14 Apr 2021

Results: In 288 eyes (193 patients), the severity of UWF-CI-DR was 2.4% without DR, 29.9% light, 32.6% moderate, 22.9% severe NPDR and 12.2% PDR. The total number of UWF-FA-MA values was 3.5 times higher than the number of UWF-CI (414.4±375.2 vs. 120.0±157.4,4<0.001), 3.2x higher in ETDRS fields (265.8± 239.5 vs. 81.8±100.1,1<,001 and 5.3x higher in extended ETDRS fields (148.6±184.6 vs. 28.2±74.8.8<0.001). In the eyes with NPDR on UWF-CI (No.246), UWF-FA images had 2.3x more fields with ≥20 MAs than UWF-CI in THE ET Fields and 2.0x more in all fields (p<0.001), with fair consistency between the modalities (k-0.325,0.313). In the ETDRS fields, the compliance of DR severity based on the number of MA increased from k-0.346 to 0.600 if the number of UWF-FA was divided by three times, and then rapidly decreased consistently. The entire ultra-wide dr severity chord went from k-0.317 to 0.565 with an adjustment factor of 4-5. UWF-FA with MA numbers ≥20 were compared to DR severity determined by the UWF-CI FORMAL ETDRS classification. In the ETDRS fields, the Kappa agreement went from 0.543 without correction to 0.643 if corrected by 2, followed by a rapid decline thereafter. The highest agreements with the formal ETDRS ranking were observed with the total number of UWF-CI-MA (k-0.656), the number of UWF-FA-ETDRS at threshold 2 (k-0.643) and the total number of UWF-FA fields for threshold 4 (k-0.584).

We also have a formal agreement with the University of Washington to provide Sub-I Family Medicine. If you are an interested UWASH student, please contact your school for more information. Conclusions: UWF-FA detects 3.2 to 5.3 times more MAs and 2.0 to 2.3x more fields with MAs≥20 than UWF-CI on all DR severities, which limits the direct comparison between these modalities. Correcting the number of UWF-FA-MA can significantly improve the match between UWF-FA and UWF-CI-derived DR severity and must be taken into account when using UWF-FA-MA counts to evaluate DR.S.N. results receive information on the current requirements of the UWF School of Nursing for enrollment. These include physical examination and vaccination; Level 2 Criminal Background Check; drug screen; VECHS fingerprints; AHA BCLS certification; Proof of professional liability insurance; and proof of personal health insurance. We welcome all fourth-year medical students who come to us for a four-week rural rotation of family medicine. The educational offer will be a combination of hospital and outpatient experiences. The student will see patients at the WFP clinic, under the supervision of the faculty, with our hospital team at Wyoming Medical Center. You will also spend time with our OB team at both the clinic and the hospital. In the clinical environment, the student will see a wide range of patients in family practice ranging from newborns to geriatrics.

Students will also spend time with teachers in one of the local care homes and see under-treated patients at 12th Street Clinic.