| This week of the clerkship is designed to prepare a general practitioner
to recognize which eye disorders can be treated by the generalist,
and which should be referred to an ophthalmologist and how
soon.
Objectives:
1.
Know and perform the seven elements of the basic eye examination.
2. Know the causes of acute/chronic visual loss (including
systemic causes such as giant cell arteritis).
3. Know the various causes of a red eye and their treatments.
Know consequences of topical anesthetics, antibiotics, antiviral,
and corticosteroid therapies.
4. Understand the concept of glaucoma, and its ophthalmoscopic
appearance. Recognize the difference between open-angle
and narrow-angle glaucoma.
5. Detect the presence of a relative afferent pupil defect
and understand its significance.
6. Understand the basic visual field defects and their related
terminology.
7. Detect the presence of strabismus and understand its
significance.
8. Know the signs of ocular trauma. Distinguish between
mild and serious ocular injuries.
9. Understand the significance of papilledema and its varied
manifestations.
Expectations: Prior to the start of their Ophthalmology rotation students receive an email from the Ophthalmology department contact with information regarding their Monday start time and location and instructions for picking up their orientation packets.
This packet contains a personalized schedule for the week, a case record of a patient the student will be expected to discuss on Friday afternoon, and a booklet entitled Basic Ophthalmology. The case record and booklet items are on loan to students for the week. There is also a quiz on Friday afternoon.
More details about Ophthalmology objectives and expectations will be included in the ophthalmology packet. If a student has an ophthalmoscope and intends to use it, it should be charged over the weekend so that it is ready to use on Monday morning.
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