Ophthalmology QMMC LEC20
Ophthalmology QMMC LEC20
Ophthalmology QMMC LEC20
I. General Information
A background on the hospital
b)
c) Record as:
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(1) ER Primary: Keep the ER blotter form, record. These are patients na ER Ophtha
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(3) Ward Referrals: Referrals from other departments. Keep these in the ER logbook.
d) There are respective forms for each, and you’ll easily know which is which. Record sa
logbook accordingly. Fill out 3 copies of the ER census (long bond paper), daily census
summary, record only those under ER Primary.
(1) For the daily census summary, just leave “prepared by” blank
e) In the morning, bring the logbook, ER Blotters, ER Census 3x (Long) and ER Daily
Census Summary (Lengthwise) to the ER. Submit the census and blotters to the nurse
and have him or her sign the logbook. One of the long ER Census will go to you as a
receiving copy.
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5. How Do Departmental Endorsements go/happen?
a) Take endorsements seriously. Know how to report properly and completely.
C. From
1. Schedule: 7 AM to 5 PM (8 AM if no activity/endorsements in the morning)
2. Things to Bring (to stay alive): Bring scrubs and OR shoes
3. Medical Equipment to Bring
4. Special Tasks during this Status: OPD mostly, but will decked to major ORs (unless yung patient
na ioOR is assigned to another clerk)
5. How Do Departmental Endorsements go/happen? Same as above. But again, prepare very, very
well. This is probably the only responsibility we have that can be considered toxic, so do prepare!
V. History Taking
A. What are the important history questions for this rotation?
1. Chief complaint: Record this in the words of the patient
2. Ocular history
3. Ocular Medications - note the frequency, number of drops, and which eye/s
B. Are there any often (most common) overlooked history taking questions?
1. Ocular history
2. Allergies
3. Ocular medications (frequency, number of drops, and eye/s)
VII. Skills
A. What are the important/required skills needed for this rotation?
1. Taking a patient’s 12-lead ECG. Know how to use the equipment, that is, where the leads are
placed on the chest, extremities.
2. Blood extraction
3. IV insertion
4. Change of dressing/bandaging
5. Suturing, application of local anesthetic (for eyebrow laceration cases)
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VIII. Requirements (e.g. professional skills form, SGDs)
A. What are the expected outputs for this rotation? Please make a summary checklist of the requirements
1. SGD/Reporting with Dr. Cloma - Preventive Ophthalmology
a) He likes the slides to be pictures mainly. He’s really chill and mabilis lang pagrereporting,
then life lessons/open questions afterwards. Base your ppt on Vaughan and Asbury (17th
ed chapter 21; or Chapter 20.2 if you have 18th ed) and supplement with pictures from
the internet, though you may add additional research if you want/can.
(1) The residents recommend you only use text for the slide title. Other than that,
your slides should be pictures
b) Prefers Vaughan, but you may add info from Kanski
c) Presentation should be ≤ 20 mins.
2. SGD/Reporting with Dr. Fortuna - Ocular Trauma
a) Treat this like our SGDs with Dr. Alfonso during surgery. The reporters must know the
topic on trauma really well. No gadgets, sleeping, eating or drinking during this SGD.
Non-reporters must listen well to the reporters. Basta, we must act and look like
professionals during this specific SGD. He likes it when everyone participates, so make
the SGD slightly interactive. He also asks questions that anyone can answer.
b) Make sure to clean the conference table (remove papers and clutter), and arrange the
chairs and bags
c) Prefers Vaughan, but you may add info from Kanski
d) Keep it short. Presentation should be ≤ 30 mins
3. To clarify, there are 4 topics to report on. 2 in TMC and 2 in QMMC. If, for example, you already
reported in QMMC on your first week, you’re done with SGD for the rotation, meaning you won’t
need to do SGD in TMC next week. Here’s the breakdown w/ TMC.
a) Ocular Trauma - Dr Fortuna, QMMC (≤ 30 mins reporting)
(1) 1 clerk or 2 clerks (if you are a group of 7)
b) Preventive Ophthalmology - Dr Cloma, QMMC (≤ 20 mins reporting)
(1) 1 clerk
c) Red Eye - Dr Timothy Tan, TMC (~ 2 hours reporting)
(1) 2 clerks
d) Ocular manifestations of Systemic Diseases - Dr Timothy Tan, TMC (~ 2 hours reporting)
(1) 2 clerks
B. How many write-ups, conferences, case presentations, etc are expected of each clerk/clerkship group (i.e.
number of grading sheets accomplished by the residents?, number of inpatient progress notes/outpatient
notes? Any print-outs necessary during case presentations or grand rounds?, etc.)
1. Case presentation during AdCon = 1
2. Write-ups = 0
3. Progress notes = 0 (as far as we were told)
4. Print-outs = just your endorsement script as devices are not allowed during meetings, SGDs, etc.
C. How many grading sheets are needed for each clerk for each of the summaries by the end of the rotation?
1. 2 Professionalism forms
2. 2 Skills forms
3. Case log (check out page 72-74 of our booklet. Just the must-see cases. You only need the patient
number, age, and have it signed by a resident)
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1. The residents just always advise us to store our things in the back end of the OPD, or at the LRU,
never anywhere else.
2. Basag bintana ng LRU. Ingat-ingat na lang sa gamit
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D. List residents who love to teach
1. Lahat naman sila pero most sina:
2. Dr. Adriano
3. Dr. Mamaclay
4. Dr. Garcia
5. Dr. Cancio
6. Dr. Guballa
7. Dr. Chu
E. List residents who allow you to do skills
1. Dr. Cancio
2. Dr. Guballa
3. Dr. Garcia
4. Dr. Chu