The purpose of the residency program is to teach medical and surgical ophthalmology skills. Of paramount importance is the ethical training, essential to becoming a competent and caring ophthalmologist.
The weekly resident conference schedule includes grand rounds conducted by faculty and guest lecturers. Didactic lectures are held in all areas of ophthalmology and are given by members of the faculty consisting of specialists in vitreo-retinal surgery retina, neuro-ophthalmology, pediatric ophthalmology and adult strabismus, glaucoma, ocular pathology, oculoplastics, cornea and external disease, and comprehensive ophthalmology.
Residents are responsible for the examination and evaluation of private and staff admissions, as well as the pre- and post-operative management of surgical patients, under the supervision of an attending faculty member. Daily outpatient ophthalmology clinics are under the direct supervision of an attending physician. These comprise a general eye clinic as well as specialty clinics in neuro-ophthalmology, cornea and external disease, contact lenses, uveitis, retina, glaucoma, oculoplastics, and pediatric ophthalmology and adult strabismus. In addition, the Department of Ophthalmology is responsible for more than 1,500 emergency ophthalmic visits each year.
Residents assist with procedures, studies, and interpretations including computerized visual fields, diagnostic ultrasonography, fluorescein angiography, fundus and slit lamp photography, tonography, and the full spectrum of electrophysiologic studies.
Residents will be well-trained in all aspects of ophthalmic surgeries including laser surgery. Surgical microscopes with videotape recording apparatus are also used for resident training.
An ophthalmology resident at the Indiana University School of Medicine may expect to assist in more than 400 surgical procedures and play a primary role in more than 350 cases during the 36 months of training. The annual outpatient volume of approximately 25,000 visits includes patients in the offices of faculty members, in the clinics, and in the emergency room.
Residents will rotate through varied clinic settings including the clinic at the Eugene and Marilyn Glick Eye Institute which serves as the department's primary academic and clinical facility for adult services as well as the center for most didactic educational activities. Residents also rotate through the largest county hospital in the state (Eskenazi Hospital); the largest VA hospital in the state (The Richard L. Roudebush VA Medical Center); and a children's hospital (Riley).
Each senior resident will have the opportunity to attend the annual American Academy of Ophthalmology meeting. All residents will complete the annual Ophthalmology Knowledge Assessment Program (OKAP) in preparation for their post-residency board certification. Participation in research is required during the second and third year, and all residents are encouraged to present their research at national scientific meetings.
FIRST YEAR RESIDENT
Learning to use instruments and equipment to diagnose and to treat common ocular problems is the goal of the first year resident. They rotate through the services of ocular pathology, low vision, pediatric ophthalmology, retina, as well as the general ophthalmology clinics at the county and VA hospitals. The work-up of the first year resident includes a complete initial ophthalmologic evaluation and they are monitored closely by attending faculty. First year residents begin their surgical experience with strabismus surgery. All minor surgical procedures are performed by either first or second year residents.
SECOND YEAR RESIDENT
The second year resident concentrates in subspecialty learning with rotations through oculoplastics, neuro-ophthalmology, and the general ophthalmology clinics at the county and VA hospitals. Increased surgical and consultative responsibilities are given to second year residents. Residents begin to learn techniques of intraocular surgery, including cataract extraction and oculoplastic procedures. Additionally, it is expected that a research paper will be presented at the annual Residents' Day.
THIRD YEAR RESIDENT
During the third year, residents gain significant experience as primary surgeons in all areas of ophthalmic surgery including cataract, cornea, glaucoma, retina, oculoplastics, and pediatrics. In-depth rotations through some of the subspecialties augment knowledge and skills obtained during subspecialty rotations in the first two years. Residents assume more responsibility for patient care in general ophthalmology clinics.
One senior resident is selected as the Chief Teaching Resident, who has administrative responsibility for medical student education, grand rounds assignments, and some training of fellow residents. Another senior resident is appointed as the Chief Administrative Resident. The Administrative Resident assists the faculty in creating resident rotations, on-call schedules, and assigning vacation periods. He/she is the liaison between the residents and the Chair/Program Director.
Residents at all levels participate in medical student courses and clerkships. They assist the faculty in teaching the fundamentals of the eye examination and the management of eye diseases appropriate for primary care physicians. In addition, more senior residents contribute to the training of junior residents.