In August and September of each year, the eye chief residents
arrange a series of faculty lectures to introduce the new
residents to ophthalmic surgery. These lectures are a minimum of
four hours, and include the following:
- Technical aspects - sutures, needles, instruments,
- Basic surgical techniques - skin, conjunctival and
corneoscleral incisions, suturing and tying, wound healing,
ophthalmic anesthesia, surgical physiology and pharmacology, etc.
- Common surgical procedures - cataract/IOL, glaucoma, YAG and
argon/dye laser, scleral buckle, vitrectomy, etc.
By August 1 of each academic year, the eye chief residents have
arranged operating room in-services with the eye operating room
(OR) head nurse at all sites to familiarize all residents with
the following procedures and equipment:
- Location of all OR facilities - PACU, eye ORs, perioperative
care, lockers, lounges, etc.
- Eye OR procedures - scrubbing, prepping, gowning/gloving,
hospital chart requirements, dictation, OR supplies, etc.
- Set up of the following OR equipment:
- OR and
- clinic microscopes
- Video equipment and monitors (OR and clinic)
- Eye stretchers, chairs and basic sterile instrument
Eye residents must obtain 2.0 to 3.5X loupes by September 1 of
their first year.
After observing in surgery in the afternoons during the basic
science course, residents begin, where appropriate, to first
assist in the ORs. It is the responsibility of the eye chief
residents to rotate junior residents through a wide-ranging
experience as first assistants.
Residents begin their online surgical log, a print out of which
they present at monthly morbidity & blindness (M&B)
rounds, and which all residents maintain for inspection by the
program director or his/her designee at any time.
Through September, a senior resident or attending physician
assists residents on all minor trauma and minor
surgery. Residents become proficient in subspecialty,
non-refractive laser procedures.
Residents become proficient in keratometry, optical and
ultrasonic pachymetry and biometry, and are familiar with the
basics of ophthalmic microsurgery. They prepare themselves for
their rotations at the VA, MGUH, CNMC and WRB by:
- Becoming proficient at hand and instrument tying, and
suturing appropriate practice materials with their loupes
- Practicing microsurgical incision and 22 micron tying on
cadaver and/or fresh animal eyes with a surgical microscope
- Using a surgical simulation tool, if available
At the end of the first year, residents have a complete
understanding of the technical aspects of ophthalmic surgery,
including major equipment, disposables, basic procedures and
operating room decorum.