Presented every Monday by one of the residents, with the discussion conducted by our Chair Dr. Skuta. Grand Rounds consists of 2 case presentations from the diversity of pathology seen at the Eye Institute. Each is presented chronologically from presenting symptoms, history of present illness, past medical and ocular history, with photos of clinical findings and diagnostic imaging. Using the Socratic model of teaching, questions are raised throughout the process culminating in the formulation of a differential diagnosis. Further diagnostic testing is recommended and a therapeutic plan proposed. Often presented are diagnostic and therapeutic dilemmas for which additional expertise is requested. Attended by the majority of the faculty, this forum allows for the input of each of the subspecialties at DMEI, providing a comprehensive ophthalmologic approach to patient care.
Occurring the 1st and 3rd Tuesdays of the month, these conferences are presented by the medical and surgical retina staff. The primary educational focus is the diagnosis of retinal disease through the systematic evaluation of fluorescein angiography and OCT. Common, classic, and rare case presentations are discussed in order to better equip our residents in the utilization of these diagnostic technologies.
Slit Lamp Conference
Occurring every 2nd Tuesday, these conferences are taught by our cornea and anterior segment staff. The primary focus is the diagnosis and management of anterior segment pathology. Cases are presented from the staff's current or previous patients.
Occuring every 4thTuesday, these conferences focus on neuro-ophthalmologic disease, with a secondary focus on neuro-imaging and surgical management. They are conducted by our neuro-ophthalmology staff.
This monthly conference, is conducted by Dr. Brian Firestone, a trained ocular oncologist/pathologist and provides an opportunity to discuss the histologic findings of varied ocular and orbital disease processes. Instruction consists of didactic lectures and slide reviews using a 5 headed microscope.
Pediatric Ophthalmology and Strabismus Conference
A quarterly conference (when a month has a 5th Tuesday) presented by the residents and conducted by our pediatrics faculty, this conference consists of 2-3 case presentations. Emphasis is placed on the diagnosis and management of pediatric and adult strabismus as well as presentations of infrequently encountered disease entities.
This conference occurs once every other month and is conducted by our glaucoma faculty. Emphasis is placed on the diagnosis and management of glaucoma and its associated syndromes. Diagnostic and therapeutic procedures are reviewed, including pre- and post-operative decision making and management and procedural techniques.
Cataract Video Conference
Conducted9-10 times a yearby our anterior segment surgeons, resident cases which have been digiatally recorded are reviewed and critiqued for the purpose of improving the surgical skills of all the residents.
On Call Conference
Held quarterly, these conferences give the residents the opportunity to review calls received and patients seen on call. Attended by residents and faculty, diagnosis and management pearls and pitfalls are discussed so that everyone has the opportunity to learn from each other.
Didactic lectures are held every Monday, Thursday, and Friday at 7:00 a.m. when one of the above conferences is not scheduled. Given by the faculty, these lectures cover the content of the Basic and Clinical Science Course and prepare the residents for OKAPS and Boards. Additional lecture content includes research design and interpretation, biostatistics, medical ethics, the business of medicine, global ophthalmology, financial and practice management, federal regulations, and ABO certification and MOC.
Journal club is a quarterly meeting which takes place at a local restaurant and involves the participation of multiple DMEI faculty from various disciplines. Community physicians are also invited to attend[JJ1]. Each meeting is led by a different subspecialty department and consists of a review and critique of 3 recent or landmark articles pertinent to the field. This serves not only an educational purpose, but is also an opportunity for the residents to learn from and get to know local physicians in the community.
Visiting Professor Series
Five timesthroughout the year, the Eye Institute invites prominent clinical faculty and physician-scientists in the various disciplines of ophthalmology from across the country. These distinguished professors present not only to the entire group of physicians, but also spend several hours lecturing the residents in a more intimate format. This series has brought in some of the most influential and well-known ophthalmologists in the country to share their expertise. Click here to see a list of recent distinguished lecturers.
Walter J. Stark Memorial Lectureship
Walter J. Stark served as Administrator of the Dean McGee Eye Institute from 1978 until 1991. Under his stewardship, the Institute grew from three floors with five ophthalmologists to six floors of physicians and basic scientists. The number of patients seen each year doubled – and then doubled again.
With a small handful of colleagues, Mr. Stark shares the Dean McGee Eye Institute as his legacy. During his tenure he carefully scrutinized its operations, conserving its assets, and keeping it sound and strong. Through the Institute’s activities in education, vision research, and patient care, citizens throughout Oklahoma have benefited from Mr. Stark’s leadership.
His colleagues, friends and family have generously created the Walter J. Stark Memorial Lectureship in tribute to and in memory of his contributions to ophthalmology, the Oklahoma Health Center and Oklahoma. Held annually in the fall, this lecture typically draws some of our most renowned guest speakers and has physicians in attendance from across the state.
Mortality and Morbidity Conference
This conference is conducted with the residency program director Dr. Siatkowski, other faculty, and all the residents. The primary focus of this conference is improved patient care through a practiced-based approach to evaluating individual cases. In a supportive and non-threatening environment, the residents are encouraged to discuss professional successes and failures, and analyze the sequence of events that lead to those situations. Also discussed are recent articles on practice management, medical errors, and patient care.
First Year Anatomy Dissection
Led by oculoplastics attending, Annie Moreau, MD, this eight-week course provides PGY-2 year residentsthe opportunity to witness first-hand the delicate and complicated anatomy of the eye through organized anatomical dissection. Residents are excused from clinical duties during this unique 8 week course in order to review important anatomy which will benefit them throughout their careers.
All residents at Dean McGee are provided with optional VISX certification training on keratorefractive surgery which is provided during their PGY-3 year at a rotating refractive course. Attendance at the course is funded by the Department of Ophthalmology and at the individual discretion of each resident. They also have the special opportunity to perform refractive procedures such as LASIK/PRK at a markedly reduced rate ensuring an opportunity to utilize these skills.
Recently the Sarkeys Foundation gave a very generous grant to remodel the Dean McGee Eye Institute microsurgical training facility. The new lab consists of two different types of phaco machines, an operating microscope, and an Eyesi Surgical simulator. The web lab is fully stocked with operating equipment used for cataract, corneal, glaucoma, and oculoplastic surgery. A five-headed microscope is used to observe pathology slides as part of the pathology curriculum. Dr. Alex Cohen and Dr. Brian Firestone direct the current microsurgical curriculum for the wet lab. Macrosurgical skills labs are conducted yearly by Dr. Annie Moreau, of our oculoplastics faculty.
Extramural Cataract Courses
All PGY-4 residents at DMEI have the opportunity to attend Alcon's cataract education conference in Forth Worth, TX. This course includes didactic lectures by prominent ophthalmologists as well as hands-on practice in their wet lab. During this wet lab portion, practicing ophthalmologists give tips on managing complications and difficult cases in a one-on-one setting.We have also been invited to participate in a similar course run by Bausch and Lomb and send our PGY-3 residents to this. The course is similar to the Alcon course in format, but in this experience, one DMEI faculty will attend the course with our residents and precept them in the wet lab. In addition, those residents wanting a more advanced cataract course experience may attend the “Cataract Surgery, Telling It Like It Is!” put on by Dr. Robert Osher during their PGY-4 year. This course may be attended at no cost to the resident in lieu of attending the VISX refractive surgery course.