Aravind model - Possible in the USA?
Hello,
I saw some interesting articles on the Aravind Eye hospital in India and their "McDonaldization" of cataract surgery. The costs of ocular surgery have been brought to light a few months back with the Mr. Beast video. What's holding people back from adopting a similar model here in the US? Is it the liability?
I am curious as to hear what your thoughts are. (Source: Student Doctor Network)
Source: Student Doctor Network - August 1, 2023 Category: Universities & Medical Training Authors: grilledcheese Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Comprehensive Practice
Is this becoming a rarity and pushed less during training?
When I was undergrad 10 years ago and worked as a tech at a practice two Docs were what I would consider Comprehensive Ophthalmology.
One day was for LASIK and laser procedures. They obviously had a busy cataract practice doing toric and MF IOLs. Both did a decent about of plastics like Blephs and even some Strab work on kids and adults. They had a very busy Retina clinic doing injections for your "straight forward" wet AMD and...
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Source: Student Doctor Network - April 28, 2023 Category: Universities & Medical Training Authors: percyeye Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Full time surgical ophthalmologist, South Texas
The Eye Experts is searching for an expert ophthalmologist to join a busy practice, where you can do well for yourself and also do some real good for your patients.
I am looking for a capable and experienced surgeon who can provide excellent surgical outcomes, and by being the second surgeon in the practice, cut patient wait times for surgery.
The office has a suite for Lasik and minor surgery, and I use a nearby freestanding surgicenter for cataract surgery and other cases requiring...
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Source: Student Doctor Network - April 19, 2023 Category: Universities & Medical Training Authors: The Eye Experts Tags: Jobs and Help Wanted Board Source Type: forums
Is John Pinto's private practice lecture series still accurate?
Came across this series from 2017, and was honestly surprised at some of the numbers he listed for mid career salaries, found in the "contract negotiation" video.
John Pinto's Ophthalmology Business Management Series
J. Pinto & Associates, Inc. John Pinto is the country's most-published author on the subject of ophthalmic practice management. Mr. Pinto's Business Management Seminar is posted on EyeRounds with the very kind permission of John Pinto who reserves all rights to these works.
webeye.ophth.uiowa.edu
...
Source: Student Doctor Network - December 11, 2022 Category: Universities & Medical Training Authors: Anakinmemer Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Feeling defeated - cataract surgery complications
Hello,
Seeking advice or thoughts on improving in cataract surgery and lowering complications. I started my attending job recently and on my 9th case today had a dropped nucleus in a patient with prior vitrectomy from macular hole surgery. I think the issue started when the lens wasn’t cracking and maybe I was not careful enough when doing other maneuvers to break it into pieces and remove the nucleus. I know these things happen but I’m honestly devastated. It’s also hard because I can’t...
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Source: Student Doctor Network - November 29, 2022 Category: Universities & Medical Training Authors: eyedoc27 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Ophthalmologist requiring medical clearance for cataract patients, aargh...
Patient is 93 y.o. undergoing planned cataract extraction. Ophthalmologist ordered medical clearance. We have known for over 40 years that cataract surgery is so low risk that medical conditions that don't involve an inability to lie still don't affect anesthetic risk.
How much money is wasted yearly by Medicare for this nonsense? I believe that there should be a push to have this expense come from the surgeon's global fee. That would end the practice in a heartbeat. End of rant. (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2022 Category: Universities & Medical Training Authors: pastafan Tags: Anesthesiology Source Type: forums
Medical Retina Fellowships 2022
Which are the top medical retina fellowship programs?
What are key considerations? I know believe some require medical retina fellows to take retina call along with the surgical fellows, while others do not.
Any insight into which allow you to continue to operate during fellowship? I've heard some actually allow you to do cataract surgery, which is huge plus for me as I think about maintaining my surgical skills. I would like to have a "comprehensive-plus" practice in the...
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Source: Student Doctor Network - September 14, 2022 Category: Universities & Medical Training Authors: TBear13 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Cataract & Refractive Surgery Fellowship - Cleveland Eye Clinic/Clear Choice Custom LASIK Center
Hello Cataract, Refractive, & Anterior Segment surgery fellow applicants!
I want to provide an introduction and update for the amazing one-year cataract and refractive surgery fellowship at the Cleveland Eye Clinic and Clear Choice Custom LASIK Center with William Wiley, MD and Shamik Bafna, MD in Cleveland, OH. I am the former (recently graduated) fellow (2021-2022) and had a fantastic year in Cleveland – the fellowship was truly fulfilling and...
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Source: Student Doctor Network - August 28, 2022 Category: Universities & Medical Training Authors: CECFellow2022 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Hypertension after Induction - Case Discussion
Hey guys I had a weird occurrence the other day and had to cancel a case. There probably aren't many explanations for what happened but I've been surprised by input on these forums before.
Patient is a 68 y/o female, 70kg, with a Hx of mild COPD (on stiolto), Hypertension, Hypothyroidism, and sleep apnea. She is scheduled for bilateral mastectomy with sentinel nodes for a 2 cm mass in the right breast, invasive lobular carcinoma. Hx both cataracts done in past 2 years. Hx hysterectomy and...
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Source: Student Doctor Network - July 22, 2022 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums
Beckers: HOPD Financially Rapes Retired Orthopod
Same surgery cost nearly 20 times more in HOPD than ASC in CaliforniaPatsy Newitt - 19 hours ago
A retired orthopedic surgeon in Fresno, Calif., was charged nearly $4,000 more for a cataract surgery at a hospital outpatient department than his wife who received the same procedure at an ASC, Kaiser Health News reported June 27.
In December 2021, 73-year-old Danilo Manimtim, insured by Anthem Blue Cross of California, went to the HOPD of Saint Agnes Medical...
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Source: Student Doctor Network - July 1, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
How should I prepare for the B Optometry Entrance Exam
Optometry is the branch of health science that deals with the defects of vision and diagnosing and treating such conditions. Optometrists help in correcting vision through spectacles, contact lens and other similar accessories. They also detect and treat conditions like glaucoma and cataract. In addition they guide and counsel people on the correct use and proper care of eyes, supervise exercises and training programs that are...
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Source: Student Doctor Network - May 26, 2022 Category: Universities & Medical Training Authors: himhaldia Tags: Optometry Source Type: forums
How should I prepare for the B Optometry Entrance Exam
Optometry is the branch of health science that deals with the defects of vision and diagnosing and treating such conditions. Optometrists help in correcting vision through spectacles, contact lenses, and other similar accessories. They also detect and treat conditions like glaucoma and cataract. In addition, they guide and counsel people on the correct use and proper care of eyes, supervise exercises and training programs that are...
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Source: Student Doctor Network - May 26, 2022 Category: Universities & Medical Training Authors: himhaldia Tags: Optometry Source Type: forums
Cataract surgery is hard
In my second year and I’ve felt cataract surgery to be pretty challenging. I’ve done probably 16 primary cases (but 2 of them my attending or a visiting attending had to take over due to terribly loose zonules ). I feel somewhat steady with my right hand (no tremor) but maybe a small tremor and more unsteady when using my left hand. I feel I don’t have a tremor when I’m practicing by myself lol. So far I’ve basically just been using one hand and my attending will help with an extra para...
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Source: Student Doctor Network - March 29, 2022 Category: Universities & Medical Training Authors: eyeguyhopeful Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Blood glucose level to cancel cataract surgery
Thoughts on this? What would be your BG range and cut-offs?
Recently I cancelled one whose BG was 400-500 mg/dL. Pt claimed to be compliant with all her diabetic medications. Talked to her PCP and found out she was lying and that she actually ran out of her humalog a month ago. No recent A1c.. given the hx I can assume her BG in the 400-500's range for the past month. Not the healthiest patient either, with CHF exacerbation in the last 3 months, known CAD, morbidly obese. Known history of...
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Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: coffeebythelake Tags: Anesthesiology Source Type: forums
Cataract Surgery Anesthesia Models
We are considering an anesthesia group who's model is out-of-network for all insurances for an eye surgery center. I guess there are a few insurance companies that pay beaucoup bucks for out of network charges. I personally find this a little distasteful and am worried patients will be hit with a surprise charge and this will blow back on us. That being said, I've been told by some of our anesthetists they've been proposed medicaid rates by some insurance carriers and that's not right...
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Source: Student Doctor Network - January 19, 2022 Category: Universities & Medical Training Authors: dantt Tags: Anesthesiology Source Type: forums
