The ophthalmology residency is a three-year program designed to provide intensive clinical training in an academic environment, which encourages close interaction between the residents and faculty. Four residents are accepted to our program each year.
Residency Program Director: Samantha Perea, MD
The ophthalmology residency has full accreditation by the ACGME. The last site review was in June 2010.
The Loma Linda University School of Medicine mainly uses four institutions as education resources for its ophthalmology residency program.
The Loma Linda University Medical Center serves as both a university and community hospital. The Eye Institute and the eye clinic, which serve a large population, are conveniently located at the Faculty Medical Offices directly across the street from the main Medical Center building. This facility serves as the primary training site for the subspecialty rotations.
The Jerry L. Pettis Memorial VA Medical Center, just five minutes away, serves as the referral center for a large portion of California. Veterans travel from as far as Arizona and Nevada to seek medical care at this facility. A new outpatient eye clinic, including wet lab, opened at this facility in 2005. It is a primary training site for comprehensive ophthalmology, including cataract surgery.
The Riverside County Regional Medical Center (RCRMC) is the county hospital for Riverside County. RCRMC is located in the neighboring community of Moreno Valley, approximately 25 minutes away. It was built in 1998 and features a modern clinic. Its busy clinics serve a large indigent population with a mix of many immigrant groups. The residents run a comprehensive eye clinic at this facility.
San Diego Naval Medical Center Refractive Rotation
The San Diego Naval Medical Center Refractive Rotation in July 2007 introduced a refractive surgery elective for our senior residents through the San Diego Naval Medical Center. During year one-month rotation, our residents receive "hands on" refractive surgical training. The elective includes certification in Intralase, keratome usage, PRK and LASIK. Our residents have averaged 70 refractive surgical cases within this rotation. Our residency is now one of the few programs in the country that provides such a comprehensive refractive surgery experience for its residents.
San Diego Naval Medical Center Pathology Rotation
The San Diego Naval Medical Center Patholgy Rotation is for our first year residents who will spend three months (one day per week) at the San Diego Naval Medical Center training in Ocular Pathology. This rotation is under the direction of Dr. Andrew Doan.
San Diego Naval Medical Resident Rotation at Riverside County Regional Medical Center
The San Diego Naval Medical Center senior residents currently rotate through the Riverside County Regional Medical Center for a 1-month rotation. During this rotation, the SD Naval residents served as the senior resident at Riverside County, working with Loma Linda University junior residents. Additionally, the residents provide "globe trauma" call coverage for the duration of the rotation. This eye trauma rotation serves a vital role for the SD Naval residency, providing critical experience for their residents before they begin their tours of duty after graduation.
Components of Residency Training
Didactic instruction includes faculty and guest speaker lectures and an ongoing program of weekly grand rounds and conferences that cover all subspecialties. Didactic lectures are held from 7:00 a.m. to 9:00 a.m. from Wednesday to Friday, with Grand Rounds and Fluorescein Conference held on a weekly basis. Clinical training includes specialty clinics in retina, cornea, and refractive surgery, cataract management, glaucoma, pediatrics and strabismus, neuro-ophthalmology, oculoplastics, and uveitis, as well as extensive surgical experience in general and subspecialty ophthalmology. The residents and faculty work together within the clinics, and faculty are readily available for assistance.
Residents are encouraged to pursue research projects and to seek post-residency fellowships; however, the first priority of the program is to insure the highest level of clinical knowledge and skill. Residents are required to complete two research projects during their residency, and one project must be submitted for publication. Residents are allotted time from their academic schedule and provided financial support to present their research a at major medical meetings.
The training is divided into four three-month rotation blocks per academic year.
Residents rotate through most subspecialties twice throughout their residency. All of the facilities provide the resident with a great variety of general ophthalmology patient care experiences as well as management of chronic and age-related disease.
PGY-2 residents focus mainly on clinical skills so as to become proficient with the diverse array of tools in a timely manner. Surgical focus of the PGY-2 trainee is mostly on extra-ocular surgeries (mainly strabismus and oculo-plastics). The PGY-2 residents also become proficient in the use of various lasers and intravitreal injections for in-office procedures.
The PGY-3 attend the Stanford Basic Science Course in July. The residents have designated surgical days and focus on extra-ocular as well as intra-ocular surgeries. PGY-3 residents perform cataract surgery at the VA Medical Center and RCRMC, and achieve a significant surgical volume (60-80 cases) before they begin their PGY-4 year. They also play a crucial role in the education of medical students and PGY-2 residents.
The PGY-4 residents spend three months at each rotation site. The PGY-4 residents are the chief residents at their respective sites and have the responsibility of arranging journal clubs and grand rounds meetings as well as training the PGY-2 and PGY-3 residents. There is a strong emphasis on refining intraocular surgical skills during the senior year. Surgical case volume has consistently remained in the 80-90% versus the national averages. Here is the latest surgical case log data from our residency program compared to the national averages.
From the beginning of the residency program the residents develop their teaching and presentation skills. The residents assist in teaching the junior and senior medical students during their surgical electives through a series of lectures and in the clinical setting at each hospital.
Residents routinely present cases at the weekly grand rounds and monthly fluorescein conferences.
Senior Resident Mission Elective at the Lusaka Eye Hospital in Zambia
Senior residents are given the opportunity to spend four weeks at the Lusaka Eye Hospital in Zambia under the direction of Dr Janie Yoo, rotation site director. Trip expenses are partially covered by the department's Dr. Donald Shearer Mission trip fund and the Residency Education Fund.
Lusaka Eye Hospital, in Zambia, Africa, is a 40-bed hospital dedicated to eye care provision, located on the outskirts of the capital city of Lusaka.
Lusaka Eye Hospital will provide a learning environment for the understanding of global ophthalmology and its role in not only eye care but in preventive medicine and public health in a developing world setting. Experience in providing clinical and surgical eye care in an impoverished environment where resources are scarce and cases are generally more complex due to delayed presentation will be emphasized. Careful preoperative and postoperative care in a low-income environment using a logical clinical approach will be emphasized. In addition, residents will participate in weekly clinical presentations to enhance the learning of the resident as well as other eye care providers at the hospital. Ultimately, the resident should learn about the provision of compassionate quality care in a non-American culture and how to integrate what is learned into practice upon return to the United States.
For the 2014-2015 senior resident class, the average volume of manual small incision cataract surgeries performed on the Lusaka Eye Hospital elective rotation was 17 as primary surgeon and 14 as assistant surgeon. Residents also performed an assortment of other cases, including corneal transplantation, strabismus surgery, pterygium removal, and ruptured globe repair.
The Loma Linda University faculty members are actively involved in mission related activities. Residents are encouraged to participate in a surgical mission trip, typically during their senior year of training. Past resident mission trip destinations have included Guatemala, Bolivia, Dominican Republic, and Fiji. Two weeks are allotted for a mission trip, which can be extended with vacation time if desired.
Where do our residents go after graduation?
Surgical Training / Practice Facilities
Residents routinely record their surgeries on the Apple computers stationed in all of the OR facilities. The iMovie program is used to record and edit video for "real time" review in the OR or for subsequent self-study or conference presentations. The residents are provided with an external hard drive to facilitate transfer and storage of surgical data. The residents can practice surgical skills in the VA wet lab where a surgical microscope as well as phaco-emulsification / vitrectomy machines are dedicated for resident practice.
Residents provide call coverage for Loma Linda University Medical Center and the affiliated training sites. Residents receive extensive experience in the management of acute ocular emergencies, including ruptured globe repair. Call coverage days are divided equally between all residents. PGY-2 residents spend the majority of their call days as the first call resident, whereas the PGY-4 residents provide primarily backup call. PGY-3 call days are an equal mix of first and backup call.
Loma Linda is a quiet residential community of 20,000. Located 60 miles east of Los Angeles in the San Bernardino Valley. The narrow valley is surrounded by the picturesque San Bernardino Mountains, which rise to over 11,000 feet. One of the advantages of living in the San Bernardino area is its proximity to a wide variety of recreational areas. The beach, mountains, and desert are all within one hour's drive.
To the north lies the San Bernardino National Forest. In addition to many ski resorts, Lake Arrowhead and Big Bear offer water skiing, swimming, hiking, mountain biking, boating, and camping.
To the east is Palm Springs with its world famous golf courses, natural spas, and exotic shopping.
To the west are sunny, spacious Southern California beaches such as Malibu and Laguna. Los Angeles offers many others nationally known recreational areas such as Disneyland, Magic Mountain, and Knott's Berry Farm. San Diego, a 90-minute drive to the south, offers the world famous San Diego Zoo, Sea World, beaches, and temperate weather.
Closer to home, Lake Perris is 20 minutes away and offers fishing, wind surfing, water skiing, and sailing.
The Drayson Center provides residents with indoor sports facilities including, basketball courts, a weight room, volleyball courts, racquetball courts, table tennis, and floor hockey. Outdoor facilities include tennis courts, football, and soccer fields. An extensive intramural sports program promotes friendly competition in softball, volleyball, football, soccer, and basketball. Classes and training are available in many outdoor and recreational activities including rock climbing, camping, tennis, and marathon race training.
Residents are paid competitive salaries according to the LLUMC stipend and benefits page.
In addition to the salary and benefits provided by LLUMC, department and alumni support allows for an additional benefit package to be provided.
We are grateful to the alumni for their generous support of our program.
Vacations / Conference Attendance
Residents receive four weeks of vacation each year, one week during each quarter. Residents also receive one week per academic year for attendance at major conferences or review courses.
Residency Application Process
The Department of Ophthalmology offers a three-year approved residency-training program. Four first-year residents enter the program each July. Appointments to the residency program are made one and one-half years in advance through the San Francisco matching program.
Applicants must meet the following requirements to be eligible for the residency: graduation from an LCME-accredited medical school in the United States or Canada, possess or be eligible for a California medical license, satisfactory completion of a PGY-I year in an accredited program in the United States or Canada, which includes a minimum of six months of broad experience in patient care, and in certain circumstances, graduates of foreign medical schools may be considered for the residency.
Applications are accepted only through the programs. The SF matching programs usually begins distributing applications the first of July. Our deadline for receiving applications from SF matching programs is October 16 (allow at least two weeks from date material arrives at the SF matching programs to the date we receive the application). Applications that are incomplete by the deadline will not be considered, and no supplemental material is required.
Applications are carefully reviewed, and 30-35 candidates are invited for an interview. Interviewees will have an opportunity to meet faculty and residents, tour the training facilities, and learn about the program. Interviews are held in early December, and are conducted by the members of the resident selection committee on an individual basis.
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