San Francisco Match Program for Ophthalmology
San Francisco Match Program for Ophthalmology provides support services to applicants and programs to facilitate the application and selection process for residency and fellowship positions.
For more information visit: www.sfmatch.org.
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 is one of the most challenging and competitive fellowships in the nation. During this 24-month training program, fellows obtain instruction and extensive experience in diagnosis and management of a wide-range of vitreoretinal diseases. Fellows will gain a broad experience in both medical and surgical retina.
The fellows participate in weekly clinics seeing patients with macular and retinal vascular diseases, uveitis, diabetic retinopathy, inherited vitreoretinal disorders and retinal detachments. 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 an imaging conference every other month. With faculty members present, the fellows direct the conference, and prepare and present all the cases discussed at these conferences. The retina fellows observe and perform laser treatment for diabetic retinopathy, retinal tears and detachment, and other retinal diseases. The fellows gain extensive experience with intravitreal injections for a wide range of diseases.
Fellows consult on patients with infectious diseases of the eye at medical center facilities, usually at the request of the residents, 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 photodynamic therapy. Our modern ocular imaging laboratory, with wide-field and standard fluorescein and ICG angiography, fundus autofluoresce imaging, OCT and ultrasound, brings opportunities for improved diagnosis and research for macular diseases. The Retina Laboratory has full-field ERG, multifocal ERG and other electrophysiological testing as well as microperimetry available.
Fellows participate in a monthly uveitis clinic where Dr. Lin works with an in-clinic rheumatologist to evaluate and treat patients with anterior and posterior uveitis. In addition to diagnosis of complex uveitis cases, fellows learn about treatment, including treatment with various non-steroidal anti-inflammatory agents.
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. It is our philosophy that fellows should have supervised, progressive hands-on experience in order to become outstanding vitreoretinal surgeons. Fellows learn the judgment needed and will become experienced in all of the technical aspects in retinal detachment surgery including laser, cryotherapy, scleral buckle and vitrectomy. Fellows will manage a large number of complex diabetic traction retinal detachments, eyes with proliferative vitreoretinopathy, macular holes, epiretinal membranes and other retinal diseases. There are 2 retina operating suites with ceiling-mounted microscopes and BIOMs for wide-field viewing. Fellows learn basic micro-incisional vitrectomy techniques including membrane and ILM peeling procedures, management of ocular trauma, endolaser techniques, retinectomy techniques and the use of intraocular gases, perfluorocarbon liquids, silicone oil and vital dyes. The vitreoretinal fellows participate in all aspects of postoperative care.
RESEARCH AND TRAINING
There are retinal conferences nearly every week that include fellows, retina faculty and residents on the retina service. There are clinical conferences every other week 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 monthly vitreoretinal surgical conferences where surgical cases are discussed and analyzed. Videos of surgical cases are often presented. We also have retina journal club several times per year where fellows and retina residents each present several important recent vitreoretinal articles. There are opportunities for both clinical and basic research and fellows are encouraged to participate. Fellows help in the resident vitreoretinal clinic and in resident vitreoretinal conferences. Fellows also supervise and participate in laser, injection and surgical treatment of vitreoretinal patients in the resident clinic. In addition, the fellows staff a weekly vitreoretinal clinic at the John D Dingall VA Medical Center which is located within walking distance of Kresge Eye Institute.
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].