LU V: OPHTHALMOLOGY 250 (Integrated Clinical Clerks i! in O!

t al"#l#g$ % O&I C'rric'l'"(

Academic Year 2010 - 2011

COU)&* +*&C)IPTIO,
Rotation in the outpatient department of the Department of Ophthalmology with supervised and active participation in the diagnosis and management of common eye disorders.

C)*+IT 1. units !1 wee"# L*A),I,G O-.*CTIV*&

1. $o %e a%le to discuss the epidemiology and pathophysiology of common eye pro%lems encountered in the am%ulatory care setting 2. $o %e a%le to formulate a wor"ing diagnosis for patients presenting with an eye pro%lem 2.1. $o %e a%le to e&tract a complete and relevant history 2.2. $o %e a%le to perform the %asic eye e&amination 2.'. to %e a%le to recogni(e common signs and symptoms of eye conditions '. $o %e a%le to formulate an appropriate therapeutic and management plan for patients with an eye pro%lem in the am%ulatory care setting. '.1. $o %e a%le to re)uest for the appropriate ancillary diagnostic procedures for an eye pro%lem. '.2. $o %e a%le to prescri%e the appropriate medications for common eye conditions '.'. $o %e a%le to discuss the principles of the various therapeutic modalities employed in the treatment of patients with an eye pro%lem '.*. $o %e a%le to recogni(e eye pro%lems re)uiring referral to an eye specialist. *. $o %e a%le to recogni(e ocular signs and symptoms of systemic diseases . $o %e a%le to demonstrate proper attitudes towards caring for patients with visual pro%lems and disa%ilities. .1. $o %e a%le to develop an understanding of the impact of visual disa%ility to the patient+ family and the community. .2. $o %e a%le to identify ethical issues in the clinical practice involving patients with distur%ances in vision

COU)&* CO,T*,T
1. ,pidemiology of common eye conditions -ncidence .revalence .atterns of disease distri%ution 2. /ommon O.D .ro%lems0 $rauma and ,mergencies Anteri#r &eg"ent ,OR cataract glaucoma lacrimal apparatus pro%lems cornea0 con1unctiva pro%lems stra%ismus 1 P#steri#r &eg"ent optic neuritis retinal detachment A2D 3veitis !anterior+ posterior+ diffuse# trauma related conditions

Tr'e Oc'lar *"ergencies Acute Angle /losure 4laucoma /hemical 5urns /entral Retinal Artery Occlusion !/RAO# '. ,valuation of the Ophtha .atient Ophtha 6istory 5asic ,ye ,&amination visual acuity testing gross eye e&am ,O2s -O. determination 7unduscopy Ancillary .rocedures

Urgent Oc'lar C#nditi#ns Ocular -n1uries Ocular $umors

*. .rinciples of 2anagement of /ommon ,ye /onditions -ndications for 2edical $reatment of common ,ye /onditions .harmacologic agents used 2echanisms of actions of pharmacologic agents Routes of administration and rationale for their use !of particular importance in ophthalmologic cases# Rationale for 8urgical -ntervention -ndications for surgery 8urgical procedures used .rinciples of pre-op and post-op care .rinciples of reha%ilitation .sychiatric -ntervention Referra%le cases - .roper procedures for referrals . Ocular 2anifestations of 8ystemic Diseases $hyroid Disease Dia%etes 2ellitus 6ypertension A-D8 9. .rograms for prevention+ treatment and reha%ilitation of vision :. .roper attitudes towards patients with visual disa%ilities

L*A),I,G ACTIVITI*&
Acti/it$ ;ecture 6ours Demo Return Demo 8ession O.D .receptorials 84D 8essions Orientation0<ritten ,&am07eed%ac" 8elf 8tudy $ime T#tal H#'rs &t'dent H#'rs :. '.0 1*.0 .0 '. :.0 0120

1. ;ectures !:. hours#. $his is composed of one to 1. hours lectures on selected topics. $hese lectures are to serve merely as review of topics already covered in the previous year level.

TOPIC
O%1ective and 8u%1ective ,ye ,&amination /ommon O.D .ro%lems = Anterior 8egment /ommon O.D .ro%lems = .osterior 8egment Ocular $rauma and ,mergencies Ocular .harmacology Ocular 2anifestations of 8ystemic Disease Ocular 2otility

HOU)&
1.0 1.0 1. 1.0 1.0 1.0 1.0

2. Demo-Return Demo of the 5asic ,ye ,&am !' hours#. 8tudents will %e separated into smaller groups where they will %e as"ed to perform the 5asic ,ye ,&am on themselves or actual patients. /onsultants shall supervise and provide them feed%ac" on the process of 5asic ,ye ,&amination. '. Rotations in the Am%ulatory /linics.!12 hours# $here will %e a total of * sessions for this activity. ,ach %loc" will %e divided into smaller groups consisting of five ! # students each. $he same grouping shall %e maintained for all sessions. ,ach small group will %e given two patients each to e&amine and evaluate under consultant supervision. $hey shall %e e&pected to formulate a wor"ing diagnosis and a management plan for each patient. All students shall %e rated %ased on their method of e&amination of the patient and participation in the discussion. !.lease refer to evaluation tool.# 8tudents shall receive an evaluation for each session. 8tudents shall "eep a log of the cases that they see during the rotation. *. 8mall 4roup Discussion !' hours0session# 8tudents will %e divided into two small groups consisting of 10 students per group for each 8mall 4roup Discussion session. o 7or 84D 1+ paper cases will %e provided for discussion !2-' cases are to %e discussed for the session#. All students shall %e as"ed to participate in the discussion of the case. o 7or 84D 2+ the cases for discussion shall %e introduced to the groups %y the faculty mem%er on the day of the 84D. Discussions shall %e facilitated %y a faculty mem%er. All students in the group shall %e e&pected to participate in the discussion. $he outline for the discussion shall include the following> !1# .ertinent history and ., findings !positive and negatives#. !2# Differential Diagnosis and their %asis %ased on the information provided

'

!'# Disease /haracteristics and .athophysiology !*# 2anagement .lan !include rationale for management# 8tudent participation in the case discussion shall %e graded !.lease refer to evaluation tool.# ,ach student shall receive an evaluation for each session.

&TU+*,T *VALUATIO,
/ourse 4rade shall %e comprised of Rotation 4rade !?0@# and Year ,nd /omprehensive ,&am !10@#. .assing the O8/, given at year end shall %e a prere)uisite for promotion %ut shall not %e included in the computation. $he Rotation 4rade shall %e composed of the following> ,nd of Rotation ,&am Rotations in Am%ulatory /linics !O.D .receptorials# Demo-Return Demo 8ession 84D .eer ,valuationA '0@ *0@

@ 20@ @ T#tal 3004 A 8tudents shall %e as"ed to evaluate their group mates for the O.D <or". 8tudents shall give only one evaluation for each of their group mates for the entire rotation.

5ACULTY6COU)&* *VALUATIO,
1. 7aculty ,valuation = ,valuation forms for lectures0case discussions0 O.D wor" All evaluation forms should %e su%mitted on the last day of the rotation. 2. /ourse ,valuation %y 8tudents !8tandard tool from 3./2#. /ourse ,valuation forms should %e su%mitted on the last day of the rotation.

)*5*)*,C*
8elf -nstructional 2anual in Ophthalmology+ Dept. of Ophthalmology and Bisual 8cience+ 3. /ollege of 2edicine+ 2009