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Download Residency Training Program PDF - Ross Eye Institute

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B. Veteran=s Administration Medical Center (VAMC)<br />

Veteran=s Administration Medical Center (VAMC)<br />

The VA Medical Center cares for all eligible veterans from a large<br />

geographic area. There are four satellite sites at the Batavia VA, the Bath<br />

VA, and the outlying clinics in Olean and Jamestown, but these sites do<br />

not have surgical facilities and all their surgical patients are sent to<br />

Buffalo. The <strong>Eye</strong> Clinic at the VA Medical Center is staffed by two<br />

residents and several attending physicians, both comprehensive<br />

ophthalmologists and subspecialists. Every clinic is covered by an<br />

attending, as is every surgical procedure. The breakdown of the clinic<br />

schedule is as follows:<br />

Monday Tuesday Wednesday Thursday Friday<br />

AM<br />

Retina<br />

Laser<br />

Postop, Cornea<br />

Optometrist<br />

General<br />

Post Op<br />

Minor Surg<br />

Consults,<br />

Diabetic<br />

screening<br />

PM<br />

General<br />

Laser<br />

Glaucoma<br />

General<br />

Laser<br />

General.<br />

Consults,<br />

diabetic<br />

screening<br />

Consults are seen as needed for emergencies, or scheduled into the regular<br />

clinics.<br />

Surgical block time is Tuesday 7:30 am-finish, Wednesday 7:30 am - 11<br />

am, and Friday 10am – 1pm. The Ophthalmology Suite is equipped with<br />

state of the art surgical equipment and instruments, for both anterior and<br />

posterior surgery.<br />

All surgery is done on an outpatient basis. Those patients who come from<br />

a long distance (greater than 75 miles), can stay overnight in the<br />

hospitality unit at no cost. Surgical dictations are to be done immediately<br />

after the case. In the event a patient has to be admitted, a short form<br />

admission note should be filled out if the patient will be discharged within<br />

24 hours, and sent to the observation unit. All longer admissions need to<br />

have a discharge summary dictated.<br />

The VA has a computerized system for entering order, notes, and consults.<br />

At the beginning of the rotation, computer password codes and<br />

instructions will be given. All lab results and radiology reports can be<br />

pulled up on the computer which is located in each exam room.<br />

Other staff in the eye clinic include a registered nurse-ophthalmic<br />

technician, a certified angiographer-photographer, an ophthalmic<br />

technologist, a secretary, an optician-ophthalmic assistant, and<br />

optometrist. As can be seen, the staff are well trained in the ophthalmic<br />

23

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