Introduction and Goals
This is a month-long outpatient elective for senior residents that can be done simultaneously with another specialty clinic or other elective such as neuroradiology. The goals for this rotation are for the resident to learn the anatomic and physiologic basis of neurologic diseases that involve the visual system and to apply that knowledge clinically.
Objectives and Evaluation Matrix
As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).
| Rotation Objectives | ||
| Upon completion of the curriculum, residents will . . . | ||
| # | Description | Milestones |
| 1 | Recognize the most frequent abnormalities of the optic disc | PC2, MK1 |
| 2 | Evaluate and manage optic neuritis | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| 3 | Evaluate and manage idiopathic intracranial hypertension | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| 4 | Diagnose and begin the management of giant cell arteritis | PC1, PC2, PC3, PC4, MK1, MK2 |
| 5 | Perform confrontation visual field testing and interpret visual field-imaging correlations | MK1, MK2 |
| 6 | Recognize (and treat where appropriate) cortical visual disturbances | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| 7 | Examine the pupils to assess relative afferent pupillary defects and anisocoria | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| 8 | Formulate differential diagnoses and investigations for cranial III, IV, and VI palsies and INOs | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| 9 | Recognize cavenous sinus syndromes | PC1, PC2, PC3, PC4, PC8, MK1, MK2 |
| Milestones | ||
| Please grade the resident on any of the following milestones you were able to evaluate during this rotation: | ||
| PL1, PR1, PR2, IC1, IC3, IC4 | ||
Schedule
| Monday | Tuesday | Wednesday | Thursday | Friday | |
| AM | Dr. Chen | Dr. Chen | Dr. Snyder | Dr. Snyder | |
| PM | Dr. Chen | Dr. Chen | Dr. Chen | Dr. Snyder | Dr. Snyder |
Work Hours
This is a non-call, outpatient rotation. It is anticipated that residents will work ~ 40 hours per week on this rotation.
Suggested References
Brazis, P. W., Masdeu, J. C., & Biller, J. (2007). Localization in clinical neurology. Philadelphia: Lippincott Williams & Wilkins.
Liu, G. T., Volpe, N. J., & Galetta, S. L. (2010). Neuro-ophthalmology : diagnosis and management. [Philadelphia]: Saunders/Elsevier.
Wong, A. M. F. (2008). Eye movement disorders. Oxford; New York: Oxford University Press.
The Neuro-Ophthalmology Virtual Education Library: http://novel.utah.edu/
Latest revision: 06-01-2023
