Training Programme

Overview

Training is supervised by:

  • Director of fellowship programme – Mr Bijan Beigi
  • Clinical Director
  • College Supervisor

Educationally approved fellowship by East Anglia Deanery in Cambridge provides ASTO in Oculoplastic. Fellows must have a registered primary medical qualification. They should also have completed their basic general ophthalmic training in an accredited Ophthalmic Department. A basic knowledge of oculoplastics and surgical experience at an OST3-4 level (4th year resident and above) is required.

Duties of the Fellow

Fellows/ASTO are expected to familiarise themselves with detailed ocular adnexal anatomy, physiology, pathology and theoretical management of oculoplastic, lacrimal and orbital conditions in the first 3 months of their training. During this period they will be closely monitored. The Fellow will assist in the operating theatre, be instructed in complex eyelid and lacrimal surgery and will perform minor procedures independently. The next 3 months will be focused on eyelid surgical training. Lacrimal and Orbital surgery will be undertaken in the second half of training. In the last 3 months the fellow is expected to be able to perform Ptosis surgery, Lid reconstructions, DCR and orbital biopsies independently. Depending on progress more responsibility will be given later in the Fellowship.

When appropriate, Fellows are encouraged to participate in the teaching of the junior trainees and should participate in the oculoplastic tutorials.

In addition, they should participate in setting up a minimum of 2 clinical research projects and contribute to longer term studies. They will be encouraged to present the results of their studies at the EAOPLG (East Anglia Oculoplastic and Lacrimal Group), BOPSS (British Oculoplastic Surgery Society-in association with the Royal College of Ophthalmologists) or ESOPRS (European Society of Ophthalmic Plastic and Reconstructive Surgery) meetings. They will be able to attend the Ipswich Lacrimal Course and other specialist courses organised by the Adnexal Unit when appropriate.

Clinical & Surgical experience:

  1. 3 sessions adnexal & oculoplastic clinics/week
  2. 3 sessions oculoplastic and lacrimal theatres/week
  3. 1 session private oculoplastic and cosmetic thaeatre

The weekly training programme consists of 1 adnexal clinics (eyelid and orbit), 1 Lacrimal clinic, thyroid clinic (joint with Endocrinologist),  urgent assessment lid clinic, general clinics (external eye & neuro-ophthalmology). All of these sessions are supervised so that there is teaching in the clinics.

Weekly surgical sessions include 3 consultant-run oculoplastic and lacrimal sessions (2 GA and 1 LA). Associate Specialist has 2 independent LA session. Attending the cataract session is optional. In addition the fellow attends a Pediatric oculoplastic and lacrimal session once a month . The fellow is expected to take over all the lists in the absence of the trainer.

Other

  1. Teaching: 1 session/week (see Friday afternoon teaching,under adnexal service)
  2. Research: 2 sessions/week. There is a considerable amount of material available for clinical research and audit.
  3. Basic science research may be possible within the School of Biological Sciences at the University of East Anglia. Any specific research of special interest to the Fellow will require funding and previous planning.
  4. Library: There is a state-of-the-art library at the University Hospital. All NANIME facilities will be available to the Fellow.

Fellow’s Timetable

AM PM
Monday Oculoplastic/Lacrimal theatre LA Associate’s List
Tuesday Lacrimal clinic Oculoplastic/Lacrimal Theatre
Wednesday Adnexal Theatre GA Oculoplastic Theatre
Thursday Adnexal Clinic Urgent assessment lid clinic 2:4
General Clinic 2:4
Friday Research( Private Plastic list) Journal Club 2:00-2:30
Case reports 2:30-3:45
Lecture 4:00-5:00

 

Recommended reading

  1. Colour Atlas of Ophthalmic Plastic Surgery. AG Tyers, JRO Collin. Churchill Livingstone.
  2. Surgery of the Eyelid, Orbit and Lacrimal System. Monograph No 8. American Academy of Ophthalmology. Volume 1-3.
  3. A Manual of Systemic Eyelid Surgery. JRO Collin, Churchill Livingstone.
  4. Orbital Surgery, A conceptual Approach, J Rootman, B Stewart, Ra Goldberg. Lippincott-Raven.

Web Sites

Bickerston Prior Ltd Company No. 12345678 Registered in England and Wales Bickerston Prior, Hill House Consulting Rooms, Spire Norwich Hospital, Old Watton Road, Colney, Norwich NR4 7TD