Second-Year Rotations (PGY-3)
Second-year ophthalmology residents refine their exam, diagnostic, and surgical skills by rotating through subspecialty clinics and functioning as independent consultants (with appropriate attending supervision) for hospitals affiliated with Harvard Ophthalmology.
Residents work closely with leading figures in each subspecialty and see patients from around the world. Residents have the opportunity to see patients with rare hereditary retinal degenerations at the Berman-Gund Laboratory and at the Boston Children’s Hospital.
Most attending ophthalmologists perform chart rounds at the end of subspecialty clinics. These rounds provide an opportunity to discuss interesting clinical cases and review salient teaching points. This is an exceptional learning opportunity that helps residents understand management decisions made during the clinic and highlights the attending’s clinical decision-making process.
Second-year residents spend a significant amount of time on each rotation in the operating room performing oculoplastics, strabismus, vitreoretinal, and cataract surgeries. They also perform intra-vitreal injections and retina and glaucoma laser procedures.
The second year is divided into several rotation blocks, each 6-7 weeks in duration. The rotations are as follows:
- Neuro-Ophthalmology at Mass. Eye and Ear
- Beth Israel Deaconess Medical Center (BIDMC)
- Boston Children’s Hospital
- Eye Plastics and Orbital Surgery at Mass. Eye and Ear
- Boston VA Medical Center
- Pediatric Ophthalmology and Strabismus
- Comprehensive Ophthalmology/Brigham and Women's Hospital (BWH)
Neuro-Ophthalmology at Mass. Eye and Ear
Supervising Attendings: Joseph Rizzo, III, MD, Dean M. Cestari, MD, and Neil Snebold, MD
Clinical experience: Residents spend their rotation evaluating and managing patients with complex neuro-ophthalmic diseases. Weekly teaching conferences promote discussion and review of the diverse and complex patient population cared for in this clinic.
Call responsibilities: Neuro-ophthalmology residents take home call for patients with neuroophthalmologic conditions who are initially seen by the first year residents in the MEEI emergency room. Back up is provided by the neuro-ophthalmology fellows and attendings.
Beth Israel Deaconess Medical Center (BIDMC)
Supervising Attendings: Jorge G. Arroyo, MD, MPH, Frank G. Berson, MD, Christina S. Moon, MD, Mark C. Kuperwaser, MD, Timothy Murtha, MD, Nurhan Torun, MD, and Don C. Bienfang, MD
Clinical Experience: During this rotation, residents participate in the comprehensive ophthalmology and subspecialty clinics including retina, glaucoma, and neuro-ophthalmology at BIDMC.
Surgical Experience: Surgical training is a focus of this rotation; the resident spends a significant amount of time participating in and serving as primary surgeon for cataract, retina, and glaucoma surgeries. They also perform anterior and posterior segment laser procedures.
Call Responsibilities: During the weekdays, residents serve as consultants for in-patient and Emergency Room consults for the BIDMC between the hours of 12 noon and 5 pm. In addition, the residents are on home call for night and weekend consults for a total of two weeks during their 6-7 week rotation. When on home call, residents are covering both BIDMC and BWH. Covering two major tertiary care hospitals provides exposure to significant eye pathology including a large number of ocular trauma cases.
Boston Children's Hospital (BCH)
Supervising Attendings: David G. Hunter, MD, PhD, Linda R. Dagi, MD, Deborah K. Vanderveen, MD, Anne B. Fulton, MD, Gena Heidary, MD, PhD, Iason Mantagos, MD, Robert A. Petersen, MD, Ankoor Shah, MD, PhD, Lois E. H. Smith, MD, PhD, Carolyn Wu, MD, and Alexandra Elliott, MD
Clinical Experience: BCH is one of the top pediatric hospitals in the country. Residents work closely with the ophthalmology faculty at BCH to gain experience in the exam, work-up, and management of routine and complicated pediatric ophthalmology patients.
Surgical Experience: Residents spend 1-2 days per week in the OR and perform primary strabismus surgeries as well as assist in a variety of pediatric oculoplastic and anterior segment surgeries.
Call Responsibilities: Residents perform in-patient consults, which are staffed by the pediatric ophthalmology fellows and attendings. Residents have 2 half days of dedicated consult time each week. During the week, the resident takes home call every other night for emergencies. Each resident also takes home call one weekend per month.
Eye Plastics and Orbital Surgery at Mass. Eye and Ear
Supervising Attendings: Suzanne Freitag, MD, Daniel Lefebvre, MD, Michael Yoon, MD, and Nahyoung Grace Lee, MD
The format of the 2nd year rotation is similar to the first year rotation. However, the second year resident plays a more active role in the operating room and participates in more complex operative cases. At least two full days a week are spent operating. The second year resident takes home call for oculoplastics emergencies and gains valuable experience in triaging and managing a variety of oculoplastic cases.
Boston VA Medical Center
Supervising Attendings: Mary K. Daly, MD, Milhim I. Aswad, MD, Donna Siracuse-Lee, MD, and Vasiliki Poulaki MD, PhD
Clinical Experience: The second year residents spend one rotation at the VA Medical Center in Boston and participate in sub-specialty clinics that include retina, glaucoma, cornea, and eye plastics.
Surgical Experience: The majority of the intra-vitreal injections, glaucoma and retinal laser procedures are performed by the second year residents at the Boston VA. The residents are in the oculoplastics OR one half day every other week where they participate in a variety of eye plastics surgeries.
Call Responsibilities: During the VA rotation the second year residents take home call one day each week. They have back-up coverage by the senior residents and an attending.
Supervising Attendings: Melanie Kazlas, MD, Dean Cestari, MD, Kimberley Chan, OD, David G. Hunter, MD, PhD, Linda R. Dagi, MD, Carolyn Wu, MD, Shizuo Mukai, MD
Clinical Experience: The clinical experience focuses on mastering pediatric eye exam skills, including retinoscopy and prismatic measurements for strabismus, as well as the evaluation and management of pediatric and adult strabismus patients.
Surgical Experience: One to two days each week are spent in the operating room during which the residents perform primary pediatric and adult strabismus cases, often with adjustable sutures.
Call Responsibilities: The residents are on-call during weekdays for Mass. General Hospital inpatient consults and serve as the subspecialty consultant for pediatric cases that come through the Mass. Eye and Ear Emergency Department. There is no evening or weekend call responsibilities on this rotation.
Comprehensive Ophthalmology/Brigham and Women's Hospital (BWH)
Supervising Attendings: Sheila Borboli-Gerogiannis, MD, and Katie Luo, MD, PhD
The clinical focus on this rotation is an introduction to cataract surgery. The residents are taken through cataract surgery in a step-wise fashion with a new step performed and perfected each week. By the end of the rotation, residents should be performing whole phaco surgeries under the supervision of the attendings. This step-wise introduction allows residents to gain confidence with their new surgical skills and prepares them for a busy surgical experience during their third year. The other component of this rotation is providing in-patient consultations for the BWH in Boston.
Call Responsibilities: During the weekdays, residents serve as consultants for in-patient and Emergency Room consults at BWH between the hours of 12 noon and 5 pm. In addition, the residents are on home call for night and weekend consults (for a total of 2 weeks during their 6-7 week rotation). When on home call, residents are covering both BIDMC and BWH. Covering two major tertiary care hospitals provides exposure to significant eye pathology including a large number of ocular trauma cases.