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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 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 or two weeks of each rotation is spent as the night float resident covering ophthalmic emergencies in the Emergency Department; 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 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.

Emergency Room/Consults
Preceptor: PGY-3 Consult Resident and ACS, Chuck Castoro, Judith Goldstein, Amanda Marks, Christina Prescott

The first-year residents on these rotations manage and triage all patients referred to the emergency room. 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 microsurgical skills. They spend one half-day per week in the practice lab learning microsurgical skills. 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. The residents also spend time with the Low Vision Service and Contact Lens Service during this rotation. .

Neuro-Ophthalmology
Preceptors: Neil Miller, Prem Subramanian, Vivek Patel

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.

JHU Bayview Medical Center
Preceptors: Robert Weinberg, Elia Duh, Nick Iliff, Vivek Patel, Samuel Yiu, Timothy McCulley

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. Retina patients are seen with Dr. Duh. The resident also spends 1 day per week in the operating room with Dr. Iliff assisting with oculoplastics cases.

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

The resident sees patients with the faculty in clinic and assists them in surgery. One day per week is devoted to the 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 gets exposure to oculoplastic cosmetic procedures with Dr. Grant in the Greenspring Station Clinic/Surgery Center.

Subspecialty Rotation
Preceptors: Retina Fellows/ACS, Pradeep Ramulu, Harry Quigley, Hee Jung Park, Alex Christoff, Anya Trumler, David Guyton

The PGY-2 resident rotates through subspecialty clinics in retina, pediatrics, and glaucoma learning examination skills for pediatric and adult patients; as well as the interpretation of various diagnostic tests, including OCTs and fluorescein angiography.  The residents perform minor procedures such as intravitreal injections and glaucoma lasers, and spend a half day per week in the operating room assisting in strabismus cases.

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