Jesse Brown VA Medical Center Hines VA Hospital Residency in Ocular Disease

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Jesse Brown VA Medical Center Hines VA
HospitalResidency in Ocular Disease Low Vision
Rehabilitation
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Ocular Disease

• Direct management 100
• Large patient population with high prevalence of
  acute and chronic disease
• Resident will manage many cases of a given
  disease

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Ocular Disease

• Attendings with experience
• most have 10 or more years working in VA setting
  managing eye disease
• Chief has 32 years experience with 30 in the VA
• See Web page The Players

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Ocular Disease

• Attendings see patients with residents
• pass ongoing experience to residents
• assure quality of patient care
• always available for consultation

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Ocular Disease

• Ophthalmology
• Shared rounds at VA
• both OD MD residents present cases
• ODs attend grand rounds at UIC
• present cases
• Frequent clinical interaction

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Ocular Disease

• Medical specialties
• Frequent interaction
• Resident does most if not all of the medical work
  up
• Diagnosis confirmed by specialty
• Consult for other specialties (clinic, ward)

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Ocular Disease

• Environment (see The Experience)
• fully equipped
• 10 lanes
• digital photography, angiography OCT
• fundus topography
• ultrasonography (a b scans / pachymetry)
• Perimetry (all types)

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Ocular Disease

• Environment
• minor OR
• conference facilities
• electrodiagnostics
• lasers

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Low Vision Rehabilitation

• Experience in continuum of care
• Hines Blind Rehabilitation Center
• 4 months 3 days per week rotation
• severely disabled (legally blind)
• comprehensive rehabilitation
• Chief has gt25 years experience in Low Vision
  Rehabilitation and research.

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Low Vision Rehabilitation

• Hines BRC
• Multidisciplinary
• ADL
• Communication
• Orientation mobility
• Leisure skills
• Psychology
• Low Vision
• Gold standard for rehabilitation

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Low Vision Rehabilitation

• Experience in continuum of care
• VICTORS
• Partially sighted
• comprehensive low vision rehabilitation
• Low Vision Rehabilitation (Outpatient)
• Partially sighted Legally Blind
• comprehensive low vision rehabilitation

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Low Vision Rehabilitation

• Experience in continuum of care
• Pediatric low vision
• 3 day trip to school for multiple disabled
  children
• Attend with pediatric ophthalmology fellow ICO
  faculty

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Clinical Hours

• Mon, Tues, Thurs, Fri 730 AM- 6 PM
• Wed conference/lecture
• 730AM 6PM
• No weekends
• Unless patient needs to be seen (corneal ulcer,
  etc.)
• Off on 11 Federal holidays
• Sick days vacation days
• Academy meeting

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Overall

• Extensive exposure to ocular systemic diseases
• Routine obscure
• Complete physical diagnosis lab testing
• Comprehensive Low Vision
• Tough program, hard work, but well worth it!!!
• Results in confidence approaching any condition
  that you will encounter

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General information

• Malpractice for practice in VA is covered under
  federal tort.
• External practice (moonlighting) is discouraged
• Malpractice is covered by resident or non-VA
  facility.
• VA offers vacation and health insurance benefits
  with current Chicago stipend 32k.

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Certificate Requirements

• Successful completion of full 12 months of
  clinical experience.
• PowerPoint presentation of case at ICO Grand
  Rounds by 11 months
• Complete 1st journal review by 6 months with JB
  Attendings
• Completing manuscript or presentation of
  publishable quality by 12 months of program.