To describe basic eyelid, lacrimal, and orbital anatomy and physiology (e.g., eyelid, orbicularis, orbital structures, meibomian glands, lacrimal glands, glands of Zeiss, Whitnall’s ligament, Muller’s muscle, Lockwood’s ligament, canaliculi, puncta, orbital bones, orbital foramina, paranasal sinuses, annulus of Zinn, arterial and venous vascular supply, lymphatics, nerves, extraocular muscles).
To describe basic mechanisms and indications for treatment of eyelid, orbital, and lacrimal trauma.
To recognize simple orbital trauma (e.g., orbital foreign body, retrobulbar hemorrhage).
To recognize and treat simple trichiasis.
To recognize blepharospasm and hemifacial spasm.
To identify normal orbital and skull base anatomy on imaging studies (e.g,, magnetic resonance imaging, computed tomography, ultrasound).
To describe the differential diagnosis of proptosis in children and adults.
To describe techniques and complications of minor operating room procedures (e.g., incision and drainage of chalazia, excision of small eyelid lesions).
To describe typical features of orbital cellulitis.
Patient care
To know the patient's surgical history as it pertains to chief complaint.
To describe indications for and to perform the basic office examination techniques for the most common oculoplastic and orbital abnormalities.
To identify indications for and to perform the basic assessment of the eyelids (e.g., eversion, double eversion) and eyebrows (e.g., margin to reflex distance, lid crease, levator function, eyelid/brow malpositions).
To identify indications for and to perform the basic lacrimal assessment (e.g., dye testing, punctal dilation, lacrimal irrigation).
To identify indications for and to perform the basic assessment of the orbit (e.g., Hertel exophthalmometry, inspection, palpation, auscultation).
To identify indications for and to perform the basic socket assessment (e.g., types of implants, socket health).
To perform minor lid procedures (e.g., removal of benign eyelid skin lesions, chalazion curretage or excision, conjunctival biopsy, full thickness lid lacerations).
To treat complications of minor operating room procedures (e.g., incision and drainage of chalazia, excision of small eyelid lesions).
To perform punctal plug insertion or removal.
To recognize and treat trichiasis (e.g., epilation, cryotherapy, surgical therapy).
To perform a simple enucleation or evisceration under supervision.
To describe the indications for, describe the steps of and perform temporal artery biopsies
To recognize and treat orbital trauma (e.g., intraorbital foreign body, retrobulbar hemorrhage, fracture).
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 page.
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 and to communicate with other health care providers
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.
