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Download Residency Training Program PDF - Ross Eye Institute

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Residents should try to examine the patients before the attending sees<br />

them, if possible. To make the most of your experience, it helps to be<br />

aggressive about picking up a chart and seeing a patient. It is your<br />

responsibility to take the initiative. Do not wait to be handed a chart, or to<br />

be asked to examine a patient. When a patient has been registered and is<br />

ready to be examined, the chart will be placed on the counter in the Staff<br />

Room near the schedule of the provider, in the order in which the patient<br />

arrived and was checked in. The chart on top is the next one that should<br />

be taken.<br />

Begin by introducing yourself to the parents and the patient, and explain<br />

that you work with Dr. Reynolds. Try to do as much of the evaluation as<br />

possible. If you are having difficulty with a patient, Kyle is usually<br />

available to assist. Do not dilate any patient before he/she has been<br />

presented to and examined by Dr. Reynolds, unless specifically told to do<br />

so. 1 It is not possible to accurately evaluate strabismus, binocular vision,<br />

or acuity in pre-verbal patients when the patient has already been dilated.<br />

Before presenting the patient, have your findings ready. Formulate a<br />

preliminary diagnosis and management plan, even if you are uncertain.<br />

In most cases, the resident should accompany Dr. Reynolds and observe<br />

his examination of the patient.<br />

Residents are sometimes asked to return patient phone calls. Charts with<br />

phone messages for the residents will be found in the top bin of the<br />

stacked organizer just inside the door to the front desk. Be sure to<br />

document the phone call in the patient’s chart.<br />

1 The one exception to this rule is the premature baby being examined to rule out retinopathy of prematurity. See<br />

ROP Exams below for clarification.<br />

25

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