Approximately 85-90% of the clinical fellow’s time is committed to direct patient care on the Uveitis Service.
The medical management of ocular inflammatory diseases as well as the preoperative evaluation and postoperative care of surgical cases are considered the cornerstones of the fellowship training at Massachusetts Eye and Ear. Accordingly, extensive exposure to the patients of the full-time staff is required of all fellows. Fellows will examine patients in the various clinics of the Mass. Eye and Ear and MGH, where he/she will perform the initial examination, form a tentative diagnosis and therapeutic plan, and then present the patient to the attending physician for discussion and final disposition.
Morning clinics generally begin at 8:00 am and afternoon clinics begin at 12:30 pm. Fellows are expected to begin seeing patients at this time.
The surgical experience of the uveitis fellow is derived primarily from first-assisting on the surgical volume of the Ocular Immunology Service faculty. Generally, fellows will assist on all major and minor procedures.
Emergency Room Attending Coverage
Each fellow is required to provide 24 half-day sessions per year of coverage in the Mass. Eye and Ear EW, during which they see patients and teach residents and medical students.
Call for the Ocular Immunology and Uveitis Service is divided in half. The three uveitis attendings (Dr. Lobo, Dr. Papaliodis, Dr. Sobrin) cover a total of six months of call and the clinical fellow covers the other six months of call. Call is taken one week at a time. The fellow on call is expected to manage most issues that arise and examine patients in the ER as necessary. For any questions or complicated problems and assuredly for emergent surgical cases, the fellow should discuss the case with the attending. The Uveitis fellow will also be a member of the Longwood ophthalmology consult team. This will include serving as primary consultant to the hospitals in the Longwood medical area that Mass. Eye and Ear covers (currently Brigham and Women's Hospital and Beth Israel Deaconess Medical Center), and will include weeknight and weekend coverage. This home call is shared with Mass. Eye and Ear residents and other Mass. Eye and Ear fellows. The frequency of call will include approximately one weeknight each week and one weekend per month.
Most MGH consults are examined by the ER resident on the consult service. Occasionally, the consult is specifically referred to the Ocular Immunology and Uveitis Service. The majority of these patients are examined during regular clinic hours. Patients who require a bedside examination and are unable to transfer to Mass. Eye and Ear are evaluated by the fellow and subsequently presented to an attending prior to finalizing a note in the patient’s record.
In addition to clinical activities, the following educational activities are also included in the fellow’s curriculum:
Research Opportunities and Conferences
The fellow will have a variety of research opportunities drawing on the extensive resources of the Harvard Department of Ophthalmology and the Harvard Medical School community in general. There will also be several clinical trial and basic research opportunities available to the fellow. The Uveitis Service participates in various multi-center trials for ocular inflammatory disease therapeutics. The fellow will have the opportunity to participate as a co-investigator and attend clinical trial meetings. He/she will also have the ability to attend the Harvard Medical School Scholars in Clinical Science Program weekly lecture series which teaches the basics of clinical research, study design, data collection and reporting, statistics, and study design. In terms of basic research opportunities, the Schepens Eye Research Institute of Mass. Eye and Ear, which is part of the Harvard Department of Ophthalmology and is located near the Mass. Eye and Ear, has an exceptional ocular immunology program. Ongoing research projects at Schepens focus on cellular and cytokine regulation of local immune responses in the eye and the characterization of the immunosuppressive and immunoregulating factors within the immune privileged eye. The fellow will have the opportunity to work with scientists from Schepens laboratory on basic ocular immunology research according to his/her interests. There will be ample choices to become involved in both clinical trial and basic research projects during the fellowship year.
The uveitis fellows are an important resource for the education of the medical students and residents. They have direct interactions in the uveitis clinics, as attendings in the EW, and for emergency uveitis cases in the EW. The fellow may provide this service independently, or in collaboration with a Uveitis faculty member, depending upon the complexity of the case and fellow’s level of expertise.
Page updated: Dec. 7, 2012
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