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Third Year Medical Students

FCE 364 Ophthalmology Experience I

Faculty Supervisor:            Misha Faustina, MD, FACS
Phone:                              508-334-9086

Coordinator:                      Anita Amin
Phone:                              508-334-6181

Location:                            The Eye Center at UMass Memorial Hahnemann Campus

Day One Instructions:          7:30am Report to The Eye Center, 3rd floor, at Hahnemann Hospital

FCE Course Description: 

Students will complete required online Module 1 Integrative Clinical Anatomy of the Eye prior to attending the first day.  First day Ophthalmology Clinic Orientation, 30-minute session will reinforce aspects of clinical ophthalmology and clinical assignments for the week.  Attendance is required unless Dr. Faustina is notified ahead of time.  Students will attend all core sessions which are designed as Problem-Based Learning Modules.  Students will prepare presentations, which will include either a clinical presentation of a case, a topic review or a research hypothesis.  There will be a Post-Test at the end of the rotation.


Core lecture sessions (modules):           

1)Integrative Clinical Anatomy of the Eye 

2) Diabetes & the Eye

3) Hypertensive Emergency

4) Visual Field Deficits

5) Cranial Neuropathies


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: 

  1. The third-year medical student will be able to take a focused history with regards to ocular complaints.
  2. The third-year medical student will be able to perform a basic eye examination including:
    1. Measure the Visual Acuity using patient appropriate techniques
    2. Evaluate the Pupils & Extra-Ocular Motility
    3. Perform Visual Fields by Confrontation
    4. Use a Slit Lamp Biomicroscope
    5. Measure the Intraocular Pressure
    6. 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
    1. Reduced Vision/Visual Loss
      1. Refractive error
      2. Amblyopia
      3. Cataracts
      4. Glaucoma: acute angle closure, chronic open angle
      5. Optic neuropathies: papilledema, giant cell/temporal arteritis, optic neuritis/multiple sclerosis
      6. Retinal diseases: diabetic retinopathy, hypertensive retinopathy, age-related macular degeneration, retinal detachment
    2. Pupil abnormalities
      1. Afferent Pupillary Defect (APD)
      2. Efferent Pupillary Defects: Horner syndrome, Argyll-Robertson pupil
    3. Double Vision and Eye Movement abnormalities
      1. Monocular vs. binocular diplopia
      2. Misalignment: sensory deprivation, Grave’s disease
      3. Cranial neuropathies: Cranial nerve III, IV, VI, VII palsies
    4. Differential diagnosis of the red eye
      1. Conjunctivitis
      2. Herpetic eye disease
      3. Inflammatory conditions: scleritis, uveitis
      4. Endophthalmitis
    5. Eyelid abnormalities
      1. Blepharitis
      2. Lesions: chalazion, basal cell, squamous cell, sebaceous carcinoma
      3. Ptosis
      4. Preseptal cellulitis
    6. Pediatric ophthalmology
      1. Amblyopia
      2. Congenital nasolacrimal duct obstruction
      3. Retinopathy of Prematurity (ROP)
      4. Retinoblastoma
      5. Shaken baby syndrome
    7. Ocular emergencies
      1. Chemical injury
      2. Corneal abrasion
      3. Ruptured globe
      4. Orbital cellulitis
      5. Orbital fractures
      6. Eyelid lacerations


UMMS Competencies:    Professional, Scientist, Communicator, Problem Solver, Advocate, Person

Evaluation Type:             Attendance, Case presentation, participation in clinic, rounds and meetings

Availability       Two FCE third-year medical students on each available block

2C FE6 | November 8-12 2021

3B FE8 | February 7-11 2022

Opportunities available to students:

Students who are interested, may be given the opportunity to participate in the following activities:

  1. Author or co-author a clinical paper that is submitted for publication
  2. Presentation at national/regional meeting
  3. Author or co-author a review paper
  4. Author or co-author an original research paper