Second year (PGY III)

During the second year of residency, emphasis is placed on clinical ophthalmology and basic surgical procedures. In addition to responsibilities in general clinic, second years are also responsible for performing laser surgeries at all sites, as well as muscle surgeries, extracapsular cataract operations, and a small number of phacoemulsification cataract surgeries. Second years also attend the Wills Review Course in the spring prior to OKAPS. Second years share primary call with the first years at each hospital.

University Hospitals Cleveland Medical Center

At UH Cleveland Medical Center, residents will rotate through the following subspecialties: Pediatrics II, Plastics/Neuro-Ophthalmology, and Retina/Glaucoma. There is also a dedicated Adult Consult rotation that provides excellent training on the ocular manifestations of systemic disease and ocular complications related to other medical or surgical procedures provides. All inpatient adult consults are initially triaged by this resident and an attending of the day staffs the consults with this resident or seeks subspecialty input as required.

  • Pediatrics II: This rotation is spent in clinics and the operating room, with an emphasis on sharpening exam and surgical skills learned during the Pediatrics I rotation. There are ample opportunities for performing strabismus surgery, in addition to evaluation and management of pediatric cataracts and glaucoma, congenital disorders, and retinopathy of prematurity in Rainbow Babies and Children’s Hospital state-of-the-art NICU. There is no primary call on this rotation, however, the pediatric ophthalmology resident splits daytime hospital consults with the Pediatrics I resident.
  • Plastics/Neuro-Ophthalmology II: Much of this rotation is spent with our neuro-ophthalmologist, learning to assess patients in clinic and hone the specific aspects of the neuro-ophthalmology exam. Consults are seen and evaluated by the resident and presented directly to the attending. There are also opportunities to observe and perform adult strabismus surgery and temporal artery biopsies generated from this service.
  • Retina/Glaucoma II: As part of this second year rotation, residents will be provided an emphasis on improving diagnostic skills in both retina and glaucoma, performing retinal and glaucoma lasers (e.g. laser peripheral iridotomy, panphotocoagulation, focal laser), and assisting surgeries.

Louis Stokes Cleveland VA Medical Center

Second years spend a total of four months at the Louis Stokes Cleveland VA Medical Center, performing both clinical and surgical duties. The two second years are responsible for seeing patients in the follow-up clinic . The VA White team 2nd year is responsible for directly assisting the chief resident in surgery and post-op clinic. In surgery, the chief resident teaches portions of the cataract surgery to the junior residents under the supervision of the attending; it is expected that a number of extracap and phaco procedures will be performed on this rotation by the White team 2nd year. The VA Laser resident is responsible for all retinal, glaucoma, and YAG lasers.

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