Third Year Medical Students
FCE 364 Ophthalmology Experience I
Clinical/Ophthalmology
Faculty Supervisor: Johanna Seddon, MD, ScM, FARVO
Email: Johanna.seddon@umassmed.edu
Program Coordinator: Louise Tetreault
Email: Louise.Tetreault@umassmed.edu
Phone: 508-334-6181
Location: The Eye Center at UMass Memorial Hahnemann Campus 281 Lincoln Street, Worcester, MA 01605
Day One Instructions: (1.) PRIOR TO REPORTING- COMPLETE REQUIRED ONLINE MODULE I - "Integrative Clinical Anatomy of the Eye" (2.) On Day One - 8 am - Report to The Eye Center at UMass Memorial Hahnemann Campus (3rd Floor Asdourian Conference Room H3-3415) 281 Lincoln Street, Worcester, MA 01605
FCE Course Description:
The one week Ophthalmology Experience I FCE includes multi-specialty ophthalmology clinical exposure as well as structured online modules as “homework” and a presentation and quiz at the end of the week. Students are required to attend the entire week to obtain credit. Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye prior to attending the first day. First day Ophthalmology Clinic Orientation, will reinforce aspects of clinical ophthalmology and clinical assignments for the week. Students will prepare presentations, which will include either a clinical presentation of a case, a topic review or a research hypothesis.
Core lecture sessions (modules):
1) Integrative Clinical Anatomy of the Eye
Core practical sessions (clinic):
1) 8- Part eye examination
2) Slit Lamp Examination (SLE) Basics
3) Funduscopic examination
4) Visual field examination
5) Imaging of the eye & diagnostic testing
FCE Learning Objectives:
2. The third-year medical student will be able to perform a basic eye examination including:
a. Measure the Visual Acuity using patient appropriate techniques
b. Evaluate the Pupils & Extra-Ocular Motility
c. Use a Slit Lamp Biomicroscope
d. Measure the Intraocular Pressure
e. Perform Direct Ophthalmoscopy
3. The FCE student will learn diagnostic tests frequently utilized in clinical ophthalmology
4. The FCE student will practice differential diagnosis skills to demonstrate basic understanding of the anatomy and physiology of the eye and visual system and common pathologies
a. Reduced Vision/Visual Loss
i. Refractive error
ii. Amblyopia
iii. Cataracts
iv. Glaucoma: acute angle closure, chronic open angle
v. Optic neuropathies: papilledema, giant cell/temporal arteritis, optic neuritis/multiple sclerosis
vi. Retinal diseases: diabetic retinopathy, hypertensive retinopathy, age-related macular degeneration, retinal detachment
b. Pupil abnormalities
i. Afferent Pupillary Defect (APD)
ii. Efferent Pupillary Defects: Horner syndrome, Argyll-Robertson pupil
c. Double Vision and Eye Movement abnormalities
i. Monocular vs. binocular diplopia
ii. Misalignment: sensory deprivation, Grave’s disease
iii. Cranial neuropathies: Cranial nerve III, IV, VI, VII palsies
d. Differential diagnosis of the red eye
i. Conjunctivitis
ii. Herpetic eye disease
iii. Inflammatory conditions: scleritis, uveitis
iv. Endophthalmitis
e. Eyelid abnormalities
i. Blepharitis
ii. Lesions: chalazion, basal cell, squamous cell, sebaceous carcinoma
iii. Ptosis
iv. Preseptal cellulitis
f. Pediatric ophthalmology
i. Amblyopia
ii. Congenital nasolacrimal duct obstruction
iv. Retinoblastoma
v. Shaken baby syndrome
g. Ocular emergencies
i. Chemical injury
ii. Corneal abrasion
iii. Ruptured globe
iv. Orbital cellulitis
v. Orbital fractures
vi. Eyelid lacerations
UMass Chan Competencies: Advocate | Communicator | Person | Problem Solver | Professional | Scientist
Evaluation Type: Attendance | Effort | Participation
Availability: Two FCE third-year medical students on each available block
3C FE9 | March 4-8 2024
Opportunities available to students:
Students who are interested, may be given the opportunity to participate in the following activities:
- Author or co-author a clinical paper that is submitted for publication
- Presentation at national/regional meeting
- Author or co-author a review paper
- Author or co-author an original research paper