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Fourth Year Medical Students

OP 486 Introduction to Ophthalmology
Fourth Year Medical Student (MS 4) Elective 
Clinical/Ophthalmology

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

Support                                  Carrie Wambach
Email                                      Carrie.Wambach@umassmed.edu
Phone                                     508-334-6181

Location                                 The Eye Center at UMass Memorial Hahnemann Campus 281 Lincoln Street Worcester, MA                                                     01605

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 fourth-year (MS 4) Introduction to Ophthalmology Elective (OP 486) is specifically designed to allow a senior medical student advanced studies clinical 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 will reinforce aspects of clinical ophthalmology and ophthalmic research to the fourth-year medical student.  Attendance is required unless Dr. Faustina 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.

(Required prior to reporting for first day) 

1)Integrative Clinical Anatomy of the Eye 

Core lecture sessions (class/modules):           

1) Intro-The Clarity and Beauty of the Eye  (Required prior to reporting for first day) 

2) Acute vision loss

3) Chronic Vision Loss

4) Differential Diagnosis of Red Eye

5) Ocular & Orbital Injuries

6) Pediatric Ophthalmology

7) Neuro Ophthalmology

8) Ocular Manifestations of Systemic Disease

 

Core practical sessions (clinic):         

1) 8- Part eye examination

 2) Vision exam, visual acuity and beyond

3) Slit Lamp Examination (SLE) Techniques

3) Funduscopic examination

4) Visual field examination

5) 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:
    1. Measure the Visual Acuity using patient appropriate techniques
    2. Evaluate the Pupils & Extra-Ocular Motility
    3. Use a Slit Lamp Biomicroscope
    4. Measure the Intraocular Pressure
    5. 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
    1. Acute vision loss
      1. Retinal detachment
      2. Acute hemorrhage
      3. Retinal vascular occlusions: central retinal artery occlusion
      4. Optic neuropathies: papilledema, giant cell/temporal arteritis, optic neuritis/multiple sclerosis
    2. Chronic vision loss
      1. Cataracts
      2. Glaucoma
      3. Macular degeneration
    3. Differential diagnosis of the red eye
      1. Conjunctivitis
      2. Herpetic eye disease
      3. Inflammatory conditions: scleritis, uveitis
      4. Acute angle-closure glaucoma
      5. Stye vs. chalazion
    4. Ocular and orbital injuries
      1. Chemical injury
      2. Corneal abrasion
      3. Ruptured globe
      4. Orbital cellulitis
      5. Orbital fractures
      6. Eyelid lacerations
    5. Pediatric ophthalmology
      1. Amblyopia
      2. Strabismus
      3. Retinoblastoma
      4. Non-accidental trauma
    6.  Neuro-ophthalmology
      1. Pupil abnormalities
      2. Cranial neuropathies: Cranial nerve III, IV, VI, VII palsies
      3. Visual field defects
    7. Ocular manifestations of systemic disease
      1. Diabetes
      2. Hypertension
      3. Thyroid disease
      4. Sarcoidosis
      5. Juvenile rheumatoid arthritis
      6. Syphilis

 

UMMS Competencies:   Professional, Scientist, Communicator, Problem Solver, Advocate, Person

Evaluation Type:  Attendance, clinical assignments, case presentation, participation in clinic, rounds and meetings

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

                           FOUR WEEK ELECTIVES ARE AVAILABLE AS FOLLOWS:

E2| June 06, 2022-July 01, 2022

M5 | October 24, 2022-November 18, 2022 (VSLO available)

                           TWO WEEK ELECTIVES ARE AVAILABLE AS FOLLOWS:

T10A | April 3, 2023-April 14, 2023

T10B | April 17, 2023-April 28, 2023

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