CorneaEd Corneal Fellowship and International Corneal Training Program Registry *Please email the completed Questionnaire to: acs@snec.com.sg or fax to: (65) 6227 7291 Country : Name of Institution : Contact Person : Contact Details : Telephone : Facsimile : Email : Website where information is available Type(s) of Fellowship Currently Being Offered in Your Institution Fellowship with Structured Curriculum and Certification Does the Fellowship fulfill AUPO-FCC* fellowship training requirements? Yes No *AUPO-FCC: Association of United Professors of Ophthalmology – Fellowship Compliance Council Please note: These are the fellowship training requirements laid out by the Association of United Professors of Ophthalmology – Fellowship Compliance Council (AUPO-FCC). There may be other more defined guidelines which may differ from what has been set out below. Fellowship training requires more in‐depth education about the pathophysiology and management than can usually be obtained in residency training in ophthalmology. Fellowships include a continuous period of intense and focused training in developing and maintaining knowledge, skills, scholarship, and professionalism. A fellow should be knowledgeable and proficient in all the activities listed for residency training. Subspecialty fellowship training should include a more in-depth exposure and understanding of the diagnosis and medical management of diseases of the eyelids, conjunctiva, cornea/sclera, and anterior ocular segment, as well as recognition and treatment of posterior segment disease that may affect the anterior segment. Subspecialty fellowship training should include hands on training covering surgery of the conjunctiva, cornea/sclera, anterior segment, lens, and anterior vitreous, with special emphasis on corneal transplantation and related procedures. The fellow should be exposed to opportunities to develop research skills. A specific block of time may be set aside for clinical or laboratory research. To be eligible for qualification as Full Corneal Fellowship in our definition, the duration of training must be no shorter than 6 months. Any training shorter than the designated 6-month requirement would otherwise be considered observership or clinical attachment. 1 2012-0420-CLDT CorneaEd Corneal Fellowship and International Corneal Training Program Registry Name of Preceptor(s) : Please list down the duration of your institution’s fellowship programme : months Fellowship Scope(s) of Fellowship Training Provided by Your Institution (Tick all that apply) Medical Cornea / External Eye Diseases Surgical Cornea / Anterior Segment Diseases Corneal Transplantation – PK Corneal Transplantation – Selective Lamellar Keratoplasty – ALK, EK etc Medical Contact Lens Ocular Surface Diseases and Surgery Cornea Refractive Surgery Others, please specify: Research Opportunities During Fellowship Yes No If Yes, Please State Areas of Research Opportunities Basic Science Translational Medicine– Laboratory Based Clinical / Epidemiology Research Funding Arrangement(s) of Your Institution’s Fellowship Program Salaried Position Fellowship Stipend Not Funded Training Fees Chargeable to Fellow 2 2012-0420-CLDT CorneaEd Corneal Fellowship and International Corneal Training Program Registry Hands-On Surgical Experience During Fellowship Yes No Date of Commencement of Fellowship in Your Institution Please Specify: Required Medical Registration and Applicable Licensing Issues For Fellowship Program 1. 2. 3. 4. 5. 6. Observership / Clinical Attachment Is Observership / Clinical Attachment Available in Your Institution? Yes (Defined as training not formalised as a full fellowship program described on page 1) No If No, please ignore rest of questionnaire Contact Person if Different from Fellowship Contact Person : Contact Details : Telephone : Facsimile : Email : Duration of Observership / Clinical Attachment (There are no restrictions as to duration) Please Specify: Funding Arrangement(s) of Your Institution’s Observership / Clinical Attachment Program Funded Not Funded 3 2012-0420-CLDT CorneaEd Corneal Fellowship and International Corneal Training Program Registry Hands-on Surgical Experience During Observership / Clinical Attachment Yes No Date of Commencement of Observership / Clinical Attachment in Your Institution Please Specify: Required Medical Registration and Applicable Licensing Issues for Observership / Clinical Attachment 1. 2. 3. 4. 5. 6. 4 2012-0420-CLDT