so you want to be an eye surgeon97.ppt - ophthalmology · ent rheumatology maxillofacial neurology...

So you want to be an Eye Surgeon?

And if not why you should.....

Lai-Yeung NgaiST1 Severn Deanery

Why Ophthalmology?

‰ Why?◦ Wide variety of patients

Why Ophthalmology?

‰ Why?◦ Wide variety of patientsŠ Neonates to geriatricsŠ Chronic + AcuteŠ Outpatient + InpatientsŠ Relatively well

Why Ophthalmology?

‰ Why?◦ Wide variety of patientsŠ Neonates to geriatricsŠ Chronic + AcuteŠ Outpatient + Inpatients

◦ Surgery and Medicine combinedŠ Ophthalmology subspecialties:◦ Corneal/refractive◦ Oculoplastics◦ Paediatrics and ocular motility◦ Glaucoma◦ Vitreoretinal◦ Medical retinal◦ Oncology

Why Ophthalmology?

‰ Close working with other specialties◦ ENT◦ Rheumatology◦ Maxillofacial◦ Neurology◦ Neurosurgery◦ A&E◦ Endocrinology◦ Paediatrics◦ Dermatology◦ Orthotics and optometry

Why Ophthalmology?

‰ Why?◦ Wide variety of patients◦ Surgery and Medicine combined◦ Very visual specialty

Why Ophthalmology

‰ Why?◦ Wide variety of patients◦ Surgery and Medicine combined◦ Very visual speciality◦ Lots of toys and continuing innovation

Why Ophthalmology

‰ Why?◦ Wide variety of patients◦ Surgery and Medicine combined◦ Very visual speciality◦ Lots of toys and continuing innovation◦ Varied week

Varied Week

‰ 2-3 operating lists‰ 2-3 general/ subspecialty clinics‰ Laser list‰ Eye casualty‰ 2 Study sessions‰ Teaching

‰ Lots of conferences regionally, nationally and internationally!

Why Ophthalmology?

‰ Why?◦ Wide variety of patients◦ Surgery and Medicine combined◦ Very visual speciality◦ Lots of toys and continuing innovation◦ Varied week◦ Good work/Life balance

Good Work/Life balance

‰ Choose a specialty where the consultants are happy!

‰ On calls from home‰ Rare overnight emergencies that can’t

wait

Why Ophthalmology

‰ Why?◦ Wide variety of patients◦ Surgery and Medicine combined◦ Very visual speciality◦ Lots of Toys◦ Varied week◦ Good work/balance◦ Patient satisfaction◦ Charity work◦ Private work

What it takes to be an Ophthalmologist......

‰ Stereopsis

What it takes to be an Ophthalmologist......

‰ Stereopsis‰ Attention to detail

What it takes to be an Ophthalmologist......

‰ Stereopsis‰ Attention to detail‰ Ability to grasp physics

What it takes to be an Ophthalmologist......

‰ Stereopsis‰ Attention to detail‰ Ability to grasp physics‰ Dexterity

What it takes to be an Ophthalmologist......

‰ Stereopsis‰ Attention to detail‰ Ability to grasp physics‰ Dexterity‰ Commitment

Exam + Career structure

‰ First get a ST training post

‰ Annual ARCP – based on

portfolio/DOPs/OSATS/CBDs

‰ Subspecialty clinical fellowships (x2)

‰ Consultant post!

‰ FRCOphth Part 1 by the end of ST2◦ 3 hour MCQ◦ 2 hour OSE

‰ Refraction certificate by end of ST3◦ 8 OSCE stations

assessing refraction and glasses prescribing

‰ FRCOphth Part 2 by the end of ST7◦ EMQs◦ MCQs◦ Structured viva◦ OSCE

When you start

‰ Steep learning curve‰ Clinic-based‰ Diagnose and manage patients from the

start

The downsides....

‰ Highly competitive◦ Ratio 1:89 in 2010◦ (Core surgery 1:14)◦ (Anaesthetics 1:24)◦ 6/10 candidates had

an MD or PhD

‰ Demanding surgery◦ Millimetres away from

complications

‰ Work hard during the day.....◦ 25000 pts seen in

eye casualty a year◦ 100000 patients in

outpatients◦ 120000 procedures a

year

‰ But you get your evenings and weekends to play with

Any Questions?

Further info

‰ Email me Lai

‰ ngailaiyeung@hotmail.com