpose</b>  Physician diversity is limited in ophthalmology and oculofacial plastic surgery. Determination of barriers within the application process for oculofacial plastic surgery may help target efforts to improve the recruitment of underrepresented groups. This study aimed to illuminate perceived barriers to increasing diversity in oculofacial plastic surgery trainees, according to the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) fellows and fellowship program directors (FPDs). <b>Methods</b>  During the month of February 2021, we sent surveys out to 54 current oculofacial plastic surgery fellows and 56 FPDs at 56 oculofacial plastic surgery programs recognized by the ASOPRS nationwide using a 15-question Qualtrics survey. <b>Results</b>  Sixty-three individuals (57%) responded to the survey: 34 fellows (63%) and 29 FPDs (52%). Eighty-eight percent of fellows and 68% of FPDs identified as non-underrepresented in medicine (UiM). Forty-four percent of fellows and 25% of FPDs identified as men. FPDs most commonly noted, \"Not enough minorities applying to our program\" and \"The objective data (Ophthalmic Knowledge Assessment Program score, United States Medical Licensing Examination Step scores, clinical honors, Alpha Omega Alpha status, letter of recommendation) for minority applicants often do not meet the threshold required to offer an interview or to be ranked to match\" as barriers. Among fellows, the lowest-rated considerations when applying to oculofacial plastic surgery were \"Racially/ethnically diverse faculty\" and \"Perceptions of minority candidates by fellowship programs,\" whereas \"Likelihood of matching in program of choice\" was ranked highest in considerations. Fellows identifying as men indicated greater concern for \"Financial factors related to fellowship (e.g., loans, salary, cost of living, or cost of interviewing)\" compared to fellows identifying as women who noted greater concern for \"Program or preceptor acceptance of starting or having a family during fellowship.\" <b>Conclusion</b>  Responses from FPDs suggest that efforts focused on recruiting and supporting diverse students to medicine and ophthalmology, mentoring applicants interested in oculofacial plastic surgery, and restructuring the application process to decrease bias, may improve diversity within the subspecialty. The lack of UiM representation in this study, 6% fellows and 7.4% FPDs identified as UiM, shows both the stark underrepresentation and the need for further research into this topic.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e271-e278"},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/82/10-1055-s-0042-1758561.PMC10302555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Addendum: Outcomes of a Five-Year Formal Ophthalmology Residency Mentorship Program.","authors":"Sen Yang, Sarah T Glass, John L Clements, Leah G Reznick, Ambar Faridi","doi":"10.1055/s-0042-1758740","DOIUrl":"10.1055/s-0042-1758740","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0042-1756133.].</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e257"},"PeriodicalIF":0.0,"publicationDate":"2022-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/60/10-1055-s-0042-1758740.PMC9927953.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bibliometric Analysis of Ophthalmology Resident Research Productivity in the United States.","authors":"Austin Huang, Sarah Kim, Harrison Zhu, Nihar Pathare, Xin Yee Ooi, R Parker Kirby, Stephen P Yoon, Zaina Al-Mohtaseb","doi":"10.1055/s-0042-1758565","DOIUrl":"10.1055/s-0042-1758565","url":null,"abstract":"<p><p><b>Background</b>  The extent and impact of ophthalmology resident scholarly output is not well known. The authors aim to quantify scholarly activity of ophthalmology residents during residency and assess what factors may be associated with greater research productivity of these residents. <b>Material and Methods</b>  Ophthalmology residents who graduated in 2021 were identified from their respective program Web sites. Bibliometric data published by these residents between the beginning of their postgraduate year 2 (July 1, 2018) until 3 months after graduation (September 30, 2021) were captured through searches via PubMed, Scopus, and Google Scholar. The association of the following factors with greater research productivity numbers was analyzed: residency tier, medical school rank, sex, doctorate degree, type of medical degree, and international medical graduate status. <b>Results</b>  We found 418 ophthalmology residents from 98 residency programs. These residents published a mean (±standard deviation [SD]) number of 2.68 ± 3.81 peer-reviewed publications, 2.39 ± 3.40 ophthalmology-related publications, and 1.18 ± 1.96 first-author publications each. The mean (±SD) Hirsch index (h-index) for this cohort was 0.79 ± 1.17. Upon multivariate analysis, we discovered significant correlations between both residency tier and medical school rank and all bibliometric variables assessed. Pairwise comparisons revealed that residents from higher tier programs had greater research productivity numbers than those from lower tier programs. <b>Conclusion</b>  We obtained bibliometric standards for ophthalmology residents on a national scale. Residents who graduated from higher-ranked residency programs and medical schools possessed higher h-indices and published more peer-reviewed publications, ophthalmology-related articles, and first-author publications.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e263-e270"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/51/10-1055-s-0042-1758565.PMC9927984.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10098001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relative Importance of Applicant Characteristics in Ophthalmology Residency Interview Selection: A Survey of Program Directors.","authors":"Samuel A Cohen, Suzann Pershing","doi":"10.1055/s-0042-1756122","DOIUrl":"10.1055/s-0042-1756122","url":null,"abstract":"<p><p><b>Introduction</b>  Ophthalmology residency positions remain competitive. A lack of clarity regarding which residency selection criteria are prioritized by program directors can heighten the stress associated with the match process. While surveys of program directors in several other medical specialties have been conducted to identify the most important residency selection criteria, there is limited data on selection criteria used by ophthalmology residency program directors. The purpose of our study was to survey ophthalmology residency program directors to identify the current state of interview selection decisions-the factors currently considered most important in determining whether to extend an interview invitation to residency applicants. <b>Methods</b>  We developed and distributed a Web-based questionnaire to all U.S. ophthalmology residency program directors. Questions evaluated program demographics and the relative importance of 23 different selection criteria used by ophthalmology residency program directors when evaluating applicants for residency interviews (Likert scale 1-5, with 1 being \"not important\" and 5 being \"very important\"). Program directors were also asked to identify the one factor they felt was most important. <b>Results</b>  The overall residency program director response rate was 56.5% (70/124). The selection criteria with the highest average importance scores were core clinical clerkship grades (4.26/5) followed by letters of recommendation (4.06/5), and United States Medical Licensing Examination (USMLE) Step 1 score (4.03/5). The most frequently cited single most important factor for interview selection was core clinical clerkship grades (18/70, 25.7%), with USMLE Step 1 score (9/70, 12.9%) and rotations at the program director's department (6/70, 8.6%) also commonly reported. <b>Conclusion</b>  Our results suggest that core clinical clerkship grades, letters of recommendation, and USMLE Step 1 scores are deemed the most important selection criteria by ophthalmology residency program directors as of a 2021 survey. With changes in clerkship grading for many medical schools and changes in national USMLE Step 1 score reporting, programs will face challenges in evaluating applicants and the relative importance of other selection criteria will likely increase.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e246-e256"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/1f/10-1055-s-0042-1756122.PMC9927967.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10097999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Landscape of Uveitis Specialists in the United States.","authors":"Edmund Tsui, Eric L Crowell, Sapna Gangaputra, Kareem Moussa, Jessica G Shantha, Alexander J Shusko, Ian A Thompson, Derek C Pham, Nicholas J Jackson, Arthi G Venkat","doi":"10.1055/s-0042-1755581","DOIUrl":"10.1055/s-0042-1755581","url":null,"abstract":"<p><p><b>Purpose</b>  This study characterizes the current landscape of uveitis specialists and their practice settings in the United States. <b>Methods</b>  An anonymous Internet-based survey with questions pertaining to training history and practice characteristics was distributed via REDCap to the American Uveitis Society and Young Uveitis Specialists listservs. <b>Results</b>  Forty-eight uveitis specialists in the United States responded to the survey out of 174 uveitis specialists that identify as practicing in the United States. Twenty-five of 48 respondents (52%) completed an additional fellowship. These additional fellowships ranged from surgical retina (12/25, 48%), cornea (8/25, 32%), and medical retina (4/25, 16%). Two-thirds of uveitis specialists managed their own immunosuppression, while one-third comanaged immunosuppression with rheumatologists. Thirty-three of 48 (69%) maintained a surgical practice. <b>Conclusion</b>  This is the first survey of uveitis specialists across the United States to provide understanding into training and practice characteristics. These data will provide insight into career planning, practice building, and assist in resource allocation.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e187-e192"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/79/10-1055-s-0042-1755581.PMC9928062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9729122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Potential Schedule-Related and Gender Biases in Ophthalmology Residency Interview Scores.","authors":"Chih-Chiun J Chang,&nbsp;Omar Moussa,&nbsp;Royce W S Chen,&nbsp;Lora R Dagi Glass,&nbsp;George A Cioffi,&nbsp;Jeffrey M Liebmann,&nbsp;Bryan J Winn","doi":"10.1055/s-0042-1744272","DOIUrl":"https://doi.org/10.1055/s-0042-1744272","url":null,"abstract":"<p><p><b>Purpose</b>  Prior studies have revealed grading discrepancies in evaluation of personal statements and letters of recommendation based on candidate's race and gender. Fatigue and the end-of-day phenomenon can negatively impact task performance but have not been studied in the residency selection process. Our primary objective is to determine whether factors related to interview time and day as well as candidate's and interviewer's gender have a significant effect on residency interview scores. <b>Methods</b>  Seven years of ophthalmology residency candidate evaluation scores from 2013 to 2019 were collected at a single academic institution, standardized by interviewer into relative percentiles (0-100 point grading scale), and grouped into the following categories for comparisons: different interview days (Day 1 vs. Day 2), morning versus afternoon (AM vs. PM), interview session (Day 1 AM/PM vs. Day 2 AM/PM), before and after breaks (morning break, lunch break, and afternoon break), residency candidate's gender, and interviewer's gender. <b>Results</b>  Candidates in the morning sessions were found to have higher scores than afternoon sessions (52.75 vs. 49.28, <i>p</i>  < 0.001). Interview scores in the early morning, late morning, and early afternoon were higher than late afternoon scores (54.47, 53.01, 52.15 vs. 46.74, <i>p</i>  < 0.001). Across all interview years, there were no differences in scores received before and after morning breaks (51.71 vs. 52.83, <i>p</i>  = 0.49), lunch breaks (53.01 vs. 52.15, <i>p</i>  = 0.58), and afternoon breaks (50.35 vs. 48.30, <i>p</i>  = 0.21). No differences were found in scores received by female versus male candidates (51.55 vs. 50.49, <i>p</i>  = 0.21) or scores given by female versus male interviewers (51.31 vs. 50.84, <i>p</i>  = 0.58). <b>Conclusion</b>  Afternoon residency candidate interview scores, especially late afternoon, were significantly lower than morning scores, suggesting the need to further study the effects of interviewer's fatigue in the residency interview process. The interview day, presence of break times, candidate's gender, and interviewer's gender had no significant effects on interview score.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e153-e165"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/8a/10-1055-s-0042-1744272.PMC9927985.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10097995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Ophthalmology Clinic Follow-Up in the Incarcerated Patient Population.","authors":"Michelle M Abou-Jaoude,&nbsp;Jessica Crawford,&nbsp;Richard J Kryscio,&nbsp;Daniel B Moore","doi":"10.1055/s-0042-1758562","DOIUrl":"https://doi.org/10.1055/s-0042-1758562","url":null,"abstract":"<p><p><b>Purpose</b>  Incarcerated patients represent a uniquely vulnerable population in the outpatient ophthalmology setting, and the reliability of follow-up in this group is undetermined. <b>Methods</b>  This was a retrospective, observational chart review of consecutive incarcerated patients evaluated at the ophthalmology clinic of a single academic medical center between July 2012 and September 2016. For each encounter the following were recorded: patient age, gender, incarcerated status at the time of encounter (a subset of patients had encounters before/after incarceration), interventions performed, follow-up interval requested, urgency of follow-up, and actual time to subsequent follow-up. Primary outcome measures were no-show rate and timeliness, which was defined as follow-up within 1.5× the requested period. <b>Results</b>  There were 489 patients included during the study period, representing a total of 2,014 clinical encounters. Of the 489 patients, 189 (38.7%) were seen once. Of the remaining 300 patients with more than one encounter, 184 (61.3%) ultimately did not return and only 24 (8%) were always on time for every encounter. Of 1,747 encounters with specific follow-up requested, 1,072 were considered timely (61.3%). Factors significantly associated with subsequent loss to follow-up include whether a procedure was performed ( <i>p</i>  < 0.0001), urgency of follow-up ( <i>p</i>  < 0.0001), incarcerated status ( <i>p</i>  = 0.0408), and whether follow-up was requested ( <i>p</i>  < 0.0001). <b>Conclusion</b>  Almost two-thirds of incarcerated patients in our population requiring repeat examination were lost to follow-up, particularly those who underwent an intervention or required more urgent follow-up. Patients entering and exiting the penal system were less likely to follow-up while incarcerated. Further work is needed to understand how these gaps compare to those in the general population and to identify means of improving these outcomes.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e258-e262"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/7a/10-1055-s-0042-1758562.PMC9927990.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy Assessment of Outpatient Telemedicine Encounters at an Academic Ophthalmology Department.","authors":"Tadhg Schempf,&nbsp;Gagan Kalra,&nbsp;Patrick W Commiskey,&nbsp;Eve M Bowers,&nbsp;Amani Davis,&nbsp;Evan L Waxman,&nbsp;Roxana Fu,&nbsp;Andrew M Williams","doi":"10.1055/s-0042-1756200","DOIUrl":"https://doi.org/10.1055/s-0042-1756200","url":null,"abstract":"<p><p><b>Purpose</b>  We assess the clinical accuracy of direct-to-patient real-time outpatient video visit encounters at our eye center. <b>Design</b>  This was a retrospective longitudinal study. <b>Subjects and Methods</b>  Patients who completed a video visit over a 3-week period between March and April 2020 were included. Accuracy assessment was determined by comparing diagnosis and management from the video visit with subsequent in-person follow-up over the next year. <b>Results</b>  A total of 210 patients (mean age 55±18 years) were included, of whom 172 (82%) were recommended a scheduled in-person follow-up encounter after their video visit. Among the 141 total patients who completed in-person follow-up, 137 (97%) had a diagnostic agreement between telemedicine and in-person evaluation. Management plan agreed for 116 (82%), with the remainder of visits either escalating or deescalating treatment upon in-person follow-up with little substantive change. Compared with established patients, new patients had higher diagnostic disagreement following video visits (12 vs. 1%, <i>p</i> =0.014). Acute visits trended toward more diagnostic disagreement compared with routine visits (6 vs. 1%, <i>p</i> =0.28) but had a similar rate of management change on follow-up (21 vs. 16%, <i>p</i> =0.48). New patients were more likely to have early unplanned follow-up than established patients (17 vs. 5%, <i>p</i> =0.029), and acute video visits were associated with unplanned early in-person assessments compared with routine video visits (13 vs. 3%, <i>p</i> =0.027). There were no serious adverse events associated with the use of our telemedicine program in the outpatient setting. <b>Conclusions</b>  Video visits had high diagnostic and management agreement with subsequent in-person follow-up encounters.</p>","PeriodicalId":73579,"journal":{"name":"Journal of academic ophthalmology (2017)","volume":"14 2","pages":"e193-e200"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/ab/10-1055-s-0042-1756200.PMC9927968.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}