To describe the epidemiology of primary open angle glaucoma (POAG).
To perform evaluation of POAG.
To describe the mechanics of aqueous humor dynamics and the anatomy of the anterior chamber and its angle.
To describe basic tonometry.
To describe optic nerve and nerve fiber layer anatomy in glaucoma.
To describe fundamentals of perimetry, including kinetic and automated static perimetry.
To describe principles, indications, and basic techniques of gonioscopy, including normal and abnormal findings.
To describe principles of medical management, including indications for and side effects of treatment options (e.g., topical and systemic medications) for simple glaucoma (e.g., POAG, primary angle closure glaucoma).
To describe and recognize normal tension glaucoma (“low tension glaucoma”).
To describe the features of and recognize primary and secondary angle closure glaucoma and aqueous misdirection.
To describe the clinical features of and to recognize hypotony (e.g., Seidel test for transconjunctival leakage).
To list the main results of the major clinical trials in glaucoma (e.g., Glaucoma Laser Trial, Normal Tension Glaucoma Study, Advanced Glaucoma Intervention Study, Ocular Hypertension Treatment Study, Early Manifest Glaucoma Trial and Collaborative Initial Glaucoma Treatment Study).
Patient Care
To perform basic tonometry (e.g., applanation, tonopen, icare, pneumotonometer) and recognize the pitfalls and artifacts of the testing.
To perform stereo examination of the optic nerve, using 90 diopter or other lens.
To interpret manual (e.g., Goldmann) and automated (e.g., Humphrey, Octopus) visual fields in routine glaucoma.
To interpret optic nerve imaging studies, such as Ocular Coherence Tomography
Professionalism
To treat patients with respect and compassion at all times
To treat clinical and administrative staff with respect
To treat medical students with respect and strive to create an atmosphere conducive to education
To arrive on-time for clinical experiences
To prepare in advance for surgical experiences
To work to become part of the clinical team
To work with the faculty, staff, fellow and other residents on the service to determine your responsibilities
To remain flexible and offer to help out with the responsibilities of others when you can
To remain visible and available to participate in clinical care throughout the clinical session. If you leave the clinical care area make sure that other members of the service know where you are and why
answer your pager within 10 minutes of being paged.
Interpersonal and communication skills
To communicate your name and role on the service to patients and their families.
"Hello, I'm Dr. Resident, I'm a resident working with Dr. Attending today."
To present patients to the attending in a succinct but complete way
To maintain timely and legible medical records
To talk when you should be talking, listen when you should be listening
Practice-based learning and improvement
To learn to recognize feedback from faculty, fellows, fellow residents, patients and students
To accept that feedback constructively and work to improve based on it
To accept your role as a teacher as well as a learner. Work to educate students, fellow residents, faculty, staff and patients
Systems based practice
To work for the benefit of your patients to communicate with other health care provider
To act as an advocate for your patient within the health care system
To become aware of the costs of diagnostic and therapeutic interventions. Consider these costs as you recommend and prescribe these interventions
