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Ophthalmology 687 - University of Washington Eye Center (UWEC) Welcome to the UWMC Eye Center. The UWEC staff, residents, and attendings welcome you to this busy two-week clerkship! Introduce yourself to the front desk staff and ask to see the nurse in charge. To become acquainted as quickly as possible, also introduce yourself to the attending ophthalmologist (listed in your clerkship schedule), the Chief Resident, and Eye Technicians on duty. Ophthalmic Photographers Brad Clifton, Chuck Stephens, Jim Leslie Patient Care Coordinators Kathy Herigstad, Bruce Motter UW Eye Center Nurse Coordinator Carol Graney, RN UW Eye Center Manager Wayne Alexander Refractive Surgery Center Nurse Manager Becki Swearingen, RN Most patients in the UW Eye Center have medical and/or surgical eye diseases; others need refractions, contact lenses, and/or routine examinations. To enhance your learning experience during this two-week clerkship, the following are strongly suggested: Be appropriately assertive (e.g., let nurse/technicians know that you want to see all patients with red eyes and corneal abrasions). Know what is happening in the Eye Center and the Operating Room (read schedules). You can easily go back and forth between these two sites to maximize your learning experience. During your first days of clerkship, observe a resident performing a complete eye examination on a new patient. At the end of the first week or beginning of the second week, ask the nurse in charge to assign a return patient (e.g., a well-known patient with a relatively straightforward eye problem) to you so that you can perform the initial examination and present the patient to a resident or the attending ophthalmologist. Fundus photographs of many patients are located in the Eye Center photograph files. These photos give you the opportunity to study the findings which you observe with direct ophthalmoscopy. A suggested sequence is to review the patient's photographs before they arrive in the Eye Center, examine the fundus with direct ophthalmoscopy through undilated pupils, repeat the examination through dilated pupils, and again review the photographs. Questions which demonstrate prior reading and knowledge about a particular disease are encouraged. Such questions enhance the learning process as well as stimulate teaching by the residents and attending ophthalmologists. Make sure your hands are not in your pockets. Not only is it difficult to examine patients with such a posture, it is also impossible to help with patient care. Wearing a lab coat is preferred and wearing a name tag is required. Attendance at Thursday Morning Conferences (7:00 AM to 10:30 AM in the Conference Room of the Department of Ophthalmology, Room BB-824 Health Sciences Building) is mandatory. Accordingly, students are excused from clinic during that time. Following the Conferences, Grand Rounds are held from 10:45 AM to 12:15 PM. Please refer to the specific schedules for more detailed information. Again, we look forward to your visit with us. If you have any questions, please ask! James L. Kinyoun, MD For more information on Ophthalmology Clerkships at the University of Washington, please contact: Dorrie Quirante at (206) 685-1969.

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