Ophthalmology

Course #: 880J

Title:  Ophthalmology

Selective Director(s):  Elizabeth Sharpe , M.D.

Maximum Number of students per block: 3

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Understand the role and scope of ophthalmology within medicine.
2. Initiate an ophthalmology exam with a standard screening protocol.
3. Identify the presentation of acute and common ophthalmology complaints.
4. Triage acute and common ophthalmology complaints and understand when to consult the ophthalmology service.
5. Identify common ophthalmology surgeries. For example:
     - Cataract surgery (Phacoemulsification/Intraocular lens placement)
     - Strabismus surgery
     - Corneal transplant surgery
     - Pars Plana Vitrectomy
     - Retinal Detachment Surgery
     - Glaucoma filtering or tube/shunt surgery
     - Oculoplastic surgery

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

The three students on the 3rd Year Selective Rotation will be split with one student rotating through the general ophthalmology clinic, one student in the pediatric ophthalmology clinic and one student in various other sub-specialty/VAMC clinics for one week at a time. Each week they will thus rotate into the next clinic. During the week the particular resident in the clinic will coordinate clinic time and surgery observation.
1. Observation/participation in the different ophthalmology clinics with mentorship by a resident or attending physician.
2. Observation of ophthalmology surgery with mentorship by a resident or attending physician.

3. Observation of an ophthalmology consultation on the wards or emergency department with mentorship by a resident or attending physician.
.
4. Attendance at the Medical Student Basic Science Lecture which are held at noon on Wednesdays and at department grand rounds.
5. Completion of required reading: Basic Ophthalmology for Medical Students and Primary Care Residents, 8th Edition, Editor: Cynthia A. Bradford, MD

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

1. 1 cataract patient.
2. 1 glaucoma patient.
3. 1 diabetes patient.
4. 1 strabismus patient.
5. 1 neuro-ophthalmology patient.
6. 1 “red painful eye” patient.

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of clinical and patient care skills by the attending physician and residents.
2. Completion of a 40 item multiple choice question quiz at the end of the rotation.
3. Attendance as documented in a daily log of clinic/surgery/patients seen.
4. Adequate screening of 1 patient in general clinic per the protocol given as evaluated by the general ophthalmology team.

Please outline when and how the learners will receive feedback on their performance:
Learners will receive feedback on their clinical performance verbally following clinics and surgeries. The quiz will be graded and reviewed with the first year resident in the general ophthalmology clinic. The patient screening performed will be evaluated by the general ophthalmology clinic team. The daily log will be reviewed with the chief of the general ophthalmology clinic.