In the one-year fellowship, approximately 90% of the clinical fellow’s time is committed to direct patient care.
The medical management of refractive, corneal, and external disorders, glaucoma patients, as well as the preoperative evaluation and postoperative care of surgical cases. Accordingly, extensive exposure to the patients of the full-time staff is required of all fellows. Fellows will perform the initial examination of most patients, forming a tentative diagnosis and therapeutic plan, and then present the patient to the attending physician for discussion and final disposition.
Surgery (Operating Room)
The surgical experience is derived from the surgical volume of the Service faculty. Generally, fellows will operate on major and minor corneal and complicated anterior segment procedures as well as glaucoma procedures that are regularly performed by faculty. There will be significant exposure to complex cataract surgery as well as refractive cataract surgery with use of an imaged-guided femtosecond laser and intraoperative aberrometry.
Refractive Surgery Service (Waltham)
Fellows will be involved in office based procedures including laser vision correction, intacs for keratoconus and superficial keratectomy. Fellows are responsible for evaluating refractive candidates, and presenting their findings to the appropriate Attending. Fellows play an active role in the intraoperative and post-operative care of refractive patients. The fellow will assist with preoperative planning for cataract and refractive surgery and will review charts with the appropriate Attending.
Fellows will help cover office call for the Mass Eye & Ear Waltham site through the answering service and discuss cases as needed with the covering attending. The anterior segment 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.
Fellows have traditionally played an integral role in the education of residents.
- Each year there is a Fellows Course at Mass. Eye and Ear.
- The fellow is expected to write a review paper that will be published as in an ophthalmic journal, undertaken with faculty mentorship.
- Fellows are expected to give one 30 minute Grand Rounds presentation during the academic year.
Fellows are expected to participate in clinical research projects. Participation includes becoming familiar with the various active projects and protocols and performing study assessments as needed. All fellows will need to complete the Collaborative Institution Training Initiative for human subjects.
Last updated: May 24, 2016