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For Third-Year Medical Students (MS3)

FCE 364 Ophthalmology Experience I
Clinical/Ophthalmology

Faculty Supervisor
Misha Faustina, MD, FACS
Misha.Faustina@umassmemorial.org
Phone 508-334-9086

Faculty Supervisor
Shlomit Schaal, MD, PhD
S.Schaal@umassmed.edu
Phone 508-334-9071

Support
Diamond Parrilla
Diamond.Parrilla@umassmemorial.org
Phone 508-334-9086

Location: The Eye Center at UMass Memorial Hahnemann Campus  

Day One instructions: Report to Ophthalmology, 3rd floor, at Hahnemann Hospital Campus

FCE Course Description:

Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye prior to attending the first day. 

First day Ophthalmology Clinic Orientation session will reinforce aspects of clinical ophthalmology and clinical assignments for the week. Each of the remaining Modules are designed to be completed as “homework” assignments, each night of the rotation. Attendance is required all five days, unless Dr. Schaal is notified ahead of time. Students will attend all core sessions which are designed as Problem-Based Learning Modules. Students will prepare presentations, which will include either a clinical presentation of a case, a topic review or a research hypothesis. There will be a Post-Test at the end of the rotation.

Core lecture sessions (modules):

1) Integrative Clinical Anatomy of the Eye
2) Diabetes & the Eye
3) Hypertensive Emergency
4) Visual Field Deficits
5) Cranial Neuropathies

Core practical sessions (clinic):

1) 8- Part eye examination
2) Slit Lamp Examination (SLE) Basics
3) Funduscopic examination
4) Visual field examination
5) Imaging of the eye & diagnostic testing

FCE Learning Objectives: 

1.The third-year medical student will be able to take a focused history with regards to ocular complaints.
2.The third-year medical student will be able to perform a basic eye examination including:

a. Measure the Visual Acuity using patient appropriate techniques
b. Evaluate the Pupils & Extra-Ocular Motility
c. Use a Slit Lamp Biomicroscope
d. Measure the Intraocular Pressure
e. Perform Direct Ophthalmoscopy

3. The FCE student will learn diagnostic tests frequently utilized in clinical ophthalmology
4. The FCE student will practice differential diagnosis skills to demonstrate basic understanding of the anatomy and physiology of the eye and visual system and common pathologies

a. Reduced Vision/Visual Loss
I. Refractive error
II. Amblyopia
III. Cataracts
IV. Glaucoma: acute angle closure, chronic open angle
V. Optic neuropathies: papilledema, giant cell/temporal arteritis, optic neuritis/multiple sclerosis
VI. Retinal diseases: diabetic retinopathy, hypertensive retinopathy, age-related macular degeneration, retinal detachment

b. Pupil abnormalities
I. Afferent Pupillary Defect (APD)
II. Efferent Pupillary Defects: Horner syndrome, Argyll-Robertson pupil

c. Double Vision and Eye Movement abnormalities
I. Monocular vs. binocular diplopia
II. Misalignment: sensory deprivation, Grave’s disease
III. Cranial neuropathies: Cranial nerve III, IV, VI, VII palsies

d. Differential diagnosis of the red eye
I. Conjunctivitis
II. Herpetic eye disease
III. Inflammatory conditions: scleritis, uveitis
IV. Endophthalmitis

e. Eyelid abnormalities
I. Blepharitis
II. Lesions: chalazion, basal cell, squamous cell, sebaceous carcinoma
III. Ptosis
IV. Preseptal cellulitis

f. Pediatric ophthalmology
I. Amblyopia
II. Congenital nasolacrimal duct obstruction
III. Retinopathy of Prematurity (ROP)
IV. Retinoblastoma
V. Shaken baby syndrome

g. Ocular emergencies
I. Chemical injury
II. Corneal abrasion
III. Ruptured globe
IV. Orbital cellulitis
V. Orbital fractures
VI. Eyelid lacerations

UMMS Competencies Professional, Scientist, Communicator, Problem Solver, Advocate, Person Evaluation Type Attendance, Case presentation, participation in rounds and meetings

Availability: Two FCE third-year medical students on each available block

Block 1A | FE1 | June 10-14, 2019
Block 1B | FE2 | July 15-19, 2019
Block 1C | FE3 | July 22-26, 2019

Block 2A | FE4 | September 30-October 4, 2019
Block 2B | FE5 | October 7-11, 2019
Block 2C | FE6 | November 11-15, 2018

Block 3A | FE7 | February 3-7, 2020
Block 3B | FE8 | March 9-13, 2020
Block 3C | FE9 | March 23-27, 2020

Total Slots 12 AY1920

Opportunities available to students:

Students who are interested, may be given the opportunity to participate in the following activities:
1. Author or co-author a clinical paper that is submitted for publication
2. Presentation at national/regional meeting
3. Author or co-author a review paper
4. Author or co-author an original research paper  

For Fourth-Year Medical Students (MS4)

OP 486 Introduction to Ophthalmology
Clinical/Ophthalmology

Location: The Eye Center at UMass Memorial Hahnemann Campus 

Day One instructions: Report to The Eye Center, 3rd floor, at Hahnemann Hospital Campus. Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye - Intro/the clarity and beauty of the eye prior to attending the first day.

Introduction to Ophthalmology Elective Course Description:

The four week fourth-year (MS 4) Introduction to Ophthalmology Elective (OP 486) is specifically designed to allow a senior medical student advanced studies experience in ophthalmology, exposure to ophthalmology sub-specialties clinics, exposure to ophthalmology sub-specialty operating room and on-call experiences, provide more focused guidance in eye examination techniques and present better understanding of ophthalmic differential diagnoses and basic management decisions of ophthalmic conditions.

Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye - Intro/the clarity and beauty of the eye prior to attending the first day.

First day Ophthalmology Clinic Orientation, 50-minute session will reinforce aspects of clinical ophthalmology and ophthalmic research to the fourth-year medical student.  Attendance is required unless Dr. Schaal is notified ahead of time. Students will attend all core sessions which are designed as Problem-Based Learning Modules.  Students will prepare presentations, which will include either a clinical presentation of a case, or a research hypothesis. There will be a Post-Test at the end of the rotation.

Core lecture sessions (class/modules):

1) Intro/the clarity and beauty of the eye
2) Acute vision loss
3) Chronic vision loss
4) Differential diagnosis of the red eye
5) Ocular and orbital injuries
6) Pediatric ophthalmology
7) Neuro-ophthalmology
8) Ocular manifestations of systemic disease

Core practical sessions (clinic):

1) 8- Part eye examination
1) Vision exam, visual acuity and beyond
3) Slit Lamp Examination (SLE) Techniques
4) Funduscopic examination
5) Visual field examination
6) Imaging of the eye & diagnostic testing including ERG

Introduction to Ophthalmology Elective Learning Objectives:

1. The fourth-year medical student will be able to take a focused history with regards to ocular complaints.
2. The fourth-year medical student will be able to perform a basic eye examination including:

a. Measure the Visual Acuity using patient appropriate techniques
b. Evaluate the Pupils & Extra-Ocular Motility
c. Use a Slit Lamp Biomicroscope
d. Measure the Intraocular Pressure
e. Perform Direct Ophthalmoscopy

3. The Ophthalmology Elective student will learn diagnostic tests frequently utilized in clinical ophthalmology
4. The Ophthalmology Elective student will practice differential diagnosis skills to demonstrate basic understanding of the anatomy and physiology of the eye and visual system and common pathologies

a. Acute vision loss
I. Retinal detachment
II. Acute hemorrhage
III. Retinal vascular occlusions: central retinal artery occlusion
IV. Optic neuropathies: papilledema, giant cell/temporal arteritis, optic neuritis/multiple sclerosis

b. Chronic vision loss
I. Cataracts
II. Glaucoma
III. Macular degeneration

c. Differential diagnosis of the red eye
I. Conjunctivitis
II. Herpetic eye disease
III. Inflammatory conditions: scleritis, uveitis
IV. Acute angle-closure glaucoma
V. Stye vs. chalazion

d. Ocular and orbital injuries
I. Chemical injury
II. Corneal abrasion
III. Ruptured globe
IV. Orbital cellulitis
V. Orbital fractures
VI. Eyelid lacerations

e. Pediatric ophthalmology
I. Amblyopia
II. Strabismus
III. Retinoblastoma
IV. Non-accidental trauma

f. Neuro-ophthalmology
I. Pupil abnormalities
II. Cranial neuropathies: Cranial nerve III, IV, VI, VII palsies
III. Visual field defects

g. Ocular manifestations of systemic disease
I. Diabetes
II. Hypertension
III. Thyroid disease
IV. Sarcoidosis
V. Juvenile rheumatoid arthritis
VI. Syphilis

UMMS Competencies Professional, Scientist, Communicator, Problem Solver, Advocate, Person Evaluation Type Attendance, Case presentation, participation in rounds and meetings

Availability: One fourth-year medical student on each available block

FOUR WEEK ELECTIVES ARE AVAILABLE AS FOLLOWS:

E2 | June 03, 2019 – June 28, 2019
M5| October 21 – November 15, 2019
M10| March 30, 2020 – April 24, 2020

TWO WEEK ELECTIVES ARE AVAILABLE AS FOLLOWS:

T10B| April 13, 2020 – April 24, 2020
T11B|May 11, 2020 – May 22, 2020

Opportunities available to students:
Students who are interested, may be given the opportunity to participate in the following activities:

1. Author or co-author a clinical paper that is submitted for publication
2. Presentation at national/regional meeting
3. Author or co-author a review paper
4. Author or co-author an original research paper 

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