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Download Residency Training Program PDF - Ross Eye Institute

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3. Diseases of the External <strong>Eye</strong> & Adnexa<br />

Bruce Ostler<br />

Chapter 3, page 67 - 71, 94 - 103, 107 - 111<br />

Chapter 4 page 137, 205, 219<br />

4. Ocular Surface Disease: Medical & Surgical Management.<br />

Holland EJ, and Mannis MJ<br />

Chapters 1, 2, 11, 13, 15-18, 20, 22<br />

E. Glaucoma<br />

COGNITIVE:<br />

• The resident should be familiar with the evaluation of a glaucoma patient<br />

in terms of screening for risk factors, initial and long-term work-up, and<br />

available therapeutic interventions—both medical and surgical.<br />

• The resident should be familiar with the various sub-types of glaucoma<br />

and glaucoma suspects including ocular hypertension, normal tension<br />

glaucoma, primary open-angle glaucoma and chronic and acute angle<br />

closure, and the secondary glaucomas (ex. pigmentary, pseudoexfoliation,<br />

traumatic, steroid induced.<br />

• The concept of acute angle closure as an ocular emergency, as well as<br />

appropriate work-up and management should be familiar.<br />

• The resident should be well-versed in current glaucoma literature and<br />

research.<br />

ASSESSMENT—The attending physician will periodically quiz the resident<br />

during clinical rounds to determine the knowledge base and will intervene<br />

as needed. Resident performance on OKAP testing and mock orals will<br />

also be monitored.<br />

TECHNICAL SKILLS:<br />

• The resident should be familiar with and able to perform and interpret the<br />

various clinical skills necessary for the work-up of glaucoma patients.<br />

These include: tonometry, gonioscopy, slit-lalmp evaluation, direct and<br />

indirect ophthalmoscopy, pachymetry, visual field testing and optic nerve<br />

imaging.<br />

ASSESSMENT—The resident will perform and interpret the above skills on<br />

clinical patients under the direct supervision of the attending physician<br />

during clinical rounds. The interpretation and clinical relevance will be<br />

discussed.<br />

SURGICAL SKILLS:<br />

37

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