INTERNATIONAL FELLOWSHIP PROGRAM PHACOEMULSIFICATION
AND PREVIOUS SEGMENT
Requirements:
• Fill the application form to the Fellowship (see attached).
• Being a foreigner
• Curriculum Vitae with complete and updated list of presentations and
publications.
• Copy and Ophthalmic Medical grade.
• Three letters of recommendation.
• Cancel the institution a value of $ 5.000.oo or its equivalent in Colombian
pesos to cover the total cost of the Fellow-year, incidentals training and
education continuously.
• written personal statement describing what type of surgery and how each
performed in Residence, few as few as assistant surgeon or assistant, just what
you expect from the Fellowship and will bring benefits to you in the future in
private practice, his interests and goals.
• Bring Ophthalmology Basic instrumental for surgery, comprising:
1. Needle Holders
2. Forceps 0.12
3. Forceps 0.3
4.Caliper Utrata
5. Wescott scissors
6. Cornea Scissors
• Year in which to start the Fellowship.
• Laptop Computer (Mandatory)
Send these data addressed to:
Ms. Marisol Jaramillo Zambrano
Manager - Ophthalmological Foundation Vejarano
Race 3 # 5-54
Tel: (57) 2 8241926 Ext 111
Popayan - Cauca – Colombia
APPLICATION FORM TO FELLOWSHIP
Department of Ophthalmology
University of Cauca
Vejarano Ophthalmological Foundation
Race 3 # 5-54; Phone: (2) 8241926
Popayan – Cauca
PHOTO
Surname:
Names:
Date Born:
D.C. No.:
Country of Birth
Home Phone:
Work Phone:
E-mail:
Current Address:
Marital Status
Name of the Father:
Profession:
Country of Residence:
Name of Mother:
Profession:
Country of Residence:
Spouse Name (s):
Have a Physical Disability or Chronic Illness? YES
Name of Institution
City and Department of
NO
Month /
Year A
Month /
Year
Degree
Primary:
School:
MEDICAL EDUCATION
University:
INTERNSHIP AND RESIDENCY
Internship:
Residence:
What?
_________________________________________________________________________
_________________________________________________________________________
EDUCATION premedical
He has graduate degrees or other training courses? YES
NO
What?
_________________________________________________________________________
_________________________________________________________________________
__________________
Signature
________________________
Date
Purpose:
The purpose of the Ophthalmological Foundation Fellow Vejarano is to
clinical and surgical training in the diagnosis, medical management and
sometimes surgical disorders of the ocular surface, cornea, cataract, and
anterior segment.
Know the main external diseases of the eye and its differential diagnosis, learn
the use of different clinical tests for the diagnosis of corneal diseases, as the
diagnosis with the use of special tests such as OCT (Optovue - ARTVue) and
Count endothelial cells (Konan) equal to practice their clinical management
of certain diseases and in some instances observed surgical management.
Learn to identify the different types of cataracts, through proper evaluation
of the lens, know and identify ocular and systemic diseases associated with
them, as well as the pathogenic mechanism in each of these entities and
their respective treatments; know the different surgical techniques for
cataract removal as both co-axial and Bi-axial microbicides axial, taking
account of modern and different teams with correct operation.
Analysis of each case, with refractive error and know which patients are
candidates for refractive surgery (laser, Bioptics or Facorefractiva) and which
is contraindicated, in which cases it is recommended to use and Phakic
intraocular lens implantation, and if contraindicated, in which cases it is
recommended to use Intrastromal Rings or Cross-Linking (CSO) detailed
analysis routine studies and corneal refractive surgery such as the
computerized corneal topography (Placido and elevation), pachymetry,
Images Scheimpflug with PENTACAM HR (High Resolution), the Wavefront
analysis (Aberrometry) with the Wave Scan and identify and treat
complications
after
refractive
surgery
or
corrective.
The International Fellow is permanently monitored by the staff of Staff and is
expected to develop surgical skills and clinical judgment to achieve
excellence in the management of patients, the Fellow also may have the
opportunity to teach medical students.
Duration:
The Fellow is a minimum 1-year program starting in March and ending in
February of the following year, but the fellow is expected to reach one
months earlier (February) for induction of Fellow outgoing and make a
connection with all operating system Foundation.
PROGRAM DESCRIPTION
Patient Assessment:
The Fellow will have an office equipped with all the equipment needed to
perform a thorough eye exam and direct contact with patients in a variety
of corneal diseases such as infections (Bacterial, Fungal, Parasitic), immune
disorders, trauma, high refractive disorders, degenerations and dystrophies;
external diseases like dry eye, ocular surface disorders, problems associated
with the use of contact lenses and eyelid diseases and also patients with
unusual complications and postoperative systemic diseases as our institution
is a referral center for the South Western ophthalmological the country.
It will emphasize the proper evaluation of these disorders, including a careful
history, clinical evaluation, appropriate diagnostic tests and rational
therapeutic plan; difficult cases or very specific pathologies will be discussed
in the Staff group.
Surgery
According to the experience of Fellow shall be tailored program that runs
from the accompanying surgery until they can operate alone, the program
will
have
a
methodology
and
coherent
sequence.
The Fellow will have the opportunity to attend and perform (depending on
the skill observed) multiple eye surgeries, such as:
Corneal surgery including Penetrating Keratoplasty, Lamellar keratoplasty or
endothelial transplantation (rare cases), individually or in combination with
other procedures such as glaucoma (trabeculectomy, Ahmed Valve
Implant), cataract, IOL sutured to Sclera or Iris, Anterior Vitrectomy and
reconstruction anterior segment, Cross-Linking, Intrastromal rings Implant
(Ferrara rings) (which shall issue a Certification Diploma directly from Ferrara
Ophthalmics - AJL Ophthalmic); also incisional surgery (Limbal Relaxing
Incisions)
combined
with
phacoemulsification.
Ocular surface reconstruction limb grafts and amniotic membrane grafts,
tissue adhesive application, scleral patch and pterygium surgery.
Technical Surgery Extracapsular Lens with (very rarely), Phacoemulsification
(COAXIAL - microcoaxial) with all possible techniques and surgery
Microincisional (BIAXIAL - MICROBIAXIAL) and also in complex cases such as
congenital cataract, uveitis, subluxated, hypermature, combination with
other supraespecialidades as with Vitreous and Retina and Glaucoma, etc..
Also in using Biometric Rules and accurate calculation of the IOL most
suitable for each case, even in patients with post-refractive PENTACAM use,
the decision of which also aspherical IOL based on the spherical aberration
of the cornea preoperative patient the graphical PENTACAM Zernike.
The average annual surgeries based on those made by previous scholars
have been:
Phacoemulsification: 160-200
Intrastromal Rings: 30-50
Phakic Lios: 6-10
LASIK: 50-70
And attending nearly twice the number of surgeries that are performed by
teachers, the fellow must keep a record of each surgical procedure
performed,
both
as
a
surgeon,
as
assisted
surgeries.
Education:
The program is fully developed in the facilities of the Ophthalmological
Foundation Vejarano.
There will be many facilities such as audio-visual resources, Library for
consultation with a wide range of information on all matters relating to this
monthly update Supraespecialidad with journals Ophthalmology, Journal of
Cataract and Refractive Surgery (JCRS), Journal of Refractive Surgery (JRS) ,
Ocular Surgery News, Eurotimes, Eye World, Vision Pan-america.
In the weekly academic subjects be reviewed (preset in the program Fellow),
articles (journal club), presentation of cases every three months and will try
to
have
the
presence
of
a
guest
speaker.
Additionally, in the academic program review sessions conducted surgeries
performed by the Fellow and previously taxed on DVD every 15 days, for
detailed analysis and discussion step of correcting problems or difficulties in
performing different surgical techniques.
Research:
The Fellow will have ample time, supervision and resources available to
research findings and procedures performed in the institution, with the help
of the Undergraduate students of the University of Cauca, also are expected
to write at least two articles for the duration the Fellow.
Instructors:
Dr. Luis Felipe Vejarano
Dr. Alberto Vejarano
Co-Instructor (other Supraespecialidades)
Dr. Gustavo Navarro / Vitreous and Retina
Dr. Manuel Ignacio Vejarano / Oculoplastics
Dr. Manuel Julián Olivella / Uveitis, Infectious and ultrasound.
All instructors are very active in this Supraespecialidad practice covering all
areas described above, the institution also has a large center of 1300 square
meters, both Clinical and Surgical with 10 offices and three operating rooms,
a (Room 1) for surgery generally ophthalmic Microscope LEICA M844
touchscreen monitor with built-in stereo and 4 teaching prisms in the optical
head, built with 3 CCD video digital recording on DVD, Signature
Phacoemulsificator FX (AMO) recently released with new technology in
ultrasound emission longitudinal and transverse and equipment for
combined surgery Accurus Anterior and Posterior Segment, the other room
(Room 2) for Refractive surgery endowed with AMO-VisX Star S4 IR and crossLinking with CBM VEGA X LINKER team of CSO (Italian house) and the third
room (Room 3) Plastic Surgery generally Oculoplastic, and other general
minor procedures, perfectly fitted and equipped with the latest technology
to develop fully and unhindered training this Supraespecialidad, including
Clinical Laboratory have and Immune for accurate diagnosis of pathogens
and to a deep study of infectious and inflammatory eye diseases.
Fellow performance regulations:
1. The behavior of the Fellow to the patient and generally within the institution
will always agree with the rules of civility and good treatment following the
advice provided by the Code - Law of Medical Ethics.
2. The attitude that the Fellow take to patients must be friendly, welcoming
and tolerant as occurs in other environments as in private practice or other
private care institutions.
3. It is considered essential that: Appear with the patient, greet in a friendly,
providing maximum comfort during all patient care and, if applicable, to his
attendant, explained to the patient or the participation of students in their
care process; also explain during query development steps are being
followed on clinical examination, with particular emphasis on those routine
procedures and uncomfortable as tonometry, gonioscopy, pupillary dilation
and indirect ophthalmoscopy, explain to the patient the diagnostic
possibilities with its implications, the reasons are requested laboratory
examinations and the monitoring plan, make sure the complaint, regardless
of their relative importance at the end of the medical act, is resolved to the
patient, make sure to resolve all of Similarly doubts that the patient or their
family have.
These considerations are also taken into account during the development of
surgical procedures and postoperative followup.
4. The schedule usually starts at 7 am and ends when finalized consultation
activities or surgery.
5. Any patient who may be in doubt in the management or surgical
complication must be filed immediately with Dr. L. Felipe Vejarano.
6. In consultation weekend is Saturday from 8-12 noon and should be
available to call if presents some urgency of competence.