Metro Health Hospital Ophthalmology Residency

Medical Education Department
Program Director: Michael Keil, D.O.
Phone: (616) 252-7078
Email: medical_education@metrogr.org

The Ophthalmology Residency Program at Metro Health Hospital is a four (4) year residency program with an integrated Ophthalmology emphasis traditional rotating internship year. Residents attend lectures, grand rounds presentations, laboratory and radiology conferences. Managed care strategies with primary care specialties will be stressed during the training period. During the residency period the residents will participate and help organize any educational, research or other activities that improve the department, hospital, or profession.

Ophthalmology Resident Clinic:

  • The Metro Health Ophthalmology Residency Clinic recently moved to a new location completed in 2011, and hosts excellent equipment including Lenstar, Photo Digital Slit lamps, OCT, fundus camera, lasers (PRP, YAG, ALT, SLT, etc), and Pentacam
  • High volume clinic with diversity of patients presenting with a wide range of pathology
  • Ophthalmology attendings are dedicated to clinical instruction and offer a broad range of experience from training backgrounds at top institutions across the country
  • Residents gain excellent experience in diagnosis and management of pathologies in General Ophthalmology
  • Multiple sub-specialty days are staffed at the clinic by fellowship trained attendings in Pediatric Ophthalmology, Retina, and Glaucoma
  • Residents also recruit surgical cases and follow patients at the nearby state inpatient VA twice per month

Surgical experience:

  • Seniors may expect to graduate as primary surgeon on at least 130+ cataract cases, including 100+ phacoemulsification cataract cases and 30-40 extracapsular cataract cases – Residents typically become familiar with the Manual Small Incision Cataract Surgery (MSICS) technique during a two week trip to Africa during PGY-3 year
  • Residents gain excellent experience with surgical management of pterygium, strabismus, and glaucoma, including combined cataract/ECP
  • Residents typically exceed the number of required in-office lasers (YAG, SLT/ALT, PRP, etc.) for the entire residency within first year alone
  • Residents have the opportunity to gain refractive surgery experience through resident-assisted LASIK cases, and may recruit cases for Premium IOL lens implantation
  • Residents also have access to the cataract simulator located at MSU in Lansing, which allows residents to be very comfortable with surgery going into senior year

Resident Schedule

PGY-1

  • Emphasis internship prerequisite year
  • This is to include rotations in: Internal Medicine, Neurology / Neuro-Ophthalmology, Surgical subspecialty (ENT, Oculoplastics, plastic surgery, dermatology), Neuroradiology / radiology, Emergency Medicine, Intensive care unit, General Ophthalmology, Medical Subspecialty (eg. Pediatric ophthalmology, medical retina, etc)
  • There is ½ day per week clinical outpatient opportunity to work with ambulatory patients at the resident ophthalmology clinic
  • There is ½ day per week for participation in Ophthalmology resident education
  • Attendance at the Consortium of Residents in Ophthalmology (CORO) is required

PGY-2

  • Primarily spent in outpatient Ophthalmology Resident Clinic and surgery
  • Learn to evaluate by history and physical examinations
  • History taking, specific for ophthalmology
  • Proper use of all equipment for the physical examination
  • Weekly basic clinical lectures
  • Differential diagnosis will be stressed to help organize the residents thought processes in a logical manner
  • Appropriate lab and x-ray utilization will be taught
  • The basic science home study course (through the American Academy of Ophthalmology) will be started and completed by the end of the second  year
  • Academic and clinical didactic lectures by nationally known experts in the field of Ophthalmology and related areas
  • Subspecialty lectures by the Metro Health Hospital courtesy staff is scheduled during the year in the areas of Pediatrics, Retina, Glaucoma, Refractive Surgery and cornea diseases
  • Exposure to the surgical aspects of Ophthalmology will begin the first year assisting in surgery whenever possible and beginning to do parts of the procedures which are deemed appropriate for the resident
  • The use of diagnostic and therapeutic lenses must be mastered at the earliest possible time period to afford the resident exposure to the ophthalmic laser procedures
  • Seek assistance in reviewing all pathological conditions with the Radiology and Pathology Depts. on a per case basis
  • Familiarity with x-ray, CT scans and MRI procedures will be required
  • All patient contacts will be reviewed thoroughly with the attending ophthalmology

PGY-3

  • This year is spent with excellent sub-specialty attendings in rotations for Glaucoma, Pediatric Ophthalmology, Neuro-Ophthalmology, Cornea, Surgical Retina, and Oculo-Plastics with great surgical experience
  • Attending board reviews, journal clubs, lectures, meetings whenever possible
  • Complete an approved basic science course, at either Stanford University and Colby College (during the summer) and the University of Texas (during the winter)
  • CORO is required whenever possible
  • Surgical exposure increases
  • A research paper suitable for publication or a scientific poster is required by the end of the 2nd  year

PGY-4

  • This year is spent in outpatient Ophthalmology Resident Clinic and surgery
  • Surgical judgment and skills are stressed
  • Presenting potential surgical cases to the attending and justifying their reasons for surgical intervention
  • Manual dexterity and finesse will develop during this period
  • Preoperative and postoperative care is stressed
  • Educating the residents in other specialties will be partially the responsibility of the senior resident
  • Organizing the various externs, interns and residents for the maximum educational experience is the responsibility of the senior resident
  • The senior resident will organize lectures to the house staff
  • A second research paper or poster is required by the completion of the third year
  • The resident is encouraged to attend and take the written exam at the AOCOO-HNS certification examination.

Call:

  •  Residents take call at the Metro hospital
  • On local rotations, residents will additionally participate in call and consults with their attending at a high trauma volume downtown hospital system and gain additional exposure

Education:

  •  Monthly MSU CORO education meeting with several other ophthalmology residency programs
  • Designated times (approximately one day per month) are allowed for using the cataract simulator in Lansing
  • Weekly designated 1/2 day education time for resident call rounds, wet labs, and AAO designed lecture topics
  • Additional education programs include: Monthly Journal clubs, monthly Pediatric Ophthalmology Grand Rounds at the downtown children's hospital, FA rounds with retina and in clinic, monthly CORO TV teleconference lectures with other MI programs
  • Basic science course, either the Lancaster course in Maine (7 weeks) or the Bay Area course at Stanford (4 weeks) at the beginning of PGY-3
  • Each year before OKAPs residents attend a one week intensive UIC course in Chicago, and a weekend course at University of Michigan
  • OKAPs study is primarily resident directed and supplemented with the above education programs.

Location:

  • Grand Rapids is a mid-sized city with many affordable urban and suburban living options
  • It hosts an excellent diversity of culinary and entertainment options, was recently ranked Lonely Planet 2014 #1 US vacation destination, and is considered a very family friendly location
  • Lake Michigan is less than 45 minutes away, and northern Michigan hosts unique outdoor opportunities during all 4 seasons

Post-residency:

  • Recent alumni have matched competitive fellowships in Oculoplastics, Surgical Retina, and Pediatrics
  • Seniors have consistently reported feeling very well prepared to enter General Ophthalmology practice
  • The nearby alumni in general ophthalmology practice are very successful and have great involvement in the residency program and appreciate the importance of teaching

 

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