Starting residency...common pimp questions to know

[FenderB2004]

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What kinds of things do attendings pimp pgy2 residents on when starting ophtho residency (or what topics to review beforehand to not look like a ******). One of my residents told me to review

1. Reading fa
2. Criteria for csme
3. Criteria for high risk pdr
4. Layers of the retina

Anything else?

 

[Visionary]

What kinds of things do attendings pimp pgy2 residents on when starting ophtho residency (or what topics to review beforehand to not look like a ******). One of my residents told me to review

1. Reading fa
2. Criteria for csme
3. Criteria for high risk pdr
4. Layers of the retina

Anything else?

Everything is fair game. Your list barely scratches the surface. Despite your best preparation, you will not be (prepared).

 

[4424]

there really is too much to list. ophthalmology secrets is a good pimp question format for a book but it's pretty superficial as well. just expect that you have to start reading the bcsc books asap

 

[200UL]

Everything is open.
Simply read a little each night - use the conditions you saw in clinic during the day as things to read about. Also talk to your co-residents - each of you will see different things on call - see how they handled the patients. It is amazing how much ophthalmology residents learn in a matter of months with such a technique. With programs providing high patient volumes and high pathology levels, one almost has to try not to learn quickly.

There are several obvious conditions to know well when in clinics examining mostly adult (understant pathogenesis, indications for treatment, treatments, and how to talk to patients about them).

1. Cataract - types, indications for surgery
2. Diabetic Retinopathy - PDR, macular edema, when to treat, how to treat.
3. AMD
4. Blepharitis
5. Severe cornea ulcer - can be intimidating to see yourself on call - but treatment is pretty straightforward.
6. Glacuoma. Open vs closed. Know all drops and side effects. Know surgeries
7. Understanding indications and how to interpret all testing modalities (OCT, FA, visual fields).

 

[FenderB2004]

Thanks for all the great replies, that was really helpful! I know there's a ton of stuff you gotta know, but if there's certain high yield things I can review before starting that would be perfect, particularly things that attendings like to ask during grand rounds/conferences/etc. You know how there's certain pimp questions that people just love asking...? For the more senior residents and attendings, what have you guys been pimped on as a 1st year resident?

I'll try to get my hand on that ophtho secrets book...!

Everything is open.
Simply read a little each night - use the conditions you saw in clinic during the day as things to read about. Also talk to your co-residents - each of you will see different things on call - see how they handled the patients. It is amazing how much ophthalmology residents learn in a matter of months with such a technique. With programs providing high patient volumes and high pathology levels, one almost has to try not to learn quickly.

There are several obvious conditions to know well when in clinics examining mostly adult (understant pathogenesis, indications for treatment, treatments, and how to talk to patients about them).

1. Cataract - types, indications for surgery
2. Diabetic Retinopathy - PDR, macular edema, when to treat, how to treat.
3. AMD
4. Blepharitis
5. Severe cornea ulcer - can be intimidating to see yourself on call - but treatment is pretty straightforward.
6. Glacuoma. Open vs closed. Know all drops and side effects. Know surgeries
7. Understanding indications and how to interpret all testing modalities (OCT, FA, visual fields).

 

[Cruyff]

What nerve innervates the pupil?

 

[RedEyez]

Just started residency...........does anyone know where to buy an ophtho pocket card to draw eyes etc? of course it can be done without, but it looks nicer.

 

[dantt]

layers of eyelid

 

[MR1]

layers of eyelid

this is actually very high yield info for beginning residents as the anatomy is different is you are talking 5mm from the lid margin or 15mm from lid margin. Also varies slightly for lower lid. Have to know and understand all this to properly take care of lid lacs at 2am. Oh I don't miss those days by the way.

 

[azzarah]

Things I've been asked....

How/why does the retina turn white when you laser it?
What is the difference b/w Auto-fluorescence and red free?
OCT of CME--what layer of the retina is that fluid in? Why do you get a petalloid pattern?
10 findings of Horner's syndrome
10 causes of pallor with cupping
What conditions give you bilateral total vision loss with normal pupils
ddx of retinal vasculitis
ddx uveitis with elevated IOP
ddx uveitis with hyphema
chronic follicular conjunctivitis
volume of the orbit, vitreous, AC, etc.
Rate of Aqueous production
ddx interstitial keratitis
ddx of neuroretinitis
layers of eyelid
ocular findings of sarcoid
ocular findings of NF
spiral of tillaux
criteria for CSME
criteria for high risk PDR
why are alkali burns worse than acid burns
ddx enlarged corneal nerves
Findings of RP from the front of the eye to the back
how do you tell serous from Rhegmatogenous detachment if you see no tear
What findings/tests distinguish RD from schesis
B scan sign of posterior scleritis
layers of the retina
how far back does the ora start? Landmark for where the ora starts?
Findings of stickler syndrome
What's the difference b/w FEVER and Coats?
DDx of leukocoria
Signs of orbital compartment syndrome

These are just some of the things I've been pimped about, but that's all I can think of right now! Keep reading and you will be fine! Good luck!

 

[MastahRiz]

^Very helpful. Thanks!