• read and become familiar with the Educational Goals and Objectives for the rotation
• arrive on time for clinical experiences.
• provide courteous care to patients.
• take thorough histories and perform complete examinations
• complete timely, thorough and accurate documentation using the electronic health record
• complete preliminary interpretations for all imaging studies performed on the service
• review neuroradiology scans with UPMC neuroradiology team as scheduled during Monday and Friday reading times.
• work as part of the neuro-ophthalmology service sharing work with each other and the technical staff as needed
• work closely with medical students and other trainees rotating with the service
• when necessary complete correspondence with patients’ other health care team
• when necessary complete medical disability forms with pertinent exam findings as per medical records, then submit to attending for review and signature
• treat the technical and administrative staff with courtesy and respect
• when necessary, provide post encounter care for the patient by checking labs, filling out forms and corresponding with patients
• read on a daily basis while on the service concentrating on topics brought to the forefront during clinical experiences

Clinic Logistics

• ALWAYS record patient phone conversations or radiology reviews in EpiCare for documentation
• All NEW NEURO patients
  • Please review and edit the tech's chief complaint and histories, which autocomplete from intake exam in the Neuro Hybrid letter for new patients.Review techs’ medical, family, social history
  • TECH: Autorefraction vision and pinhole if less than 20/20 
  • TECH Color vision  & contrast sensitivity with Ishihara 
  • TECH Near vision, best corrected, if complaining of any blurring before drops
  • Check pupils but DO NOT DILATE until asked by attending
  • Help keep track of patients at testing 
  • Nerve and macula 5 line raster OCT, Stereo disk photos 
  • PLEASE INTERPRET in ENTER/EDIT results EPICARE
  • Measure alignment if diplopic with Maddox if able, Cover testing, or Krimsky, if unable
• RETURN NEURO patient
• Copy previous HPI and Progress note in EpiCare, then make appropriate changes in visual acuity box (NEURO OPHTH GENERAL  SHORT), exam and plan
• Neuroradiology Rounds - we regularly review studies from outside imaging centers with Dr Branstetter, Dr Rothfus, Dr Tsday.  It is helpful to email Dr Branstetter in advance to schedule 10-15 minutes to review 2-3 studies at his leisure.
• Please notify Melissa Wyse and Attending of any post-call or time off  from clinic
  
   
• Dr. Bonhomme is in clinic Tuesdays, Wednesdays, Thursdays and most Fridays
• Dr. Mitchell is in clinic 2 Fridays each month (check Epic) (first priority for residents)
• Radiology Review Friday after clinic, or as able
• Temporal Artery biopsies, laser procedures, & op cases as able 

• BCSC Section 5: Neuro-ophthalmologyIn addition, Dr Bonhomme has made several neuro-ophthalmology and strabismus texts & review manuals available for use on site.
• Beck RW. The optic neuritis treatment trial: three-year follow-up results. Arch Ophthalmol. 1995 Feb;113(2):136-7. PubMed PMID: 7864737.