The coronavirus disease 2019 (COVID-19) pandemic will have long-lasting effects on health care, ranging from clinical practice to medical education. Since March 2020, the Association of Faculties of Medicine of Canada and medical schools across the country have been responding to the outbreak by taking numerous precautionary measures. These measures have resulted in a compressed and delayed timeline for all medical trainees, especially the class of 2021. Canadian program directors and residency selection committees are facing unprecedented challenges for the recruitment and assessment of applicants in the upcoming cycle, in particular with the cancellation of visiting electives. 1 Fig. 1-Scores (mean and standard deviation) of importance given to applicants' performance during (A) preclerkship and rotations, (B) personal letter and letters of reference, and (C) interviews (N = 46).

This case highlights the direct choroidal mycobacterial infection of the disease after BCG instillations for bladder cancer and failure of treatment despite culture-proven drug sensitivity, thus suggesting the need to revaluate adequate treatment to avoid loss of vision.

* BACKGROUND AND OBJECTIVE: To evaluate the effect of different image compression formats of non-analyzed Heidelberg Retina Tomography (HRT; Heidelberg Engineering, Heidelberg, Germany) images on the diagnosis of glaucoma by ophthalmologists. * MATERIALS AND METHODS: Thirty-three topographic and reflectance images taken with the HRT representing different levels of disease were transformed using nine different compression formats. Three independent ophthalmologists, masked as to contour line and stereometric parameters, classified the original and compressed HRT images as normal, suspected glaucoma, or glaucoma, and Kappa agreement coefficients were calculated. * RESULTS: The Tagged Image File Format had the largest file size and the Joint Photographic Experts Group (JPEG) 2000 format had the smallest size. The highest Kappa coefficient value was 1.00 for all ophthalmologists using the Tagged Image File Format. Kappa values for JPEG formats were all in the range of good to excellent agreement. Kappa values were lower for Portable Network Graphic and Graphics Interchange Format compression formats. * CONCLUSION: Image compression with JPEG 2000 at a ratio of 20:1 provided sufficient quality for glaucoma analysis in conjunction with a relatively small image size format, and may prove to be attractive for HRT telemedicine applications. Further clinical studies validating the usefulness of interpreting non-analyzed HRT images are required. [Ophthalmic Surg Lasers Imaging 2005,36:323326.1

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