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Opthalmology

CaRaMBaCaRaMBa Administrator PEx Moderator
BU and Ira: Please post anything and everything about this topic. Tenchu! Mwah!

Comments

  • IraIra PEx Influencer ⭐⭐⭐
    Here we go again! lol.gif

    What exactly do you want to know about ophthalmology? :)
  • CaRaMBaCaRaMBa Administrator PEx Moderator
    You explained it na but better if I can refer to it here. :) Hindi ako nag take down ng notes before eh. What do I want to know? Here goes:

    -fields, possible sub specialties (?)
    -what happens during training
    -good schools here and in the US
    -possible cases
    -anything! :)
  • IraIra PEx Influencer ⭐⭐⭐
    Ophthalmology (that's double H) is a surgical specialty in which you treat diseases of the eye. Its subspecialties include, but are not limited, to:

    Anterior Segment Surgery -anything involving the anterior chamber of the eye (cornea until the lens)
    External Disease / Cornea - diseases of the cornea, eyelids, "superficial" eye
    Glaucoma
    Pathology - reading slides, tissue samples from the orbital structures and diagnosing the problems
    Neuro-Ophthalmology - eye diseases which are related to neurologic problems
    Oculo-Plastic Surgery - plastic surgery of the eye structures
    Pediatric Ophthalmology
    Retina - Vitreous - retinal and eye fluid problems
    Uveitis and Immunology - how do I describe this one? lol.gif
    Oncology- tumors, cancer
    Ocular Genetics
    Refractive Surgery- vision correction thru surgery
    Low vision rehabilitation- helping people with low vision cope with their poor eyesight.

    You need an extra 3-4 years to train for ophthalmology after you pass the boards. Ophthalmology training in generally one of the more benign fields in medicine. It's one of the so-called glamour specialties in medicine (others being dermatology, otorhinolaryngology, plastic surgery...did I miss anything, BU?), the slots available per year are usually just 1-2 per hospital (it's a very competitive field since it's lucrative), and getting a residency slot in ophthalmology requires an excellent medical class and board standing. Of course, a graduate of an excellent medical school and a few very strong backers in the right positions wouldn't really hurt. Usual cases in practice include cataracts, myopia, glaucoma, and external eye diseases.

    Good hospitals (it's not called schools anymore when you reach residency training) in this country are PGH, Jose Reyes, East Avenue Medical Center, UST, and UERM, among others. It's practically impossible for you to get into an opthalmology training in the US if you are a holder of a foreign medical degree (yes, even if you are in the top 10 of your batch and even if you topped the Philippine medical boards. Unlike other fields, transfer technology of medicine is influenced by a lot of politics), because as it is, there are already too few slots going around for American medical school graduates wanting to get into ophthalmology. You can try, but I'd say spare yourself the heartache, the money, and the time. But in the event that you're interested in subspecializing in ophthalmology after your training, you can apply for fellowship training in the US easily.

    The top 15 hospitals in the US for ophthalmology are, in order of decreasing rank (based on reputation, a survey of US ophthalmologist done by the US News over the past 3 years): Johns Hopkins Hospital Wilmer Eye Institute (I have a friend who was lucky enough to get a fellowship here :D ), University of Miami Bascom Palmer Eye Institute, Wills Eye Hospital (Philadelphia), Massachusettes Eye and Ear Infirmary, University of Iowa, USC Doheny Eye Institute, UCSF Medical Institute, Duke University Medical Center (NC), Emory University Hospital (GA), New York Eye and Ear Infirmary, Barnes-Jewish Hospital (MO), Mayo Clinic (Minn), University of Wisconsin Hospital and Clinics, and Methodist Hospital-Cullen Eye Institute, Texas.

    I'm sure BU will be able to share something about ophthalmology. :)


    [This message has been edited by Ira (edited 06-26-2000).]
  • batang uliranbatang uliran PEx Veteran ⭐⭐
    Ophtha is indeed one of the so-called elite specialties. In fact if I were going to enter a surgical specialty, this would probably have been it.

    It is very competitive even in Manila. At the height of UP grads coming to the US in recent years (1990-1995), ophtha was one of the few specialties in PGH that managed to fill all or most of their slots with UP grads. As Ira pointed out, it is virtually impossible to enter the field from a Philippine Medical School. It is difficult enough to enter it in the US from an American Medical School.

    I wanted to point out though that the fellowships obtained from Manila are not actual fellowships - I don't think you get the hands on experience of actually doing the procedures yourself (which you would in a full fellowship). I don't think that these pay anything close to a real fellowship spot (eg. $30 to 40k yearly). While it's nice to get into these name places (I have friends who have gone to places like Wills, Mass Eye and Ear, etc.) but these seem to be more observational than anything else.

    If you have any more specific questions, we'll try to answer them.

  • CaRaMBaCaRaMBa Administrator PEx Moderator
    Tenchu, isip pa ako ng questions. :)
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