{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:40:59Z","timestamp":1792788059756,"version":"4.5.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":86,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Arrow Project Sheba Medical Center","id":[{"id":"https:\/\/ror.org\/020rzx487","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"DOI":"10.1186\/s12909-026-09780-w","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T09:25:55Z","timestamp":1783502755000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic accuracy of ophthalmology residents in emergency department consultations: trends and potential implications for training"],"prefix":"10.1186","volume":"26","author":[{"given":"Rachel","family":"Shemesh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Mizrachy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattan","family":"Arazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maysan","family":"Hussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3750-8153","authenticated-orcid":false,"given":"Ruth","family":"Huna-Baron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"9780_CR1","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.1016\/j.ophtha.2021.03.008","volume":"128","author":"L Stunkel","year":"2021","unstructured":"Stunkel L, Sharma RA, Mackay DD, et al. Patient harm due to diagnostic error of neuro-ophthalmologic conditions. Ophthalmology. 2021;128:1356\u201362.","journal-title":"Ophthalmology"},{"key":"9780_CR2","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1007\/s11910-022-01189-4","volume":"22","author":"EA Muro-Fuentes","year":"2022","unstructured":"Muro-Fuentes EA, Stunkel L. Diagnostic error in neuro-ophthalmology: avenues to improve. Curr Neurol Neurosci Rep. 2022;22:243\u201356.","journal-title":"Curr Neurol Neurosci Rep"},{"key":"9780_CR3","doi-asserted-by":"publisher","first-page":"20344","DOI":"10.1038\/s41598-020-77566-1","volume":"10","author":"E Borrelli","year":"2020","unstructured":"Borrelli E, Battista M, Gelormini F, et al. Rate of misdiagnosis and clinical usefulness of the correct diagnosis in exudative neovascular maculopathy secondary to AMD versus pachychoroid disease. Sci Rep. 2020;10:20344.","journal-title":"Sci Rep"},{"key":"9780_CR4","doi-asserted-by":"crossref","unstructured":"Hashemi M, Rohani SC, Mukit FA et al. The diagnostic accuracy of first-year ophthalmology residents on call: considerations for postgraduate year 2 (PGY-2) standardizations of call structure. Cureus 2024.16: e.","DOI":"10.7759\/cureus.59206"},{"key":"9780_CR5","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.jcjo.2016.12.011","volume":"52","author":"J Nari","year":"2017","unstructured":"Nari J, Allen LH. Bursztyn LL.Accuracy of referral diagnosis to an emergency eye clinic. Can J Ophthalmol. 2017;52:283\u20136.","journal-title":"Can J Ophthalmol"},{"key":"9780_CR6","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1017\/S0317167100008921","volume":"35","author":"JJ Moeller","year":"2008","unstructured":"Moeller JJ, Kurniawan J, Gubitz GJ, et al. Diagnostic accuracy of neurological problems in the emergency department. Can J Neurol Sci. 2008;35:335\u201341.","journal-title":"Can J Neurol Sci"},{"key":"9780_CR7","doi-asserted-by":"publisher","first-page":"e1804","DOI":"10.1212\/WNL.0000000000011232","volume":"96","author":"EM Schorr","year":"2021","unstructured":"Schorr EM, Brandstadter R, Jin P, et al. Training in neurology: diagnostic accuracy among neurology residents: the close the loop project. Neurology. 2021;96:e1804\u20138.","journal-title":"Neurology"},{"key":"9780_CR8","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1542\/peds.109.6.993","volume":"109","author":"WJ Steinbach","year":"2002","unstructured":"Steinbach WJ, Sectish TC, Benjamin T Jr, et al. Pediatric residents\u2019 clinical diagnostic accuracy of otitis media. Pediatrics. 2002;109:993\u20138.","journal-title":"Pediatrics"},{"key":"9780_CR9","doi-asserted-by":"crossref","unstructured":"Shah AY, Abreo A, Akar-Ghibril N et al. Is the July effect real? Pediatric trainee reported medical errors and adverse events. Pediatr Qual Saf. 2017;2: e.","DOI":"10.1097\/pq9.0000000000000018"},{"key":"9780_CR10","doi-asserted-by":"publisher","first-page":"2007","DOI":"10.1056\/NEJMp1711483","volume":"377","author":"DF Weinstein","year":"2017","unstructured":"Weinstein DF. Optimizing GME by measuring its outcomes. N Engl J Med. 2017;377:2007\u20139.","journal-title":"N Engl J Med"},{"key":"9780_CR11","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1097\/ACM.0b013e31829a3ce9","volume":"88","author":"C Chen","year":"2013","unstructured":"Chen C, Petterson S, Phillips RL, et al. Towards graduate medical education (GME) accountability: measuring the outcomes of GME institutions. Acad Med. 2013;88:1267\u201380.","journal-title":"Acad Med"},{"key":"9780_CR12","doi-asserted-by":"publisher","first-page":"532","DOI":"10.4300\/JGME-D-13-00431.1","volume":"6","author":"MD Jain","year":"2014","unstructured":"Jain MD, Tomlinson GA, Lam D, et al. Workplace-based assessment of internal medicine resident diagnostic accuracy. J Grad Med Educ. 2014;6:532\u20135.","journal-title":"J Grad Med Educ"},{"key":"9780_CR13","doi-asserted-by":"publisher","first-page":"17851","DOI":"10.1038\/s41598-020-75027-3","volume":"10","author":"H Gu","year":"2020","unstructured":"Gu H, Guo Y, Gu L, et al. Deep learning for identifying corneal diseases from ocular surface slit-lamp photographs. Sci Rep. 2020;10:17851.","journal-title":"Sci Rep"},{"key":"9780_CR14","doi-asserted-by":"publisher","first-page":"22046","DOI":"10.1038\/s41598-023-49563-7","volume":"13","author":"E Shimizu","year":"2023","unstructured":"Shimizu E, Tanji M, Nakayama S, et al. AI-based diagnosis of nuclear cataract from slit-lamp videos. Sci Rep. 2023;13:22046.","journal-title":"Sci Rep"},{"key":"9780_CR15","doi-asserted-by":"publisher","first-page":"260","DOI":"10.7326\/0003-4819-142-4-200502150-00008","volume":"142","author":"NK Choudhry","year":"2005","unstructured":"Choudhry NK, Fletcher RH. Soumerai SB.Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142:260\u201373.","journal-title":"Ann Intern Med"},{"key":"9780_CR16","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1001\/jama.296.9.1071","volume":"296","author":"CP West","year":"2006","unstructured":"West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296:1071\u20138.","journal-title":"JAMA"},{"key":"9780_CR17","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1001\/jama.2009.1389","volume":"302","author":"CP West","year":"2009","unstructured":"West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302:1294\u2013300.","journal-title":"JAMA"},{"key":"9780_CR18","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1111\/medu.12927","volume":"50","author":"L Dyrbye","year":"2016","unstructured":"Dyrbye L. Shanafelt T.A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50:132\u201349.","journal-title":"Med Educ"},{"key":"9780_CR19","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1097\/WNO.0000000000001031","volume":"41","author":"L Stunkel","year":"2021","unstructured":"Stunkel L, Newman-Toker DE, Newman NJ, et al. Diagnostic error of neuro-ophthalmologic conditions: state of the science. J Neuroophthalmol. 2021;41:98\u2013113.","journal-title":"J Neuroophthalmol"},{"key":"9780_CR20","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/WCO.0000000000000635","volume":"32","author":"L Stunkel","year":"2019","unstructured":"Stunkel L, Newman NJ. Biousse V.Diagnostic error and neuro-ophthalmology. Curr Opin Neurol. 2019;32:62\u20137.","journal-title":"Curr Opin Neurol"},{"key":"9780_CR21","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1097\/WNO.0000000000000846","volume":"40","author":"L Stunkel","year":"2020","unstructured":"Stunkel L, Mackay DD, Bruce BB, et al. Referral patterns in neuro-ophthalmology. J Neuroophthalmol. 2020;40:485\u201393.","journal-title":"J Neuroophthalmol"},{"key":"9780_CR22","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1001\/jamaneurol.2018.3989","volume":"76","author":"P Kahraman-Koytak","year":"2019","unstructured":"Kahraman-Koytak P, Bruce BB, Peragallo JH, et al. Diagnostic errors in initial misdiagnosis of optic nerve sheath meningiomas. JAMA Neurol. 2019;76:326\u201332.","journal-title":"JAMA Neurol"},{"key":"9780_CR23","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.joco.2018.09.001","volume":"30","author":"MY Wang","year":"2018","unstructured":"Wang MY, Asanad S, Asanad K, et al. Value of medical history in ophthalmology: a study of diagnostic accuracy. J Curr Ophthalmol. 2018;30:359\u201364.","journal-title":"J Curr Ophthalmol"},{"key":"9780_CR24","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1111\/j.1468-1331.2011.03390.x","volume":"18","author":"CK Hansen","year":"2011","unstructured":"Hansen CK, Fisher J, Joyce N, et al. Emergency department consultations for patients with neurological emergencies. Eur J Neurol. 2011;18:1317\u201322.","journal-title":"Eur J Neurol"},{"key":"9780_CR25","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1016\/j.acra.2011.04.015","volume":"18","author":"AT Trout","year":"2011","unstructured":"Trout AT, Wang PI, Cohan RH, et al. Apprenticeships ease the transition to independent call: an evaluation of anxiety and confidence among junior radiology residents. Acad Radiol. 2011;18:1186\u201394.","journal-title":"Acad Radiol"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-026-09780-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-026-09780-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-026-09780-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:42:10Z","timestamp":1790898130000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12909-026-09780-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["9780"],"URL":"https:\/\/doi.org\/10.1186\/s12909-026-09780-w","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"assertion":[{"value":"25 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study followed the Helsinki ethical principles and was approved by the institutional review board of the Sheba Medical Center (SMC-9903-22). All methods were carried out in accordance with relevant guidelines and regulations. The institutional review board waived the need for informed consent given the retrospective anonymized data collection.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. All authors approved the manuscript for publication","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1563"}}