POSTGRADUTE EDUCATION UNIT

Fellowship Training in Glaucoma

Glaucoma is a chronic neurodegenerative disease of the optic nerve. Glaucoma blindness is irreversible, but preventable.Treatment of glaucoma is based on reducing the risk factors whilst improving quality of life. The Department of Ophthalmology at the Prince of Songkla University is the largest Southern-Thailand referral center. Because, of such a high volume of glaucomatous patients being treated at this department it allows for the fellow to have the best opportunities of taking care of said patients. This high volume of patient treatments results in the ability of doing various surgical procedures with confidence. The fellow will also have the opportunity to pursue research projects during their fellowship.
We have taught, and trained the fellow to be a leader in the subspecialty of glaucoma, and to attain a high level of professional accomplishment.

Degree title

Diploma of Thai Subspecialty Board of Glaucoma

Duration of training

Fellowships usually lasts for 12 months, July 1st-June 30th

Prerequisite

The applicant must have a Thai medical license, and qualify Thai Board of Ophthalmology

Number of trainee / year

1 position per year

How to apply

     To apply for a clinical and research glaucoma fellowship, please contact.
     - Email : info@psu-eye.com
     - Address : Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand 90110
     - Telephone : (074) 451381
     - Fax : (074) 429619

Educational objectives

Fellow must be able to:

Rotation

1. Weekly rotation

Time	Monday	Tuesday	Wednesday	Thursday	Friday
8.00 – 9.00 AM	Lecture Research club Pediatric club Interesting case	Topic assignment	CPR round Surgical club Fellow lecture Glaucoma club Interesting case	Grand round Interesting case	English club
9.00 – 12.00 AM	Investigation	OPD general	Laser	Operating room	Operating room
2.00 – 4.30PM	Glaucoma clinic	Glaucoma clinic	Journal club	Glaucoma clinic	Operating room

CPR =clinical pathology radiology

    2. Examinations and special investigations
      - Gonioscopy
      - Automated perimetry
      - Optic disc and nerve fiber analysis

    3. Participating glaucoma activity
      - Glaucoma club
      - Topic conference
      - Journal club
      - Morning report, grand round, quality round
      - Morbidity and Mortality conference every 3 months
      - Ethic conference every 3 months
      - Join the national, or international conference at least twice a year
      - Give a research presentation, (national or international) or publish a publication on the peer-review article (national or international)

Course contents

    1. Basic medical sciences
    - Anatomy of globe, anterior chamber angle, optic disc, and retinal nerve fiber layer
    - Physiology ofaqueous production, aqueous out flow, intraocular pressure, retinal nerve fiber and optic disc
    - Biochemistry of aqueous humor
    - Glaucomatous optic atrophy, techniques for evaluation of the optic nerve head, computerized image analysis of optic nerve head, and retinal
      nerve fiber layer
    - Tonometry andtonometers
    - Perimetry and visual field change in glaucoma
    - Pharmacology of anti-glaucoma
    - Laser and surgical treatment of glaucoma

    2. Clinical sciences in glaucoma
    - Classification of glaucoma
    - Epidemiology, pathophysiology, diagnosis and treatment of
       Angle closure glaucoma
       Open angle glaucoma
       Normal – tension glaucoma
       Developmental and congenital glaucoma
       Glaucoma associated with other ocular and systemic disorders
    - Medical treatment and surgical treatment
       Principles of medical therapy in glaucoma
       Laser treatment
       Management of surgical complications

    3. Practical skill
    - Investigations as well as interpretation
       Ophthalmoscopy
       Gonioscopy
       Perimetry: Goldmann perimetry, automated perimetry
    - Glaucoma diagnosis
    - Medical management, and follow-up of glaucoma patients
    - Glaucoma surgery
       Surgical iridectomy
       Angle surgery
       Trabeculectomy with / without antifibrotic agent
       Glaucoma drainage implant surgery
       Cyclodestructive surgery

    4. Research
    - Basic research and statistics
    - Analysis of
    - Having done, or participating in at least 1 research project

Elective course

4-week duration of elective period in the national, or international institute (depending on fellow’s clinical along with surgical skill. Final decision depends on the supervisors.)

Assessment

    1. Cognitive domain (50%)
      Annual examination (multiple choice question examination)
    2. Clinical skills (30%)
      Log book evaluation by preceptors every 3 months
      Surgical skill
    3. Attitude (20%)
    4. Research skill

Staff

    1. Thawat Tantisarasart MD,
      Assistant professor, Director and Head.
      Thai Board of Ophthalmology, Faculty of Medicine, Mahidol University.
      Certificate of Fellowship in Glaucoma & Laser, Sydney Eye Hospital, University of Sydney, Australia.
      tathawat@medicine.psu.ac.th
    2. Boonchai Wangsupadilok MD,
      Assistant professor,
      Thai Board of Ophthalmology, Faculty of Medicine, Prince of Songkla University.
      Certificate of Research Fellowship in Glaucoma, New York Eye and Ear Infirmary, New York, NY, USA.
      wboonchai@gmail.com
    3. Weerawat KiddeeMD,
      Assistant professor,
      Thai Board of Ophthalmology, Faculty of Medicine, Prince of Songkla University.
      Certificate of Clinical and Research Fellowship in Comprehensive Glaucoma University of Toronto, CANADA.
      kweerawat@hotmail.com

Contact Address

     - Address : Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand 90110
     - Telephone : (074) 451381
     - Fax : (074) 429619
     - Email : info@psu-eye.com

POSTGRADUATE EDUCATION UNIT

FACULTY OF MEDICINE, PRINCE OF SONGKLA UNIVERSITY