“…4 Not surprisingly, most primary care physicians view their undergraduate ophthalmology medical education as inadequate, which may translate into a lack of confidence in performing funduscopic assessments. 2,4,[6][7][8] A number of different teaching methods have been used to train and evaluate students in direct ophthalmoscopy examination skills in the past, but their effectiveness is limited. Previous techniques have included practice on fellow students, and funduscopic examination on patients with verbal confirmation of pathologic findings.…”