2023-2024 M3/M4 Course Syllabi
Ophthalmology
COURSE NUMBER:
12 01 09
TITLE:
GENERAL OPHTHALMOLOGY ELECTIVE -ICE
This July elective is designed to allow 4th year medical students to have a clinical and instructional experience that parallels that of new incoming PGY-2 Ophthalmology residents. Students will be trained in the fundamentals of the ophthalmic clinical exam and use of basic ophthalmic diagnostic equipment. They will build on their fund of knowledge by attending in the same small group instruction series as the PGY-2 Ophthalmology residents.
PREREQUISITES:
Prerequisite is successful completion of the third year ophthalmology specialty clerkship or comparable experience if the student is visiting from another institution.
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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
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: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Lisa Kelly, MD
lisa.kelly@uc.edu
513-558-7233
MSB, 5111
ADMINISTRATIVE SUPPORT PERSON:
Michele Wyan
michele.wyan@uc.edu
(513) 558-0815
MSB, 5110
SITE(S):
CCHMC - Burnet Campus
Cincinnati Eye Institute
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
4 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 0
2 06/26/2023 - 07/21/2023 4
3 07/24/2023 - 08/18/2023 0
4 08/21/2023 - 09/15/2023 0
5 09/18/2023 - 10/13/2023 0
6 10/16/2023 - 11/10/2023 0
7 11/13/2023 - 12/08/2023 0
8 12/11/2023 - 01/05/2024 0
9 01/08/2024 - 02/02/2024 0
10 02/05/2024 - 03/01/2024 0
11 03/04/2024 - 03/29/2024 0
12 04/01/2024 - 04/26/2024 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:
8:00 am to 5:00 pm Monday-Friday. On-Call two times during the 4 wk elective
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective.

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)
  • Lecture
  • 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.
TEACHING:
50% Attending Physician
35% Senior Resident
15% Junior Resident
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Exam, Institutionally Developed, Written/Computer-based
Oral Patient Presentation
Participation
Research or Project Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
1. Basic Ophthalmology, Richard A. Harper, MD-- 9th Edition, 2010.
2. Practical Ophthalmology: A Manual for Beginning Residents, 6th Edition, 2009.
3. Vaughn and Asbury's General Ophthalmology. 19th Edition, 2018.
Instructional Methods:
1. Lecture
2. Clinical experience - ambulatory
Knowledge/Skills:
  • Elicit an ophthalmic history of the present illness, relevant review of systems, past ocular history and family ocular history.
  • Develop an appropriate differential diagnosis of common ocular presentations.
  • Present ophthalmology patients succinctly, accurately with attention to relevant details.
  • Know the fundamentals of commonly encountered ocular conditions such as strabismus, glaucoma, cataract, diabetic eye disease, retinal detachment and macular degeneration.
Main Course Topics :
  • History of Ophthalmology
  • Overview of Ophthalmic Research
  • Ophthalmic Anatomy
  • Common Emergency Department Ocular Problems
  • Introduction to Optics and Refraction
  • Slit Lamp Biomicroscopy and Intraocular Pressure testing
  • Common Pediatric Eye Problems
  • Introduction to Retinal Problems
  • Introduction to Glaucoma
  • Introduction to Cataracts
  • Introduction to Ophthalmic Surgical Skills
  • Introduction to Pathology and Oncology
  • Introduction to Neuro-Ophthalmology
  • Introduction to Uveitis
  • Introduction to the Fundus Exam
  • Ocular Microbiology
  • Ocular Pharmacology
Procedures:
  1. Confidently use the slit lamp biomicroscope to evaluate the anterior segment of the eye.
  2. Use the direct ophthalmoscope to effectively evaluate the optic nerve and macula.
  3. Understand the basics of indirect ophthalmoscopy.
  4. Conduct a comprehensive external eye examination
  5. Measure intraocular pressure using Goldmann Applanation tonometer.
Remediation Plan:
- 10 page topic report 
- 5 question clinical scenario examination

SAMPLE WEEK

Monday:
8:00AM 9:00AM Orientation
9:00AM 12:00PM Didactic lectures or working with clinical preceptor
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic lectures or working with clinical preceptor
Tuesday:
8:00AM 12:00PM Didactic lectures or working with clinical preceptor
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic lectures or working with clinical preceptor
Wednesday:
8:00AM 12:00PM Didactic lectures or working with clinical preceptor
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic lectures or working with clinical preceptor
Thursday:
8:00AM 12:00PM Didactic lectures or working with clinical preceptor
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic lectures or working with clinical preceptor
Friday:
8:00AM 12:00PM Didactic lectures or working with clinical preceptor
12:00PM 1:00PM Lunch
1:00PM 5:00PM Didactic lectures or working with clinical preceptor
SCHEDULE NOTE:

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.




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