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Ophthalmology Residency, Royal Oak


Clinical teaching

  • the Beaumont Eye Clinic is the primary residency site for clinical teaching and patient interaction
  • residents see patients in the eye clinic under the supervision of the Clinic Director
  • the clinic uses a continuity of care model in which residents are responsible for the care of assigned patients throughout their three year tenure
  • patients are initially evaluated by a resident physician in the general ophthalmology clinic
  • should a patient require ophthalmic subspecialty evaluation and management, the same resident may present the patient to the appropriate sub-specialist and continue to actively manage the patient's medical or surgical care
  • hospital and emergency center consultations provide a major source of clinical teaching throughout the residency
  • rotations through each of the ophthalmic sub-specialties are an integral part of the resident experience

Surgical teaching

  • operating room experience is acquired during each year of training with advancing resident surgical participation
  • microsurgical techniques are introduced during the first year of residency as part of the anterior segment/cataract surgical rotation
  • residents are assigned to a core group of anterior segment attending surgeons
  • observational experience is followed by initial hands-on microsurgical experience
Second and third year residents rotate on ophthalmic surgical sub-specialty services for three month blocks during which they are allowed graded responsibility, and are involved in progressively varied and complex surgical procedures. Surgical rotations are scheduled to allow residents opportunity for exposure to their individual areas of interest, though all rotations are required for all trainees.

First year (PGY 2)

The first year resident should become proficient at obtaining an appropriate history of present illness and should be able to perform all parts of an ophthalmologic examination. These skills will ultimately allow the first year resident to identify the likely site of pathology for any ophthalmological chief complaint. At the end of the first year, the resident should be proficient in the following skills

  • obtaining an appropriate history of present illness
  • identifying best corrected visual acuity (refraction)
  • evaluating visual fields (confrontation, Amsler Grid, automated perimeter)
  • pupillary examination
  • assessment of color vision
  • Ocular Motility Assessment
  • external or ocular adnexal examination
  • cranial nerve examination
  • slit lamp biomicroscopic evaluation of the following structures
    • cornea
    • anterior chamber
    • iris
    • lens
    • anterior vitreous
  • examination of the ocular fundus by the following methods
    • direct ophthalmoscopy
    • indirect ophthalmoscopy
    • slit lamp biomicroscopy

Second Year Ophthalmology Resident (PGY 3)

Residents will obtain instruction and a focused clinical exposure in the following disciplines

  • cornea and external disease
  • pediatric and strabismus
  • vitreo-retinal diseases
  • glaucoma
  • ophthalmic plastic and reconstructive surgery
  • neuro-ophthalmology

Experiences in these ophthalmic sub-specialties will include rotations through subspecialty practices and operating room exposure. Surgical experience will include routine intra-ocular and cataract procedures as well as complex procedures as determined by the supervising attending surgeon. Second year residents participate in all academic conferences, and attend the annual meeting of the American Academy of Ophthalmology.

Third Year Ophthalmology Resident (PGY4)

Third year ophthalmology residents supervise junior residents, manage complex medical eye diseases, perfect the necessary surgical skills to perform routine anterior segment procedures, and acquire surgical skills to perform complex sub-specialty surgical cases. This year provides an intensive surgical experience intended to prepare the resident for comprehensive ophthalmology practice.

Third year surgical rotations include

  • vitreo-retinal surgery
  • cornea and external disease
  • ophthalmic-plastic and reconstructive surgery
  • glaucoma

Conferences attended by senior residents include the Armed Forces Institute of Pathology course and the Wills Eye Hospital Basic and Clinical Science Review Course.

By the conclusion of the residency, the resident should expect to have participated in

  • 100 - 150 anterior segment surgical procedures (cataract or cornea)
  • 100 ophthalmic plastic surgical procedures
  • 40 - 50 pediatric strabismus procedures
  • 20 - 25 retinal procedures
  • 10 - 25 glaucoma procedures
  • 50 - 75 laser procedures

Sub-specialty rotations

  • cornea and external disease
  • glaucoma
  • ophthalmic plastic and reconstructive surgery
  • pediatric ophthalmology and strabismus
  • vitreoretinal disease

Outside rotations

office and outside rotations allow for exposure to potential areas of sub-specialization, practice patterns, and in-depth study of single areas of the visual system.

Second year rotations

  • pediatric ophthalmology and strabismus: Children's Hospital of Michigan
    • preceptor: Rajesh Rao, MD
  • ophthalmic plastic and reconstructive surgery
    • private offices of Drs. Nesi, Gladstone, Nesi-Eloff, Schlachter and Black
  • glaucoma
    • private offices of Drs. Obertynski and Siegel
  • vitreoretinal diseases: Associated Retinal Consultants
    • preceptor: George Williams, MD

Residency Programs

Fellowship Programs

Fellowship Programs
(no ACGME Accreditation)

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