Retina Educational Goals and Objectives
PGY-2 Goals & Objectives
1) Medical Knowledge: To describe and demonstrate basic understanding of:
o Basic principles of retinal anatomy and physiology (layers of the retina, retinal physiology).
o Fluorescein angiography as applied to retinal disease (e.g., phases of the
angiogram, indications)
o Etiologies and mechanisms of retinal detachment
o Macular anatomy and function and typical features of common macular disease (e.g., age-related macular degeneration, macular hole, macular dystrophies)
o Basic principles of laser photocoagulation.
o Posterior Segment Trauma: Commotion retinae, traumatic choroidal rupture, and Purtscher's retinopathy
o Retinalvascular disease (e.g., branch, hemi- or central retinal vein and artery occlusion)
o Retinitis pigmentosa
o Posterior vitreous detachments
2) Patient Care: To Perform:
o Indirect ophthalmoscopy
o Slit lamp biomicroscopy with the +78, +90 lenses
o Interpretation of basic fluorescein angiography in common retinal disorders (e.g., diabetic retinopathy, cystoid macular edema)
o Interpretation of OCT and fundus imaging
o Performance d interpretation of B scan ultrasound
3) 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
o To work with the faculty, staff, fellow and other residents on the service to determine your responsibilities
o 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 H 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.
4) Interpersonal and Communication Skills:
- To communicate your name and role on the service to patients and their families.
o "Hello, I'm Dr. Resident; I'm a resident working with Dr. Attending today. I’ll start your eye exam for Dr. Attending, and enter some notes in the computer; then Dr. Attending will join us."
- To present patients to the attending in a succinct but complete way
- To enter data from the history and physical examination into the electronic medical records. As the "Progress Note" of the EMR is formatted to become the report sent to the referring MD, it should be composed with good grammar, and not contain abbreviations.
- If a fluorescein angiogram or an OCT is available for interpretation, the resident is expected to enter their interpretation of the study into the EMR
- To talk when you should be talking, listen when you should be listening
5) 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
- To read on a daily basis, and when queried, to be prepared to discuss the previous days reading. The reading should include the above listed topics, and may include topics from interesting cases seen in clinic. Reading material should include the BCSC book and supplemented with other literature
6) 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.