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After an initial orientation to the Medical College our
first year residents are taken through a 2 week course of instruction in the
techniques of ocular examination and an overview of common ocular pathologies
by senior residents and faculty. The format includes: lectures, demonstrations, and
observation in clinic. As this
course concludes the resident will enter into their own continuity and
faculty subspecialty clinics. We make an effort to rotate the first year
residents to a certain extent through most of the subspecialty clinics
including: general, glaucoma, contact lens, retina, peds, and cornea. A
few of the clinics are procedure oriented with a focus on minor procedures,
e.g. chalazion excision, YAG capsulotomy, and laser peripheral iridotomy.
As
first year residents (PGY-2) a significant proportion of time will be spent
in running the emergency/on-call clinic. These residents are backed up by more senior residents who in-turn are
backed up by attending ophthalmologists. Nightly and weekend first call is taken every 3rd night. This begins on
July 1st (even if a weekend day); however, for a
designated number of weeks the backup senior resident is required to be
present on all after hours patient visits. In the initial phase the
senior resident will present at the same time as the first year to guide them
through the process. Subsequent to this the senior will come in after
the first year has seen the patient. Gradually, the first year is
released to perform more on their own. In no circumstances is it
expected that there will be no available supervision or backup.
During two of the three
4 month long second year rotations (PGY-3) training is extended into oculo-plastics,
neuro-ophthalmology and pediatrics. Each
rotation is accompanied by considerable surgical exposure. In the third rotation of this year the resident is a primary provider
of ophthalmic services at the downtown division of the Augusta Veterans
Administration Hospital. There
are 2 operating days during this rotation with a primary focus on cataract
surgery, though surgical exposure in this venue is fairly broad including:
anterior segment, glaucoma, oculo-plastics, retina, minor and laser surgery. The Chief of Ophthalmology at the VA Hospital is
Dr. John Riffle who
has been honored as an outstanding educator by prior residents. Although second year residents do cover in-house consults while on the
neuro-ophthalmology rotation, they do not take night or weekend call.
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