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Third Year Medical Students

FCE 364 Ophthalmology Experience I

Faculty Supervisor: Johanna Seddon, MD, ScM, FARVO

Program Coordinator: Louise Tetreault
Phone: 508-334-6181

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

Day One Instructions: (1.) PRIOR TO REPORTING- COMPLETE REQUIRED ONLINE MODULE I -    "Integrative Clinical Anatomy of the Eye" (2.) On Day One - 8 am - Report to The Eye Center at UMass Memorial Hahnemann Campus (3rd Floor Asdourian Conference Room H3-3415) 281 Lincoln Street, Worcester, MA 01605

FCE Course Description: 

The one week Ophthalmology Experience I FCE includes multi-specialty ophthalmology clinical exposure as well as structured online modules as “homework” and a presentation and quiz at the end of the week. Students are required to attend the entire week to obtain credit. Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye prior to attending the first day. First day Ophthalmology Clinic Orientation, will reinforce aspects of clinical ophthalmology and clinical assignments for the week. Students will prepare presentations, which will include either a clinical presentation of a case, a topic review or a research hypothesis.

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

UMass Chan Competencies: Advocate | Communicator | Person | Problem Solver | Professional | Scientist

Evaluation Type: Attendance | Effort | Participation

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

3C FE9 | March 4-8 2024

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