UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2017-2018 M3/M4 Course Syllabi

Ophthalmology

COURSE NUMBER:

12 01 15

TITLE:

CLINICAL OPHTHALMOLOGY -ICE
This ophthalmology clinical experience will be directed to developing eye examination skills applicable to systemic diseases as the students will be seeing mainly oncology and neuro-ophthalmology patients, taking call with the residents and some medical retina exposure.

PREREQUISITES:

Prerequisite is successful completion of the third year ophthalmology specialty clerkship or comparable experience if the student is visiting from another institution.

expand all

GENERAL INFORMATION

COURSE YEAR:

CREDIT HOURS:

CREDIT WEEKS:

DOMESTIC VISITING:

YES

INTERNATIONAL VISITING:

GRADED:

Honors/High Pass/Pass/Fail

COURSE QUALIFICATIONS:

ICE

COURSE TYPE:

Clinical

STATUS:

Full-Time
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES

COURSE LENGTH:

4 WKS

DIRECTOR:

Zelia Correa, MD, PHD
correazm@uc.edu
513-475-7300
MAB, 1500

ADMINISTRATIVE SUPPORT PERSON:

Michele Wyan
michele.wyan@uc.edu
(513) 558-0815
MSB, 5110

INSTRUCTOR:

James Augsburger

SITE(S):

UCMC - University of Cincinnati Medical Center

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	07/03/2017 - 07/28/2017	0
2	07/31/2017 - 08/25/2017	1
3	08/28/2017 - 09/22/2017	1
4	09/25/2017 - 10/20/2017	1
5	10/23/2017 - 11/17/2017	1
6	11/27/2017 - 12/22/2017	0
7	01/02/2018 - 01/26/2018	0
8	01/29/2018 - 02/23/2018	0
9	02/26/2018 - 03/23/2018	0
10	03/26/2018 - 04/20/2018	0
11	04/23/2018 - 05/18/2018	0
12	05/21/2018 - 06/22/2018	0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)

WORKING HOURS:

800 AM to 5:00 PM Monday through Friday

REPORT 1^ST DAY:

Barrett Center Area C 8 AM

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Clinical Experience - Inpatient (Nights)
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Journal Club
Patient Presentation--Faculty
Patient Presentation--Learner
Research

LEARNING ENVIRONMENT POLICIES:

UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.

ORIENTATION:

Zelia Correa, MD – Elective Director

TEACHING:

80%	Attending Physician
10%	Senior Resident
10%	Junior Resident

FEEDBACK:

Faculty

ASSESSMENT:

FINAL GRADE:

25%	Clinical work performance evaluations
15%	Attitude, e.g., professionalism, motivation etc
35%	In-house multiple choice or other objective exam
15%	Clinical skills exam (formal)
10%	Case management problem(s)

GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

Convey compassion and concern for patients and families (Goal 6- compassion and concern)

Respectfully engage with patient and family answering questions about the diagnosis (Goal 11- Engage/Educate patient and family)

Seek to improve and increase knowledge and competence (Goal 36-improve/increase knowledge)

Accurately assess one’s capacity to work independently, seeking guidance when necessary and appropriate (Goal 36-recognize won ignorance)

Curricular Resources :

Morrow MJ, WingerchukD. Neuromyelitis Optica. Journal of Neuro-Ophthalmology 2012;32:154–166

Hayreh SS, Zimmerman MB. Non-arteritic anterior ischemic optic neuropathy: role of systemic corticosteroid therapy. Graefes Arch Clin Exp Ophthalmol. 2008 Jul;246(7):1029-46.

Hoorbakht H1, Bagherkashi F. Optic neuritis, its differential diagnosis and management. Open Ophthalmol J. 2012;6:65-72.

Optic Neuritis Study Group. Multiple sclerosis risk after optic neuritis: final optic neuritis treatment trial follow-up. Arch Neurol. 2008 Jun;65(6):727-32.

Mosier MA. Retinal cartography. Can J Ophthalmol. 1982 Oct;17(5):219-22.

Rutnin U, Schepens CL. Fundus appearance in normal eyes. II. The standard peripheral fundus and developmental variations. Am J Ophthalmol. 1967 Nov;64(5):840-52.

Rutnin U, Schepens CL. Fundus appearance in normal eyes. 3. Peripheral degenerations. Am J Ophthalmol. 1967 Dec;64(6):1040-62.

Augsburger JJ1, Corrêa ZM, Trichopoulos N. Prognostic implications of cytopathologic classification of melanocytic uveal tumors evaluated by fine-needle aspiration biopsy. Arq Bras Oftalmol. 2013 Mar-Apr;76(2):72-9.

Augsburger JJ, Corrêa ZM, Trichopoulos N. Surveillance testing for metastasis from primary uveal melanoma and effect on patient survival. Am J Ophthalmol. 2011 Jul;152(1):5-9.

Dimaras H, Kimani K, Dimba EA, Gronsdahl P, White A, Chan HS, Gallie BL. Retinoblastoma. Lancet. 2012 Apr 14;379(9824):1436-46.

Vaughn and Asbury’s General Ophthalmology – 18^th edition

http://accessmedicine.com/resourceTOC.aspx?resourceID=720

Knowledge/Skills:

Elicit an ophthalmic history of the present illness, relevant review of systems, past ocular history and family ocular history (Goal 7- Medical Interview)

Know the fundamentals of commonly encountered emergencies in ophthalmology including red eye, corneal laceration, and ocular trauma. (Goal 4 – etiology and pathogenesis of common diseases)

Use proper hand washing technique prior to starting physical exam (Goal 8 – hand-washing technique)

Consistently introduce yourself and ask patients for permission to examine them and participate in their care (Goal 8-permission to touch)

Appropriately tailor the physical exam for specific complaints (Goal 8-tailor physical exam for specific complaints)

Demonstrate proper technique in use of tools of physical examination including direct and indirect ophthalmoscope, and other ophthalmic instruments (Goal 8-common tools in physical exam)

Develop an appropriate differential diagnosis of different ocular tumors and neuro-ophthalmic conditions (Goal 18- formulate differential diagnosis)

Present ophthalmology patients succinctly, accurately with attention to relevant details (Goal 13 – present patient case in standard format)

Treat medical and personal information in a confidential manner (Goal 6 – confidentiality)

Main Course Topics :

Retinoblastoma

Uveal melanoma

Intraocular metastases

Intraocular lymphoma

Red Eye

Ocular foreign body

Ocular trauma

Afferent pupillary reflex

3^rd nerve palsy

6^th nerve palsy

Carotid cavernous sinus fistula

Multiple sclerosis

Neuromyelitis Optica

Optic Neuritis

Objectives:

Other Resources - Audiovisuals:

N/A

Other Resources - Computer resources:

http://ucophthoneurooncelective.pbworks.com/w/page/56269440/Welcome%20to%20the%20Neuro%20Oncology%20Elective

www.eyewiki.aao.org

Other Resources - Other :

N/A

Procedures:

Discuss indications and contraindications for procedures including but not limited to: enucleation, plaque radiotherapy, and excision of conjunctival neoplasms (Goal 9-perform general clinical procedures)

Demonstrate proper use of local anesthetics in eye surgery (Goal 9-local anesthetics)

Use proper sterile technique and scrubbing for surgical procedures (Goal 9-sterile technique)

SAMPLE WEEK

Monday:

8:00AM	9:00AM	Morning Inpatient Rounds Ocular Oncology - USMC - 5E
9:00AM	5:00PM	Clinical office - MAB Ste 1500 Drs. Correa ad Augsburger

Tuesday:

8:00AM	1:00PM	Free time to study
1:00PM	5:30PM	Dr. Golnik's Clinic, CEI Blue Ash, 1945 CEI Dr., Blue Ash, OH

Wednesday:

6:30AM	7:30AM	6:45 AM Neuro-ophtha conference
7:30AM	8:30AM	Grand Rounds
8:30AM	1:00PM	1st & 3rd Wed (CCHMC Drs. Correa/Augsburger); 2nd Wed (UCMC Dr. Correa); 3rd Wed (Hoxworth Clinic with residents)
1:00PM	5:30PM	Dr. Golnik's clinic, MAB - Ste 1700

Thursday:

8:30AM	1:00PM	Clinic Dr Correa, MAB Ste 1500
1:00PM	5:30PM	Dr. Golnik's clinic, CEI Blue Ash, 1945 CEI Dr., Blue Ash, OH

Friday:

8:00AM	12:30PM	Operating room (UCMC) Drs. Correa & Augsburger
12:30PM	5:30PM	If done in th OR by noon, Dr. Golnik's clinic, CEI Blue Ash, 1945 CEI Dr., Blue Ash, OH

SCHEDULE NOTE:

In addition to the schedule above, the student will be assigned to take primary call with the junior/senior resident for two 12-hour weekend shifts during the elective.

ATTENDANCE AND ABSENCE POLICY

Session Attendance for M4 Students

Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.