During the second year, subspecialty training continues with added, graded surgical experience.  The resident experience and responsibility in the second year subspecialty rotations is similar to that of the first year, but with the residents given more responsibility both in the clinic, and in the operating room.  At Children’s Hospital and both the Dayton VA and Columbus VA, residents are given more opportunity to perform Class 1 intraocular surgical procedures as deemed able by the attending faculty.  The second year residents also perform laser photocoagulation on the retina and glaucoma laser procedures on patients managed with the attending physicians.

 

Learning Objectives:

Second year residents at The Ohio State University Department of Ophthalmology will be expected to manage patients with simple, moderate and complex medical ophthalmic problems including the work up and management of pediatric problems, retinal and anterior segment diseases.  These workups and management will be performed under the direct supervision of faculty members at The Ohio State University, The Columbus VA, The Dayton VA and Nationwide Children’s Hospital.  In addition to performing all surgical procedures as the PGY-2 residents, the PGY-3 residents also perform the following procedures:  Intraocular surgeries such as cataract operations and glaucoma filtering procedures, laser photocoagulation for macular edema, intravitreal injections, pediatric ophthalmology procedures including pediatric cataract operations, strabismus surgery, blepharoplasty and excision of lid lesions.  The second year residents are also to be expected to assist in retina and vitreous procedures, cataract operations, corneal transplantations and biopsies of the lid and adnexa. 

 

Rotation Details:

Nationwide Children’s Hospital

Rotation Length: (2) nine week rotations (18 weeks total)

The resident split their time in the Children’s Resident Clinic and in the OR while on this rotation.  There are always two second year residents on this rotation.  Home call is split between the two second year residents rotating at Children’s.  Faculty backup is available while on call.

 

Columbus VA

Rotation Length: 9 weeks

There is one second year resident at the Columbus VA.  Building on their experience from their first year rotation at the Columbus VA, the residents perform laser procedures and start performing cataract procedures.  There is no call on this rotation.

 

Dayton VA

Rotation Length: 9 weeks

The VA rotations are very similar and the residents perform laser procedures and cataract surgeries.   The second year and third year residents divide up home call for the Dayton VA rotation and faculty serve as back up for the residents.

 

Subspecialty Rotation

Rotation Length: (18 weeks over the year)

The second year residents have three subspecialty rotation opportunities.  They spend 6 weeks on the retina service, 6 weeks on the cornea service and have 6 weeks of elective time of their choosing.  During the retina rotation, residents split their time among the clinic, OR and also performing laser procedures.  Residents on the anterior segment rotation split time among the division faculty.  They spend a week with each faculty member and work with them both in the OR and in the clinic. No call is taken on this subspecialty rotation block.