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Indian Ophthal Fellowships and Reviews
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- Cornea Fellowship review @ Giridhar Eye Hospital, Kochi, Kerala
2 years long 1 fellow taken per session Stipend 50k Phaco training included 1st yr SICS, 2nd yr Phaco (you get 2 cases/ week) Good OP exposure. Surg hands-on is a bit limited- some 20 PKs (mostly steps) Fellow also gets hands-on for AMGs, pterygiums, C3Rs Lamellar exposure + but no hands-on Refrac exposure + but no hands-on Camp duties once/ every 2 months Night duties 3-4/ month. All night duties are as 2nd on call with PGs. Sunday duties 1/month Have to attend enucleation calls. Academics- regular classes once a week.
- Short Term Medical Glaucoma Fellowship review @ Mahathma Eye Hospital, Trichy, Tamil Nadu
2 months duration Day starts at 8 am, you will go to OT and get trained in how to do direct gonio on pts who will undergo MIGS procedures You do direct gonio on the pt before starting surgery and then another direct gonio after surgery to note changes in AC post op. No hands-on for MIGS procedure per se, only observation After OT, you go to OP and see glaucoma cases- you do GAT, learn how to read perimetry & OCT, discuss abt diff glaucoma types, learn indications of medical management, indications of trab etc You get lots of hands-on for glaucoma lasers- PI, iridoplasties, SLT etc In my 2 months I did around 100 laser PIs (50 eyes) Course fee= ₹50,000 Accommodation available in campus Work timings from 8am -7pm
- Comprehensive Ophthalmology Fellowship review @ LV Prasad Eye Institute, Hyderabad
To get into the fellowship, there is an entrance exam done remotely (online), if you qualify then the 2nd round is in 2 days at Hyderabad centre. Day 1- There will be MCQ exam Day 2- Face to face interview. When I did my fellowship entrance, we had to fill in our first and 2nd choice and depending on the MCQ score and interview performance, they announced a list of selected candidates. A lot of changes in the fellowship program now. However, the basic outline is that any speciality fellowship you choose, you will have a compulsory rotation in all specialities. One gets good exposure in all specialities, both OP and OT exposure is excellent. However, this depends on the campus you get allotted in and the mentor you are assigned. There is compulsory secondary centre posting where one will have to independently handle a peripheral centre- this builds the foundation to run a centre independently in the future. You will be posting and operating cases everyday for 6 months - 1 year. So before you are posted to the secondary centre, you would have been trained in SICS and Phaco and would be independently operating plus managing complications in your fellow OR. Constant reviews and evaluations would be done and depending on your performance they will post you in high volume or low volume centre. Post the secondary centre, your performance would be reviewed and you will have an interview or direct selection to the speciality of your choice. Again, which centre and under which consultant would be decided by the team. The final yr one would be proficient in the speciality of their choice (again depends on your mentor and your centre) and the last 6 months, one is treated like a consultant itself. Senior doctors are extremely approachable. Anyone can email anyone regarding a case and they respond almost immediately. It is a well structured program and working hours from 7am to 8pm on most days and sometimes even later until OT finishes. Daily morning classes are taken seriously, attendance is reviewed. There will be presentations. Journal clubs and grand rounds. Overall LVPEI is an excellent centre for overall academic and surgical training. However not everyone fits in easily- there is absolutely no personal time after work and holidays are 10-15 per year. Everyone is a workaholic and if you have similar temperament then it’s the best place to be in. It is entirely the fellow's responsibility to make the most of the fellowship. You will have to study and put in a lot of hard work and I’m sure that the fellowship would be fruitful. However if one is looking only for a certificate, then pls don’t choose LVP. If you are seeking a job post fellowship then they even take you in. The whole system is time tested and running successfully, so one will have to fit into the system and cannot question the system. I can assure you that there is no rigid hierarchy and no bullying by senior fellows. The whole system works on patient care and pt well being. Small mistakes which we might not feel significant is reviewed seriously in LVP. Each case you operate will be your responsibility, any issue or complications must be documented well. If there is any lapse in it, then they take it seriously. You cannot fake the outcomes etc. They even monitor your surgical time taken per case etc. Overall I think it’s the best institution to do a fellowship. In LVP everything is given and anything can be done, provided you do it diligently and do it well. For some the experience might be too much like repeating PG all over again. They have rules for everything and you will have to obey it. Things like no AC in rooms, even in peak summer . No washing machine. No iron box. No induction stove. Food can be a problem as the canteen that caters to patients is same and shuts in the night. Things might have changed now .
- Glaucoma Fellowship review @ Susrut Eye Foundation and Research Centre, Kolkata, West Bengal
Duration 1 year Selection by interview 1 fellow/ session Stipend 90k You start with steps in trab in 2nd month- you get around 25 cases in total. AGV is also done but no hands-on for that. MIGS/ GATT not done here. It's daily OT, work gets over by 6 or 8 pm depending on number of cases. Plenty of cases for glaucoma lasers given. Cataract training included, starts with SICS, only 1 OT per week so 1 case/week, can increase to 2-3 cases/ OT. Once SICS is mastered they move you to phaco after 6 months. However phaco numbers are low, you get approx 15-16 phacos. Academics- regular classes are there. Night duties- 2/month, Sunday duty 1/ month. No formal bond but if they want people to stay back they may ask you to commit to bond after fellowship. This is to be clarified at the time of selection interview.
- Paediatric Ophthalmology & Strabismus Fellowship review @ Susrut Eye Foundation and Research Centre, Kolkata, West Bengal
Duration-1 year Selection by interview 1 fellow/ session Stipend 90k You start assisting in paed cases by 3rd month and they give steps by 7th- 8th month, steps are mostly for squint cases, no hands-on for paed cataracts. Neuro-Ophthal cases are seen in dept but not every textbook case is seen. Cataract training included, starts with SICS, only 1 OT per week so 1 case/week, can increase to 2-3 cases/ OT. Once SICS is mastered they move you to phaco after 6 months, however phaco numbers are low (< 20). Academics- no formal classes, mostly self learning. Night duties- 2-3/month, Sunday duty 1/ month. No formal bond but if they want people to stay back, they may ask you to commit to bond after fellowship. This should be clarified at the time of selection interview.
- Cataract, Cornea & Refractive Surgery Fellowship review @ Shroff Eye Centre, New Delhi
(To clarify, Shroff Eye Centre is not the same as Shroff's Charity Eye Hospital even though both hospitals are located in Delhi.) Started recently (2023) Duration- 2 years Stipend is 65k -75k Selection is by interview- theory knowledge is tested but they are more interested in assessing how you handle patients since they get a lot of private patients. No accomodation provided. They have a camp setup so after you settle in and get familiar with how OP and camp runs, they start you on surgeries in 2nd month based on your skill. They may start you on phacos too, though initially it will be 2-4 phacos/ month.. as your progress improves, they step up the phaco numbers. OT happens every day except Sundays but fellows alternate so each fellow gets 3 OT days per week. Daily routine is to see OP in the morning and operate in the evening. Sunday is not working day unless you have operated on Saturday- then you need to go for Sunday rounds. No night duties or calls for fellows, those are handled by DNB PGs. There's also something called "half day" allotted to fellows every week, where half of a working day is free for the fellow to catch up on research work or do other parts of whatever paper/study their respective consultant is working on. Clinical exposure is average, but you do see all the common cornea cases. Good hands-on for keratoplasties which starts with steps at first. You also get good hands-on refractive cases- around 50-60 LASIK flaps, PRK, SMILE, SILK etc Lamellar keratoplasties are also given but they do more of DMEK than DSEK/DSAEK at this hospital. Work environment is not toxic and all consultants are very approachable. Academics are good- theory classes happen once a week and are attended by fellows of all specialties.
- Cornea & Refractive Surgery Fellowship (3 YEARS) review @ Shroff's Charity Eye Hospital, New Delhi
- 1st yr exclusive IOL fellowship - 2nd year- formal Cornea training - 3rd yr managing periphery doing both cataract+ cornea - Refractive training only in last 3 months of fellowship - Selection- MCQ exam+ interview - No exit exam - 1-2 fellows per session - Admission fee 1 lac, non-refundable - Stipend 40k in 1st yr, 50k in 2nd, 60k in 3rd - From your stipend they deduct 7,500 every month as security deposit which is returned when you finish fellowship 1st year - Exclusively IOL - First 3 months is in main centre- you do SICS mostly - Then you are posted in periphery for rest of the year where you do both SICS & phaco 2nd year - Cornea training - First 9 months or so- in main centre, posted with a consultant who trains you in corneal surgeries- TPKs, OKs, DSEK, SLET, AMG etc 3rd year - After that you're posted in one of their 5 major peripheral centres where you are the sole cornea consultant and you see and manage cases there independently. You also post cases to operate. - Last 3 months you are given lots of hands-on for refractive procedures, mostly Lasik and PRK, may get few SMILEs also - Work timings are 8-6 pm - In main centre, you'll have night duty and Sunday duties once a month - In periphery, it becomes night calls every 3-4 nights, Sunday rounds only if you have Saturday OT - Clinical exposure is very good, you see every kind of case - Not hectic - Not toxic either - Weekly 3 classes- 2 of those are common with other fellows, third is just for cornea fellows A mention about their peripheral centres and postings: - They have 4-5 major peripheral centres - And many more minor peripheral centres which are also located in other states (eg Haryana, Bihar, Uttarakhand) - In your 1st yr, you may be posted in one of their minor centres without prior notice so it can get hectic with all the travelling back and forth - After your formal Cornea training in 2nd yr, you are posted to one of their major peripheral centres in Delhi and usually not rotated between centres (unless there's some last min emergencies/changes) Overall a very good fellowship and you exit as an independent Cornea and Cataract surgeon. You usually learn everything there is to learn in first 2 years so some fellows find the 3rd year more of a mental hurdle to get through.
- Cataract & Anterior Segment Fellowship review @ ICARE Eye Hospital & PG Institute, Noida, UP
(This is the only fellowship program the hospital has.) Selection- interview Duration 18 months Fellow intake is random ie, on need basis Fellows per session- Two Stipend- 30k/m No admission fees, no caution deposits They start with SICS at around 2-3 months and phaco around 8-9 months... but it depends on the fellow's calibre also.. I (reviewer) was fluent in SICS when I joined. Approx 800 SICS 700 Phacos I got. Getting advanced cataracts (PXF, hard cataract, small pupil etc) depends on fellow's calibre... if they believe you have a good hand they will give... I have done almost every complicated case. I learnt complication management also, was taught to put iris claw, ant vitrectomy etc They also let you do topical phaco if you're good enough. Clinical exposure is really good.. we see all cases... We were posted in every department...Glaucoma...retina... pediatric.... Also charity OPD is seen independently so ... Clinical exposure is really good.... Work environment is hectic but only in season Not toxic at all We have both dedicated senior consultants to train and senior fellows training us Refractive training is included.. Observation only ...but no hands on Peripheral postings are there.... Camp duties almost 2-3 per week but you're back home by evening... And night duties around 2 per month Occasionally Sunday duties+
- Cornea & Refractive Surgery Fellowship review @ Sankara Eye Hospital, Bengaluru
Duration 2 yrs 6 months of Gen Ophthal posting+ 18 months of Cornea posting Selection- exam + interview Exit exam + 1 fellow taken every 6 months Stipend 40k They take 2 months salary of 80k as caution deposit- (40k taken in 1st month, 20k taken each in 2nd and 3rd months)- this is returned at the end of fellowship At the start, you are assigned a senior consultant as mentor (can be from any speciality dept) who trains you one-on-one in SICS and phaco and also in managing complications. They start you on SICS after 1st month while in Gen Ophthal, you get an average of 1000+ SICS over 2 years. While doing SICS, you are also given advanced cataract cases (PXF, small pupil, mature cataract etc) and gradually taught to manage your own complications (put CTR, iris hooks, iris claws, do ant vitrectomy etc) Phaco cases are given in last 6 months, can expect 70-80 cases (some cross 100). No topical phacos given. Cornea surgeries- You get TPKs, opticals (some 30-35 cases) Also ocular surface procedures like SLET, MMG, AMG etc Lamellar procedure hands-on depends on whether pts are there when you are posted- mostly get few DSEKs; DMEK and DALK are rare Refractive procedures- In last 6 months, you are given refractive OTs You get only PRKs (3-4 independent cases, otherwise mostly steps) Lasik not given SMILE not done here (no machine) Timings 8-6 pm On call- you have 2-3 rotations of weekly call in the first 6 months.. and it's literally for 1 whole week (Sun- Sat).. you start Sunday duty at 8 pm do till 8am Monday then off for the day to come back again at 8pm Monday to do call till 8 am Tuesday and so on.. till Saturday. As cornea fellow, you are on call for the dept every day.. may be called by DNBs for any c/o redness that comes at night. Sunday OP duties (8-1), Sunday camp duties+
- Orbit & Oculoplasty Fellowship review @ Sankara Eye Hospital, Bengaluru
Duration 2 yrs 6 months of Gen Ophthal posting+ 18 months of Oculoplasty posting Selection- exam + interview Fellows taken every Jan and July- usually 1 fellow per centre Stipend 40k No admission fees They take 2 months salary of 80k as caution deposit- ( 40k taken in 1st month, 20k taken each in 2nd and 3rd months)- this is returned at the end of fellowship They start you on SICS from 1st month itself, initially if you are in learning phase your mentor will help you in learning Later once you start doing independently, every fellow is assigned 2 cataract OT days in a week. You do max 25 SICS till the end of your session, they keep giving you cases esp if you can do fast and well. No penalties imposed for any cataract surgery complications. Cataract OTs are usually half day OTs (meaning you operate either in the morning session or the evening session) Phaco cases are given in last 10 months, you can expect an average of 200-300 phacos. Once you join Plasty dept, they assign you 2 days for Plasty OT as well. You get hands-on for all orbit surgeries- blepharoplasty, ptosis, entropion/ entropion correction, external DCR, Botox (complicated cases consultants will teach how to do it) The 2 cataract OT days continue and if you finish your half day and OP is not busy, they might send you to the Plasty OT to do cases there as well. On the dedicated Plasty OT days, you do only Plasty cases. On the dedicated cataract OT days, you do mostly cataracts for half day. And later, have to be in OPD.. if Opd is less and patient are posted for plasty surgeries, they will send you to do plasty cases. Paeds cases are also handled by this dept- they do NLD probings, ptosis repairs etc Work timings is 9-6 Except on OT days if there are GA cases are posted then you have to come early to check everything is ready around 8 Peripheral posting to other Sankara centres may happen in between, for eg if you're good in cataract, you may get posted to their branches in other states to help with cataract load there.. this gives you very high cataract numbers. Similarly you may also be posted for speciality postings to other Sankara branches in the first 6 months during General Opd, you have night duty in which you have to evaluate the camp patients who come and make them ready for next days surgeries and it's literally the same routine for 1 whole week (Sun- Sat).. you start Sunday duty at 8 pm do till 8 am Monday then off for the day to come back again at 8 pm Monday to do till 8 am Tuesday and so on.. till Sunday morning During that night duty if emergency cases come at night in Opd, you have to see them. And calls have to be attended by speciality fellows depending on case, this continuous weekly duty will be once or twice in initial 6 months (Gen Ophthal posting). This weekly night duty never happen once you enter your speciality dept but you do have night calls where fellows may be called for any emergencies pertaining to their speciality.. usually such night calls are not busy. No night surgeries are done. Good exposure to orbital tumours in dept but intraocular tumours (RB, uveal melanomas etc) are dealt with by the VR dept You are expected to do at least 1 presentation and 1 publication during fellowship- compulsory- otherwise you receive a partial fellowship completion certificate in the end. There is an exit exam at the end of fellowship. Fellowship is good since you exit as an independent Oculoplasty and phaco surgeon.. however you don't get any exposure for topical phacos here.
- Paediatric Ophthalmology & Strabismus Fellowship review @ Sankara Netralaya, Chennai
18 months Fellowship Selection- MCQ exam followed by interview 2 fellows/ year Fellow intake every Jan, July Stipend 55k No phaco training but you get to operate cataracts (SICS) First month- orientation- shadow posting 1 month posting in Retina 2 months in Neuro Ophthal 1 month in Oculoplasty After this you're in Paed Ophthal dept and posted with consultants First 6 months you do mostly SICS (Blumenthal technique used here) You have OT twice a week First 6 months also is when you do research/ paper work, one day per week is allotted for this (tends to be the 'day off' for the consultant you are posted with) You get mostly squints and some paed cataracts Squints- mostly simple squints, R&Rs, plications- you get around 30 cases You are usually given only 1 muscle/ 1 eye to operate in squints- till the end of fellowship No independent cases given Very rarely you might get a free/camp case to do 'independently' Paed cataracts, you get around 5-10 cases Work timings 8-5 pm Hectic but not toxic Academics- squint meet weekly, mostly journal clubs Last 3 months are when you become SR and see OP independently and post cases to your name You exit as someone with good exposure to clinical paed ophthal but surgical finessing still required post fellowship. Also, no phaco training.
- Cornea, Cataract & Refractive Surgery Fellowship review@ The Eye Foundation, Coimbatore
Duration 1.5 yrs 2 fellows taken per session but 2nd fellow joins 7-8 months after the 1st fellow. Stipend 50k Only fellows who know phaco are selected, at the minimum you should be able to put IOL in sulcus in case of a PCR. You get good hands-on in refrac procedures, allowed to do Lasik, SMILE etc independently within 3-4 months of joining. Corneal surgeries- much lesser hands-on compared to cataracts, you get 10-12 keratoplasties (KP) at most, mostly therapeutic KP (final numbers depend on fellow's surgical proficiency). You get to do 1 lamellar surgery at the very end of fellowship. Free hands-on for other corneal procedures like pterygiums, C3R. Fellows get trained by consultants in corneal procedures. But phaco cases are left entirely to the fellow's discretion to operate and handle complications on their own when in OT, other consultants will be busy doing their own cases. So if you know basic phaco, the program is good in helping you get better at it. Timings If one fellow works 9-7.30 pm, then the other fellow works 10- 8 pm the same day and then both alternate timings next day. You share night calls and Sunday duties with PGs, but often times they are posted in periphery so fellows end up getting more call duties. Sunday duties 7 am- 7 am next day, 3 hour break, followed by joining back at duty from 10 am Sundays- OP till 3 pm (avg 50 pts) and then you attend calls.. can get busy at times