Annual Report 2010 - 2011
DEPARTMENT OF OPHTHALMOLOGY
CLINICAL: For fiscal year 2011, the Department of Ophthalmology had 2,953 cases, an 8.3% increase from FY10. The number of visits increased 7.3% at 68,227, with work RVUs at 135,960, an 8.4% increase from 2010. In the past year, the Ophthalmology Department recorded over 100,000 encounters at our on-site and off-site locations including Optical Services. Cumulatively, Ophthalmology faculty consistently produced wRVU’s well above the 75th percentile. Quality of Care and Service Excellence continue to be the focus of all Ophthalmology services. To improve access, operations, training and program development are prominent in both faculty and staff development plans is the overriding goal.
The Wake Forest Baptist Health (WFBH) Eye Center continued its longstanding support of the organizational clinical mission by expanding critical Pediatric Services and recruiting a new faculty program director of Pediatric Ophthalmology, Dr. Eric Hein. Dr. Hein will focus on the development of the Pediatric program and has been highly successful thus far in establishing new relationships in the community and in creating additional access for the pediatric population for surgical services. We also recently launched a new satellite program in Lexington, North Carolina. An agreement was formed with Davidson Eye Associates for retina services and these are being provided by Dr. Charles Richards. This satellite practice will greatly enhance access for patients in the western area extending into Salisbury and Charlotte in need of specialized retina care. It will create additional clinical and surgical opportunities for both the department and the institution.
ACADEMIC: For fiscal year 2012, The Department of Ophthalmology has 9 residents. The Academic Teaching mission has also been strong and the residency program has had a very successful year. Three residents will graduate from the training program and all are pursuing academic medicine with fellowships. One of our Department seniors, Dr. Stuart Tims, will pursue a corneal fellowship at Ophthalmic Consultants of Atlanta. Dr. Shaw will remain as a junior faculty and Dr. Estes will pursue a corneal fellowship at our own program. The experience for all nine of our residents continues to be excellent with patient numbers and surgery numbers in the highest percentiles. For example, the three residents completing the program have each done approximately 200 cataract surgeries, with 86 being the minimum and 120 being the approximate mean nationwide. One-third of the residents' training is at the Veterans Administration Hospital. This type of experience has given the residents a broad scope with regard to healthcare systems, and an opportunity to become accustomed to different healthcare administrations and documentation. Academically the residents have done well, and in fact this year’s Ophthalmic Knowledge Assessment Program (OKAP) scores have been perhaps the highest ever with 1/3rd scoring above the 95th percentile and all scoring better than the mean.
We received approval for another accredited fellowship at the WFBH Eye Center (three were added last year), in retina services, for a total of four fellowship positions. In addition, they hosted the 28th Annual Wake Forest University Eye Center Conference and Alumni Day on May 20, 2011. The program was entitled “Cutting Edge Techniques in Cataract Surgery” and was attended by over 100 ophthalmologists from around the country.
Wake Forest Baptist Eye Center continues to be a national leader in Descemet's Stripping Endothelial Keratoplasty (DSEK) by a recent invention used to facilitate the surgery making it faster and safer. The EndoSaver, invented by Keith A. Walter, MD gained CE Mark (European Union approval in April, 2010) and FDA approval as the EndoSerter in the US in January, 2011. It has quickly become a "must have" instrument for many of the top US corneal surgeons. Currently the EndoSerter has gained more than 10% of the market share in the first 6 months after approval and will likely rise to 50% in the next 1-2 years.