San Francisco Match Program for Ophthalmology
The Glaucoma Fellowship Program has both clinical and research glaucoma fellowships available for qualified individuals. The large patient volume and urban location of the Kresge Eye Institute provide fellows with the opportunity to see diverse pathology of the disease in many different stages. The clinical glaucoma fellow assists faculty in the care of glaucoma patients, over 250 per week, including ambulatory care, laser surgical procedures and surgical procedures in the operating room. The clinical fellow spends their time at both the Institute and the Veterans Administration Hospital.
During the 12-month training, the clinical fellow will observe or perform under supervision over 100 glaucoma surgical procedures including trabeculectomy, trabeculectomy combined with phacoemulsification and posterior chamber intraocular lens implantation, seton implantation, bleb revision, endocyclophotocoagulation combined with extracapsular cataract extraction, Ex-PRESS™ shunt implantation, iStent insertion, and secondary intraocular lens implantation. The clinical fellow in addition to the glaucoma procedures will also perform greater than 250 cataract surgeries as the primary surgeon utilizing the most up to date technology including small incision surgery and the latest intraocular lenses.
The clinical fellow will also have opportunities to participate in clinical and basic research projects, which have led to successful presentation and publication of their results at national meetings and in peer-reviewed journals. The fellow also participates in resident and medical student teaching and supervision of resident surgical procedures. Each week the fellow meets with faculty and residents for the departmental journal club.
The 12-month research fellowship allows ample time to develop and carry out to completion a research project, which in the past included studies on optic nerve imaging analysis, epidemiological studies of risk factors for surgical failure, the role of cytokines in glaucoma and the role of adjunctive antifibrotic drugs in filtration surgery.
The Vitreoretinal Fellowship Program has become one of the most challenging and competitive fellowships in the nation. During this 24-month training program, fellows obtain extensive instruction and experience in diagnosis and management of a wide-range of vitreoretinal diseases. In weekly clinics, fellows see patients with macular and retinal vascular disease, uveitis, diabetic retinopathy and inherited vitreoretinal disorders. They examine and diagnose patients prior to presenting them to the faculty. Fellows learn to interpret fluorescein angiograms and are instructed in echography and electrophysiology as related to retinal disease. They also participate in a bi-monthly fluorescein angiography conference, vitreoretinal surgical rounds and prepare and present cases to be discussed. The retina fellows observe and perform laser treatment for diabetic retinopathy, age-related macular degeneration and other retinal diseases.
The fellows participate in weekly clinics seeing patients with macular and retinal vascular diseases, uveitis, diabetic retinopathy and inherited vitreoretinal disorders. Fellows examine patients and arrive at a diagnosis prior to presenting these patients to the faculty. Fellows learn to interpret fluorescein angiograms and will be instructed in echography and electrophysiology as related to retinal disease. There is a great deal of practical experience interpreting fluorescein angiograms and performing ocular ultrasonography. There is a bi-monthly fluorescein angiography conference. The fellows direct this conference, and prepare and present all the cases discussed at these conferences. Fellows consult on patients with infectious diseases of the eye at other medical center facilities and present these patients to the faculty. Fellows observe, supervise the residents and perform laser treatment for diabetic retinopathy, age-related macular degeneration and other retinal disease including PDT. The ocular imaging laboratory, with SLO, OCT and 3-D ultrasound, brings opportunities for improved diagnosis and research for macular diseases.
SURGICAL VITREORETINAL TRAINING
Vitreoretinal fellows learn to examine patients and properly record findings on the retina examination. The fellows learn preoperative assessment of the vitreoretinal patient and perform surgery under the supervision of the vitreoretinal attending faculty. Fellows learn the judgment needed to perform retinal detachment surgery and will become experienced in all of the technical aspects in retinal detachment surgery. The fellows will learn basic vitrectomy techniques, including membrane peeling procedures, management of ocular trauma, endolaser techniques, retinectomy techniques, the use of perfluorocarbon liquids and silicone oil, and others. The vitreoretinal fellows also participate in all aspects of postoperative care.
RESEARCH AND TRAINING
There are weekly clinical conferences where the diagnosis and management of vitreoretinal diseases are discussed. The fellows and residents research various topics and present these to the vitreoretinal faculty. Additionally, there are bi-weekly vitreoretinal surgical conferences where surgical cases are discussed and analyzed. Videos of surgical cases are often presented. There are opportunities for both clinical and basic research. Fellows help in resident vitreoretinal clinic and in resident vitreoretinal conferences. Fellows also supervise and participate in laser and surgical treatment of clinic vitreoretinal patients. The fellows staff a weekly vitreoretinal clinic at the Veterans Administration Hospital.
Applications to the vitreoretinal fellowship program are accepted through the SF Match Central Application Service.
Any additional material can be directed to: Gary Abrams, M.D. Vitreoretinal Fellowship Program Director Kresge Eye Institute
To learn more about the vitreoretinal faculty at Kresge Eye Institute, please click here.
Kresge Eye Institute is one of the first vitreoretinal programs nationwide to follow the guidelines of the Fellowship Compliance Committee. Please visit www.aupofcc.org to learn more.
Ophthalmic Plastic and Reconstructive Surgery Fellowship
Kresge Eye Institute/Wayne State University School of Medicine offers a 2-year, ASOPRS approved fellowship in ophthalmic plastic and orbital surgery. Effective July 1, 2010, this fellowship program has been approved by the ACGME under the supervision of Program Director Evan H. Black, M.D.
The fellowship offers a comprehensive experience in medical and surgical management of oculoplastic and orbital diseases, including trauma and reconstructive surgery, cosmetic eyelid, forehead and facial surgery, eyelid, adnexal and orbital tumors/reconstruction, Graves orbitopathy, lacrimal disorders, eyelid malpositions and other related procedures. The fellow participates in approximately 1000 surgical cases per year.
The fellow also gains experience by participating in supervision of residents and medical students in oculoplastics clinics. The fellow attends weekly grand rounds, appropriate components of Kresge Eye Institute’s extensive didactic program, supervised cadaver orbital and eyelid dissections, oculoplastics journal club, and more. There are additional rotations in which the fellow participates including dermatology, plastic surgery, neurosurgery, neuroradiology, and otolaryngology.
Applications are accepted only through the San Francisco Match. Required documents on the SF Match Application include:
- • Medical school transcript and Dean’s Letter
- • Three letters of recommendation (one from residency program director)
- • Personal statement (one page maximum, single spaced)
- • Curriculum Vitae, including publications, presentations, research/grant experience, honors/awards, teaching experience, etc.
For additional information, please email [email protected].