1. Welcome to the Krieger Eye Institute Ophthalmology Residency Program December 4 and 5, 2012 December 4 and 5, 2012 Laura K. Green, MD Residency Program Director Anthony Castelbuono, MD Associate Program Director Donald A. Abrams, MD Department Chair

2. KEI wants you n Selective process n 300+ applied n 40 interviewed n 2 will match

3. You are special n Careful file review n Each of you has special qualities that were noticed by our faculty reviewers

4. Why KEI? n Polled residents, fellow and faculty

5. Why KEI? – what they said n Excellence n Dedication n Innovation n Teaching n Personalized n Exposure n Resident Clinic n Baltimore n Opportunity

6. Why KEI? n Excellence u Highest standards of patient care and residency education u Fully accredited until 2014 u OKAPs u Fellowship match success

7. Why KEI? n Dedication u 9 full time faculty u 7 part-time faculty u All specialties covered

8. Why KEI? n Innovation u Use technology to enhance learning – iPad u Hub u Kitaro dry/wet lab u Treatment u Technology

9. Why KEI? n Personalized u One on one and small group teaching u You can’t get lost in the crowd u Wet lab curriculum u Surgical curriculum u Research curriculum

10. Why KEI? n Teaching u Dedicated teaching faculty u One on one u Wet labs u Surgical curriculum u Clinic u Grand rounds

11. Why KEI? n Exposure u Referral center u Zebras and horses u Case reports and case series

12. Why KEI? n Resident Clinic u Autonomy with appropriate supervision u You build up your clinic u Continuity/patient relationships u Pre/post surgical care u Over 6000 visits per year u Well over 100 cataracts per year

13. Why KEI? n Baltimore u Livable u Affordable u Diverse u Fun

14. Why KEI? n Opportunity u From here you can go anywhere u Fellowships - UT/Southwestern, Iowa, Mass. Eye and Ear, University of Florida u Join our faculty - Drs. Abrams, Hirschbein, Altman, Castelbuono and Pillai trained here u Private practice

15. Sinai Hospital n Founded in 1866 as a nonprofit institution with a mission of providing teaching, research, and quality patient care

16. Sinai Hospital of Baltimore n Shares many of the characteristics of a university-based teaching hospital u 140 resident physicians and fellows based at Sinai u Approximately 400 medical students receive clinical training each year

17. Sinai Residency Programs n Ophthalmology n General Surgery n Pediatrics n Obstetrics and Gynecology n Physical Medicine and Rehabilitation n Internal Medicine JHU / Sinai

18. The Krieger Eye Institute n Sinai Ophthalmology Clinic was founded in 1941 by Herman Krieger Goldberg, MD n Irvin Pollack, MD established the Krieger Eye Institute at Sinai Hospital with the generosity of Mr. and Mrs. Zanvyl Krieger in 1991 n Donald Abrams, MD became chair in 2005.

19. The Krieger Eye Institute n 20+ examination lanes n 8 diagnostic testing rooms n Minor surgical procedure suite / Microsurgical practice lab n 2 perimetry rooms (Humphrey and Goldmann perimeters) n 4 laser rooms (Argon, YAG, Argon/YAG, Sciton) n Contact lens center n On-site up-to-date ophthalmology library

20. The Krieger Eye Institute n Complete ophthalmic imaging center digital angiography (FA/ICG) specular microscopy confocal scanning laser ophthalmoscopy Pentacam optical coherence tomography (3D) digital slit lamp and fundus photography digital B scan IOL Master immersion ultrasound n More than 30,000 patients per year

21. Krieger Eye Institute at Quarry Lake n 6 exam lanes n 2 diagnostic testing rooms n Minor procedure room n OCT, FA, digital fundus camera n Humphrey Visual Fields n Pentacam n IOLMaster, immersion ultrasound n Optical shop (with a 40% discount!)

22. Krieger Eye Institute at Northwest Hospital n Lifebridge Health network n Randallstown, MD (20 min away) n Retina n Comprehensive

23. The Krieger Eye Institute 5 th Floor n 6 fully equipped exam lanes n Technician coverage n 2 full time front desk staff n Personal desk for each resident with locking cabinets n Personal computer for each resident n Office of Residency Coordinator, Wendy Schnitzer n Dr. Theresa Kramer, comprehensive ophthalmologist, research director and ophthalmic pathologist

24. Ophthalmology Training Legacy n The first Ophthalmology resident was appointed in 1946 n ACGME fully approved residency to double in size in 1983 n Forty-four ophthalmology residents were trained at the Sinai Hospital freestanding program between 1983 and 1997

25. n A successful joint residency program was established with Johns Hopkins in 1997 n KEI re-established independent residency program in 2007 with full ACGME accreditation renewed until 11/2014 n First class matriculated in 2007 and graduated on 2010 Ophthalmology Training Legacy

26. Program Coordinator Wendy Schnitzer n Office adjacent to the residents’ offices n Coordinates daily schedules and conferences n Schedules surgeries and medical clearance

27. Structure of Residency n 2 Residents per PGY year n Rotations by PGY year with emphasis toward creating a continuum of proficiency in clinical and surgical skills n 50% resident clinic, 50% attending clinic n No required rotations outside of Baltimore

28. General Eye Service n Continuous clinic for more than 40 years n Approximately 6000 visits a year n Sinai Hospital’s medical clinic patients, emergency department and inpatient consults, referrals from the surrounding Northwest Baltimore communities n Senior Resident and Attending Subspecialist Supervision at all times n Attendings are assigned coverage days

29. First Year (PGY-2) Rotations n General Eye Service n Peds/Neuro n Cornea n Oculoplastics (OR) n Anterior segment surgery n Community service projects n Low Vision n Community Peds

30. Second Year (PGY-3) Rotations n Glaucoma (OR) n Retina n Neuro-ophthalmology n Pediatric ophthalmology (OR) n General Eye Service n Levindale Comprehensive Care n Ophthalmic Pathology n Community service projects n Community Peds

31. Third Year (PGY-4) Rotations n General Eye Service n Vitreoretinal (OR) n Cataract / Anterior Segment (OR) n Healthcare for the Homeless

32. Academic Activities n Daily Lectures n Weekly Grand Rounds n Cornea Clinic n Oculoplastics Rounds n Quarterly Morbidity and Mortality n Monthly Journal Clubs n Annual Meetings u Krieger Symposium u Academy (3 rd years) u Local Meetings (Maryland Society, Current Concepts, Wills Peds, etc.)

33. Academic Activities n Monthly path rounds with ocular pathologist n Monthly wet lab with KEI ophthalmologists n Kitaro dry lab for capsulorhexis practice n Baltimore cataract course n Alcon CORE cataract course n Mass Eye and Ear Cataract course

34. Community Service n Healthcare for the Homeless vision van n Maryland society for sight glaucoma screenings at KEI n Community vision screenings

35. Healthcare for the Homeless n Funding to provide care for indigent n Resident patients n Resident surgery n Follow up and follow through for patients n Community service n Faculty donate time

36. Technology n iPad n BSCS in iBooks n Projector compatible with iPad/iPhone n Departmental DropBox n Google Docs n Off site login to hospital EMR and ophthalmology images n EMR implementation

37. International Rotation n Aravind Eye Institute n One month elective n 3 rd year n Average 2 phacos per day n SICS

38. Faculty n Three glaucoma specialists n Two ophthalmic plastic, orbital tumor and reconstructive surgeons n One medical retina / vitreoretinal surgeon n One medical retina specialist n Two cornea, external disease and refractive specialists n One uveitis specialist n One pediatric ophthalmologist n One neuro-ophthalmologist n One ophthalmic pathologist n Two comprehensive ophthalmologists n Contact lens specialist optometrist n Community pediatric, retina, glaucoma specialists

39. Faculty Training n Sinai Hospital of Baltimore n Harvard/Mass. Eye and Ear n Wilmer Eye Institute n Doheny Eye Institute/USC n Bascom Palmer n Emory University n Vanderbilt University n Kresge Eye Institute/Wayne State n University of Rochester n Duke University n Albert Einstein/Montefiore n Children’s Hospital of Michigan n Medical College of Pennsylvania n Albany Eye Physicians and Surgeons n University of Maryland n University of Illinois n Georgetown University n University of Alabama

40. Past Residents n Class of 2010 u Carl Sloan, M.D. glaucoma fellowship UT/Southwestern, private practice, Myrtle Beach, SC u Abram Geisendorfer, M.D. private practice, IL n Class of 2011 u Candice Giordano, M.D. private practice, Aberdeen, MD u Shaminder Bhullar, M.D., retina fellowship University of Florida n Class of 2012 u Parvathy Pillai, M.D. uveitis fellowship, Mass. Eye and Ear u Elizabeth Tegins, M.D. retina fellowship, University of Iowa

41. Current and Future Residents n Gregory Oldham – glaucoma fellowship, Thomas Jefferson Medical School, Bucknell College n David Ellenberg - retina fellowship, Wayne State Medical School, Towson University n Justin Shaw – Penn State Medical School, Millersville University n Stephen Winkler – oculoplastics fellowship, University of Illinois College of Medicine, Washington University n Vish Srinagesh – Albany Medical College, Union College n Joshua Zaffos – University of Georgia n Corey Waldman – University of Missouri n Kenneth Levin – Tulane Medical School, Johns Hopkins University

42. Benefits n iPad with BCSC on iBooks n Resident Hub subscription n Wills Eye manual n 90/20/gonio lenses n Scleral depressor n Travel once a year as first author n AAO as 3 rd year n Book fund $1000 n Aravind rotation n 3 weeks vacation plus holiday week n Paid hospital holidays

43. The Krieger Eye Institute n Offer a comprehensive training program to prepare physician clinicians and educators n Enthusiastic well rounded breadth of faculty n Small program able to offer individual attention in all subspecialties n Long and successful track record for resident education n Innovative use of technology and resources

44. Structure of Interview Day n Divided into morning and afternoon interviews n Tours u Department and Technology u Hospital u Meet Current Residents: F 1 st years – Vish Srinagesh & and Josh Zaffos F 2 nd years – Stephen Winkler & Justin Shaw F 3 rd years – Gregory Oldham & David Ellenberg