Curriculum

This is a full-time, 52-week residency program, beginning on or around June 29th and ending on or around June 30th of each residency year. The first week of the program are devoted to resident orientation. The focus of the program is on clinical care, but also includes didactic education, research, teaching, and scholarly activity. The resident is involved in patient care on an average of 4.5 days each week. The remainder of the resident's time is devoted to academic interests such as case conferences, research, independent study, and lecturing. 

Patient Care

(Approximately 80-90% of the program)

The resident is required to complete rotations in the La Crosse Ophthalmology/Optometry Clinic including subspecialty clinics, such as glaucoma, retina, oculoplastics, pediatrics and refractive surgery clinics. In addition, the resident will spend time in Gundersen regional eye clinics. The resident will see both primary care patients, ocular disease cases and walk-in “red eye” patient at both the main La Crosse Clinic and the regional clinics. Advanced competency achievement goals for each rotation are listed below. The Resident is expected to spend 40 hours per week performing clinical and didactic activities. Hours will vary from 7:30 a.m. - 4:30 p.m. or 8 a.m. - 5 p.m. Monday-Friday depending on the clinic and provider with which the resident will be working. The resident will have approximately one hour break for lunch. No weekends or on-call will be expected.

The resident will spend time with ophthalmology in subspecialty clinics to gain knowledge and skill in the management and co-management of various ocular disease and surgical cases.

  1. Resident clinic: ocular disease/primary care in La Crosse: average of 32 hours per week
  2. Regional clinics: average of eight hours (one full day) per month
  3. Specialty ocular disease clinics: average of four hours per week (one full clinic day every other week)
  4. Research: average of eight hours (one full day) per month

Goals for Ocular Disease Clinic

To enhance the resident's skills and efficiency in the diagnosis and management of:

  1. Glaucoma
    • Retinal vascular disorders
    • Vitreo-retinal disorders
    • Age-related macular degeneration and other macular pathology 
    • Corneal, external ocular disease and post-operative refractive surgery cases
    • Cataracts and post-operative complications of cataract surgery
    • Systemic disease correlation
  2. To become proficient in the testing and interpretation of the following advanced diagnostic equipment:
    • OCT
    • Automated Perimetry - Humphrey Visual Field Technology 
    • Ultrasonography
    • Digital Photography
    • Pachymetry
  3. To enhance skills of advanced diagnostic procedures including:
    • Gonioscopy
    • Scleral Indentation
  4. To enhance decision making for appropriate referrals to ophthalmic and non-ophthalmic medical providers and for appropriate laboratory and neuro-imaging studies.

These goals are met through regular resident patient encounters in the Ocular Disease Clinic, supervised by optometry and ophthalmology preceptors.

Goals for Regional Clinics

  1. To enhance the resident’s skills in the diagnosis and management of:
    • Ocular trauma
    • Anterior segment infections
    • Foreign bodies
    • Ocular allergies
    • Neuro-ophthalmic emergencies (including neurological exam screenings)
    • Contact lens-related problems 
  2. To become proficient in the interpretation of laboratory and imaging studies
  3. To enhance the intra- and inter-professional communication with nurse practitioners, physician assistants and medical doctors. The resident will need to work in coordination with the medical doctors, nurse practitioners, physician assistants and pharmacists employed at Gundersen Health System on complex cases.
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