Evaluation of computer-based retinopathy of prematurity (ROP) education for ophthalmology residents: a randomized, controlled, multicenter study

Ramak Roohipoor, Rodrigo Alvarez, Katarzyna Brodowska, Mehdi Yaseri, Carolyn Kloek, Mohamad Riazi, Ramin Nourinia, Homayoun Nikkhah, N. Venkatesh Prajna, Chandrasekharan Krishnan, Sonal Tuli, Laura Green, Divya Srikumaran, Ankoor S. Shah, Iason S. Mantagos, Michael Chiang, R. V.Paul Chan, John Loewenstein

Research output: Contribution to journalArticlepeer-review


Purpose: To evaluate the effect of a computer-based training program—Massachusetts Eye & Ear ROP Trainer—on residents' knowledge of retinopathy of prematurity (ROP) management. Methods: In this prospective, randomized study, ophthalmology residents from nine different training programs consented to participate. Those who completed the study were randomly assigned to either the Trainer or the control group. The ROP Trainer was created using clinical cases encompassing the stages of ROP in digital pictures and videos. It includes sections on screening decisions, examination techniques, and diagnosis, and a reference section with the expert video clips and a searchable image library. Subjects in the control group were asked to study standard print material on ROP. A pre- and post-test, consisting of theoretical and practical (diagnosis) questions, and a post-intervention satisfaction test were administered. Accuracy of ROP diagnosis was assessed. Results: A total of 180 residents agreed to participate, of whom 60 completed the study. Residents in the Trainer group had statistically significant improvements (P = 0.003) in ROP knowledge and diagnostic ability (P = 0.005). Residents randomized to the Trainer group were more satisfied with the training materials than were those in the control group. There was no significant difference in improving knowledge by year of training, sex, or country. Considering all training levels, a statistically significant increase was observed in sensitivity for the diagnosis of preplus or worse, zone I or II, ROP stage, category, and aggressive posterior ROP in the Trainer group. Conclusions: In this study, the Trainer was shown to significantly improve ROP knowledge and diagnostic skills of residents, regardless of sex, year, of training, or country.(Figure presented.)

Original languageEnglish (US)
Pages (from-to)86.e1-86.e7
JournalJournal of AAPOS
Issue number2
StatePublished - Apr 2019

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology


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