First year (PGY II)
The emphasis in the first year is to develop a solid foundation in the ophthalmic exam and basic sciences. First year residents participate in the weekly didactic lecture series to cover the material in the Basic and Clinical Science Course series published by the AAO. There is ample opportunity, both in general resident clinic and on subspecialty rotations, to learn the comprehensive ophthalmic exam, as well as begin to assist in cataract and plastic surgeries, over the course of the year. First years share primary call with the second years for both University Hospitals and the VA Hospital.
University Hospitals Cleveland Medical Center
This clinical site serves as the location for four subspecialty rotations and general resident clinics. All rotations will emphasize development of history taking and observational skills, problem solving, and case management. Ample opportunity to hone ophthalmological examination skills, including the more advanced techniques of gonioscopy, keratometry, fundus lenses, and scleral depression, will be acquired. During the Cornea I, Glaucoma I, Pediatrics I, and Pathology/Plastics I rotations, the resident will spend time with various attendings in each specialty in both clinics and surgeries.
- Cornea rotation: Includes cornea and general ophthalmology clinics, Contact Lens Clinic and instruction, LASIK surgery and clinic observation, slit lamp and anterior segment observation skills training, anterior segment instrumentation (specular and confocal microscopy, anterior segment OCT, pachymetry), and cataract and corneal surgeries.
- Glaucoma rotation: Allows the resident to see and evaluate all new glaucoma patients as well as work with glaucoma specialists in their clinics and the operating room. Additional training in slit lamp and anterior segment observation skills training and glaucoma assessment instrumentation (visual fields, OCT, disc photography) is provided.
- Pediatrics I rotation: This rotation serves as an introduction to pediatric ophthalmology working with our pediatric ophthalmologists and orthoptist with emphasis on strabismus evaluation, retinoscopy, and introduction to surgery.
- Pathology/Plastics rotation: Encompasses the anatomic, pathologic, clinical, and surgical aspects of ophthalmology. Residents have the opportunity to follow a case from the clinic to surgery to anatomic and histologic analysis of any pathology.
Louis Stokes Cleveland VA Medical Center
There are three teams at the Louis Stokes Cleveland VA Medical Center, comprised of a junior resident working closely with a PGYIV resident. The majority of outpatient clinic visits and operative experiences are devoted to cataract evaluation and management. Specialty clinics, including laser/injection clinics, oculoplastics, neuro-ophthalmology, and retina are also held weekly and are covered by residents from all teams. The first year residents spend significant time in the preoperative evaluation and preparation of surgical patients as well as assisting the chief resident in the operating room. Day Call is covered by optometry residents and primary night call is covered by the first and second year residents.