The Ophthalmology residency is a 3+1 year, Option 2 program.
Brian J. Mihok, DO
405 W. Grand Ave., Dayton, OH 45405
Phone: (800) 497-1559
Fax: (937) 723-5017
Approved: 4 | Funded: 4+1 OGME1 | Filled: 1 OGME1, 2 OGME2, 1 OGME3, 1 OGME4
The ophthalmology residency at Grandview Hospital is three-year program. Applicants must be graduates of an osteopathic medical school and have completed an AOA approved rotating internship. In addition, applicants must have passed both parts I, II & III of their national boards.
During internship, one rotates through many different specialties including internal medicine, surgery, neuro-radiology, neurology, and rheumatology. Intern attends weekly ophthalmology didactics and spends one half day per week at the Schrimpf Eye Center.
The first year of residency is spent at the Charles F. Schrimpf Eye Center under the supervision of the senior resident and the attending in the clinic.
One half day a week is spent with the program director in his office precepting. The resident shall also be responsible for attending all surgeries assigned by the senior resident. The resident shall make sure all history & physicals are done prior to surgery, and dictate all the operative reports.
Each resident must complete the home study course in ophthalmology by the AAO. Each resident is strongly encouraged to read through the series before his first ophthalmology knowledge assessment test (OKAP). The resident is required to take the OKAP test after each year of residency (i.e. three times).
Near the end of the first year the resident shall begin his first required out rotation. This is typically pediatric ophthalmology at Children’s Medical Center of Dayton with Dr. Bloom.
At the beginning of the second year of residency the resident shall attend either the Stanford or Lancaster basic science course in ophthalmology. After this course the resident shall spend the next 18 moths either at the Eye Center or at out rotations.
There are usually 8 months of out rotations in each residents program. Seven of the 8 months must be spent fulfilling basic core requirements. These core requirements are: 2 months of glaucoma, 2 month of retina, 1 month of pediatrics, 1 month of neuroophthalmology, and 1 month of oculoplastics. Most of the required out rotations be done in Dayton with affiliated teaching staff of Grandview Hospital. Other rotations can be done at University of Cincinnati or the Ohio State University. Out of state rotations may also be arranged by the resident,
but must first be approved by the program director. All out rotations must be approved by the program director and the DME at least two weeks prior to the rotation. Time out requests may be picked up in the Medical Education department. Each resident receives 2 weeks of vacation a year. These two weeks must be used in that year and are not cumulative. All vacation requests must be approved by the senior resident in the clinic and by the program director.
The last 6 months of the residents program is typically spent as the senior at the Eye Center. It is during this last six months that most residents will do most of their surgical cases.
The senior resident of the clinic is responsible for making out the call schedule each month. He is also responsible for assigning where the junior residents will go for surgery. In addition, the senior is responsible for assigning journal articles for monthly journal reports.
Grandview participates in the CORO program by Michigan State University via videoconferences. The resident is responsible for attending each of these conferences even on out rotations. The resident will also present cases at the weekly grand rounds as assigned by MSU.
Each resident is strongly encouraged to attend the annual clinical assembly as well as the mid-year meeting of the American Osteopathic College of Ophthalmology (AOCOO). In addition the resident must be a member of the AOCOO. Each resident must comply with the standards of the AOCOO. These standards are published in the Basic standards of Ophthalmology and are provided to the resident. There are approximately 6 Dayton Area Society of Ophthalmology meetings a year and the residents are strongly encouraged to attend each of them.
Each resident must provide the program director with monthly logs at the completion of each month. These logs state where the resident spent the month, what surgical cases were attended and or performed, what reading was performed during that month, and what educational programs were attended.
There are approximately 6 DASO (Dayton Area Society of Ophthalmology) meetings a year and the residents are strongly encouraged to attend each of them.
Each resident is assigned a weekly topic from the basic science series home study coarse to lecture to the other residents.
Each resident will have call responsibilities as assigned by the senior resident. First priority is given to Grandview Hospital and Southview Hospitals. In addition the resident will take call for the emergency department at Miami Valley Hospital, level I trauma, both main and south campuses, as well as Good Samaritan Hospital on night and weeks.
Grandview ophthalmology is fortunate to have the EyeSi simulator which uses state of the art virtual reality to simulate cataract surgery. Residents in our program can perform hundreds of virtual cataract surgeries before having to perform them on real patients!
Letter from an Alumnus
"The residency program was very hands on. This aspect of training was the most important aspect of my training. From the first day in surgery I was helping or doing parts of blephs or cataracts. The clinic was well equipped and allowed me to do many procedures like temporal art biopsies, intravitreal injections, YAG or argon lasers, Botox and eyelid repairs in the office. These opportunities gave me the confidence to do many different procedures in my office.
The office was very well equipped to do FA's, pacyimetry, visual fields as well and many others tests to use as needed.
Whether the issue was peds, glaucoma, retina or a general question, there is a wide field of expertise to draw from to help with most aspects of ophthalmology. The attendings were not only in the clinic, but available after hours to help with call issues.
Additionally, call was balanced and reasonable. Sure it was busy, this is residency, but the commute was reasonable and generally, when I needed to go to the ER, it was something "good" to see.
Grandview ophthalmology also offers many different outside training opportunities. I was sent to the Lancaster course, the San Antonio review course, one AOA meeting and most of the annual AOCOO-HNS meetings. All of these offer many great training experiences.
My training gave me the abilities to do anything I wanted to do. I am currently training as a retina fellow. I have felt comfortable in all aspects of my current training because of solid past training. This firm foundation has helped me excel in vitreo-retinal surgery and clinic.
Thank you Grandview, Dr Peets and the rest of the attendings for allowing my dream to come true."
Eric Romriell, DO
Class of 2005
Frequently Asked Questions
What type of candidate are you looking for at Grandview?
We look for medical students who are interested in getting the best possible education. Our residency is challenging by design. Our goal is to take the short four years of residency and mold our residents into well-educated comprehensive ophthalmologist who can handle anything. When our residents graduate they are among the best educated physicians in the nation. Grandview's residents are typically self driven and are consistently top performers in the country on the annual Ophthalmology Knowledge Assessment Program (OKAP). Our graduating residents are ready for demands that will be placed on them when they are finished. They are also comfortable handling any surgical and medical ocular problems that may arise.
We also look for candidates who understand the importance of being able to work with others. Your fellow residents are your family; you will work with them, learn from them, and care for them. It is imperative that you are a team member.
How demanding is the residents call?
While our call can be difficult, and may require long hours, it is that way by design. As previously stated above our residents graduate ready to handle anything. The payoff for demanding call as a resident is having the knowledge and skills to handle any ophthalmic emergency you may encounter after your training. Our residents receive an ophthalmic trauma experience that is second to none.
How do I set up a rotation at Grandview Hospital?
Elective rotations at Grandview can be arranged by contacting Ruth Ann Freeman at 937-723-3957 or by submitting an externship application
. It is highly recommended you set up these rotations early, as we can only accommodate so many, and the spots fill quickly.
How long of an elective rotation can I schedule at Grandview Ophthalmology?
Because we can only accommodate a limited number of applicants, rotations are limited to 2 weeks (No one (1) month rotations). This way we can accommodate as many potential candidates as possible.
Is it important to rotate at Grandview as a medical student?
Yes, this is very important, and highly recommended! Ophthalmology is very competitive and the time you spend at Grandview allows us to become familiar with you. Your time here as a student will help you see if our program is a "good fit" for you, and it will help us see if you are a "good fit" for our program.
Are my board scores important?
Yes, your board scores are important. They are viewed mostly as a screening tool to us. They are used by us to help determine who we will interview. Once you have been granted an interview, our interview process blinds the interviewers from your academic records until after all of the interviews are conducted. Using your boards as a screening tool allows us to do two main things.
Number 1 your scores allow us to verify your ability to pass standardized tests. This ability is important for us to see as you will be asked to take standardized exams during and after your residency. During your residency you will be asked to complete the OKAP examination yearly to benchmark your academic performance versus all other ophthalmology residents in the nation. When you are completed with residency you will take your Ophthalmology Board Examination. Our goal as educators is to make sure we are providing our residents with the academic experience needed to pass their Ophthalmology Board Examination. This is how we evaluate ourselves as educators. This is why it is important for us to see that the applicant has the ability to pass standardized testing.
Number 2 we receive many applications for our residency spots, if an applicant hasn't spent time at Grandview then unfortunately your board scores are the only ruler we have to measure you against the other applicants to fill interview spots.
Do you participate in the match?
Yes, we comply fully with the rules set up by the AOA for matching potential residents and programs.
When do residents get involved with surgery?
Immediately. You will have unlimited access to our state of the art EyeSi surgical Simulator. You will also have monthly wet labs with pig eyes. You are also 1st scrub with several of the attendings each month. During this time with the attendings you will be introduced to intraocular surgery at a speed that is in line with your current skills. This is done in a "last is first technique", first introducing you to some of the later steps in the surgery (hydrating wounds, injecting lenses). As your skills progress you will be introduced to more and more steps. It is not uncommon for our first year residents to perform some of the more complicated steps of surgery (I&A, capsulorhexis) during their first year. Finally, you will be doing Laser surgeries with the residents as well as attending from day one.
Do residents from this residency get good numbers of surgical cases?
Yes, residents from this program get excellent scope and volume of surgical cases. Any cases generated through the Grandview Ophthalmology clinic are your cases. Our residents far exceed the minimum number of cases required by our college (The American Osteopathic College of Ophthalmology).
Do residents from this program go on to do fellowships?
Yes. Over the last 10 years 50% of our residents went on to complete coveted fellowships in Glaucoma, Retina, and Cornea.