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Published byVirgil Craig Modified over 9 years ago
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Jesse Brown VA Medical Center Hines VA Hospital Residency in Ocular Disease & Low Vision Rehabilitation
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Ocular Disease Direct management 100% Large patient population with high prevalence of acute and chronic disease – Resident will manage many cases of a given disease
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Ocular Disease Attendings with experience – most have 10 or more years working in VA setting managing eye disease – Chief has 32 years experience with 30 in the VA – See Web page ‘The Players’
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Ocular Disease Attendings see patients with residents – pass ongoing experience to residents – assure quality of patient care – always available for consultation
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Ocular Disease Ophthalmology – Shared rounds at VA both OD & MD residents present cases – ODs attend grand rounds at UIC present cases – Frequent clinical interaction
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Ocular Disease Medical specialties – Frequent interaction – Resident does most if not all of the medical work up – Diagnosis confirmed by specialty – Consult for other specialties (clinic, ward)
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Ocular Disease Environment (see ‘The Experience’) – fully equipped – 10 lanes – digital photography, angiography & OCT – fundus topography – ultrasonography (a & b scans / pachymetry) – Perimetry (all types)
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Ocular Disease Environment – minor OR – conference facilities – electrodiagnostics – lasers
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Low Vision Rehabilitation Experience in continuum of care – Hines Blind Rehabilitation Center 4 months 3 days per week rotation severely disabled (legally blind) comprehensive rehabilitation – Chief has >25 years experience in Low Vision Rehabilitation and research.
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Low Vision Rehabilitation Hines BRC – Multidisciplinary ADL Communication Orientation & mobility Leisure skills Psychology Low Vision – Gold standard for rehabilitation
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Low Vision Rehabilitation Experience in continuum of care – VICTORS Partially sighted comprehensive low vision rehabilitation – Low Vision Rehabilitation (Outpatient) Partially sighted & Legally Blind comprehensive low vision rehabilitation
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Low Vision Rehabilitation Experience in continuum of care – Pediatric low vision 3 day trip to school for multiple disabled children Attend with pediatric ophthalmology fellow & ICO faculty
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Clinical Hours Mon, Tues, Thurs, Fri 7:30 AM-~ 6 PM Wed = conference/lecture – ~ 7:30AM – 6PM No weekends – Unless patient needs to be seen (corneal ulcer, etc.) Off on 11 Federal holidays Sick days & vacation days Academy meeting
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Overall Extensive exposure to ocular & systemic diseases – Routine & obscure Complete physical diagnosis & lab testing Comprehensive Low Vision Tough program, hard work, but well worth it!!! – Results in confidence approaching any condition that you will encounter
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General information Malpractice for practice in VA is covered under federal tort. – External practice (moonlighting) is discouraged – Malpractice is covered by resident or non- VA facility. VA offers vacation and health insurance benefits with current Chicago stipend $32k.
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Certificate Requirements Successful completion of full 12 months of clinical experience. PowerPoint presentation of case at ICO Grand Rounds by 11 months Complete 1 st journal review by 6 months with JB Attendings Completing manuscript or presentation of publishable quality by 12 months of program.
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