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Second Year Ophthalmology

Second year residents begin to develop an understanding and appreciation of the ethical, psychological and practical aspects of surgical therapeutics.

  • They study appropriate general and pediatric surgical atlases, texts and articles, and, if possible, observe several surgical cases at CNMC prior to starting their rotation there.
  • They maintain careful awareness of general and pediatric cases done and posted by the preceding resident at VA and CNMC, who cooperates to ensure that an adequate number of cases is scheduled for the limited operating time available to the incoming resident.

Residents arrange for at least two sessions of practice surgery on cadaver eyes, for the express purpose of further developing facility in suturing and tying under the operating microscope with 22 micron suture. Additionally, experience in incisional refractive surgery is obtained through practice on cadaver or fresh animal eyes. At least one session will be supervised by an attending physician.

Residents begin to post and perform their own cases at MWHC when they begin to take senior call.

Second Year Residents are responsible for preparing and presenting all of the surgery-related material in the Basic Science Course of the American Academy of Ophthalmology.

During the second year, the residents attend a didactic session on laser refractive surgery and spend time at the Rockville TLC facility in order to become familiar with current refractive surgical techniques.

By the end of the second year, residents are emotionally and intellectually prepared to administer a busy clinic and surgical practice. They have clear ideas of surgical goals and limitations. They are able to present a surgical candidate for attending approval clearly, concisely, completely, and efficiently. They have in-depth knowledge of instruments, sutures, needles, techniques, surgical anatomy, physiology, and pathology, and are prepared to begin the process of developing the art and science of surgical decision making. They have performed several cataract surgeries as primary surgeon while on rotation at VA, have performed muscle and other pediatric surgical procedures as primary surgeon at CNMC and MGUH, and have performed several anterior segment surgeries as primary surgeon at MGUH.