Adult Neurology Residency

Adult Neurology Residency

Neuro-Ophthalmology

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 . . .
#DescriptionMilestones
1Recognize the most frequent abnormalities of the optic discPC2, MK1
2Evaluate and manage optic neuritisPC1, PC2, PC3, PC4, PC8, MK1, MK2
3Evaluate and manage idiopathic intracranial hypertensionPC1, PC2, PC3, PC4, PC8, MK1, MK2
4Diagnose and begin the management of giant cell arteritisPC1, PC2, PC3, PC4, MK1, MK2
5Perform confrontation visual field testing and interpret visual field-imaging correlationsMK1, MK2
6Recognize (and treat where appropriate) cortical visual disturbancesPC1, PC2, PC3, PC4, PC8, MK1, MK2
7Examine the pupils to assess relative afferent pupillary defects and anisocoriaPC1, PC2, PC3, PC4, PC8, MK1, MK2
8Formulate differential diagnoses and investigations for cranial III, IV, and VI palsies and INOsPC1, PC2, PC3, PC4, PC8, MK1, MK2
9Recognize cavenous sinus syndromesPC1, 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

MondayTuesdayWednesdayThursdayFriday
AMDr. ChenDr. ChenDr. SnyderDr. Snyder
PMDr. ChenDr. ChenDr. ChenDr. SnyderDr. 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