During the course of their three years of training, the residents are actively involved in the care of patients with a wide variety of ophthalmic diseases. The program seeks to foster increasing independence in the evaluation, diagnosis, and treatment of patients as the three years progress, as well as continuity of care. Case loads are gradually increased during the first year as the resident acquires increased clinical skills and increased clinical confidence. As the residents progress through the program, their skills and knowledge continue to improve, allowing them to see more patients and develop increasing independence, so that they are able to practice independently upon completion of the program. However, this independence is accompanied by supervision throughout the three years of training. For example, at MWHC, every clinic patient is examined by an attending physician after the evaluation by the resident, allowing for immediate feedback on the aspects of the resident’s examination. At MGUH, the patients are generally the private patients of the faculty, but each is examined by the resident before the faculty member’s evaluation. Patients are discussed at the end of the day, and pertinent findings on the patient’s examination are discussed. At each rotation site, attendings are always present when residents are examining patients during normal working hours, allowing for 100% supervision.