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Wilmer Residency Training

Residency Training:
Second-Year Rotations (PGY-3)

The second-year rotations are devoted primarily to subspecialty clinical services with supervision by full-time faculty at the various institutions. These rotations include: glaucoma, cornea/external disease, pediatrics/strabismus, medical retina, and oculoplastics. A substantial portion of the subspecialty rotations is devoted to learning ocular surgery and laser therapy. There is also a comprehensive ophthalmology rotation at Wyman Park Medical Center, during which residents see patients with common eye problems and perform 10-20 cataract procedures as primary surgeon. Residents maintain a continuity clinic in the Wilmer GES one day a week.

Glaucoma
Preceptors: Harry Quigley, Henry Jampel, David Friedman, Pradeep Ramulu, Michael Boland, Derek Welsbie

The resident on the Glaucoma Service performs works with all members of the faculty and has a weekly Glaucoma Clinic when patients referred through the General Eye Service (GES) are evaluated for surgery under the supervision of the faculty. Residents develop skill in glaucoma surgery (trabeculectomies, tube shunts, cyclodestructive procedures, and laser procedures).

Cornea/Anterior segment-GBMC
Preceptor: Sudeep Pramanik

The resident on the cornea/external disease rotation at GBMC has a broad-based exposure to patients with cataracts as well as various infectious, inflammatory, and degenerative corneal diseases. Cataract and corneal procedures are performed with Dr. Pramanik.

Pediatrics
Preceptors: David Guyton, Michael Repka, Hee-Jung Park, Anya Trumler, Howard Ying, Alex Christoff

This rotation includes muscle clinic in the Wilmer GES (supervised by the pediatric ophthalmology fellows and orthoptists), and two days of pediatrics/strabismus clinic and operating room experience per week.

Retina
Preceptors: Neil Bressler, Susan Bressler, Sharon Solomon, Diana Do, Quan Nguyen, Adrienne Scott, Akrit Sodhi, David Barañano

The Retina Service rotation allows the resident to see a high volume of patients with diseases such as diabetic retinopathy, age-related macular degeneration and occlusive retinal vasculopathy. Laser therapy and interpretation of diagnostic tests, such as fluorescein angiography and optical coherence tomography, are performed under the direction of the Retinal Vascular Center faculty. Fluorescein angiography conference takes place every Monday morning, along with a monthly surgical retina conference.

Oculoplastics
Preceptors: Shannath Merbs, Michael Grant, Nick Mahoney

The resident sees patients with the faculty in clinic and assists them in surgery. One day per week is devoted to 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.

Consults
Preceptors: ACS, Eric Singman, and subspecialty faculty

The resident sees inpatient ophthalmology consults throughout the hospital and backs up the PGY-2 resident in the emergency department. One of the most demanding rotations of the year, it is also among the most rewarding because of the enormous variety of pathology seen on a daily basis and the opportunity to interact with residents and faculty from other departments; it is not uncommon for residents to publish papers based on patients seen in consultation. The Consult resident also performs globe trauma repair with the ACS and/or retina faculty.

Wyman Park Medical Center
Preceptors: James Dunn, Harry Randall, Robert Weinberg

This second-year rotation is an outpatient facility in which residents see general eye clinic patients with the faculty. During this rotation, residents perform 10-20 phacoemulsification procedures and other anterior segment surgery as primary surgeon under the supervision of Dr. Dunn. In September 2011, Nick Butler, M.D. will be joining the department and will see patients and operate with residents as well. One day a week is spent at Johns Hopkins-Greenspring Station with Dr. Weinberg in clinic and the laser refractive facility.

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