During the third year, the residents rotate at the Dayton VA, the Columbus VA and OSU. The duties for each of these institutions are similar. The main purpose of the third year of residency is to expand the residents’ involvement in direct patient management, both clinically and surgically. This involvement provides the opportunity to apply their subspecialty knowledge in direct patient care of patients who present to them for an initial visit. The resident clinic setting provides for direct faculty supervision of all patients seen in the clinic, but the third year residents are responsible for the work up and major management decisions, as well as the surgical and laser management as Class 1 surgeons. Continued subspecialty training is provided in oculoplastics.
Third year residents at The Ohio State University Department of Ophthalmology will be expected to workup and manage, under direct supervision of faculty, simple, moderate and complex levels of medical ophthalmic problems. PGY-4 residents are expected to perform a wide range of surgical procedures including orbital procedures, intraocular procedures and extraocular procedures. Specifically these procedures include, but are not limited to, cataract operations, glaucoma filtering procedures, a wide range of plastics procedures including blepharoplasty, lid biopsies, repair of complex lid lacerations, ptosis procedures, orbital procedures including repair of fractures of the orbit, retina and vitreous surgeries such as retinal detachment repair, vitrectomy, injection of substances into the vitreous and orbital area, penetrating keratoplasty, keratorefractive procedures and removal of lesions of the cornea and conjunctiva.
While on this rotation, the resident will spend time with the oculoplastic faculty at OSU and The Eye Center. Time also includes OR time at Gowdy, OSU Main and in resident clinic. Back up call for the first year residents is taken on this rotation.
On the four week rotation, there is a team consisting of a first year and third year residents that are responsible for seeing the in house consults from 7:00am – 5:00pm, M-F. These consults are staffed with an attending physician.
The resident rotates in the subspecialty clinics at the Columbus VA. This gives the resident opportunity to see all different subspecialties. The residents perform the majority of their cataract surgeries while on both VA rotations in their third year. These surgeries are performed at the VA ASC facility. Residents also perform tube shunt surgeries, trabeculotomies, iStents, blepharoplastes, ptosis surgery, brow lifts, and orbitotomies. Retinal surgeries generated from the Columbus VA rotation are performed at the Ohio State University Medical Center. OSUMC back up call for the first year residents is taken on this rotation.
The Dayton VA rotation is similar to the Columbus VA rotation with the residents rotating through subspecialty clinics and in the OR. The third year resident typically spends 2-3 days per week in the OR during this rotation. Home call for the Dayton VA is split among the second and third year resident on this rotation.