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Wilmer Residency Training

Residency Training:

First-Year Rotations (PGY-2)

The first-year residents (PGY 2) rotate between Wilmer Eye Institute and Bayview 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, strabismus, and oculoplastic surgery). 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. First year residents are responsible for primary weeknight and weekend call at Johns Hopkins Hospital.

Orientation
A two-week orientation period takes place at the start of the year, in which the first-year residents learn basic ophthalmic skills, become familiar with the electronic medical records systems at Johns Hopkins, and attend core lectures in refraction/optics, oculoplastics, ocular trauma, neuro-ophthalmology, cornea/external disease, and glaucoma. The new residents begin taking call with seniors in the Hopkins emergency room.

Retina/Glaucoma/ Emergency Room
Preceptors: PGY-3 Consult Resident and ACS, Retina Fellows, Harry Quigley, Pradeep Ramulu

For one day a week, the first year resident is the primary provider in the General Eye Service Retina Injection clinic, supervised by the ACS or Retina Fellows. First year residents learn to do thorough dilated retinal exams, interpret retinal imaging studies and perform a substantial number of intravitreal injections.

One day a week is spent in General Eye Service Glaucoma clinic  precepted by glaucoma faculty. The first year residents learn to do a thorough glaucoma history and examination (including gonioscopy) as well as interpret ancillary glaucoma studies and perform glaucoma laser procedures.. One and a half days per week are spent covering consults in the Johns Hopkins Emergency Department. 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.

Neuro-Ophthalmology
Preceptors: Neil Miller, Prem Subramanian, Timothy McCulley

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.

Oculoplastics
Preceptors:  Shannath Merbs, Michael Grant, Nicholas Mahoney, Roxana Rivera

The first year resident sees patients with the faculty in clinic and assists them in surgery. One day per week is devoted to the General Eye Service Oculoplastics Clinic, in which GES patients considering oculoplastic surgery are evaluated and necessary surgery is performed under the supervision of a faculty preceptor. In addition, the oculoplastics resident manages patients with ocular trauma, such as lid lacerations and orbital fractures, and performs a large number (an average 50-60) of oculoplastics cases as primary surgeon.

JHU Bayview Medical Center/ Microsurgical Training
Preceptors: Robert Weinberg, Nick Iliff, Samuel Yiu, Charles Castoro, Mark D’souza

Approximately 2-3 days per week are spent in the Bayview faculty Anterior Segment and Oculoplastics clinic. 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. The resident also spends 1 day per week in the operating room with Dr. Iliff assisting with oculoplastics cases.

Residents are also introduced to the microsurgical skills as part of the first year cataract curriculum. They spend one half-day per week in the practice lab learning microsurgical skills with Dr. Castoro and Dr. D’Souza. After practicing in the wet lab and reviewing surgical videotapes, the PGY-2 resident starts to perform parts of these surgeries as the rotation progresses when they assist faculty with anterior segment surgical cases. As part of the cataract curriculum each resident has his or her own passport which serves to document skills they have mastered. This passport can be taken to the OR so attending physicians can allow residents to perform the skills they have mastered on patients. 

Anterior Segment/Peds/Low Vision/Contact Lens
Preceptors: Christina Prescott, Walter Stark, Robert Weinberg, Fasika Woreta, Hee Jung Park, Alex Christoff, Anya Trumler, David Guyton, Judith Goldstein, Amanda Marks

The first year resident spends approximately 1 day per week in the operating further developing anterior segment surgical skills with Drs. Prescott, Woreta and Stark. One day per week is spent with Dr. Weinberg seeing anterior segment patients at Johns Hopkins Green Spring Station.

One half day a week is spent in General Eye Service Pediatric Strabismus clinic with Alex Christoff. Another half day is spent in the operating room with Dr. Guyton where the residents assist and perform their initial strabismus surgeries. The resident also spends a half day each with the Low Vision Service and Contact Lens Service.

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