Cornea & External Disease & Refractive Surgery

Supervisors
•    Dr. David S. Rootman, Fellowship Co-Director
•    Dr. Allan Slomovic, Fellowship Co-Director
•    Dr. Neera Singal
•    Dr. Clara Chan
•    Dr. Joshua Teichman

Contact Information

Dr. David S. Rootman
Tel: 416-603-5401
Fax: 416-603-1993
Email: d.rootman@utoronto.ca

Locations
•    UHN - Toronto Western Hospital
•    Kensington Eye Institute
•    TLC

The Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of clinical activities. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. Failure to utilize non-clinical time in an appropriate fashion may result in action being taken. All absences during the week must be cleared well in advance.

Fellowship Objectives
1.    To gain exposure to medical and surgical cornea.
2.    To prepare a candidate for an academic career with subspecialty training in cornea and external diseases and Refractive Surgery.
3.    To enhance resident teaching.
4.    To do clinical and basic research in the Department of Ophthalmology, University of Toronto.

General Description
The fellowship offered is intended to prepare a candidate for an academic career in ophthalmology. This would include skill acquisition in order to be considered a subspecialist in the field of cornea and external diseases as well as involvement in basic and clinical research in cornea, external diseases and refractive surgery.

Clinical Duties
The fellowship consists of a mixed clinical and research fellowship. Approximately 80% of the time is spent in clinical activities. These include seeing referred subspecialty patients in an office setting with direct involvement in diagnosis and treatment of those patients. Additionally, approximately one quarter of the clinical time would be spent in the operating room both first assisting and performing corneal procedures under supervision. The candidate would be exposed to a variety of corneal problems from infections, refractive surgical problems, corneal transplantation, and complicated anterior segment cases. The candidate would participate in the operating room approximately one day a week on a variety of corneal procedures including an emphasis on corneal transplantation, (PKP, DMEK, DSAEK, DALK, KPro), Stem cell transplantation, pterygium surgery, and refractive surgery including LASIK, PRK, Intacs, and corss-linking and ICL surgeries. The candidate is expected to have had adequate training in cataract surgery, as this is not an emphasis of the fellowship. Cataracts are usually for resident teaching. Surgery will be allocated in a graded fashion of responsibility. A talented candidate can expect to do 30-50 corneal transplants in one year.

The candidate will be expected to follow and be responsible for patients on the cornea inpatient service. The Fellow will carry a beeper at all times except when on vacation, and will avail himself for consultation to residents and emergencies referred by outside ophthalmologists.

Research
The candidate will be expected to spend 25% of his or her time on basic and/or clinical research. A basic or clinical science project will be outlined for the Fellow and he or she will be expected to present this at Research Day of the Department of Ophthalmology as well as at a national or international meeting.

Teaching
The candidate will be expected to enhance resident and medical student teaching. This would include encouraging resident involvement in interesting cases in the office, as well as graciously stepping aside in the operating room if a resident shows specific interest in a surgical procedure, be it cornea or not. The candidate is expected to prepare at least two complete lectures to be given in small group seminars to the residents during the year. Presentation of interesting cases at ward rounds is also expected. It is expected that during the year the candidate will be exposed to a wide variety of corneal and external disease problems giving him adequate preparation for an academic subspecialty career.

Vacation
2 weeks’ vacation per year.

Conference
Up to 2 weeks of conference time may be taken on approval of the Supervisors.

Evaluation
An evaluation after 2 months of the fellowship will be held to determine performance.

A mid-term evaluation will be held with the Fellow to evaluate his or her performance and to give feedback regarding his activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing, including areas they would like to work on.

Duration
2 years.

Salary
$55,000 CAD/year.

Application Process
Applications are available through the above contacts. Fellowships normally run from July 1st to June 30th, but flexible start dates are considered. Generally, decisions are made approximately 6 months prior to the start date. Fellowships are two year duration.  A personal interview is required. Applications are due on August 31st of the year prior to beginning the fellowship in July.