Residency Training:
First-Year Rotations (PGY-2)
The first-year residents (PGY 2) rotate between The Wilmer Eye Institute, Bayview Medical Center, and Greater Baltimore Medical Center. The goal of the first year is to provide residents with a strong background in general eye care (including emergencies) and an introduction to ocular surgery (including cataract surgery) at Wilmer or the affiliate hospitals. On all rotations, at least one day a week is spent in the Wilmer General Eye Service to allow for continuity of care and an understanding of the longitudinal course of various eye diseases. One week of each rotation is spent as the night float resident covering the Wilmer ER; during that week, the resident is not assigned clinic or OR responsibilities during the day between Tuesday through Thursday.
Orientation
A two-week orientation period takes place at the start of the year, in which the first-year residents attend core lectures in refraction/optics, oculoplastics, ocular trauma, neuro-ophthalmology, cornea/external disease, and glaucoma. The new residents staff the Wilmer Emergency Room (WER), accompanied at all times in the first month by a senior resident.
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| Wilmer Emergency Room |
Wilmer Emergency Room/Consults (2)
Preceptor: Senior resident and ACS
The first-year residents on these rotations manage and triage all patients referred to the WER. Residents encounter a wide variety and large volume of ophthalmic pathology. In addition, they learn and perform basic ophthalmic procedures, such as diagnostic corneal scraping, removal of corneal foreign bodies and anterior chamber paracentesis. Minor surgical procedures such as incision / drainage of chalazia and repair of lid lacerations are performed in the emergency room or minor treatment room under faculty supervision.
Residents are also introduced to the subspecialty of Glaucoma. They see patients with Dr. Harry Quigley and assist Dr. Nathan Congdon in the operating room. First-year residents also assist the senior resident with inpatient consultations.
Neuro-Ophthalmology
Preceptors: Neil Miller, Prem Subramanian
This rotation provides the first-year resident with an introduction to the diagnosis and management of Neuro-Ophthalmic conditions, such as optic neuritis, thyroid eye disease and idiopathic intracranial hypertension (pseudotumor cerebri). A half-day each week is spent in the operating room assisting in orbital and neurosurgical cases.
Bayview Medical Center
Preceptors: Robert Weinberg, Saras Ramanathan, Nick Iliff
All patients are seen by residents and presented to the supervising attending in this faculty-practice model. The majority of the rotations emphasizes anterior segment disorders, including cornea/external disease, cataract, uveitis, and glaucoma. Oculoplastic subspecialty patients are seen with Dr. Iliff.
Pathology/Anterior Segment
Preceptors: Charles Eberhart, J.P. Dunn
Two days each weeks are spent in the Wilmer Ocular Pathology Laboaratory with Dr. Eberhart, emphasizing the principles of gross and histopathologic anatomy. One half-day is spent each week with Dr. Dunn as an introduction to anterior segment surgery, including anatomic study, surgical video reviews, practice surgery in the phacoemulsification lab, and assisting the third-year Wilmer Resident in cataract surgery. One day is spent at GBMC in the contact lens clinic, learning the principles of contact lens fittings and complications.
Greater Baltimore Medical Center (2)
Preceptors: Mary Lou Collins, Vivian Rismondo, CP Wilkinson, Ray Sjaarda, Alan Robin, Saima Choudhri
Residents at GBMC are introduced to the subspecialties of Pediatrics/Strabismus, Neuro-Ophthalmology, Low Vision and Contact Lens. Additionally they assist in Pediatric (Dr. Collins), Glaucoma (Dr. Robin) and Vitreo-retinal surgery (Dr. Sjaarda). The GBMC General Eye Service is staffed primarily by first- and third-year residents and provides a complementary experience to the Wilmer GES, as patients tend to present at different stages of common eye diseases such as glaucoma, cataract, and diabetic retinopathy.
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