With established partnerships in Brazil, India, and the Philippines, Global Ophthalmology Initiatives (GOI) strives to build capacity for UW and its global learners (including medical students, residents, clinical fellows), faculty, and staff to share in meaningful bilateral exchanges. The UW GOI framework aims to understand its role in enhancing inclusive systems-based practices and creating new pathways for its constituents to cultivate emerging knowledge in the field of ophthalmology and visual sciences. We are dedicated to understanding our program’s impact and advancing the ophthalmology goals outlined by the World Health Organization, United Nations, and the American Academy of Ophthalmology.
According to the World Health Organization, “Roughly 36 million people are blind and 217 million have moderate to severe vision impairment. Globally, chronic eye diseases are the main cause of vision loss. Uncorrected refractive errors and then un-operated cataract are the top two causes of vision impairment. Un-operated cataract remains the leading cause of blindness in low- and middle-income countries.
While abroad, our department’s faculty, staff, learners, and alumni address the challenging statistics by performing technologically relevant surgeries, advancing research discoveries and adaptive clinical care. These experiences directly affect our Wisconsin healthcare system by exposing professionals to diverse patient populations, differing medical systems and diseases, cultural differences and innovative community outreach programming.
We educate learners and teachers all over the world through lectures, seminars, and exchanges involving DOVS faculty, learners (medical students, residents, clinical fellows), staff and alumni. Faculty and learners have a multitude of opportunity to apply their global ophthalmology experiences into the local community. By working with outreach sites in the Madison region, distinctive populations within our Plain Community Outreach Clinic, Department of Corrections Clinic, Veterans Hospital, Madison Bi-monthly Community Clinic and Annual World Sight Day Clinic gain access to equitable care, and offer physician’s exposure to under-served patients, many of which come from diverse linguistic, socioeconomic, cultural, and knowledge backgrounds. Accompanying local and regional fieldwork, learners are encouraged to participate in global fieldwork experiences at partner sites in India and the Philippines. Financial support is available for learners to engage in globally and structured to enhance their core competencies in patient care, medical knowledge, interpersonal and cross-cultural communication, professionalism, practice-based learning and systems-based practice.
Since 2020, residents can expand their core competencies by participating in a hybrid, module-based global ophthalmology curriculum. This program is integrated into the UW Ophthalmology Residency curriculum and is unique to UW and residency programs across the United States. By the end of training, residents who participate must complete of 100 points of coursework, comprised of self-guided assignments, in-person lectures, and fieldwork. An anticipated 6-8 hours of self-guided study outside of the integrated curriculum is required to complete the program. Future expansion of this curriculum to include UW faculty, and global faculty and learners is anticipated.
Our program welcomes faculty and learners from other countries to Madison for clinical observations alongside University of Wisconsin (UW) colleagues, for mutually enriching clinical and surgical observership experiences. These short-term opportunities are limited due to clinical capacity among other learners including medical students, residents and clinical fellows. At this time, we given priority to UW learners and established global partners; we offer an annual 2-week faculty exchange with Dr. Shroff’s Charity Eye Hospital (SCEH) and 5-week Brazil resident observership rotation.
We encourage research collaborations with international partners, as opportunities to make contributions to basic science, translational and clinical research internationally. International clinicians benefit from working with our strong clinical research faculty and excellent Clinical Eye Research Unit (CERU). Annually, we partner with the Association for Research in Vision and Ophthalmology (ARVO), to support an international ophthalmologist attendance to the annual meeting and offer a 5-week research rotation and clinical observership to an excelling University of São Paulo (USP) resident under the supervision of a clinical research faculty. Our international research collaborations provide opportunities for expansive mentoring and networking.
VIRTUAL EXPANSION EFFORTS
The Department is committed to the virtual expansion of learning opportunities for its global partners and has virtually adapted educational programs and topics for these colleagues. We dedicate 2-3 Grand Rounds per year to topics on global ophthalmology and members of partnering institutions are invited to present. In recent years, the Department has seen an increase in UW faculty and learners’ engagement in global webinars, conferences, and presentations. The Global Ophthalmology Initiatives (GOI) remains committed to its global partnerships and continues to explore opportunities for faculty and learner short-term (two weeks or less) exchanges.