Department of Ophthalmology Clerkship Selectives

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Department of OphthalmologyClerkship Selectives

• By Michael Wu, M.D., Clerkship Program
  Director
• Dorrie Quirante, Clerkship Program
  Administrator
• Clerkship website
• http//depts.washington.edu/ophthweb/clerkship.htm
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Ophthalmology Clerkships

• ? Two-week clerkship rotations
• (UWMC, HMC, VA, CHRMC, GHC, Spokane)
• ? Special electives away electives Outside
  UW
• (by approval only)
• ? WWAMI sites
• (Washington, Wyoming, Alaska, Montana, Idaho)
• ? Other (e.g., other academic medical centers)

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Instructional Materials

• Syllabus
• Textbook Basic Ophthalmology for Med Student and
  Primary Care Residents (8th Edition, AAO)
• Self-Instruction Slides, tapes, and workbooks
  are available for viewing in the Ophthalmology
  Dept. at the UWMC (Room BB-824)
• Ophthalmology Library Books cannot be checked
  out, but are available for your use in the
  library and clinic.

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Course Offerings

• Autumn, winter, spring, and summer quarters
• Total enrollment is 1 per site. Overbooking is by
  special arrangement, with clerkship directors
  approval.
• Special electives by specific arrangement for
  qualified students. Interested students should
  obtain a Credit for clerkship forms" from the
  Deans Office at least two months before
  registration.

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Goals

• Develop skills in commonly used eye examination
  techniques, applicable to primary care physicians
  or ophthalmologists.
• Gain experience in understanding and
  communicating ocular findings to physicians and
  patients.
• Practical experience with adult and/or pediatric
  patients. These clerkships provide a balance of
  outpatient, ER, and OR experience.
• Introduction and discussion of controversial and
  cutting-edge areas of ophthalmology.

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Objectives

• Broad Educational Objectives
• To develop confidence in specific examination
  techniques commonly used by ophthalmologists.
• To assist students in describing and
  communicating ocular findings with other
  physicians.
• To provide a first-time experience for students
  exposure to eye care in an ophthalmology practice
  setting.
• a. The application of basic science and
  clinical knowledge to specific eye
  problems

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• b. Gaining practical experience and insight
  into the communication skills,
  examination techniques, and treatments
  used in the practice of ophthalmology.
• c. Deciding on ophthalmology as a career.
• 4. To introduce students to controversial
  areas of ophthalmology in order to stimulate
  reading and investigation into these topics.

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• Process or Skill Objectives
• To develop skill in reading an ophthalmologic
  consultation which requires a knowledge of
  specific terminology and abbreviations.
• 2. To develop and demonstrate satisfactory
  skill in performing the following procedures
• a. Ophthalmic history
• b. Visual acuity assessment at near and
  distance
• c. Examination of the extraocular muscles
  (including the cover test) and
  intraocular muscles (accommodation
  and pupillary reactions)

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• d. Hand light and slit lamp examinations of
  the external structures of the eye, lids,
  and lacrimal apparatus
• e. Examination of the cornea, anterior
  chamber, iris, lens anterior vitreous
  with a slit lamp
• f. Ophthalmoscopic examination of the media
  (cornea, anterior chamber, lens, vitreous)
  and fundus (optic disc, macula, and
  vessels)
• g. Confrontation examination of the peripheral
  visual fields
• 3. To prepare the student to provide initial
• management of eye emergencies.

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Ophthalmology Courses

• ? 681 HMC
• ? 683 CHRMC
• ? 685 VAPSHCS
• ? 686 GHC
• ? 687 UWMC
• ? 688 Alaska
• ? 689 Spokane
• ? 690 Missoula
• ? 697 Away Elective (other institutions out of
  states)
• ? 699 Special Electives (WWAMI region)

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Clerkship Quiz

• ? Quiz will be given on the 2nd Thursday of the
  two-week rotation.
• ? Total of 14 questions (multiple choices).
• ? This is one of the requirements for the
  completion of a two-week clerkship.

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Honors Grade Requirements

• A. Obtain satisfactory clinical evaluations
  consistent with an honors grade.
• B. To be considered for an HONORS grade, you
  must submit a written paper
• ? A topic related to the eye and visual
  system, chosen after discussing with
  a faculty member.
• ? Paper is due four weeks after the last day
  of your ophthalmology clerkship
  rotation.
• ? To receive an honors grade for two
  clerkships, you may do an 8-page
  (excluding references)
• on approved topic.

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Teaching/Lectures/Conferences

• ? Introductory didactic lectures on first Monday
  of two-week clerkship rotation.
• ? Thursday Morning Lectures These are held in
  room BB-824 UW/HSB, from 800am to 1200noon.
  Review the Thursday morning lecture topics with a
  resident at your site by the preceding Wednesday.
• ? Grand rounds at 700am to 800am.
• ? Case Studies All clerkship students meet with
  one of the faculty clinicians on the second
  Thursday of each rotation. Student need to
  familiarize themselves with the cases presented
  in the booklet prior to the case studies
  discussion.

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Clinical Evaluations Grading

• In order to receive a Pass, the student must
  complete satisfactorily a two-week clinical
  rotation.
• The highest grade student will receive is High
  Pass, if no clerkship honors paper is submitted.
• Honors will only be granted to students who
  submit a paper and receive an honors grade after
  this was reviewed by a faculty member.
• A written exam will be given on the second
  Thursday of your rotation. It is crucial to pass
  this test for the completion of a two-week
  clinical rotation.
• If you fail your two-week clinical rotation and
  submit an honor quality paper, the highest grade
  you will receive is Pass.

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Q A

• 1. Who is the contact person for the
  Ophthalmology Department?
• Dorrie Quirante, Program Administrator, (206)
  685-1969
• E-mail dorrieq_at_u.washington.edu
• 2. Who is the contact person for Academic Affairs
  Office?
• Laura Ellis/Kim Nathane [phone]
• 3. Does the student need a pager?
• No, and we do not provide one.
• 4. What duty hours are expected?
• From 800am to 500pm Mon. through Fri.
• (No clinic on Sat, Sun, and holidays)
• 5. Can I miss a day or two while on two-week
  clerkship rotation? Yes, for emergencies.