Senior eye residents, under attending supervision at MWHC, VA and FFX integrate complete eye care to their clinic patients. They see that all medical and administrative approvals, pre-operative general medical and ophthalmologic evaluations, signed informed consents, post-operative dispositions, equipment availability, patient notification and instruction, and other pre-operative requirements are complete and available to the attending surgeon no less than 24 hours prior to the scheduled surgery. All surgical cases are reviewed and approved by attending ophthalmologists prior to posting.
Residents perform all surgeries under the direct supervision of an attending surgeon.
Residents have sub-specialty clinic and senior call responsibilities. Sub-specialty assignment for consultation, evaluation, and surgery is rotated among the senior eye residents.
The two chief residents monitor the caseloads of the various operating residents to ensure a reasonably equitable distribution of common surgical procedures and a more strictly equitable distribution of rarer cases, such as penetrating keratoplasties, unusual oculoplastics, etc.
Resident Surgical Evaluations, completed by the eye attendings, are reviewed for satisfactory progress in intraocular maneuvers.
Senior residents are expected to show good surgical judgment in selection of patients for phacoemulsification.
Residents are responsible individually or collectively to prepare and present their cases at the monthly M&B (Morbidity and Blindness) Rounds. The purpose of M&B Rounds is, in addition to a review of all clinic cases done by the residents, an essential discipline for self-evaluation and self-criticism.
Residents have adjunct surgical teaching responsibilities. They help prepare their junior residents as indicated in this syllabus. They practice as positive examples with the highest medical standards, with unwavering concern to put and keep the patient's welfare foremost.
Laser refractive surgery experience is obtained at Walter Reed Bethesda.
After June 15 of their last year, residents cease all uncomplicated or common eye surgical procedures. Such cases are distributed equitably to the second year residents. Phacoemulsification per se does not qualify as an exception.
By the end of the eye residency, residents have acquired the ability to appropriately evaluate and perform a wide range of ophthalmic surgical procedures. There is a harmonious synthesis of all of the elements of pre-, intra-, and post-operative care. Residents clearly understand that ophthalmic surgery is an evolving and heterogeneous field that will require a continuous process of discriminating learning for the rest of their careers.