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Residency 101. Dr.D.Abdulmannan. Read as much as possible. The most important thing to remember is that you only have four years to build the basis of your entire career American Academy of Ophthalmology’s basic science series (BCSC), journals, articles and book chapters about your patients
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Residency 101 Dr.D.Abdulmannan
Read as much as possible • The most important thing to remember is that you only have four years to build the basis of your entire career • American Academy of Ophthalmology’s basic science series (BCSC), journals, articles and book chapters about your patients • Reading on your patients will not only help your patients, but will also help you learn and remember the diseases you are studying. If you see an interesting case of an unusual diagnosis, then read on it. You will never forget the specifics about a disease if you have seen it first hand
Be available • Teaching • Clinic • OR • On call • Grand round • Symposium
Be a good assistant • In addition, a resident who makes the staff surgeon’s life easier is more likely to have an opportunity to operate on his or her patients
www.kellogg.umich.edu/theeyeshaveit/ • www.medrounds.org/ophthalmology-board-review/exam/ • http://www.eyepodvideo.org/
Free Online Educational Resources • redatlas.com • eyeatlas.com • webeye.ophth.uiowa.edu/eyeforum • www.nei.nih.gov/neitrials/all-alpha.aspx • eyetube.net • Medscape.net • Pubmed.com
Describe • You may still get points even if you’re not sure. You can usually describe the picture, or come up with a reasonable differential..
Describe • If the examiner picks a diagnosis and you are able to competently answer how you would manage the patient if they had that diagnosis, you will still get a lot of points even if the diagnosis is wrong. However, if you are completely stumped and in danger of getting yourself into dangerous waters ask to move on to the next question
Routine • Have a routine way of describing a picture, e.g., fluoresceins. It sounds a lot more professional if you can say, “This is a fluorescein angiogram photograph taken during the early arterio-venous phase in which the optic nerve looks normal, there is no abnormality in the flow through the vessels and no evidence of abnormal hyper or hypofluroescence
Listen • The examiners are not supposed to help you. They have been trained to say little; however, if you seem to be really close, they might ask pointed questions to get you to mention the specific point they want. Listen carefully to their questions and try to guess where they are going with them.
Basics • Know the basics very well. Expect cases on diabetes, glaucoma, uveitis, strabismus, amblyopia, and anisocoria and be prepared to present typical symptoms, signs, differential diagnosis and management.
Be Careful • Don’t kill or blind a patient. You may do brilliantly on the whole test, but if you mishandle a retinoblastoma patient and the patient dies, you probably will fail.
Be Conservative • Be conservative. If you are a retina fellow and know all the latest details of cutting edge treatment, avoid the temptation to flaunt your expertise. The cases on the oral board exam are based on the standard of care as presently expected. Don’t try to teach the examiners; they will smile and then flunk you. I’ve heard of retinal fellows failing the retina section for this reason.
Dress Code • Be professional in dress and comportment. Be polite, but not chatty; you don’t have the time. Men should wear suits. Women, professional business dress, but try to wear a comfortable outfit as you will have to stand and walk around a lot. Sleep well the night before and remember to eat.
Should you fail, it isn’t the end of the world. Everyone can have a bad day. Things happen and you shouldn’t let one test make one iota of difference in your self-confidence.