Neuro-Ophthalmology Training

Daily working/teaching rounds are held at 7:30-8:00 AM by Drs. Kardon, Johnson, Thurtell, and Wall. These are attended by the fellow, resident(s) (usually two) who are taking a three-month rotation in neuro-ophthalmology, medical stujdents and neurology or neurosurgery residents who are completing a one month rotation on the service. During neuro-ophthalmology daily rounds, the previous day’s clinic patients are discussed, including review and interpretation of visual fields, imaging of the eye and brain, and mechanisms of the disease causing the patient’s problem. This neuro-ophthalmology rounds is an integral part of our fellowship training and is followed by our Ophthalmology Department’s daily Grand Rounds (Monday-Thursday 8:00-8:45AM). Fellows are expected to make regular interesting case presentations at Department Morning Grand Rounds. The Neuro-ophthalmology service also conducts monthly Neuro-radiology conferences with the Neuro-radiology faculty to discuss the most interesting cases from the previous month who had imaging studies relevant to their diagnosis.

During the fellowship period, the fellow sees patients daily with the residents from 8:45 AM to 5:00 PM in the Neuro-ophthalmology Clinic. This clinic is staffed by the neuro-ophthalmology faculty. Every patient is presented to staff and all charts are signed by staff, and the staff are the "doctors of record" for all patients seen in this clinic. The neuro-ophthalmology faculty will examine every patient and will discuss with the fellow each patient that they see. Time is usually alotted to pursue clinical research during the course of the year. 

Throughout the year, fellows are encouraged to improve their public speaking and teaching skills by presenting interesting cases to the entire department at morning rounds (see above; 8:00–8:45 AM daily) and at regularly scheduled neuro-ophthalmic demonstrations and inter-departmental conferences. The fellow will take neuro-ophthalmology call every other week with the faculty as back up. In general, it is unusual to be called in after hours.