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Day-of-clinic Duties

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Overall flow of the day for Head TS

8:30-9:00AM: show up and set up your space

Print a copy of the sign-in for attendingPrint individual sign-ins to give to clinic teams20-30 min lecture in pediatric play areareview general flow of EHHOphtho clinicreview important history and PE pearls for clinician teams:Standby by for any CM announcementsgive a print out of the patient’s sign-in to the clinic teamreview use of auto-refractor/slit lamp if necessaryquick visitssupervise/assist clinician teams if neededteach new skills whenever possible!field questions re: patient care and follow upCheck in with all teams at least once before the patient leaves

9:15AM: AM didactic + TS/CM announcements

FOCUSED historyOphtho “vital signs”: pupils, pressure, visionred flag signs/symptoms: flashes, floaters, sudden acute loss of vision, “curtain” of darkness lowering over visual field, redness, blurry vision, photophobia

9:45AM-10AM: sign in with clinic teams

Walk to each room and sign in with each team.

For the rest of the day: Manage clinic flow with the CMs and help with the below tasks:

using foropter to refractlensesusing Tonopen or applanation tonometer

Quick Visits

See any patients who are coming in for a Quick TS visit (ie refraction-only)
Present the patient quickly to the attending, but let them know that this is a Quick Visit and the patient will be followed up more extensively (if needed) at a regular visit
write a brief Student Note and co-sign to the Attending

Signing Out

Recommended Sign Out format:

I reviewed this case with (Junior and Senior names).

Attending: (Attending name)

Case Review: Pt is a y/o M/F with (relevant past medical history) who was referred to EHHOphtho for ______.

Problem list with brief description/history

Prescriptions/Drops given:

Referrals (to Resident’s Ophthalmology clinics for Glaucoma, Retina, or specific studies)

Next Visit:

TS comments: if applicable