Sites: MEEI
Director(s): Ankoor Shah
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Closed in December
Location: MEEI - Mass. Eye and Ear Infirmary (8)
Open to Exclerks: Yes (may be restricted for international students)
Description: This elective is a modified apprenticeship designed to introduce the student to the specialty of Ophthalmology. The goals are to expand the student�s knowledge of eye diseases, refine his/her eye examination skills, and to become familiar with the activities of an ophthalmic clinician working in a busy clinical environment. Since all potential mentors inevitably have conflicts that would sometimes prevent them from being with the student, each student will be assigned to two or occasionally three mentors who, when possible, work in reasonable proximity but preferably not in the same sub-specialty of Ophthalmology. The elective student will accompany the mentors and attend the mentors� clinical sessions, surgical operations, and conferences, and will be supervised primarily by the faculty members and not by trainees. Four excellent texts are loaned to each student at the beginning of the elective, and students are also directed to several outstanding web resources. Students are also issued a basic set of two hand lenses to use as their skills develop. Students attend an orientation and basic skills session on the first day of the course, and also have at least one weekly session in the Emergency Department of the Massachusetts Eye and Ear Infirmary where they are assisted in learning to use the various types of equipment used in eye examinations, including the slit-lamp biomicroscope, the applanation tonometer, and the ophthalmoscope. The student will also have the opportunity to evaluate emergency patients under close supervision. Students are required to attend the weekly Grand Rounds from 8-9AM and the Friday morning 7-9AM Resident lectures at Massachusetts Eye and Ear, as well as a weekly medical student case discussion series led by a faculty member. Other conferences (Retina Conference, Neuro-Ophthalmology Conference, Cornea Slit Lamp Conference) may be required or recommended depending on the student�s mentors. When appropriate, students are invited to attend Chief Resident Rounds from 8-9AM Monday through Wednesday. Students are ordinarily expected to make a brief oral presentation to their mentors or their mentor�s conference(s) at the conclusion of the elective.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Each mentor will incorporate basic science information pertinent to the care of individual patients in which the elective student will participate. The mentors will also base management on scientific evidence to the extent such information is available. Evidence based management and basic sciences are emphasized in the weekly Grand Rounds case-presentations and other conferences and lectures
Grade Criteria:
Honors with Distinction: A student who in the 4-week elective comes close to achieving the skills expected of a new resident who has completed the first 4 weeks of residency. Students at this level readily integrate into the patient-care team as a contributing member and show kindness to and empathy for patients. Honors: A student who not only has shown the ability to recognize the common eye disorders, provide a differential diagnosis and evaluation/management plan but who also provides evidence of having gone to original sources and expanded his/her knowledge in the mentors' sub-specialties. Satisfactory: A student who acquires knowledge of the common eye disorders as they are encountered and reinforces that knowledge through reading of the required texts. Unsatisfactory: Students who have not attended all of the required activities unless prevented by illness or valid logistical conflicts. Students who fail to acquire the ability to take a competent eye history, fail to acquire the basic examination skills, fail to be able to generate a differential diagnosis of the common eye disorders or create an appropriate management plan or give evidence of having failed to read the pertinent sections of the required texts. Students will be judged �Unsatisfactory� if they behave inappropriately with faculty, colleagues, house-staff or ancillary personnel.