I mean the ophthalmoscope. I remember having our first practice session in the eye clinic. One girl jumped around, claiming that she has seen this and that, while everyone is deadly sure that she didn't seen no **** just like everyone else. Then in the following patient encounters during 2nd year, everyone including myself just pretended to use it so that attending/resident knew 1) you've bought it 2) at least you think the fundus exam is important. Two weeks later, I had lunch with a 3rd-year internal medicine resident. He confessed to me, without any hesitations, that he could not get important findings in 9 out of 10 fundus exams. Last summer, I worked in a thoracic surgery clinic. The heart surgeon I shadowed used the ophthalmoscope on every patient, but he put the scope at least 5 inches away from the cornea. And we all know, at that distance you don't see anything. Anyway, is this instrument just a bogus? I mean it's not that hard to see the arteries and the macula, but for all those fancy terms (cotton wool, silver wire, Roth spot) I doubt I'd ever see them.