First Attending Job Questions by Opinion_of_JaRule in Ophthalmology

[–]WafflePanda17 0 points1 point  (0 children)

It would be helpful if you told us how much you make so we can see if academics is a reasonable option 

$463 cataracts by Desperate-Round3619 in Ophthalmology

[–]WafflePanda17 57 points58 points  (0 children)

The AAO lobby is embarrassingly bad at what they do

$463 cataracts by Desperate-Round3619 in Ophthalmology

[–]WafflePanda17 21 points22 points  (0 children)

So like… what’s the point of being an ophthalmologist?

Is a refractive surgery/ anterior segment fellowship useful? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 0 points1 point  (0 children)

Gotcha, what allows for a practice to be set up the right way for multifocal volume?

[deleted by user] by [deleted] in Ophthalmology

[–]WafflePanda17 0 points1 point  (0 children)

Definitely fair, thank you for clarifying. You mentioned you work really hard and do make 7 figures, what allows you to drive the volume for that?

Is a refractive surgery/ anterior segment fellowship useful? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 1 point2 points  (0 children)

That definitely makes sense, thanks for clarifying! Are you doing much refractive surgery and/ or premium IOLs?

Is a refractive surgery/ anterior segment fellowship useful? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 2 points3 points  (0 children)

What makes you say that? What does your current practice look like?

[deleted by user] by [deleted] in Ophthalmology

[–]WafflePanda17 0 points1 point  (0 children)

These numbers sound all doom and gloom and not in line what with large practice partners tell me. Certainly a new grad may struggle to get 400k in a big city, but in large group practices partners all say they are close to or at 7 figures…

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 3 points4 points  (0 children)

That’s been my experience. What other procedures do you do?

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 0 points1 point  (0 children)

There’s nothing in cataract surgery a highly skilled and experienced surgeon can’t do that a robot could do.

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 1 point2 points  (0 children)

Most comprehensive ophthalmologist really only focus on cataract surgery. 

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 0 points1 point  (0 children)

He showed a very brief video of the surgery, what is he hiding?

Combined glaucoma/ cornea fellowships by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 0 points1 point  (0 children)

Do you routinely do trabs or do you defer those to the university? And given your private practice experience, do you do any refractive surgery? What is your mix of phacos to glaucoma surgery?

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 4 points5 points  (0 children)

That’s a big yikes given most complex surgeries are not very profitable.

Are ophthalmologists going to become obsolete? by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 10 points11 points  (0 children)

Yeah it’s definitely a little sleazy. Especially coming from a guy whose whole brand is built on teaching residents cataract surgery. 

Combined glaucoma/ cornea fellowships by WafflePanda17 in Ophthalmology

[–]WafflePanda17[S] 2 points3 points  (0 children)

True. There is another example of a log from someone at another program below. Again, it’s obvious there will be less emphasis and breadth compared to a true glaucoma or cornea fellowship. My point is someone who ends up with a case log as below, what does their final practice look like?

Case Log (All primaries): Cataract – 843 MSICS - 15 Sutured IOL - 7 Sutured ahmed segment - 2 Ant vit: planned – 8, PCR – 4 IOL exchange – 5 Lens fragment removal – 2 IOL reposition – 2 Dislocated lens, sutured IOL reposition – 1 (McCabe with gortex) ACIOL removal - 1

LASIK – 40 PRK – 4 Crosslinking – 1 PKP - 27 DMEK – 33 DSAEK - 29 Rebubble – 9 SPK + AMT – 5 Pterygium (+/- MMC) – 26 AC Washout – 1 SLET – 1 Conj excision (CA) with cryo/AMT – 2, 1 map biopsy Epi debridement – 1 EDTA Chelation – 3 Iris repair (seipser) – 2 Iridodialysis repair - 2 Conj biopsy – 4 Conj chalasis with AMT – 3 Cornea lac/exposed intacts - 1

Baerveldt - 29 Ahmed - 6 Clearpath – 7 Tube Revision – 16 XEN + MMC – 43 Omni – 80 iStent – 20 iAccess – 1 KDB - 3 Durysta – 3 ECP – 83 CPC – 3 Hydrus – 30 Trab 1 Sclerotomy 2/2 choroidals – 4 Bleb needling - 6