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Education

Clinical Rotations


 

First Year
During the first month of the year, residents attend a series of orientation lectures to ease the transition from internships in medicine, surgery or transitional years to the practice of clinical ophthalmology. During this time, early training includes use of all facilities and equipment including slit lamp techniques and indirect ophthalmoscopy. Residents  will develop such skills as ophthalmic history taking , refraction, basic eye examination  and ophthalmoscopy by examining patients in the  various Ophthalmology Clinics at OSU, Nationwide Children's Hospital, the Columbus VA and the Dayton VA and in-patient hospital consultation services at Ohio State and Nationwide Children's Hospital.

The first year includes introductory outpatient rotations at the Columbus VA clinic, Dayton VA clinic, Nationwide Children's Hospital (NCH), and selected subspecialty rotations with full time and community faculty. Experience with in-patient consults is found in an introductory pediatric ophthalmology rotation at NCH and a rigorous consult service at OSUMC, which also includes patients from the medical center's Emergency department. During these rotations basic surgical skills in suturing peri-ocular tissues, simple external procedures and introduction to intra-ocular procedures will be learned.
 
Second Year
The second year consists of rotations in Retina, Anterior Segment, Pediatrics, and the Veteran’s Administration rotations. In the Retina and Anterior Segment rotations, residents work closely with the attending faculty in the clinic and operating room. The Pediatric rotation has a new state-of-the-art Resident Clinic. Residents gain extensive surgical experience in strabismus, tear duct procedures and trauma cases. The clinic is resident-run and is staffed by the attendings at Children’s Hospital.  During the second year residents  are expected to gain more autonomy in the clinical settings (with full time faculty supervision), as well as begin to perform selected intra-ocular procedures.
During the Veteran’s Administration rotation, residents receive intraocular surgical experience. Residents first master extracapsular cataract extraction and then proceed to phacoemulsification. All surgical cases at the Veteran’s Administration Hospital are performed by the residents with attending staff. All laser procedures are performed by the residents and staffed by qualified attendings.
 
Third Year
The third year consists of Oculoplastics & Orbit rotation, Veteran’s Administration clinics and OSU clinic rotations. In the Oculoplastics rotation residents obtain surgical experience with common oculoplastic procedures and management in the operating room and office setting. During the Veteran’s Administration rotation, the third-year resident performs phacoemulsification, all oculoplastic cases and retina surgery. A significant portion of the third year is spent in the OSU Clinic. Residents gain extensive surgical training by managing surgical and medical patients under supervision of faculty from all subspecialty areas.
This frequent interaction with patients with a variety of medical and surgical eye diseases, in various clinical settings and with various demographic populations aims to strengthen residents' clinical training. By completion, the expectation is that the graduate will be a well trained, independently functioning comprehensive ophthalmologist ready to begin practice on July 1.
 
Resident Evaluations
Feedback and early identification of problem areas are essential to a successful residency program.  The program Director meets individually with residents as soon as any trouble areas are recognized. The faculty reviews each resident’s performance quarterly. Residents receive  written evaluations posted on e*Value at the end of each rotation. Each Grand Rounds presentation receives a written evaluation completed by faculty and peers. Standardized surgical evaluation forms are used for each resident case. 360 evaluations have recently been instituted. Residents participate in the Ophthalmic Knowledge Assessment Program (OKAP), a standardized test administered to all ophthalmology residents. OKAP test scores are also used to evaluate residents’ performance.

The program director meets with the residents individually two times per year to address both strengths and weaknesses of their performance, to review all the various evaluation tools and comments, review surgical logs and review any individual issues.
 
Program Evaluations
Program evaluation is an ongoing process. There is a formal Education Committee that meets twice a year to formally evaluate curriculum, rotation goals and objectives, performance metrics (OKAP scores, board passage, etc.), faculty staffing, and feedback provided by residents. Faculty, Site Directors and several residents serve on this committee. Program feedback is obtained through the ACGME Resident Survey performed annually, individual rotation and faculty evaluations from residents, and exit interviews of graduating residents. In addition The Program Director and Coordinator hold a monthly closed door "resident issues" meeting with residents to identify and resolve any issues that impact the resident experience.