OPHTHALMOLOGY

The Medical City

1. GENERAL RULES
1. BE PROACTIVE
1. Show interest in the rotation by:
1. ASKING questions in the OR or when observing procedures or in the
OPD when the residents are not busy
2. ASKING to join the rounds during your tour of duty (because they will
not invite you most of the time, especially during the evening. In our
experience mornings are also iffy, and some residents prefer to only have
1-2 companions at a time, intern, or intern+clerk.)
3. They will reiterate that they do not want to spoon feed you so the
learning has to be up to you
4. ALWAYS Attend the interns’ report in the morning at 7:30 am (only 1
person from the From-Duty clerks may be excused to attend this
especially if there are early morning ORs)
2. Always be in complete uniform. Observe proper decorum. Let your resident and interns
know your whereabouts.
3. Make sure your group leader sends a text message to the Clerks Monitor (Dr. Cristina Tan
(0920-905-2432) one or two days before the start of your rotation. Also send her your
email address as she will email to you the ff files:
1. CLERKS’ GUIDELINES
1. This was specifically prepared by Dr. Alog for the TMC rotators. Read
thoroughly and use it as a guide so you will know what is expected of you.
2. CLERKS’ GUIDE TO TMC EYE CENTER PROCEDURES
1. A good guide to read so you will get familiar with the procedures done in
the Eye Center. It will help you relate with the procedures discussed
during the morning OR endorsements.
3. CLERKS’ Attendance sheet: You will be working hand in hand with your interns,
ask help from them and be kind to them.
4. Your leader has to revise and print the clerks’ attendance sheet and show it to the
clerk’s monitor during your first day.
4. Always bring your PENLIGHT and scrubs (also bring OR shoes). You are also encouraged
to bring your ophthalmoscope.
5. Please observe proper OR decorum​. Learn how to do closed gloving.
6. Always coordinate with the QMMC group. ​This is important especially in the
Grand AdCon because it is better to know the cases to be discussed beforehand because
the consultants and residents like asking everyone.
7. Only receive ER calls when answering the phone in the Eye Center. If there are calls
asking to schedule appointments, direct them to the receptionist.
1. If there are calls regarding schedule appointments past 5PM, courteously ask the
caller to call again during office hours so that the receptionist can entertain them
8. Be considerate of your interns and make sure they do not need to complete any more
surgery requirements before you scrub in on a procedure. Be mindful that they have
requirements and THEY COME BEFORE YOU IN PRIORITY.
 9. UNIFORM
1. Complete white uniform with blazer.
2. Black shoes.
3. TMC ID
10. Where to eat
1. Bridgeway 2F, or anywhere in the proximity.
2. You are allowed to buy food from RBC as long as you ​DECK
1. Lunch will have to be decked with your interns and your co-clerks
especially during ORs that are scheduled around lunchtime or after lunch
at 1 pm. Be wary of the tasks that you need to finish ahead of time (e.g.
OR techs for phacos)
2. You can also have your food delivered at night when you are on duty. You
usually claim it at the loading dock in the LG near the staff caf. Download
Foodpanda or Zomato.
3. Safety concerns
1. Leave them at the quarters but bring things you need with you. You may
bring them at the Eye Center at night if you are on duty but return them
to the quarters before the Eye Center opens.
2. Leave the TV on in the Eye Center at night. The Eye Center friendly ghost
apparently prefers to have the TV on (and usually on cartoon/anime
channels such as Cartoon Network, Animax, Disney, etc.).
a. You can watch the news and other channels when you are still
awake, but before you go to sleep, change them to the
aforementioned channels just to be sure :)
3. Don’t forget to transfer cash and valuables from your coats to your
scrubs. May klepto raw. You can bring your phones into the suite.

2. What to do/Expectations
1. Pre-duty
1. Schedule
1. Starts at 8:00 AM to 5:00 PM (and beyond)
2. Before going to the OPD, proceed to the Eye Center first to sign in.
3. Before going down, check if there are folders/charts that have to be
brought down to the OPD from the conference room in the Eye Center.
2. Things to Bring (to stay alive)
1. Energy!
2. Pens and paper
3. PENLIGHT
4. Eye exam equipment are already provided in the OPD clinic :)
5. Other PE tools: neuro hammer, stethoscope
6. You need your computer and an extension cord if you want to help your
interns with the work and go home early. (IMPORTANT. Really speeds
up things.)
3. Medical Equipment to Bring
1. PENLIGHT
2. Stethoscope
3. Ophthalmoscope (not necessary)
4. Special Tasks during this Status:
1. Always answer the phone whenever it rings
2. Get a chart from the shelf right beside the door. The patient may either
be a new one or follow up.
a. New patient (PRIORITY): OPD registration form and database.
Be sure to complete the patient database.
b. Follow up patient: Follow up sheet. You may study the previous
follow up sheets first to know what to ask from the patient.
3. Be sure to fill out all the sections in the OPD sheet, especially for new
patients. After doing Hx and PE, PROPERLY endorse to the resident and
have the patient wait for the resident to check on him.
4. COMPLETE YOUR S AND O. For the Subjective part, make sure to
include the following information for follow-up patients:
a. When the patient was last seen
b. The patient’s case (COMPLETE ASSESSMENT - you can refer to
the A part of the previous follow-up sheets); INCLUDE
LATERALITY!
c. Medications given or currently taking
d. Compliance with medications
e. New ocular complaints (if any)
f. Improvement or degeneration of symptoms (if applicable)
g. Example: Patient MK, 58 years old, was last seen on June 9,
2017. Patient is treated as a case of dry eyes and cataract
presenile immature, both eyes. Currently taking sodium
hyaluronate eye drops 6 times a day as lubricant with good
compliance. Claims to have progression of blurring of vision.
5. The resident may either put the patient’s chart in pending or done. Ask
your residents if you can start logging the patients’ charts. This may take
long because they bring some patients to the consultants’ clinics. You will
have to wait for them to finish so that you can log the charts.

6. Logging
a. EXCEL file
i. Interns usually do this but you may ask to help
 ii. Ask the interns for the current protocols (and ROD’s
instructions) in doing the Excel file (During our time we
took note of Patient name, age, assessment/s and
plan/s).
iii. This is where the clerks can actually help by bringing in a
laptop so that logging can be done early (and everyone
can go home earlier as well)
b. Orion
i. Ask for the R1’s username and password. You will have
to repeat the whole OPD chart in Orion (including slit
lamp, EOMs, and Funduscopy drawings. Think MS Paint
but in Orion. it really takes a while.)
7. Patient database accomplishment (see photos)
5. How Do Departmental Endorsements go/happen?
1. Clerks are not usually involved during departmental endorsements
unless stated otherwise.
2. Duty
1. Schedule
1. Starts at 7:00 AM to 7:00 AM the next day.
2. Wait for your resident and interns to tell you when you can go to sleep.
2. Things to Bring (to stay alive)
1. Sleeping bag (not necessary if you are comfortable sleeping on the
couches)
2. Layers for sleeping and pillows. Clerks are to sleep in the Aquarium on
the floor, and it gets really cold sometimes ❄.
3. Medical Equipment to Bring
1. Penlight
2. Stethoscope
3. Ophthalmoscope (not necessary)
4. Special Tasks during this Status
1. Eye Center
a. General history taking and physical exam
i. You stay at the Eye Center and wait for the nurses and
technicians to tell you to interview a patient. You can
stay in the Work Room and wait for them to call you.
ii. There are 2 kinds of interview: one for ‘procedures’ and
one for ‘new patients’. The nurse will give you the forms
you need to fill out. History is usually short, and PE will
usually include only VA unless the residents specify
other pertinent PE needed
b. Nurses and techs may ask you to do quick history and VA for
patients with diagnostics to be done for the day
c. You may also be asked to put dilating drops (Tropicamide and
Phenylephrine (SanMyd)) Do this every 10-15 minutes until the
eye is 8-9mm dilated
d. marking to the patient's’ eyes before a procedure may also be
asked of you (Mark with an arrow pointing downward to the
 eye). You also may be asked to insert a cannula or IV push a drug
during fluorescein angiography
e. Do not loiter so much in the reception area. Try to observe
procedures in the aquarium (aka instrument room) and assist
the techs and doctors doing the procedures
f. You are also free to observe procedures in the other rooms, like
injection of intravitreal medications
2. ER Referrals (7am-7am)
a. Make sure to answer all phone calls if there are no other people
around you. Take note of the number where they are calling
from.
b. If there is an endorsement, make sure to get the ff:
i. Name, age, sex, chief complaint and a brief history of
what happened to the patient.
ii. Ask if the patient is urgent or nonurgent.
iii. If urgent, ask if the patient is stable or not. *Urgent cases
ex. elevated BP, non-ambulatory.
c. Refer to your resident. ​The resident will tell you if you’ll ask
the ER nurse to bring the patient to the eye center, or if you’ll go
down to the ER.
i. Regardless of what will happen logistically, call the ER
nurse to inform them of what you’ll do, and ask them to
print out ​2 copies of the Ophtha Patient Database​.
ii. If they bring the patient to the Eye Center, you can start
doing Hx and PE, and then just refer your findings to
your resident.
iii. If you have to go down, you can ask your resident if
he/she would like you to go ahead, or if you’ll go
together.
d. Log the patients seen for the day (Name, Age, Sex, Assessment,
Plan) in the ER logbook.
i. The ER logbook is located in the reception area of the
center.
ii. The completed carbon copy of the form is stored in one
of the drawers in the reception area marked
“Accomplished forms”
e. Everyone stays at the Eye Center.
i. You just have to move the telephone to where you are
sleeping so that you hear the calls. Transfer the phone
from the reception and plug it in any port beside the
door. Wait up to 5 mins for a dial tone. Be sure the
phone works before sleeping.
f. MEDICATIONS given and USUAL prescriptions (ER Setting)
i. 1. Moxifloxacin eye drops (Vigamox) (for corneal
abrasions/lacerations)
1. Sig: Apply to affected eye 4-6 times a day for 7
days as anti-infective
 ii. Tobramycin + Dexamethasone eye ointment or eye
drops (for hordeolums/ viral conjunctivitis)
1. Ointment: ​Sig: Apply 1 strip to affected area 2
times a day for 7 days as anti-infective and
anti-inflammatory
2. Drops:​ Apply 1 drop to affected eye 4-6 times a
day for 7 days as anti-infective and
anti-inflammatory
iii. Tobramycin eye ointment (for lacerations/wounds)
1. Sig: Apply to affected area 4-6 times a day for 7
days as anti-infective
iv. Sodium Hyaluronate 0.1% (Hialid) (for lubrication)
1. Sig. Apply to affected eye 4-6 times a day as
needed as lubricant
v. Carboxymethyl cellulose sodium (Systane) (for
lubrication)
1. Sig. Apply to affected eye 4-6 times a day as
needed as lubricant
vi. Acetazolamide 250 mg (glaucoma patients)
1. Sig. Take 1 tablet every 6 hours for IOP control
3. FORMS
a. 2 copies of Patient Database:
i. When filling out the database forms, use carbon paper
for efficiency. You can separate the sheets and multiple
people can fill them out so that you finish right away.
ii. Give the original to the nurse, and keep the carbon copy.
Put it in one of the drawers in the reception area labeled
as “accomplished patient forms”
b. You also have to prepare DISCHARGE INSTRUCTIONS and
MEDICATION PRESCRIPTION, if there’s a need to.
i. Both original and carbon copies go down
c. To be more efficient, you can look at the ER log book to
check the usual Plan with prescriptions so you will
know what to write once the Resident confirms the
diagnosis​.
5. How Do Departmental Endorsements go/happen?
1. Just the resident and the next ROD (they usually are just one a day on
deck)
2. You endorse to one another as well
3. From
1. Schedule
1. OR Schedule is usually edited in the whiteboard in the workroom by 8pm
the previous day. Deck yourselves accordingly.
2. Be in the OR 45 minutes to 1 hour before the first OR
a. Allot time to do pre-op interview of patient and preparation of
OR tech reports. It’s the duty intern/clerk’s job to schedule the
ORs.
 b. Be aware that if the cutting time is early (around 7am) then you
need to be in the Surgery Suite by 6am to interview the patient in
PARU and type the OR tech form.
c. Your resident will tell you if you need to go up earlier
d. As a courtesy, do not leave the OR complex until all the surgeries
for the day are done, or, wait to be relieved by the duty group.
3. It is usually at 7:00 AM
4. If no more surgeries for the day, ask your resident where you are
expected to go next.
a. We were expected to help out in either the OPD or the eye center.
2. Things to Bring (to stay alive)
1. Scrub suits and pants
2. Penlight with pupil gauge
3. OR shoes
4. Coffee. Consultants hate it when you fall asleep on them in the OR. Huge
no no if you are assisting.
3. Special Tasks during this Status
1. OR decorum
a. Assist your surgeon (resident or consultant) the best way
possible. Always introduce yourself.
b. Your job is to do the interviews in PARU and make the OR techs
and Take Home Instructions. Don’t loiter around the corridors.
c. Don’t crowd around especially if there are consultants around.
d. Don’t go into the doctor’s lounge unless you are invited by a
resident or consultant.
e. Always update yourself of the OR schedule in the ​whiteboard
area in the OR.​ It has always the most updated schedule. Do
this so you can answer to your resident as well. You may take a
picture for your reference. A checkmark is placed on the patient
if he/she is already in the PARU. However there is a more
detailed one printed in the nurse’s table in the PARU containing
the patient’s name.
f. In Ophtha, unlike in Surgery, not all ORs require an assist, but
you are required to take all their histories and assist in making
OR techs, especially if there are no interns
2. Pre-Op interviews
a. Check the OR schedule from the PARU nurse table and take note
of the name of the patients for ORs that day.
i. Usually, patients are already in the PARU 20-30 mins
before the scheduled OR.
ii. Get their charts (if OPD, it’s the Ophtha OPD sheet, if
admitted, it’s the hospital chart in silver case) and find
for them in the waiting area.
iii. Conduct PRE-OP interview.
iv. Sometimes the nurse also asks you to take the vitals. Do
it gladly for them.
b. Confirm patient identity by letting them recite their full name,
birthday, and surgeon who will do surgery.
 c.Confirm which EYE will be operated. Usually, the eye will
already have a PENTEL MARK (colored purple). If none, you can
ask the resident/nurse if you can be the one to mark it.
d. Ask for SUPER BRIEF HISTORY. For cataract patients
undergoing PHACO, a template is:
i. “Few years PTC, patient noted onset of BOV on
L/R/B eyes, described or characterized as cloudy
visual field. There is no associated pain, redness,
discharge, diplopia, or metamorphosia. Pt noted
progression in the blurring of vision, thus the
reason for consult.”
ii. For inpatients, no need to get HPI.
e. ·Ask for ALLERGIES & CURRENT MEDICATIONS.
f. For the ROS at the back of the 1st sheet, just put unremarkable in
all fields/systems.
g. For PHACO surgeries, check if the eye for surgery is already
DILATED and if the patient is still putting the eye drops for
dilation.
h. If patients asks what are the DOs and DONTs after surgery, tell
them that they will be properly instructed after the surgery. The
residents usually do the home instructions
3. OR Techs and take home instructions (THI)
a. This is a clerk’s important job. If there is one thing that you
should not fail to do, this is to do the OR tech and THI, especially
for PHACO SURGERIES.
i. Phaco surgeries usually has the same technique for
everyone so it doesn’t change for every patient
ii. For some complicated surgeries, the resident assist will
be the one to do the OR tech. Confirm to him/her.
b. Get patient details (NAME, AGE, BDAY, ADDRESS) and the
PROCEDURE + which eye to be operated on from the PARU OR
Schedule. Usually we just get the patient sticker
c. Use the computer in OR 4. Open the Optha OR Tech (its icon is a
star) folder and create a file from the template with the
appropriate operation and surgeon that is scheduled for that
patient (e.g. PHACO VLC [Dr. Victor L Caparas]). MAKE SURE
THAT YOU WILL OPEN TWO FILES (1. The OR tech report and
2. THI).
d. Edit the details on the sheet, making sure that the ​correct eye​ is
what is on the report.
i. Also, know which resident is assisting (first and last
name) because it is included in the sheet.
ii. For some instances when an anesthetist is on board, you
usually have to know their name as well.
e. After editing both the OR tech and the THI, ask your resident to
check before printing. You’ll have to reprint if there are mistakes
and that’s a waste of paper. Print 3 copies of OR Tech, and 2
copies of THI if the patient is outpatient.
 f.Most of the surgeons have their own OR Tech and THI forms so
be sure to ​look for their initials on the computer ​(for
example a phaco by Dr Caparas is listed as Phaco_JLC etc)
i. JLC is his initials
g. After printing the OR tech and THI, make sure to bring them to
the correct OR
4. Assisting in surgeries
a. You may assist depending on the consultant (irrigation in Phaco,
injection of local anesthetic, post-surgery cleaning of the
patient’s face) PLEASE OBSERVE PROPER OR DECORUM
i. Mahal ang IOL, don’t touch it with your unsterile stuff.
ii. Know how to gown and glove on your own. PLEASE
REVIEW CLOSED GLOVING!
b. Note: ​Make sure that you are hitting the cornea in irrigation!
Sometimes akala mo tumatama pero hindi talaga! Irrigation that
shoot into the cornea while looking into the microscope is a skill
hehe
c. Note: ​Make sure that the microscope is aligned with your
pupillary diameter BEFORE the operation starts and BEFORE
you scrub in because you will not be allowed to adjust it while the
operation is ongoing. Usually.
5. Observe the surgeries
a. Be sure not to touch the sterile tables! Practice extra precaution
when the doctors/nurses who are scrubbed in are making you
hand something to them. There are usually monitors in the ·
ORs, so if you’re not scrubbed in, just watch. It’s usually phaco
surgeries, and it gets repetitive and boring after 2 phacos. Stay
near the doors next to the TV screen when you are watching and
don’t move because you’re unsterile.
b. If there are interesting and RARE surgeries (corneal transplant,
DSEK, muscle surgeries, enucleation), ask the
consultants/residents if you can observe!
4. How Do Departmental Endorsements go/happen?
1. Make sure to coordinate with your interns who is scrubbing in/observing
in which surgeries.
2. Check the ​OR schedule for the week​ (and the updated one the night
before) to guide yourselves. This is written in the meeting room
whiteboard
1. Must Knows / Must See
1. Please refer to the Clerk logbook
2. Are there prescribed must knows, must dos for this rotation? If yes, what are these?
i. Must Knows
1. Eye Anatomy
a. Layers of Tear film and their respective glands
b. Layers of Cornea
c. Layers of Retina
d. Spiral of Tillaux vs Annulus of Zinn
2. Diagnostic procedures (Refer to Clerk’s Guide)
 3. Test for tear film production/function and normal TBut (tear breakup
time)
4. LOCS III Classification system
5. Van Herick Classification
6. Pathway of aqueous humor flow/production
7. Difference between anterior/posterior chamber from anterior/posterior
segments
8. Common drugs and MOA
9. Gonioscopy concepts and findings
10. Normal IOP values and ways to measure them
11. Difference between PHACO and ECCE
3. What other cases do you think are deemed must know despite it not being prescribed?
i. Eye trauma is very common so it is useful to know the different types of
lacerations, etc.

1. History Taking
1. What are the important history questions for this rotation?
i. ALWAYS CLARIFY THE DESCRIPTION OF THE BLURRING OF VISION
1. Do not settle to just BOV. Always ask how it affected them and their
everyday lives as well.
2. Cloudiness, tunnel-vision, central black spot, floaters, etc.
ii. Previous ocular surgeries or treatments/medications
iii. Trauma to the eye
iv. If on glasses or lenses, when was the last time it was refracted
v. HISTORY OF DIABETES, HYPERTENSION, DYSLIPIDEMIA (family history as
well)
2. Are there any often (most common) overlooked history taking questions?
i. Clarification of the blurring of vision. Again, it is important to characterize it!

1. Physical Exam

1. What are the most important PE skills needed for this rotation?
i. Doing a Near Vision Acuity (Jaeger) and Distant Vision Acuity (Snellen)
efficiently and grading accurately
2. Are there any important PE skills that are often overlooked?
i. Gross observation of the eye. Try to look at pictures so that you will be familiar
with different gross lesions in the eye (chalazion, hypertrichosis, etc.)
3. What tools are need to have/nice to have during this rotation?
i. A good PENLIGHT

1. Skills
1. What are the important/required skills needed for this rotation?
i. AR Keratometry - Apart from the Basic VA exam, clerks are first-line in getting
this parameter from patient.
ii. Slit-lamp Exam - MUST WATCH AS RECOMMENDED BY THE RESIDENTS
1. https://www.youtube.com/watch?v=w9wMJ6job_0&feature=youtu.be
2. What are other skills needed for the rotation?
i. Knowing your eye anatomy!
1. Requirements (e.g. professional skills form, SGDs)
1. What are the expected outputs for this rotation? Please make a summary checklist of the
requirements
i. Requirements by the end of the TMC rotation
1. 2 Professionalism
2. 2 Skills Performance
3. 1 case discussion each (may be submitted at this time for those who have
already presented in the SGDs. Not everyone will be able to report in
TMC, the rest will do their report in QMMC).
4. Progress notes on 1 in-patient starting on your duty day (so some will
have more days than the others but Dr. Tina just wants it to be super
brief, preferably to all miraculously fit in 1 page haha. Make the drawings
for EOMs, Gross Eye small, but keep the Slit Lamp drawings a little big.)
a. 1 patient can be made notes of by a total of 3 people. 1 from the
pre, 1 from the duty, 1 from the from (gulo huehue). Make sure
you have no common patients within your duty group
b. When there's a shortage of patients (discharged patients
everywhere), that’s when you even think of using OPD or ER
referrals for your SOAP.
5. Institution evaluation
6. Peer evaluation
ii. All grading sheets should be compiled as a group in​ one short brown
envelope,​ which is to be submitted to the Clerk’s monitor before ​noon of
Saturday​. Write on the brown envelope the tally of what’s inside (How many
forms per person, etc.).
1. IMPORTANT: Incomplete requirements = demerit for entire group
iii. Dr. Tina requests that you ​print out ​the checklist (see “Requirements Checklist”
in the Ophtha folder” so it’s neat
iv. Staple ​each person’s requirements.
v. Compile​ all institution evals together, separate from the other requirements
2. SGDs
i. As you start with your rotation, confirm the schedule with your RCM or with Dr.
tan himself
1. Red Eye - usually Tuesday
2. Ocular manifestations of systemic disease - usually Friday
ii. Always reserve room at least a day before (usually 14​th​ floor conference room)
1. Make sure to write on the whiteboard so everyone will know that you will
use that room
2. Try to reserve a longer time than usual because SGDs with Dr. Tan
usually last long.
iii. Make sure you get a projector before Dr. Tan’s SGD.
1. Try to borrow at the Ophtha department
2. You can borrow from the executive offices
3. You can borrow from school provided that you submit a request letter to
ASMPH Admin a day before your schedule
iv. Only put 7 lines on your slides with preference to the upper half of the slide.
 1. Font size of Dr. Tan’s Presentation should be >24 and he is OC with color
contrast, and also ​h​e likes a lot of photos with good resolution.
2. Another rule is that you are not advised to use two languages in one
sentence.
v. Basis for SGDs are KANSKI - use the format in the books, especially the photos
because this is the best way to learn. Two people will be assigned to report for
each topic because they are LONG - don’t be surprised if your SGD runs for more
than 2 hours.
1. As usual, you’re responsible for booking the room and projector, and
informing Doc about the venue.
3. ADCON
i. TMC Adcon happens on Wednesday afternoons, usually 4PM.
1. Pre and duty clerks on Monday should look for cases from the
OPD or ER referrals​.
2. Slides will be checked by the RCM on Tuesday. Make sure to obtain a
complete history and PE, make differentials, and have a comprehensive
discussion on the case.
3. If you put it in your slides, then you must know everything about it (for
procedures, how it is done as described based on Kanski/Vaughan; if
medications, basic MOA and why it’s given, etc). Don’t be surprised if lots
of residents show up, they like attending adcons and they’re usually free
during that time haha
4. From duty people on Monday are not required to prepare slide for the
Adcon
ii. Whatever cases you have during the day, no matter how uninteresting they are,
choose one at the end of the day and inform Dr Tina.
iii. Reserve a room in school for all AdCons (TMC AdCon and Grand AdCon) as early
as the schedule is finalized. You can ask Ma’am Celine to reserve for you

2. Special Notes on Being a Clerk in the Rotation

1. You will be working hand in hand with your interns, ask help from them and be kind to
them.
2. Please observe proper OR decorum​. Learn how to do closed gloving.
3. Always coordinate with the QMMC group. ​This is important especially in the
Grand AdCon because it is better to know the cases to be discussed beforehand because
the consultants and residents like asking everyone.
4. EXAM Tips
i. EYE ANATOMY
ii. Pay attention to your SGDs and what the residents teach you during the 2 week
rotation
iii. Other topics: Preventive medicine, Ocular trauma (hyphema), Red eye, Ocular
Manifestations of Systemic Disease (HTN and DM).
iv. Exam type can range from Multiple choice, True or False, Enumeration, good for
1 hour.
v. Read the exam questions very well, they can be tricky. Beware of “except” type of
questions.
vi. There are enumeration questions so make sure you know which things can
possibly be asked (structures with layers, etc)
1. Residents to Take Note of
1. Indicate any notable resident and the characteristics which make them distinct
i. Dr. Eman Echevarria is very helpful but at the same time he really expects that
you know your basics such as anatomy as well as the must-knows we mentioned
above.
ii. Dr. Tina Tan is super nice and very considerate to us clerks. She likes asking
questions as well. One time she reprimanded us, though, because of not being
able to do OR techs ahead of time. So, do them promptly.
iii. Dr. Pam Uy is nice, but won’t involve clerks or interns that much. Don’t loiter in
the office when she’s around.
1. According to her, no eating also in the Eye Center during office hours.
2. Won’t eat with you when on duty, but still ask out of courtesy. Buy her
dessert :)
2. What are the expectations of these residents?
i. Basics of eye anatomy and the must-knows mentioned above
3. List residents who ask a lot of questions
i. Dr. Eman Echevarria
ii. Dr. Tina Tan
iii. Dr. Keshia Duyongco
4. List residents who love to teach
i. Dr. Eman Echevarria
ii. Dr. Corrina Samaniego
iii. Basically, all of them!
5. List residents who allow you to do skills
i. All of them!

1. Consultants to Take Note of

1. List consultants who ask a lot of questions
i. Dr. Timmy Tan
ii. Dr. Jarin - aks clerks and interns about intravitreal injections that you just
observed in the eye center’s minor OR. You should know the indications of
intravitreal injections. He will ask about pharmacology and eye anatomy
2. List consultants who love to teach
i. Dr. Timmy Tan - when you go in to his OR, he will explain step by step the
procedure
ii. Dr. Fay Cruz - She is pediatric ophthalmologist. Just ask her questions during her
ORs
iii. Dr. Jarin
3. List consultants who allow you to do skills (OR assists)
i. Dr. Reyes, Dr. Bengzon and Dr. Tan allows students to assist in their ORs.

1. Special notes on Allied Medical Professionals

1. You mostly be working with technicians in the eye center who asks for your help in
history-taking and in some skills. They also can be asked regarding the functions of the
machines
2. The receptionist in the Eye Center is Ma’am KC. She’s kind and would ask you kindly if
your assistance is needed.
 3. OR Nurses as they are
1. Other information
1. Below are the sample files on how to fill up the PDAF for an Ophtha patient:
Reference:
● 2018 Endorsements
SURNAME, First Name, MI YL8 TMC Ophthalmology Rotation
MD-MBA xx-xxxx Date
SOAP NOTES

DATE Patient: <Initials>, <Age/Gender>, ORT000000xxxxxx

<Date>
Monday

<Date>
Tuesday

<Date>
Wednesday

<Date>
Thursday

<Date>
Friday

<Date>
Saturday

<Date>
Sunday