ANNA DASTIRIDOU, VICTORIA TOUMANIDOU, ΜARIA ΚΟΤΟULΑ,  ELENI PAPAGEORGIOU

Attendance and successful examination in:

i.  Anatomy of Nervous System and Sensory Organs

Greek (for Greek undergraduate medical students)

English (for Erasmus students)

Α) 11 lectures (2 hours each)/ semester (2 semesters)

     (In person)

Β) Clinical Practice in groups/ 6 hours in total/student with designated academic tutor

     (In person/tutoring)

1. C) Surgical theatre attendance

     (In person/tutoring)

1. D) Clinical shifts

     (In person/tutoring)

Mandatory: 3 lectures, 3 clinical practice sessions/student, 1 surgical theatre attendance/student, 3 clinical shifts/student.

Lectures

Power point presentations/Videos/Interactive quiz

Clinical practice

• camera assisted slit lamp examination of anterior segment in healthy and diseased eyes.
• posterior segment evaluation through demonstration of optical coherence tomography/angiography testing (OCT, OCTA).
• surgical theatre attendance Live surgical cases observation through a video assisted recording system attached to the operating microscope.

• e-class

supplementary material: Videos to enhance understanding of concepts covered in lectures, emergent eye conditions and surgical cases videos, e-learning educational resources.

1.  Multiple choice questions (written format) covering basic ophthalmology concepts discussed during lectures and clinical practice sessions.

Or

2. Combined written assignment: Multiple choice questions and short answer questions covering basic ophthalmology concepts discussed during lectures and clinical practice sessions.

Or

3. Oral Examination

Assessment criteria are always accessible to students.

The aim of the course is to introduce students into the basic principles of Ophthalmology and provide them with the tools to design, analyse and devise a diagnostic plan for patients with ophthalmic symptoms, taking into consideration the relevant medical history, laboratory workup and ophthalmic imaging tests. In addition, the course intends to educate students regarding the basic differences in physiology and pathophysiology between healthy and diseased eyes and moreover to describe the aetiology, pathology, clinical course, and treatment of the most common eye disorders.   

Following the successful completion of the course the student should be able to:

• make effective use of simple diagnostic ophthalmic techniques and therapeutic options relevant to the specialty.
• to evaluate and manage efficiently emergent ophthalmic conditions.
• to organise diagnostic investigations for patients with eye symptoms.
• to think broadly and correlate abnormal ophthalmic findings with systematic manifestations, to collaborate with fellow students in order to search and analyse bibliography, to prepare academic work for presentation in scientific meetings.

General Abilities

Research, analysis and synthesis of data and information, using the necessary technologies Adaptation to new situations

Decision making

Autonomous work Teamwork

Working in an international environment Work in an interdisciplinary environment Production of new research ideas

Project design and management

Respect for diversity and multiculturalism

Respect for the natural environment

Demonstration of social, professional and moral responsibility and sensitivity in gender issues

Exercise criticism and self-criticism

Promoting free, creative and inductive thinking

Α. LECTURES (2 hours/week)

1. The Eye Examination (MANDATORY)
2. Acute Vision Loss
3. Chronic Vision Loss
4. The Red Eye
5. Ocular and Orbital Injuries
6. Amblyopia and Strabismus
7. Neuro-Ophthalmology
8. Eyelid, Lacrimal, and Orbital Disease
9. Ocular Manifestations of Systemic Disease (MANDATORY)
10. Drugs and the Eye (MANDATORY)
11. Interactive Quiz

Lectures are delivered in the 5^th year as per medical school’s curriculum for Greek medical students (9^th&10^th semester).

Β. Clinical Practice (in groups, during 9^th and 10^th semester – mandatory)

6 hours/student to develop practical examination skills in inpatients and outpatients’ settings. One supervising academic tutor/group/training session.

 During the clinical practice sessions with the supervising academic tutor the training outline is as follows:

1. Slit lamp examination of normal patients with the instructions of a designated academic tutor.
2. Brief demonstration of technological equipment and relevant clinical applications.
3. Visual acuity testing (age appropriate), pupillary light reflexes testing, confrontational visual field testing, colour perception testing, ocular motility examination, intraocular pressure measurement.

4. Demonstration of proper techniques to administer ocular medications.
5. Practice eye drops instillation, ophthalmic patching, eyelid eversion and irrigation.
6. Examine patients (history, basic ophthalmic examination) with students in small groups.
7. Slit lamp examination of cataract and other anterior segment pathology with camera assisted slit lamp methods and discussion of relevant cases.

8. Observation of fluorescein angiography, optical coherence tomography/angiography testing and group discussion of normal versus abnormal findings.

9. Practice in proper management of ophthalmic emergencies.
10. Educate students to examine posterior segment with direct ophthalmoscopy through mydriatic and non-mydriatic pupils.

11. Demonstration of automated visual field testing and group discussion of normal versus abnormal findings.

• Students are handed specific training attendance cards (logbook) at the first clinical session and academic tutors verify appropriate training as described previously. 

• Clinical shifts: students are trained how to approach emergent eye conditions as primary care providers.

• Surgical theatre attendance: students observe surgical treatment of clinical cases through a video assisted recording device attached to the operating microscope. A designated member of the surgical team explains surgical steps to students and answers appropriate questions.

1. Basic Ophthalmology: Essentials for Medical Students 10th Edition

       By Ph.D. Allen, Richard C., M.D. (Editor), M.D. Harper, Richard A. (Editor) 2016/ISBN-10: ‎1615258043/American Academy of Ophthalmology

3. Medscape
4. EyeWiki
5. PubMed