(in addition to PGY-2 level goals listed for the Inpatient Consult Service)

Medical Knowledge

• To describe typical and atypical features, evaluation, and management of the most common optic neuropathies (e.g., papilledema, optic neuritis, ischemic, inflammatory, infectious, infiltrative, compressive, and hereditary optic neuropathies).
• To describe typical and atypical features, evaluation, and management of the more complex supranuclear and internuclear palsies and less common ocular motor neuropathies (e.g., progressive supranuclear palsy and internuclear ophthalmoplegia).
• To describe typical and atypical features, evaluation, and management of the more complex and less common forms of nystagmus (e.g., rebound, convergence, retraction).
• To describe typical and atypical features, evaluation, and management of the more complex and less common pupillary abnormalities (e.g., light-near dissociation, pharmacologic miosis).
• To describe typical and atypical features, evaluation, and management of the more complex and less common visual field defects (e.g., lateral geniculate, monocular temporal crescent).
• To describe more advanced aspects of visual field indications, selection, and interpretation (e.g., artifacts of automated perimetry, testing and thresholding strategies).
• To describe neuro-ophthalmic aspects of common systemic diseases (e.g., hypertension, diabetes, thyroid disease, myasthenia gravis, temporal arteritis, systemic infections and inflammation).
• To describe neuro-ophthalmologic findings in trauma (e.g., traumatic optic neuropathy, traumatic brain injury).
• To describe typical features of inherited neuro-ophthalmologic diseases (e.g., Leber’s hereditary optic neuropathy, autosomal dominant optic atrophy, spinocerebellar degenerations).
• To recognize, evaluate, and treat ocular myasthenia gravis.
  
   

 Patient Care

• To describe the indications for and understand how to interpret the results of tests for myasthenia gravis. (e.g. sleep test, ice test, Tensilon test, prostigmine test)
• To perform a detailed cranial nerve evaluation (e.g, testing of trigeminal and facial nerve function).
• To describe the more advanced interpretation of neuro-radiologic images (e.g., indications and interpretation of orbital tumors, thyroid eye disease, pituitary adenoma, optic nerve glioma, optic nerve sheath meningioma).
• To describe the evaluation, management, and specific testing (e.g., stereopsis, mirror test, redgreen testing) of patients with “functional” visual loss (e.g., recognize non-organic spiral or tunnel visual fields).
• To describe the indications for, to perform, and to list the complications of temporal artery biopsy.