Senior eye residents, under attending supervision at MWHC, VA,
TLC and FFX integrate complete eye care for 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 Eye 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.
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 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.
Having completed the wet lab and didactic requirements for
refractive surgery, some residents may perform a limited number
of LASIK procedures, under the supervision of qualified attending
refractive surgeons. High levels of surgical skill and judgment
and satisfactory completion and performance of all preparatory
phases of refractive surgery training qualify a resident to
perform clinic LASIK cases.
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.