During the first month of the year, residents attend a series of orientation lectures to ease the transition from internships in medicine to the practice of clinical ophthalmology. During this time, early training includes use of all facilities and equipment including slit lamp techniques and indirect ophthalmoscopy. Residents will develop such skills as ophthalmic history taking, refraction, basic eye examination and ophthalmoscopy by examining patients in the various ophthalmology clinics at The Ohio State University Wexner Medical Center, Nationwide Children's Hospital, the Columbus VA and the Dayton VA and in-patient hospital consultation services at Ohio State and Nationwide Children's Hospital.
The first year includes introductory outpatient rotations and selected subspecialty rotations with full-time and community faculty. Experience with in-patient consults is found in an introductory pediatric ophthalmology rotation at Nationwide Children's Hospital and a rigorous consult service at OSUWMC, which also includes patients from the medical center's emergency department. During these rotations basic surgical skills in suturing peri-ocular tissues, simple external procedures and introduction to intra-ocular procedures will be learned.
The second year consists of subspecialty rotations in retina, anterior segment and a subspecialty rotation of the residents’ choice. For the remainder of the year, the residents divide their time between Nationwide Children’s Hospital and both the Columbus and Dayton Veteran’s Administration clinic rotations.
The residents works closely with the attending faculty in the clinic and the operating room on the subspecialty rotations. The residents spend 4.5 months at Nationwide Children’s Hospital completing their pediatric ophthalmology rotation. Residents gain extensive surgical experience in strabismus, tear duct procedures and trauma cases. The clinic, a recently renovated and state of the art clinic is resident-run and is staffed by the attendings at Nationwide Children’s Hospital.
During the Columbus and Dayton Veteran’s Administration rotation, residents receive intraocular surgical experience.All surgical cases at the Veteran’s Administration Hospital are performed by the residents with attending staff. In addition, all laser procedures are performed by the residents and staffed by qualified attendings.
The third year of ophthalmology residency training at Ohio State is divided between the OSU clinical sites (at the Eye and Ear Institute and Doan Hall Inmate Clinic), the Columbus VA and Dayton VA clinical sites.
For each of these rotations, the third residents split their time between clinic and the operating room, under the supervision of attending physicians. The OSU clinical rotations in the third year allow the residents to run their own clinic (with attending supervision) seeing a variety of patients from each of the subspecialties.
Residents are assessed utilizing 360 evaluations, which includes feedback from faculty, fellows, peers, patients and staff. Residents are assessed on their clinical skills, operative skills, medical knowledge, interpersonal communications, systems based practice and problem based learning. Resident grand rounds presentations are also evaluated and residents are provided evaluation summaries after each presentation. Ophthalmology residents are expected to participate in the annual Ophthalmic Knowledge Assessment Program (OKAP) exam which is a standardized test administered annually to all ophthalmology residents nationally.
Utilizing the above evaluation tools, all residents are evaluated biannually by the Ohio State University Department of Ophthalmology Clinical Competency Committee (CCC). The committee consists of multiple faculty members from each of the clinical rotation sites. The CCC assesses each resident’s competence with a specified list of milestones provided by the ACGME as well as deciding on promotion to the next residency level or graduation. In addition to the CCC assessment of each resident, the program director meets with the residents individually two times per year to address both strengths and weaknesses of their performance, to review all the various evaluation tools and comments, review surgical logs and review any individual issues.
Program evaluation is an ongoing process. The Residency Program Education Committee meets twice a year to formally evaluate curriculum, rotation goals and objectives, performance metrics (OKAP scores, board passage, etc.), faculty staffing and feedback provided by residents. Faculty, site directors and several residents serve on this committee. Program feedback is obtained through the ACGME Resident Survey performed annually, individual rotation and faculty evaluations from residents and exit interviews of graduating residents.