Department of Ophthalmology & Visual Sciences
Residency Program : FAQs
Questions Often Asked by Resident Applicants and answers by Dr. David McCartney, M.D., Chairman
Over the years, resident applicants have asked many penetrating and perceptive questions. We have collated those questions and added a few we think applicants should be asking as well. While our residency training program has had remarkable stability for many years, the answers given below should be understood to be descriptive of our current status and our plans for the future, but do not constitute an obligation or warranty.
- What are some of the most outstanding strengths of your program?
- What is the accreditation status of your program?
- How well do the residents learn phacoemulsification?
- Does the program use surgical simulation as part of the surgical curriculum?
- What is the typical surgical load for graduating residents?
- Can you give me an idea of the typical resident rotation schedule and clinical load?
- Which rotations do residents complete outside of Lubbock?
- Do you have surgical fellows?
- Are you going to a four-year program?
- Are you planning to change program size or number of residents?
- How do your residents do once they leave your program?
- Are there possibilities for training at Texas Tech for my PGY-1 year?
- What changes do you foresee in your program during the next five years?
- When does the interview committee decide upon its rank list and will I have any feedback from the committee regarding my standing after the interview?
- Is there a moving allowance?
- How is the Job market for Ophthalmologists in the United States?
- Where do your alumni tend to practice after they complete the residency?
- What research opportunities and funding are available to residents?
- Do you train residents in refractive surgery?
- What kind of long-term relationship does your department have with its alumni?
- How involved are the faculty with the residents in terms of extracurricular or social activities?
- Are there any questions you think I should ask in addition to the above?
- What do your residents say about your program?
- How competitive is the Ophthalmology Match Program?
- What qualifications would increase my chances of matching with Texas Tech?
A: Faculty availability/supervision
The availability of our faculty for supervision and the tremendous amount of one on one teaching by faculty members is a unique feature of our program. During surgery, your faculty mentor will be an experienced usually subspecialty trained, senior faculty member, not simply a more senior resident. We believe this high quality of faculty staffing, combined with our superior surgical numbers (for cataract surgery>90th percentile by RRC resident surgery log database, most recent data) translates to outstanding clinical and surgical training in general comprehensive ophthalmology.
Faculty and resident cohesiveness
We make a conscious effort to choose faculty members and residents who are team players and who get along well with peers in addition to having outstanding academic and clinical qualifications. We feel this is an important feature of a training program since interpersonal conflicts can lead to a less than optimal learning experience. We take a degree of pride in cultivating a friendly work atmosphere, knowing that this contributes to promoting an optimal educational experience. Residents have mentioned that they feel that department faculty stability is directly related to the stability and length of tenure (over 17 years) of our chair's office.
Optimal Patient Mix
Another important advantage of our program is our patient mix, which is extraordinarily well-matched to the type of patients and diseases you will likely practice with the rest of your career. Many residency programs rely almost exclusively upon clinic populations who differ substantially in socioeconomic and educational parameters from the populations those individuals will provide care to following completion of the residency training program. Such training is less likely to prepare them as well for dealing with a predominately private patient population. Here at Texas Tech, a remarkably large proportion of our patient population for whom the residents have primary responsibility will be "private" by socioeconomic and educational measures, further enhancing your education as a physician.
Brand new intramural in-house ocular pathology experience
This year the continued growth of our program has allowd us to recruit one of the most outstanding recently alumni, Dr. David Lewis, who completed an ophthalmic pathology fellowship with the revered Daniel M. Albert, M.D., M.S. The program strongly believes that this new intramural experience will stregthen the residents' understanding of pathological clinical conditions and should allow more extensive exposure to ocular pathology than our former external rotation.
A: The Residency Review Committee (RRC) of the Accreditation Counsel on Graduate Medical Education (ACGME) fully accredited our program most recently on June 10, 2010, with our next visit expected May, 2013. We received a three year accreditation time period - a significant vote of confidence by the RRC.
A: Extremely well. University Medical Center Hospital and the VA Medical Center in Big Spring possess the latest Alcon Infinity phacoemulsification units with all options which allow incision sizes as small as 2mm. We also have an active phacoemulsification laboratory with 4 stations complete with Legacy 20000 or master 10000 Phaco units here at the parent institution. Resident access to this laboratory is 24/7 and tissue for educational and/or research use is available from our own in-house Eye Bank (as well as animal tissue from regional packing houses).
A: The program is in the process of integrating surgical simulation into our surgical training program. The VA Medical Center in Big Spring provides the latest dedicated ophthalmology surgical simulator from EyeSi, manufactured by VRmagic, for our residents while they are on their VA rotation in Big Spring, and we expect to acquire a second unit in Lubbock soon. While there is no present surgical simulation equipment available for the simulation of extraocular surgery, the commercially available system for intraocular surgery has been documented to enhance the surgical skills in a safe practice environment. We believe such laboratory enhancement will also increase the efficiency of our residents in the human operating room, allowing them to potentially increase their case load even further than our already very high numbers.
A: Below is the most recent information from the RRC database which shows our overall surgical experience to be at the 95th percentile of programs nationally.
A: Our clinics at Texas Tech are arranged in a modified blocked schedule around our sub specialty faculty. A typical clinic would be the Cornea / External Disease and Anterior Segment Clinic staffed by Dr. McCartney which generally has two or three residents, and we typically see from 18-28 patients per half day. This generally means that each resident, depending upon level, will see between 4 and 10 patients per half day.
A: PGY-3 and PGY-4 residents
spend a total of approximately four months in each year at the VA Medical
Center in Big Spring, divided into two rotations of two months each..
A: Not presently, and there are no plans to do so. The faculty of the department remains committed to resident education as our primary educational mission.
A: Not unless the American Board of Ophthalmology requires four years for "board eligibility".
A: Yes, we plan to increase to four residents per year. We currently have institutional approval and associated funding; however, we pan to coordinate this expansion with an expansion of faculty over the next 2-5 years in order to maintain our very favorable faculty to resident ratio.
A: The performance of our alumni can be measured in several ways:
On average, one third of our residents desire and acquire a competitive fellowship. During the last ten years, we have had fellows train at academic institutions in Boston, Portland, Omaha, Philadelphia, Morgantown, Montreal, Los Angeles, Dallas, Salt Lake City and Albany.
Confidence of practice
It is somewhat remarkable that about two-thirds of our graduates do not choose to do a fellowship. I believe this provides clear evidence of the confidence our alumni feel about practicing general comprehensive ophthalmology once they have finished their training.
A: Yes. We have an informal relationship with the internal medicine program which runs an outstanding straight medicine PGY-1 year. Doing your PGY-1 year here is not required, but is encouraged, in part because doing so would permit you to spend one month of elective time on the ophthalmology service, getting a head start on your residency.
Contact : Brandi McKinnon
Department of Internal Medicine
806-743-3155 x 237
A: Residency Program Expansion
Given the remarkable growth of our teaching practice (as witnessed by our resident surgical numbers) and the manpower shortage within ophthalmology, we are moving forward with our plans for expansion of the residency to four residents per year. Working through the regulatory approval process will take some time and our time frame is not yet firmly established, but we are moving in this direction and have secured the necessary institutional financial support.
Q: When does the interview committee decide upon its rank list and will I have any feedback from the committee regarding my standing after the interview?
A: Our program strictly adheres to the A.U.P.O. and O.M.P. policy that residency programs will not initiate contact after the interview with applicants. If you as an applicant initiate contact, we are certainly free to return your phone call and are very willing to provide you with some feedback on your standing following the ranking. We will finalize our match list by the first week of January and should you have any questions regarding your standing feel free to contact the residency program director, Dr. Mitchell, at any time.
A. Presently, we offer a $500 moving allowance to incoming first-year residents whose move is greater than 100 miles. In addition, a $1400 Professional Development allowance is available to each resident for professional travel and professional supplies such as examination lenses and loupes
A: The patient care needs for physician directed eye care will continue
to increase with our aging population. Despite manipulations of the delivery
system by bureaucrats, managers, and industry there will continue to be
a significant need for quality, caring, comprehensive ophthalmologists.
This belief fuels our desire to provide you with the most comprehensive
clinical training and the maximum opportunity to compete for access to patients,
which will ultimately be based upon your training, abilities, clinical outcomes,
and efficiency of practice. We have made a conscious, collective effort
to incorporate these end goal realities in our training program.
In the Fall of 2000, the above beliefs were officially acknowledged in a presentation by an AMA Task Force on Physician Manpower. For the first time in nearly a decade, a large and leading organization took the position that we were facing a shortage in specialties broadly, including ophthalmology, in the next five to ten years. Further, in the summer of 2003, the Council on Graduate Medical Education reversed its historic 25 year stance against expanding the physician manpower pool at the medical school or graduate medical education level. The CGME is now calling for expanded physician graduate medical education training positions, noting that the demographics now strongly suggest that we will have a physician undersupply, certainly by 2015, at the current rate of production. This is certainly welcome news to all those interested in a career in our beloved field.
A: Our residents tend to practice medicine in Texas, the Midwest, and West, with the least number of residents choosing the Northeast for a practice location.
A: Each faculty member to date has made themselves available as a faculty mentor to assist and guide residents in research projects. Each resident is expected to complete either a case report or a research project. Funding is available through the individual faculty research program and/or from other departmental funds. Educational leave is available on a case-by-case basis for meeting presentations. Dedicated research time is scheduled on Friday mornings during the PGY-3, 4 years while you are on the VA rotation.
A: Together with a number of clinical faculty performing lasik and advanced surface ablasions with our late model Alcon Excimer laser. We are committed to the concept that excimer laser refractive surgery should be a core portion of comprehensive ophthalmologist training. Our residents are some of the very few residents in the United states who get hands on primary surgeon experience (Class 1) with both PRK and Lasik-either conventional or CustomCornea as the patient needs and inclusion criteria allow. Any of our senior residents would be delighted to tell you of their personal experience in this regard.
A: The Department sponsors an annual reception for the alumni at the American Academy of Ophthalmology Annual Meeting and, through the vehicle of an annual newsletter and various ad hoc contacts throughout the year, keeps up with the activities of our alumni over time. Naturally, as with all programs, the Department will be responsible for the rest of your career for credentials verification and letters of recommendation and verification to your future employers, hospital affiliates, and insurance plan credentialing offices. In this fashion, the Department very much views our relationship in the long-term perspective. As well, numerous resident and faculty alumni have become philanthropic partners of the Department through their support and gifts to the Department's foundation accounts.
Q: How involved are the faculty with the residents in terms of extracurricular or social activities?
A: The Department strongly supports the need for quality resident family life, while recognizing that the individual needs of residents will vary significantly depending upon their own personal situation. Currently, after hours activities in which the residents commonly participate include the annual resident graduation dinner in June, an informal picnic to welcome the new residents in September/October, the annual Christmas department-wide function, and various journal clubs occasionally done at noontime or after hours
A: At least one additional question comes to mind. An important measure of the success of a residency training program is the morale of its residents and staff. Although there are occasional personality reasons why an individual resident might be unhappy, it is certainly worthwhile to poll as many residents as possible about their feelings regarding their educational experience. In this regard, we make every attempt to give you maximum contact with as many residents as possible. If you have any additional questions you would like to pose, please feel free to call us. We will make every attempt to put you in contact with as many residents as your time permits.
A: Resident comments emphasizing particular strengths of the program they feel warrant special attention include the following:
- Primary experience with retinal surgery including hands-on experience with anterior and core vitrectomies and retinal buckle surgery.
- All major subspecialties are covered by 1-2 attending faculty.
- Coordination of internship for a smooth transition from the PGY-1 to PGY-2 years is available. This option is available only for residents who also match for their internship with our Texas Tech Internal Medicine program. Over the years, we have coordinated an opportunity such that, typically, two spots (occasionally three) within the Medicine program are available for a PGY-1 position for our residents. The Internal Medicine Department concentrates on trying to offer their elective month late in the year so that the elective can be done in Ophthalmology and the residents can thereby get a head start in transitioning to their residency program. This is ideal when the elective is able to be scheduled in June or May.
- The program presently does not routinely schedule educational conferences or other responsibilities (aside from call) on Saturday or Sunday.
- Reasonable call schedule
- AAO Basic Sciences manual is provided to the residents without charge
- Ample vacation is provided by the institution
- PGY-2 10 working days
- PGY-3 15 working days
- PGY-4 20 working days
- Attendance at the Annual Meeting of the American Academy of Ophthalmology is encouraged as a PGY-4 (educational leave noted above)
- Attractive health, dental, optical insurance for residents and dependents
- Affordable local housing-many residents actually purchase their home due to the very attractive housing market
A: The latest match information is available at : http://sfmatch.org/residency/ophthalmology/about_match/match_report.pdf
A: Periodically, an applicant asks me the question, "What are you looking for in an applicant?" While the program recognizes the obvious reason for asking such a question we are happy to be quite open about our preferences in the qualifications of applicants, as we are really not looking for statements for self-testimony about such qualifications, but rather objective evidence from your established record. Among the qualifications we value most are the following:
- Demonstrated interest in something bigger and higher than one's own professional and economic interests
- A superior work ethic
- Superior clock speed and ability to think on one's feet
- A superior intellectual capacity as demonstrated by past performance
- An honest, inquiring mind
- A strong personal commitment to self-education
- The possession of a strong moral compass which can serve as the foundation for development of exemplary professional ethical standards
- Sufficient flexibility in interpersonal relationships to allow a strong team player attitude
- Positive attitude and winning personality