The Cole Eye Institute Residency Training Program's mission is to support future leaders of national and international ophthalmology - residents, fellows, medial students, vision scientists and practicing ophthalmologists - in achieving and/or enhancing the knowledge, skills and compassion necessary to contribute to the prevision, diagnosis and treatment of eye diseases in a world class health care system using cutting-edge technologies.
Our Residency Program meets all of the requirements of the American Board of Ophthalmology and the Accreditation Council for Graduate Medical Education (ACGME). The three-year program is divided into required rotations with residents working under the direct supervision of staff physicians during all rotations.
In addition to providing a top-notch clinical experience, the Cole Eye Institute teaches its residents to be excellent surgeons. In 2013, the Timken Microsurgical Education Laboratory was established as a formal addition to the surgical curriculum. Jeffrey M. Goshe, MD, residency Program Director, is also the laboratory’s principal instructor. First year residents spend four hours per week in the 600-square-foot space located on the first floor of the Cole Eye Institute, learning advanced microsurgical techniques from Cole Eye Institute ophthalmologists using the latest technology in ophthalmic surgical education. Each resident spends over one hundred hours practicing with OR-grade surgical instruments, microscopes, and phacoemulsification equipment to create the most realistic possible training experience. After completing this extensive surgical training, residents begin performing cataract surgery as the primary surgeon in the second year of residency.
Resident surgical volume at Cole Eye Institute has increased dramatically in the past five years and now falls consistently within the top 25% of programs across the country (88th percentile nationally for residents graduating in 2015). After completing extensive laboratory surgical training, residents begin performing cataract surgery as the primary surgeon in the second year of residency. PGY-3 residents typically perform 20-30 primary cataract surgeries. The remainder of the PGY-3 surgical experience consists of pediatric ophthalmology/strabismus (75th percentile) and oculoplastics (90th percentile). PGY-4 residents typically perform an additional 150-200 primary cataract surgeries, graduating with approximately 200 primary phacoemulsifications (75th percentile nationally). PGY-4 residents additionally perform glaucoma filtering surgery (90th percentile nationally), vitreoretinal surgery as a primary surgeon (60th percentile) and corneal surgery (50th percentile). Globe trauma (60th percentile) is distributed across the entire residency. Owing to our comprehensive surgical exposure, residents feel confident pursuing any subspecialty fellowships or transitioning into a career in comprehensive ophthalmology.
During training, residents spend the majority of their time at Cleveland Clinic main campus, rotating among the division's nine subspecialty departments. These include:
- Cornea and External Disease
- Ophthalmic Pathology
- Ophthalmic Plastic, Reconstructive and Orbital Surgery
- Pediatric Ophthalmology and Adult Strabismus
- Refractive Surgery
- Retina and Vitreous
- Uveitis, Ocular Inflammatory Disease, and Immunology
The Cole Eye Institute exclusively provides the only resident-run clinical and surgical services at Metro-Health Medical Center. Residents also rotate at Stephanie Tubbs Jones Health Center.
This rotation schedule provides a balanced exposure to all subspecialty areas of ophthalmology, ensuring graduates the ability to perform general ophthalmology with skill, knowledge, and confidence. Each resident receives substantial one-on-one training from our core faculty members. We feel this provides the best opportunity to study disease processes and their medical and surgical management. This arrangement also provides excellent supervision and optimal continuity of patient care in the outpatient and hospital settings.
Residents are also expected to participate in clinical and basic research activities. Residents complete independent clinical research projects which involve reviewing the literature, developing a hypothesis, and designing and executing the study. Research activities are carefully supervised by an experienced clinical investigator. Residents are expected to submit and present their research at national meetings and to write several papers for publication based on their research activities. Each June, ophthalmology residents, fellows, and staff participate in the Annual Ophthalmology Research, Residents and Alumni Meeting, a scientific forum for the presentation of research projects.
Additional facilities available to assist residents include an up-to-date ophthalmic library that features extensive electronic and print access to all major journals, textbooks and videos. The Cole Eye Institute utilizes state-of-the-art diagnostic and treatment equipment, including the most advanced platforms for cataract surgery, vitreoretinal surgery, refractive corneal surgery, femtosecond laser-assisted phacoemulsification surgery and anterior and posterior segment optical coherence tomography (including integrated real-time intraoperative OCT). A team of full-time ophthalmic photographers and ultrasonographers provide immediate access to imaging results through the integrated electronic medical record.
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