As a resident, we expect you to be motivated to improve your skills in ophthalmic
history and examination. Specifically, we want you to learn slit lamp biomicroscopy,
direct ophthalmoscopy, indirect ophthalmoscopy and applanation tonometry. Towards
the end of your rotation, we want you to gain enough skill to primarily assess selected
We want to engage you clinically and academically. Therefore, the student will make
one 10–15 minute presentation on the topic of his or her choice to the residents and
attending physicians on service. This may be as formal as a PowerPoint lecture or
as simple as a discussion with a hand-out. Either way, we just want you to learn.
During our program, the ophthalmology PGY-1 resident spends two full clinical months
on the ophthalmology service and is encouraged to participate in resident clinic throughout
A basic science course beginning the first year leads to observation of cases, participation
in patient care and review of radiologic films. The first-year resident also partakes
in the introductory course and a one-month pathology rotation held at Wills Eye along
with the other residencies in the Philadelphia area. Instrumentation study and wet
lab prepare the resident to perform some surgical and laser procedures under supervision.
During the second year, residents see patients in the clinic and gain increasingly
varied surgical experience with cataract, cornea and advanced anterior segment surgery,
glaucoma, vitreo-retinal surgery, strabismus, blepharoplasty, ptosis repair, ectropion/entropion,
lid reconstruction, and orbital surgery for fractures, thyroid disease, tumors and
During the third year, residents are responsible for pre- and post-operative patient
care and expand their surgical knowledge in all the subspecialties mentioned above.
The resident performs surgeries of greater complexity and assists attending physicians
on additional cases. Third-year residents are also responsible for training medical
students, interns and junior ophthalmology residents in the clinics.