Background

Background

The roots of the ophthalmology Residency Program at the Cleveland Clinic trace back to 1935, at which time the first official ophthalmology resident began training. In 1949, the Residency Program received ACGME certification, typically training two or three residents per year.

In 1976, the Cleveland Clinic ophthalmology residency program was expanded to its current complement of four residents per year under the transformative leadership of Froncie Gutman, MD (Department Chair, 1969-1991), a renowned retina specialist and former President of the American Academy of Ophthalmology. He appointed Roger H.S. Langston, MD, a fellowship-trained cornea specialist, as the first Residency Program Director, a position which he held for 25 years of his forty year career at the Cleveland Clinic.

In 1994, under the tenure of Dr. Gutman’s successor, acclaimed retina specialist Hilel Lewis, MD (Department Chair, 1993-2008), the Cole Eye Institute as an entity was born. Following a multi-year fundraising campaign, in 1999 the ophthalmology department was relocated to the building now known as the Cole Eye Institute, a 130,000 square foot state-of-the-art outpatient facility in which research, clinical care, and education are seamlessly integrated.

In 2001, Elias I. Traboulsi, MD, a fellowship-trained pediatric ophthalmologist and board-certified geneticist, succeeded Dr. Langston as the Residency Program Director, further elevating the reputation of the program as one of the premier academic institutions in the nation.

In 2008, Daniel F. Martin, MD (Department Chair, 2008-present), an internationally-recognized retina and uveitis specialist and leader of numerous landmark clinical trials, was appointed Chairman of the Cole Eye Institute. Under his leadership, the Cole Eye Institute solidified its standing as a top-ten ophthalmology department in the United States and increased its reach and reputation to unsurpassed heights.

In 2014, Jeffrey M. Goshe, MD, a fellowship-trained cornea specialist and former Chief Resident of the Cole Eye Institute, succeeded Dr. Traboulsi as Residency Program Director. During Dr. Goshe’s tenure, a year-long pre-surgical training program was instituted and resident surgical experience was prioritized, reflected by resident surgical volumes soaring into the top 10% of programs nationally.

MetroHealth Medical Center

The Cole Eye Institute has partnered with Cuyahoga County MetroHealth Medical Center for more than twenty years to provide ophthalmologic care to residents of the greater Cleveland metropolitan area. Cole Eye Institute residents spend approximately one third of their residency rotating at MetroHealth, spread across the three years of clinical training. The ophthalmology service is structured as a resident-run clinic in which residents are supervised by experienced comprehensive and subspecialty physicians covering the entire spectrum of ophthalmologic care. A number of Cole Eye Institute staff physicians are dually credentialed at MetroHealth Medical Center, providing educational continuity and further reinforcing the symbiotic relationship between the two institutions.

Accreditation

Our residency program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) and fulfills all requirements of the American Board of Ophthalmology.

Residents

Residents

Current Residents

PGY-4

Waseem Ansari, MD

Waseem Ansari, MD

  • Medical School: University of Texas Medical School at Houston
Sruthi Arepalli, MD

Sruthi Arepalli, MD

  • Medical School: George Washington University School of Medicine
Alexander Barnes, MD

Alexander Barnes, MD

  • Medical School: Tufts University School of Medicine
Daniel Cherfan, MD (Chief Resident)

Daniel Cherfan, MD (Chief Resident)

  • Medical School:Royal College of Surgeons in Ireland

PGY-3

Rachel Chen, MD

Rachel Chen, MD

  • Medical School:University of Chicago Pritzker School of Medicine
Ang Li, MD

Ang Li, MD

  • Medical School:Case Western Reserve University, School of Medicine
Robert Purgert, MD, PhD

Robert Purgert, MD, PhD

  • Medical School:Washington University School of Medicine in St. Louis
Tan (Lucy) Xu, MD

Tan (Lucy) Xu, MD

  • Medical School:Cleveland Clinic Lerner College of Medicine, of Case Western Reserve University

PGY-2

Jessica Cao, MD

Jessica Cao, MD

  • Medical School:University of Southern California, Keck School of Medicine
Daniel Petkovsek, MD

Daniel Petkovsek, MD

  • Medical School:Case Western Reserve University, School of Medicine
Yue (Carrie) Zhao, MD

Yue (Carrie) Zhao, MD

  • Medical School:Cleveland Clinic Lerner College of Medicine, of Case Western Reserve University
Andrew Zheng, MD

Andrew Zheng, MD

  • Medical School:Columbia University, College of Physicians and Surgeons

Recent Graduates

2017 Graduating Residents

  • Brandon Baartman, MD – Cornea/Anterior Segment and Refractive Surgery Fellowship
    Vance Thompson Vision; Sioux Falls
  • Daniel Feiler, MD – Vitreoretinal Surgery Fellowship
    University of Iowa; Iowa City
  • Preethi Ganapathy, MD, PhD – Glaucoma Fellowship
    Duke University; Durham
  • Vishal Parikh, MD – Vitreoretinal Surgery Fellowship
    The Retina Institute; St. Louis

2016 Graduating Residents

  • Maria Choudhary, MD – American Society of Ophthalmic and Reconstructive Surgery Fellowship
    Center for Facial Appearances; Salt Lake City
  • Joseph Griffith, MD – Pediatric Ophthalmology and Adult Strabismus Fellowship
    Children’s Hospital of Philadelphia; Philadelphia
  • Nathaniel Sears, MD – Glaucoma Fellowship
    Jules Stein Eye Institute; Los Angeles
  • Adam Weber, MD – Ophthalmic Plastic and Reconstructive Surgery
    Fellowship Baylor College of Medicine; Houston

2015 Graduating Residents

  • Katie Hallahan, MD – Cornea, Refractive and Anterior Segment Surgery Fellowship
    Baylor College of Medicine; Houston
  • Priyanka Kumar, MD – Pediatric Ophthalmology Fellowship
    Emory University; Atlanta
  • Tal Rubinstein, MD – American Society of Ophthalmic and Reconstructive Surgery Fellowship
    Aesthetic Eye Associates; Seattle
  • Jack Shao, MD – Associate Staff
    Cole Eye Institute, Cleveland Clinic; Cleveland
Rotations

Rotations

Cole Eye Institute residents spend the majority of their time at Cleveland Clinic main campus, rotating among the division's subspecialty services:

  • Cornea and External Disease
  • Glaucoma
  • Medical Retina
  • Neuro-Ophthalmology
  • Ophthalmic Oncology
  • Ophthalmic Plastic, Reconstructive and Orbital Surgery
  • Optometry and Contact Lens
  • Pediatric Ophthalmology and Adult Strabismus
  • Refractive Surgery
  • Uveitis, Ocular Inflammatory Disease, and Immunology
  • Vitreoretinal Surgery

The rotation schedule provides balanced exposure to all subspecialty areas of ophthalmology, ensuring a well-rounded training experience. Each resident receives substantial one-on-one training from core faculty members. This format provides the optimal environment for studying complex disease processes and their medical and surgical management. This structure also allows residents to spend time performing thorough examinations and developing independent management plans without the pressure of being responsible for seeing every patient in a busy clinic.

Approximately one-third of the training program is spent at MetroHealth Medical Center (MHMC), the largest county hospital in the Greater Cleveland area as well as a Level I Trauma center. Rotations at MHMC include general ophthalmology and all subspecialty services. Residents also rotate at Stephanie Tubbs Jones (STJ) Health Center during the PGY-3 year. Both MHMC and STJ operate as traditional “Resident-Run Clinics”, in which residents are the primary providers of patient care, both medical and surgical. Staff supervision is always available, and residents are granted graduated autonomy based on comfort level and experience.

The proportion of time spent in surgery versus the clinic increases throughout the course of residency. On average, PGY-2’s spend 10% of their time in the OR, PGY-3’s 30% and PGY-4’s 50%. Upon graduation, residents are fully prepared to function as skilled general ophthalmologists or transition to any subspecialty fellowship.

PGY-2

MetroHealth 6 Months
Anterior Segment 3 Months
Retina/Uveitis 3 Months

PGY-3

MetroHealth 3 Months
Pediatrics/Oncology 3 Months
Neuro-Ophthalmology/STJ 3 Months
Oculoplastics 3 Months

PGY-4

Anterior Segment 3 Months
Glaucoma 3 Months
Retina 3 Months
MetroHealth 3 Months
Surgical Training

Surgical Training

Pre-surgical Curriculum

Surgical training at the Cole Eye Institute begins well in advance of a resident’s first case as primary surgeon. In 2013, the Timken Microsurgical Education Laboratory was established and became a formal addition to the pre-surgical curriculum. Jeff Goshe, MD, a fellowship-trained corneal surgeon and the Residency Program Director, serves as the laboratory’s chief instructor. The lab is additionally attended by a rotating group of approximately six to eight comprehensive and subspecialty-trained Cleveland Clinic staff ophthalmologists. On Wednesday mornings from September through June, all 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.

Residents participate in a wide variety of specialty laboratories, including:

  • Advanced phacodynamics including Phaco Chop
  • Amniotic membrane transplantation
  • Corneal and conjunctival suturing
  • Extracapsular cataract extraction
  • Eyelid laceration repair and rotational skin flaps
  • Glaucoma filtering surgery (iStent, CyPass, trabeculectomy, tube-shunt)
  • Iridoplasty and advanced suturing techniques
  • Penetrating and lamellar keratoplasty
  • Sutured intraocular lenses
  • Strabismus surgery
  • Vitrectomy (anterior and pars plana approaches)

Each resident spends over one hundred hours training to properly use OR-grade surgical instruments, microscopes, phacoemulsification and vitrectomy equipment, providing the most realistic possible training experience. Residents receive extensive one-on-one instruction. After completing the year-long curriculum, residents can confidently begin performing all facets of intraocular surgery during the PGY-3 year.

Surgical Experience

During the PGY-2 year, residents begin assisting with portions of cataract surgery, applying microsurgical skills honed during the comprehensive training laboratory program. Residents are fully prepared to begin performing primary cataract surgery by the second year of residency. PGY-3 residents typically perform 20-40 primary cataract surgeries. The remainder of the PGY-3 surgical experience consists of strabismus (62nd percentile) and oculoplastic surgery (72nd percentile). During the PGY-4 year, resident typically perform an additional 200 primary cataract surgeries, graduating with approximately 250 primary phacoemulsifications (90th percentile nationally). PGY-4 residents also perform glaucoma filtering surgery (97th percentile), vitreoretinal surgery (73rd percentile), and corneal surgery (63rd percentile) as primary surgeons. Globe trauma (46th percentile) is distributed across the entire residency.

After demonstrating competence with routine phacoemulsifcation surgery, residents have the option to perform femtosecond laser assisted cataract surgery (FLACS) during the PGY-4 year. Residents also may choose to perform primary keratorefractive surgery for select patients under staff supervision during all years of training.

The total surgical volume for graduating residents is in the 80th percentile nationally. Owing to our comprehensive surgical training, residents feel confident pursuing any subspecialty fellowships or transitioning directly into a high volume comprehensive ophthalmology practice.

Education

Education

Didactics/Conferences:

PGY-2 Orientation Course:

Every year in July, incoming PGY-2 residents receive approximately two weeks of intensive didactic and hands-on training to prepare them for their first clinical rotations. During this time period, first-year residents are excluded from all patient care duties (including clinic, call and consults) while they ramp up their skills to begin examining patients independently. Lectures are given by departmental faculty, research staff and clinical fellows, and are focused on both practical and academic topics.

Morning Lecture Series:

The backbone of the didactic program is the 18-month Core Lecture Series, a robust curriculum of more than 120 lectures covering key topics from all subspecialties. A variety of teaching styles are employed, including standard didactic lectures, case-based presentations and round-table discussions. Approximately 90% of lectures are given by Cole Eye Institute departmental staff, with the remainder given by optometrists and clinical fellows. The curriculum is designed such that the entire program is completed twice during the 36 month training program. This redundancy is intentional knowing that senior residents are often excused from morning lectures to begin their operating room duties. Lectures are held in the J.P. Storer Conference room, located on the first floor of the Cole Eye Institute from 7 to 8am.

Grand Rounds:

From September through June, Ophthalmology Grand Rounds are held on Monday mornings from 7 to 8am. Residents present interesting cases encountered during their clinical rotations and an interactive discussion between departmental staff, residents and fellows follows. A short presentation is then given by the resident focused on key take-home points or pertinent peer-reviewed literature.

Grand Rounds Quiz:

Immediately following Grand Rounds, residents are given a ten-question pictorial “quiz” by a faculty member covering their area of subspecialty expertise. The answers are then immediately reviewed and a discussion is held to review important findings and highlight key concepts. The purpose of the quizzes is for residents to assess their fund of knowledge and to prepare for the board examination.

Morbidity and Mortality (M&M) Conferences:

Twice annually, senior residents (PGY-3 and PGY-4) present surgical or clinical cases involving complications or negative outcomes. Residents provide a summary of any evidence based medicine relevant to the critical decision making and an open discussion is held amongst residents and faculty. The purpose of this conference is to learn from past experiences in a constructive environment, with the ultimate goal of enhancing the efficiency and quality of patient care.

Distinguished Lecture Series:

The Distinguished Lecture Series is a forum in which renowned visual scientists are invited to the Cole Eye Institute to present a lecture on their latest research findings. These lectures are held from 7-8 am, once a month. Residents are expected to attend and interactive discussion is encouraged.

Chief Lectures:

Every month the chief resident gives a lecture to the PGY-2 residents focused on high-yield information for board preparation. These lectures are designed to be interactive, informal sessions with a heavy emphasis on pattern recognition and classic disease presentations.

Pathology Laboratory:

PGY-2 residents receive more than 40 hours of structured, interactive pathology training in a small group setting with Careen Lowder, MD, PhD, a uveitis specialist with fellowship training in ocular pathology and thirty years of experience teaching residents. The sessions are held in the Timken Microsurgical Education Laboratory following wet labs on select Wednesdays throughout the academic year.

Pathology Conferences:

Residents attend monthly conferences in which interesting clinical cases with ophthalmic pathology are presented. The conferences are moderated by ocular oncologist Arun Singh, MD, and pathologists Thomas Plesec, MD and Gabrielle Yeaney, MD.

Pathology Review:

Dr. Ralph Eagle, a world-renowned ocular pathologist from Wills Eye Hospital, travels to Cleveland annually to provide a one-day, intensive pathology review for Cole Eye Institute residents and fellows to assist with OKAP and board examination preparation. Residents are invited to join Dr. Eagle and other departmental staff for an informal dinner.

Fluorescein Angiography (FA) and Uveitis Conferences:

Residents and subspecialty fellows participate in monthly recurring conferences for interesting uveitis and FA cases. The cases are moderated by the subspecialty fellows but attended by departmental staff to encourage high level discussion and evidence based medicine.

Quality Improvement/Patient Safety Committee:

During the PGY-3 pediatric rotation, residents attend the monthly Quality Improvement Patient Safety (QIPS) meetings. These meetings are attended by a team of faculty, nurses, technicians and administrators with the purpose of critically reviewing any QIPS issues from the previous month. The emphasis of these meetings is to identify any systematic failures which may negatively impact patient outcomes and caregiver safety and implement any necessary changes to remedy them.

Journal Clubs:

Ophthalmology journal clubs are held on average once monthly throughout the year. These meetings are held at a variety of venues, including homes of departmental staff and upscale restaurants. Journal clubs offer an informal, but educational environment dedicated toward increasing resident apprehension of recent literature, and learning how to critically analyze scientific papers.

Ethics Conferences:

On a quarterly basis, resident ethics conferences are held with moderators Elias Traboulsi, MD, a pediatric ophthalmologist and geneticist, and Eric Kodish, MD, a pediatric oncologist and bioethicist. These conferences are held over dinner, employing an informal roundtable format. Residents anonymously submit ethical cases in advance which are selected by the moderators and presented for discussion at the meeting. Relevant peer-reviewed literature, when available, is provided as a basis for further discussion and enrichment.

Joint Subspecialty Conferences:

Quarterly joint subspecialty conferences with the residents and faculty from University Hospitals (UH) are held at both institutes on a rotating basis. Conference topics cycle through all of the major subspecialties (retina, cornea, glaucoma, pediatrics, etc,). Residents from both departments present interesting cases followed by discussion. The conferences are held in the evening and dinner is provided.

Cleveland Ophthalmological Society:

Cole Eye Institute residents are freed from clinical responsibilities to attend the Cleveland Ophthalmological Society (COS) meetings, held every two months at the Doubletree Hotel in Independence, OH on Tuesday afternoons from September through April. The meetings consist of two hours of didactics followed by a key note lecture from the invited guest lecturers. Residents are invited to present interesting cases. Approximately 100 regional ophthalmologists are in attendance and each meeting has a specific theme (e.g. Management of Surgical Complications, Update on Ocular Oncology, etc.). Guest lecturers are frequently nationally or internationally acclaimed experts in their field.

Continuing Medical Education Conferences:

Throughout the year, the Cole Eye Institute holds educational conferences for CME credit which are offered to regional ophthalmologists on a variety of subspecialty topics (e.g. annual North Coast Retina Symposium). These conferences are typically held on Saturdays, two to three times per year. Residents are expected to attend these conferences and frequently are invited to present cases or short lectures.

Annual Resident Research Day:

Every June, all residents and faculty attend the Annual Resident Research Day, an all-day conference in which residents, fellows and select faculty give focused presentations on a research project they have completed in the previous year. The conference is followed by the annual resident and fellow graduation ceremony, held at the InterContinental Hotel Ballroom attached to the Cleveland Clinic.

OKAP Review:

Between January and March, approximately fifteen review sessions are provided for residents and fellows to review high-yield content in preparation for the annual Ophthalmic Knowledge Assessment Program (OKAP), a yearly examination given to prepare residents for the Ophthalmic Board Examination.

Cadaver Lab:

Residents are invited to participate in cadaver dissection at the Cleveland Clinic Lerner College of Medicine to demonstrate orbital anatomy to medical students.

Call Structure

Call Structure

Call is spread out over the course of the 36-month training program, varying by resident level of training. All call is taken from home, although sleeping quarters are provided at both Cleveland Clinic and MetroHealth Hospitals if needed. In the event of an exceptionally busy overnight call, the on-call resident may be excused from the following morning’s clinical responsibilities to ensure adequate rest. This is only necessary in rare circumstances as the call volume is generally quite manageable.

PGY-2 MetroHealth Home Call (q4 primary)

PGY-2 residents cover primary call at MetroHealth Hospital, on average q4 days. MetroHealth Hospital is a level one trauma center and the majority of afterhours consults relate to the evaluation and management of ocular and orbital trauma. The call volume is relatively light. A PGY-4 resident serves as back-up for surgical cases or for complex patient management decisions. A MetroHealth attending is always on-call and required to be present for any surgical cases performed in the operating room. Minor procedures (e.g. simple eyelid lacerations) may be performed by junior residents at the bedside, either supervised or unsupervised based on level of training and comfort level.

PGY-3 Cleveland Clinic Home Call (q4 primary)

PGY-3 residents cover primary call at the Cleveland Clinic Main Campus, a level two trauma center. Cole Eye Institute residents are never required to see patients at any other Cleveland Clinic hospitals. Eye emergencies from regional hospitals are transferred to the main campus for further management if required. Subspecialty fellows and a Cleveland Clinic staff ophthalmologist are always available as back-up. PGY-3 residents go to the OR to perform surgical procedures arising from on-call patient issues. All operating room cases are supervised a staff physician (attending or fellow). Minor procedures (e.g. simple eyelid lacerations, lasers, injections) may be performed by PGY-3 residents at the bedside, either supervised or unsupervised based on level of training and comfort level.

PGY-4 MetroHealth Back-up Home Call (q4 backup)

PGY-4 residents serve as back-up for MetroHealth Hospital. This call is light, typically requiring travel to the hospital only for surgical cases. Due to the relatively infrequent nature of afterhours cases, PGY-4 residents usually cover call for one week periods at a time. At the beginning of the academic year, PGY-4 residents also mentor PGY-2 residents (“buddy call”). After the first few months of the year, PGY-2 residents are typically self-sufficient, only requiring assistance for complex patients or when surgery is needed.

Research

Research

Cole Eye Institute residents are encouraged to conduct research. Their research activities are supervised carefully by an experienced clinical investigator. Residents, fellows and staff participate in the annual Residents and Alumni Meeting, a scientific forum for the presentation of research projects. These presentations can be found on ConsultQD.

Apply/Benefits

Apply/Benefits

Application Process

Please submit all application materials through the CAS/San Francisco (SF) Match service.

Residency application deadline is September 15, 2017 and interviews will be December 3-5, 2017. Applicants selected for interviews will be notified by email.

Interview Selection Criteria

The Committee reviews every application individually and while we have no absolute requirements, we do give strong preference for applicants who meet the following criteria:

  1. Outstanding college and medical school academic records.
  2. Competitive scores on USMLE Step 1 and Step 2 (if taken).
  3. Strong work ethic and interpersonal communication skills, as evidenced by letters of recommendation, Dean's letter and medical school rotation evaluations.
  4. A commitment to advancing medical knowledge through laboratory research, clinical research or medical education.
  5. A passion for ophthalmology as indicated by involvement in research, elective rotations, or previous work/volunteer experience.

The goal of the committee is to interview applicants who we feel will flourish in residency training at the Cole Eye Institute. Although we require residents to participate in clinical or basic science research during their training, we do not look negatively upon residents who do not choose to pursue subspecialty fellowships or academic careers. We encourage our residents to follow their passion, and enthusiastically support them in all of their future endeavors. Consistent with the national trend, approximately 75% of our residents pursue subspecialty training with the remainder transitioning directly into comprehensive ophthalmology.

Applications will be reviewed following the deadline. Once candidates are selected for interview, notification of interviews will be made via email by our educational coordinator, Jen DiPiero. For the four vacancy positions, approximately 50-60 candidates will be interviewed.

For any questions regarding your application, please contact Jen DiPiero via email at dipierj@ccf.org.

Benefits

A full summary of resident benefits provided by the Cleveland Clinic (including salary levels and insurance coverage) can be located here.

Cole Eye Residents also receive the following supplemental benefits:

Basic and Clinical Science Course:

Residents are provided with both printed copies and electronic access to the Basic Clinical and Science Series (BCSC), the core study materials from which the OKAP and American Board of Ophthalmology examinations are derived.

Educational Fund:

Residents receive a $1200 stipend which may be used to purchase books, ophthalmic equipment, computers, tablets or other educational resources.

Conference Days:

Residents receive paid time off to travel to and present at regional or national conferences. Conferences days do not count against vacation or interview days.

Travel/Conference Reimbursement:

Residents may request reimbursement up to $1500 per trip (no limit to total number of conferences per year) to travel to and present at any approved ophthalmology conferences. All PGY-4 residents receive reimbursement to attend the American Academy of Ophthalmology Annual Meeting, regardless of presentation status.

Interview Days:

Residents receive up to nine (9) days of paid leave to interview for fellowship programs or jobs. These days are in addition to paid time off for vacation (fifteen days per year).

Journal Access:

Electronic access to all of the major medical journals is available both on-site and via remote access. Current and archival print copies of all major ophthalmologic journals are also available in the Resident Library. Out of print articles can be requested via the Cleveland Clinic Library and are delivered electronically at no charge.