Second year (PGY III)

During the second year of residency, emphasis is placed on clinical ophthalmology, management of complex ophthalmic diagnosis and basic surgical procedures. In addition to responsibilities in general clinic, second years also perform laser procedures muscle surgeries, and a small number of primary phacoemulsification cataract surgeries. Second years take 1/3 of the primary call primarily during the first half of the academic year.

University Hospitals Cleveland Medical Center

Residents will rotate through the following subspecialties: Pediatrics II, Neuro-Ophthalmology, and Adult Consults. These rotations provide excellent training on the ocular manifestations of systemic disease and ocular complications related to other medical or surgical procedures.

• Pediatrics II: This rotation is spent in clinics and the operating room, and builds upon the skills learned during Pediatrics I. There are ample opportunities for performing strabismus surgery, in addition to evaluation and management of pediatric cataracts and glaucoma, congenital disorders, and retinopathy of prematurity in UH Rainbow Babies & Children’s state-of-the-art NICU.
• Neuro-Ophthalmology II: Much of this rotation is spent with our neuro-ophthalmologist, learning the specifics of history, examination and specialty testing involved in the neurologic examination. There is an emphasis on learning the anatomy and physiology involved in neuro-ophthalmic diagnoses and thorough review of imaging modalities. During this rotation there is also monthly combined neurology/ophthalmology conferences that address common topics between the two specialties.
• Adult Consults: All adult consults between 8 a.m. and 5 p.m. are initially triaged by this resident and staffed with the designated attending of the day. Subspecialty staff is also available to staff any pertinent patients. Any surgical cases that result from these consults are available for the resident to assist with.

Louis Stokes Cleveland VA Medical Center

Second years spend a total of six months at the Louis Stokes Cleveland VA Medical Center, performing both clinical and surgical duties. The PGYIII residents are responsible for seeing patients in the sub-specialty clinics scheduled throughout the week and the daily add on/urgent clinic. Sub-specialty clinics include Cornea, Glaucoma, Plastics, Neuro, and Retina. In surgery, the PGYIII resident learns portions of the cataract surgery from the senior resident under the supervision of the attending. It is expected that the PGYIII residents will perform a number of primary phaco procedures by the completion of the year. During a designated laser resident rotation, all YAG, glaucoma and retina lasers are preformed by the PGYIII resident.