First Year (PGY-2)
The first year begins with a 2 week orientation that includes lecture and hands-on instruction in examination techniques. Each ophthalmic subspecialty provides the new residents with a basic overview. The orientation concludes with a team-building day for all of the residents.
During the comprehensive eye care rotation, the resident sees general ophthalmology patients, contact lens patients, and performs minor surgery. Other first year rotations include neuro-ophthalmology, oculoplastics, ophthalmic pathology, uveitis, retina, contact lens, and low vision. The VA rotation includes general clinic, surgery, urgent eye care, inpatient consultations, and more oculoplastics experience.
Second Year (PGY-3)
The second year of training includes rotations in glaucoma, pediatric ophthalmology, and cornea. During the second-year VA rotation, the resident evaluates and manages patients requiring medical glaucoma and retina care. The second-year resident also begins to perform cataract surgery as the primary surgeon during this rotation. An inpatient consult rotation for daytime emergency or hospital eye care at OHSU allows residents to practice in a hospital system-based environment and function within a broader health care team.
Third Year (PGY-4)
During the resident's third year, patient management becomes more complex both medically and surgically. At this point, the senior resident performs a variety of intra- and extraocular surgery, including complex oculoplastic procedures and advanced intraocular surgery. A comprehensive retina rotation occurs in the senior year. The resident has general and subspecialty clinics at Casey Eye Institute and at the VA. Ten weeks are spent at Devers Memorial Eye Clinic, a comprehensive eye clinic at the affiliated Devers Eye Institute.
As residents develop, graded learning and responsibility are inherent to our curriculum. During the first year, minor outpatient extraocular and plastic surgeries are performed. First year residents start their fundamental intraocular surgical experiences in the wet lab and with the virtual surgery simulator. Thereafter 1st year residents perform portions of intraocular surgery. Second-year residents perform various laser procedures, numerous intravitreal injections as well as surgeries in the areas of strabismus, cataract, glaucoma, and cornea. In the third year, more complex oculoplastic procedures are performed. The majority of cataract surgeries are performed in the last year of residency. The surgical volume at our program is high, with recent graduates having performed 160-170 cataracts surgeries as primary surgeon by completion of the residency program (80th percentile nationally).
In addition to patient care duties, residents are also required to review assigned articles and/or texts for specialty clinics. Depending on the rotation, they may also present cases at conferences.
Residents are also required to maintain a current surgical log using the ACGME web-based case log system and to periodically monitor duty hour timekeeping.
PGY-1 - All physicians commencing ophthalmology residency must complete an internship program at an ACGME accredited institution. Most residents have completed their PGY-1 year in internal medicine or transitional programs. Others have completed surgical or pediatric internships. Accredited PGY-1 programs in the Portland area are offered at:
OHSU does not offer a PGY-1 year in internal medicine for physicians going on to an ophthalmology residency.
- Neuro-Ophthalmology, VAMC Eye Clinic
- Oculoplastics – Ophthalmic Pathology
- Low Vision, Contact Lens, Uveitis, Retina, Research
- Casey Eye Comprehensive Clinic (Adult) & Elks Child Eye Clinic
- VAMC Eye Clinic
PGY3- 2nd yr
- Ophthalmology Inpatient Consultation (OHSU Adult, DCH Pediatrics, & ED)
- Cornea & External Diseases
- Pediatric Ophthalmology and Strabismus
- VAMC Eye Clinic
PGY4 - 3rd yr
- Casey Eye Comprehensive Clinic - CHH
- Retina, Uveitis, VAMC
- VAMC - Comprehensive Eye Clinic
- VAMC - Subspecialty Surgery
- Comprehensive Eye Clinic – DEI
VAMC:VA Medical Center
OHSU:Oregon Health & Science University
DCH: Doernbecher Children's Hospital (OHSU)
CHH: Center for Health and Healing (OHSU)
DEI: Devers Eye Institute (Legacy Health System)
ED: Emergency Department
- 1st year: Primary - OHSU Adult and Pediatric Ophthalmology Consultations (OHSU, DCH, ER, VA) Monday – Friday 5:00pm – 7:00am; Friday 5:00pm – Monday 7:00 am Every 5th weeknight, every 5th weekend
- 3rd year: Back-up OHSU Adult and Pediatric Ophthalmology Consultations (OHSU, DCH, ER, VA) Primary - Legacy Emanuel Trauma Service Eye Consults Monday – Friday 5:00pm – 7:00am Friday 5:00pm – Monday 7:00 am Every 5th weeknight, every 5th weekend
Future Call Responsibilities: Please note that in the future, the 2nd year (PGY-3) resident may augment the call pool if it is determined that patient volume continues to increase at current rates.Inpatient Consultations:
- 1st year: VAMC Monday – Friday 7:00 am – 5:00 pm
- 2nd year: Inpatient OHSU/DCH/ER Monday – Friday 7:00 am – 5:00 pm
- 3rd year: Devers Senior Resident: Legacy Ophthalmology Consultations Monday – Friday 7:00 am – 5:00 pm