How much ophtho are beginner residents expected to know?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Hemichordate

Peds
15+ Year Member
Joined
May 5, 2008
Messages
1,094
Reaction score
4
Are residents expected to know basic diseases of the eye, eye anatomy, basic types of procedures, and other "simple" things like that when they begin PGY-2? I heard the learning curve for ophtho residency is pretty steep. I've been helping some new ophtho residents (who've worked for less than two weeks) and most of them are already doing a great job with the slit-lamp exam. In general, how long does it take most beginner ophtho residents to learn the 'basics' and become mildly competent at working up and treating patients on their own?
 
When i started i knew two things: Jack and $hit. But as you've witnessed, you start learning things in a hurry...you have to. We have an extremely busy clinic and I was probably having to ask questions on everything but unremarkable diabetic exams for at least the first month because basically every single thing you're seeing is something new. I picked up the indirect and slit lamp 90 exams fairly quickly, but its still not something that happens overnight. I'd say by the end of September I had hit a good groove and felt like i had the "basics" down. Coincidentally, that's also when they started exposing us to PRP, so I'd say thats about an average time for getting the basics down, getting a lot of reading in, and learning your exam techniques before starting to increase your scope of practice.
 
A lot of the stuff in the BCSC is not clinically relevant, so I wouldn't just read through it straight the first time. It's not as much if you focus on the emergent conditions and the stuff that you'll see commonly first. Using the Wills and looking up stuff as you see it in clinic and call can help you focus on the stuff that you need to know now as a starting ophtho resident. You can learn all the useless details included in those books later on if you want.
 
Many residencies expect you to have read the BCSC once through during internship.

The expectation is you go through the set once each year leading up the OKAPs. Highly recommended you make a reading schedule.
 
Are residents expected to know basic diseases of the eye, eye anatomy, basic types of procedures, and other "simple" things like that when they begin PGY-2? I heard the learning curve for ophtho residency is pretty steep. I've been helping some new ophtho residents (who've worked for less than two weeks) and most of them are already doing a great job with the slit-lamp exam. In general, how long does it take most beginner ophtho residents to learn the 'basics' and become mildly competent at working up and treating patients on their own?

And to answer your question, yes residents are expected to know basic diseases of the eye, eye anatomy, basic types of procedures...

BPEI interview...do a capsulorhexis on this tomato...what's a capsulorhexis 😕
 
And to answer your question, yes residents are expected to know basic diseases of the eye, eye anatomy, basic types of procedures...

BPEI interview...do a capsulorhexis on this tomato...what's a capsulorhexis 😕

Bascom asked interviewees to do a capsulorhexis??? That's not the norm.
 
And to answer your question, yes residents are expected to know basic diseases of the eye, eye anatomy, basic types of procedures...

BPEI interview...do a capsulorhexis on this tomato...what's a capsulorhexis 😕

Well, they didn't do that last year. I know that from multiple sources.
 
Yeah. Seems a stretch. You should have gotten comfortable using the slit lamp and maybe the indirect while aim med student rotations. Not that you know what you are looking at. So that basic knowledge should come back quick. But knowing any procedures or what you are looking at. No not at first but you will pick it up quick. The first 3-6 months has a straight vertical learning curve.
 
Ok that's good to know because I thought the residents I was shadowing seemed really experienced. Unfortunately, since I'm only an MS1, and I'm just shadowing, I don't get any hands on experience with the slit lamp, since apparently that's only reserved for rotating medical students.
 
I was lucky enough to have a few months of Ophtho as an intern. However, it's still a steep learning curve, not just because of the technical skills, but the new set of vocabulary and things to do. During FA conference, I felt like a blubbering idiot because I fumbled how to properly describe a FA slide and diagnose the condition. There's also a bunch of new skills you have to pick up fast, like retinoscopy and gonio, along with surgical skills as well. Sometimes I wonder how I'll be able to do this all by my senior year.
 
Top