Columbia is a relatively small program with 3 residents per year. They only rotate through CUMC; there's no VA. Surgical volume is good, probably second only to NYEEI in NY. In terms of reputation, NYEEI and Columbia are considered the top programs in NYC. Columbia is a retina powerhouse. Their chairman, Stanley Chang is one of the top retina specialists in the world. They also have 3 or 4 other fulltime retina faculty members who are also very well-known, as well as an affiliation with the retina guys at MEETH (although this might only apply for their retina fellowship). In cornea they have Dr. Trokel, who was one of the pioneers in excimer laser use for refractive surgery and Dr. Flynn in peds, who I think discovered ROP. They are well-represented in all subspecialties. Interestingly enough, the former head of the glaucoma dept, Dr. Tsai, just became chairman at Yale this July. Residents rotate through both public and private clinics. The public clinic is where residents see most of their patients and get their surgical cases from, and the private clinics are where the residents get exposure to subspecialties. Clinics were very busy from what I remember. The ophtho dept is housed in their own building within the Columbia Presbyterian Medical Center. The patient population is extremely diverse, with a heavy Spanish contingency. There is extensive research going on at Columbia, with many fulltime PhD's and funding from Columbia University. About 2/3 of their graduates go on to fellowships, and at top places. Overall this is an excellent program with no glaring weaknesses. Only drawbacks might be it's location in Washington Heights and the fact that they usually take 2/3 from their own med school.