understood. Inflammatory disorders such as scleritis, episcleritis and anterior uveitic syndromes are likewise important. A preoperative evaluation of the cornea for cataract surgery and other anterior segment procedures is to be mastered, as well as the post surgical management of complications of these procedures. Staff Dr. Pulin Shah, Ochsner, UMC Dr. Bergsma, LSU, LK/ Bog Dr. Paul Azar UMC Dr. Bruce Barron, LSU Dr. Metzinger, VANO Dr. Jayne S. Weiss, LSU Dr. Maria Bernal, LSU Clinical Skills - Slit-lamp exam Keratometry Corneal sensitivity testing Tear evaluation Pachymetry Interpretation of corneal topography Interpretation of specular photography Surgical Skills - Corneal scraping Corneal biopsy Pterygium excision Penetrating keratoplasty PRK LASIK CK Punctal occlusion Tarsorrhaphy Conjunctival biopsy Amniotic membrane grafting Removal of corneal foreign body Glaucoma The following knowledge base is expected of all residents rotating through the various glaucoma services. Basic science knowledge of importance is the epidemiology and pathophysiology of glaucoma. Residents should be able to identify appropriate risk factors and be knowledgeable regarding the incidence of glaucoma in various population groups. Aqueous humor dynamics, optic nerve head, nerve fiber layer changes, and recognition of characteristic patterns of visual field loss in glaucoma should be learned and mastered. Residents should be well versed with the differential diagnosis of glaucoma and be able to discuss the signs, symptoms, and treatment strategies of primary open angle, angle closure glaucoma, and secondary glaucomas. Pharmacology is extremely important in the subject of glaucoma and, therefore, the residents should be well versed in the
Coordination of patient care with appropriate referrals within the healthcare system Understanding the need and indication for referral to a social worker when dictated by the clinical situation Year 3 LSU-CMC Goals and Objectives The purpose of this rotation is to improve the resident’s general ophthalmologic clinical and surgical skills, and to develop a sense of autonomy in situations where supervision is readily available. The resident will be responsible for patient management in a large general ophthalmology clinic. Subspecialty clinics in retina, glaucoma, cornea, and plastics will augment the resident’s experience. The residents will perform surgical procedures necessary with the assistance of staff ophthalmologist on this patient population and supervise the junior level residents in their development period. At the completion of this rotation, the resident’s surgical skills will be markedly improved. Patient Care: 1) As a PGY – 4 residents at Chabert Medical Center will have total mastery of the clinical exam and assist and supervise the junior residents in clinic. Practice-Based Learning and Improvement: Participation in home study course: Discussions with program mentor with implementation of improvements suggestions. Maintenance of the surgical portfolio Grand Rounds Presentations Maintenance of clinical score card Attendance and participation at Resident’s Day annually Discussion of career training with the Program Director Professionalism: Attend and participate in the Morbidity Conference Read and discuss The Ethical Ophthalmologist Discussions with program mentor Emulate style of attending physician Interpersonal Communication Skills: History taking pertinent to glaucoma disease, managing the first call schedule with other residents, coordination of vacation dates with other residents, developing or maintaining a cordial and professional relationship with nurses and staff.
TOPICS 1. Patient care that is compassionate, appropriate, & effective for the treatment of health problems & the promotion of health. 1a) data acquisition of essential and accurate information about their patients. Clinics Surgery Evaluations By: Staff, Resident 1b) diagnosis and management of surgical eye disease. Clinics Didactic lectures Home study OKAP’s, Evaluation by: Staff & Resident 1c) patient and family counseling; properly interacts and counsels Clinics Core lectures Evaluation By: Staff 1d) effective utilization of information technology Clinics Research project Staff evaluation, Research committee 1e) sensitivity to sociocultural circumstances Clinics Core lectures 2. Medical knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and sciences and the application of this knowledge to patient care. 2a) understanding of and ability to apply established and evolving biomedical, clinical, and cognate sciences. Didactic lectures, Home study course, Clinics, & EBM Studies OKAP’s, Resident & Staff evaluations
4. Interpersonal and communications skills that result in effective information exchange and teaming with patients, their families, and other health care professionals. 4a) effective and sensitive information exchange with patients, families, and other health professionals. Clinics Core lectures Evaluations by: Staff & Resident 4b) proper documentation of medical records Clinics Staff evaluation Resident evaluation 4c) interaction with referring professionals Clinics Staff evaluation 4d) teamwork skills with patients, colleagues, and other professionals Clinics Core lectures Evaluations by: Staff & Resident 5. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diverse patient population 5a) commitment to professional responsibilities Clinics Staff & Resident evaluations 5b) consistent demonstration of high standards of ethical behavior Clinics Core lectures Evaluations by Staff & Resident 5c) sensitivity to a diverse patient Clinics Core lectures Evaluations by: Staff
population 5d) respect for the physician-patient relationship Clinics Core lectures Evaluations by: Staff 6. Systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of healthcare 6a) awareness and responsiveness to the larger context and system of healthcare Clinics Staff evaluation 6b) ability to call on system resources to provide care that is of optimal value Resident evaluation 6c) patient advocacy Evaluation by: Staff & Resident 6d) ability to work in a variety of healthcare settings Clinics Staff evaluation 6e) maintaining awareness of cost effectiveness and risk benefit Clinics Journal Club 6f) promotion of healthcare and disease prevention 6g) efficiency in time management reflected in quality patient care Clinics