Working at an academic institution I am often exposed to which universities are at the forefront of providing great educational resources. One of the major players in this field is the University of Iowa Ophthalmology Department that has been diligently cataloguing cases, images, videos, and tutorials online at eyerounds.org for over a decade. As of January 2020, their free online atlas has 1200+ high-quality images that can be categorically searched. I have found this especially useful when I want to show residents (or myself) images of rare pathology quickly on my phone or computer. During rare downtime in the clinic or OR, you can also use the images as a quick quizzing tool. Although there is a video library as well, I have found the quality is variable depending on how long ago the video was recorded.

Aside from eyerounds.org, the University of Iowa has been a leader in creating a wet lab (simulation) curriculum for residents. Those of you that have trainees may be interested in viewing these resources available through a link at the bottom of their homepage. Other links they provide such as Cataract Surgery for Greenhorns or Gonioscopy.org may also be of use for trainees.

Recommended by Christine Law, MD FRCSC
Chair, Practice Resource Centre
Canadian Ophthalmological Society

A classic ophthalmology online resource, cybersight.org, recently had a facelift to its website design making it even more user-friendly. I have been a frequent visitor to the website since I was in training because of the plethora of free textbooks, surgical videos, webinars, and online courses. As a division of Orbis, the resources have a truly international perspective with many of our COS members contributing as well. The educational materials range from basic clinical techniques to subspecialty approaches, but also includes very practical information such as a Chinese-English Ophthalmology Dictionary (https://cybersight.org/portfolio/chinese-english-ophthalmology-dictionary/) with pinyin romanized phonetics. For those of you who like to test your own knowledge, there are also case quizzes to learn from. So, if you are looking for a reputable, updated ophthalmology website resource to add to your bookmarks, give cybersight.org a try.

Recommended by Christine Law, MD FRCSC
Chair, Practice Resource Centre
Canadian Ophthalmological Society

Short communication|Articles in Press from the Canadian Journal of Ophthalmology

Abstract

We present a case of coronavirus disease 2019 (COVID-19) with an initial medical presentation of keratoconjunctivitis, the first such reported case in North America. The patient’s primary symptom was a red eye with watery discharge, though she did have mild respiratory symptoms, without fever. She was diagnosed with keratoconjunctivitis; evolving corneal findings were characterized through repeat visits to ophthalmology. A conjunctival swab of the affected eye was positive for the SAR-CoV-2 virus. This case emphasizes the importance of ensuring that first-line health care providers, including ophthalmologists, optometrists, emergency physicians, and family physicians, consider COVID-19 on the differential for any patient with recent travel who presents with acute conjunctivitis. Having a high index of suspicion with this presentation would allow for appropriate precautions to be taken to prevent further spread of COVID-19.

Access Details

Read the full case report published on the Canadian Journal of Ophthalmology (CJO) .

As part of Competence by Design (CBD), there is an important role for coaching in resident learning and progression. It takes skill to coach someone effectively, which is why a group of clinician educators have developed the “Coaching to Competence” online learning modules.

The CBD Coaching Model uses assessment as a learning tool, not just an evaluation method. Coaching in the Moment is part of the model that links to RX-OCR step-by-step process. It requires clinicians to establish Rapport and set eXpectations with their residents, Observe the residents doing their daily work, provide Coaching feedback, and Record the encounter.

“Coaching to Competence” consists of five interactive activities that allow anyone who teaches residents to practice applying the RX-OCR coaching process. The activities are meant to help you identify gaps in skills and knowledge related to coaching.

CPD Credits

This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Royal College Continuing Professional Development Unit. You may claim a maximum of 30 minutes for each module (credits are automatically calculated).

Access Details

For more information visit the Royal College of Physicians and Surgeons of Canada website: http://www.royalcollege.ca/mssites/rxocr/en/story_html5.html

The Canadian Ophthalmological Society is pleased to provide you to a recording of the webinar on practical ergonomic tips in the ophthalmology operating room, that took place on December 9, 2019.

In the session George Matos, Musculoskeletal Injury Prevention Specialist and ophthalmologist Dr. Lorne Bellan review how to adapt your posture to protect yourself through a day of surgery. This webinar includes thoughts to have in mind at the start of your surgical day, including how to set up your foot pedals, chair, operating table and surgical microscope, each to optimize your posture and support during your day of surgery and to minimize the risk of repetitive stress injuries.

Learning Objectives
At the end of this webinar, participants will be able to:

• Describe optimal posture for a day of cataract surgery
• Position foot pedals optimally from an ergonomics perspective
• Set up your surgical chair for optimal arm, leg and back support
• Set the microscope position and angle optimally for your neck
• Re-introduce equipment/movement patterns to lessen musculoskeletal strain that can be overlooked

CPD Credits

This webinar archive is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and was approved by the Canadian Ophthalmological Society. You may claim a maximum of 1 hour.

Access Details

To access the archived (recorded) version of the webinar visit the event website: https://event.on24.com/wcc/r/2140596/980B5EE498FA3BA26DF28AC29830E995

This program was delivered with financial support from an educational grant from provided to the COS by the Canadian Medical Association, MD Financial Management and Scotiabank.

Did you know?
Work-related musculoskeletal disorders in ophthalmologists are high, ranging from 51-80% across studies.

This module was developed to showcase best ergonomic practices and injury prevention. View the module, online through the Queen’s University website.

Learning Objectives

• Review the importance of ergonomics for ophthalmologists
• Identify areas in the clinic and operating room that may predispose to musculoskeletal disorders
• Learn proper ergonomic risk factor modification
• Recognize signs and symptoms of musculoskeletal disorders, understanding the importance of early intervention

CPD Credits

Completion of this 30 minute online learning module has been determined by Queen’s University to be eligible for 0.50 hours of Royal College of Physicians and Surgeons of Canada Section 2: Self Learning for Specialists credits.

For more information visit the Queen’s University website.

The Canadian Journal of Physician Leadership (CJPL) is a peer-reviewed journal launched in 2014. Published quarterly, it focuses on topics and issues related to leadership and the health care system as they pertain mainly, but not exclusively, to physicians and physician leaders.

Volume 4, Issue number 3, Happy People Work Better features:

• Achieving Joy in Canada’ health care system: What can we do today?
  – Johny Van Aerde, MD, PhD
• Turning burnout into joy
  – Mamta Gautam, MD
• Transforming health care through systems and stories
  – Cheryl Heykoop, DSocSci, and Guy Nasmyth, PhD
• Five fundamentals of civility for physicians: Part 2
  – Michael Kaufmann, MD
• The continuing challenge of patient-centred care
  – Michael Gardam, MD and Judith John, BA
• Could Saskatchewan become the best place in the world to practise medicine?
  – Susan Shaw, MD, and Ivan Muzychka
• Accountability and trust: Sitting on a three-legged stool
  – Darren Larsen, MD
• Physician leadership development through the lens of LEADS and competency-based education
  – Ming-Ka Chan, MD, Celia Rodd, MD, Elisabete Doyle, MD, Eleanor MacDougall, MD, Jenette Hayward, MD, and Karen Gripp, MD
• Stories from our CCPES: Journey into the unknown
  – Gary Ing, MD
• Stories from our CCPES: My leadership journey
  – William Sischek, MD

This policy provides a series of broad, aspirational recommendations to help guide stakeholders at all levels of the health system to promote a healthy, vibrant, and engaged profession.

For more details visit the Canadian Medical Association website.

U of T Med is an alumni magazine like no other. Bold, ambitious and lively, we dive into medicine’s most pressing topics. Heal Thyself is the U of T Med publication from Summer 2017 addressing the topic of physician mental health.

This issue features:

• Can We Talk About Physician Mental Health?
• Who Heals the Healer?
• The Unspeakable Struggle
• A Heavy Toll
• Under Pressure
• After the Tragedy
• The Millennial Approach
• Ready, Steady, Reset
• Human Beings First and Foremost
• Unvarnished Truth

To review the U of T Med Summer 2017 issue, visit the website.