Ophthalmology Curriculum

Department: Internal Medicine

Faculty Coordinator: Karen Saland, M.D.

Hospital: Texas Health Presbyterian Hospital Dallas

Periods offered: All

Length: 4 weeks

Max no. of residents: 1

First Day Contact: Karen Saland, M.D. (214) 691-8000

First Day Place: 8210 Walnut Hill Lane, Suite 812, Dallas, TX 75231

Requirements: The rotator is expected to participate fully in scheduled ophthalmology clinics.

Vacation: 5 Days

I. Course Description:

Rotators will participate in scheduled ophthalmology clinics with their preceptor. Opportunities to observe surgical procedures are also available. The preceptor is willing to facilitate rotations within various subspecialties of ophthalmology if requested to do so by the resident. This format will provide exposure to the various diagnostic and therapeutic aspects of ophthalmology.

II. Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care:

Residents are expected to provide care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease.

• Gather accurate, essential information from all sources, including medical interviews, physical examinations, medical records and diagnostic/therapeutic procedures. Example: Resident are expected to take an accurate ocular and medical history.

• Make informed recommendations about diagnostic and therapeutic options and interventions that are based on clinical judgment, scientific evidence, and patient preference. Example: Residents are expected to attempt to accurately diagnose ocular disorders and recommend appropriate diagnostic and therapeutic options.

• Develop, negotiate and implement effective patient management plans and integration of patient care. Example: The residents are expected to arrange for appropriate outpatient follow-up and treatment.

• Understand the diagnostic and therapeutic procedures considered essential to the practice of ophthalmology. Example: Residents should be able to understand the rationale supporting cataract surgery.

Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.

• Apply an open-minded, analytical approach to acquiring new knowledge. Example: Residents should read about disorders seen in the clinic the day prior.

• Access and critically evaluate current medical information and scientific evidence. Example: Residents should use web based information systems.

• Develop clinically applicable knowledge of the basic and clinical sciences that underlie the practice of ophthalmology. Example: Resident will demonstrate understanding of the biology, physiology and pathophysiology of ocular disease.

• Apply this knowledge to clinical problem-solving, clinical decision-making, and critical thinking. Example: Residents should know the pathophysiology and natural history of an ocular disease such as glaucoma and create an appropriate management plan.

Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices:

• Identify areas for improvement and implement strategies to enhance knowledge, skills, attitudes and processes of care. Example: Residents should implement a strategy to facilitate the management of chronic ocular diseases.

• Analyze and evaluate practice experiences and implement strategies to continually improve the quality of patient care. Example: Educate patients regarding diabetic eye disease.

• Develop and maintain a willingness to learn from errors and use errors to improve the system or processes of care.

• Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education. Example: Residents are expected to use information technology to maintain up to date management of common ocular disorders such as cataracts, glaucoma and macular degeneration.

Interpersonal and Communication Skills:

Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams.

• Provide effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues.

• Use effective listening, nonverbal, questioning, and narrative skills to communicate the patients.

• Interact with consultants in a respectful, appropriate manner.

• Maintain comprehensive, timely and legible medical records.

Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development and ethical practice. Residents are also expected to demonstrate an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society.

• Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and colleagues. Example: Residents should demonstrate a desire to evaluate patients, develop a differential, plan a treatment course and communicate it to the patient.

• Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues.
  
  
• Adhere to principles of confidentiality, scientific/academic integrity, and informed consent.

• Recognize and identify deficiencies in peer performance.

Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.

• Understand, access and utilize the resources, providers and systems necessary to provide optimal care.

• Understand the limitations and opportunities inherent in various practice types and delivery systems, and develop strategies to optimize care for the individual patient. Example: Residents should be able to work with allied health personnel to help manage patient with ocular disease in an efficient and professional manner.

• Apply evidence-based, cost-conscious strategies to prevention, diagnosis and disease management.

• Collaborate with other members of the health care team to assist patients in dealing effectively with complex systems and to improve systematic processes of care.

III. Methods of instruction:

1. Didactic (schedule, topic, faculty)

Daily residents conference 12:00-1:00 p.m. - IM Training Room
Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds - IM Training Room
Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar Hall

2. Clinical