OPHTHALMOLOGY - Parkland
GOALS AND OBJECTIVES
ROTATION COORDINATOR Amer Shakil, MD
Surgery Curriculum Leader
Dept. of Family Medicine
ROTATION SPECIALTY FACULTY Preston Blomquist, MD
Ophthalmology Program Director
Parkland Eye Clinic
5323 Harry Hines
Dallas, TX 75390-9057
ROTATION CONTACT Carol Ware
CALL FREQUENCY No call
VACATION No vacation allowed in this 2 week
ROTATION DAYS/HOURS Ophthalmology Clinic
Parkland Out patient Clinic Bldg
MON TUE WED THUR FRI
AM Eye Clinic FMC Pediatric Eye FMC Eye Clinic
4th floor Clinic 4th Floor
PM FMC Conference Eye Clinic Eye Clinic FMC
4th Floor 4th Floor
Residents spend 20 hrs (five ½ days) per week on ophthalmology rotation. Out this 16 hrs (four
½ days) in Parkland outpatient clinic setting and 4 hrs (½ days) per week is in outpatient clinic
setting in Children’s hospital. In addition they spend 16 hrs (four ½ days) in the FMC and 4 hrs
(½ days) per week for family medicine didactic sessions per week.
The family medicine PGY-3 ophthalmology rotation is a half-month experience in outpatient
ophthalmology. The resident will see patients’ four half-days a week in the FMC and will attend
the Wednesday afternoon family medicine conferences.
Revised May 18, 2009, MPP
At the end of the rotation the resident should be able to:
Manage and assess a large area of the common edge problems due to experience and readings,
and clinical attendings
Take a focused eye related history, do and document a full eye exam, and establish a treatment
plan on common eye problems
Discuss eye problem with patient and family in practical language.
Discuss eye problem effectively with staff, colleagues, faculty, residents and fellows.
By lectures readings, and clinical exposure the resident gains a knowledge based and a variety of
clinical eye issues
1. Given a patient with any one of the following complaints, obtain an appropriate history,
perform an appropriate exam, propose an appropriate differential diagnosis, and
diagnostic plan for the following:
a. poor vision e. foreign body
b. eye pain f. inflamed eyelid
c. red eye g. trauma
d. “spots” in front of the eye h. acute visual loss
2. Given a patient with any of the following diagnoses, propose an appropriate plan of
treatment, including distinguishing between what is appropriate in the family medicine
setting and which require referral and at what point:
a. cataracts l. blepharitis
b. amblyopia m. scleritis, episcleritis
c. strabismus n. uveitis
d. nasolacrimal duct abnormalities o. diabetic retinopathy
e. conjunctivitis p. keratitis
f. trauma q. optic neuritis
g. glaucoma r. herpes
h. retinal detachment s. retinal artery and/or vein occlusion
i. orbital and periorbital cellulitis t. pterygium
j. hordeolum u. r. corneal abrasions
3. Perform the following procedures, demonstrating appropriate preparation of the patient,
technical performance, and post-procedure management of the patient:
a. visual acuity testing f. removal of foreign body
b. color vision testing g. hordeolum drainage
c. fluorescein staining of cornea h. slit lamp exam
d. measurement of intraocular pressure i. fundoscopic examinations
e. gross visual field determinations j. i.application of patch and shield
4. Discuss the following:
a. growth and development of the eye e. visual impairment
b. problems of aging f. motor alterations
c. infections g. neoplasms
d. immunologic problems
Revised May 18, 2009, MPP
h. ophthalmologic manifestations of m. pharmacology
disease a. topical effects
i. degenerative diseases b. systemic effects
j. glaucoma c. ocular effects of systemic
k. CNS conditions affecting the eye medications
EVIDENCE BASED PRACTICE
1. Solve eye problems using EBM to improve patient care
SYSTEM BASED LEARNING
2. Access eye related resources in the community and Parkland Hospital to assist in eye care to
1. Work together with dermatology staff and dermatology consultants to improve patient
care, decrease cost, promote wellness, provide patient education, and prevent disease.
2. Practice ethical medical care.
3. Demonstrate responsible behavior with dermatology consultants and their patients.
4. Follow all policies of the program and Parkland Hospital and respect the policies of
CMC and UTSW.
In order to accomplish the goals, the resident will:
1. Complete evaluations of a variety of patients seen in the eye clinics, the ER and on
2. Participate in daily interactions with families of patients in the clinic.
3. Read about at least one clinical aspect of one case daily.
4. Discuss cases with fellow residents and attending physicians to clarify knowledge and
5. Request feedback on performance regularly and incorporate that feedback into daily
6. Complete and maintain an accurate procedure log in timely manner.
7. Complete Med Challenger Family Medicine modules on ophthalmology
8. Read appropriate reference material as recommended by faculty in the various areas of
FAMILY MEDICINE CLINIC
The resident will be in clinic 4 half-days a week during this rotation and will also attend
Wednesday afternoon family medicine conferences.
The resident will be evaluated by the preceptor using the standard family medicine evaluation
form. Satisfactory completion of the rotation will be determined by the director of the family
medicine residency program in consultation with the preceptor.
Revised May 18, 2009, MPP