James Auran, MD, a professor of ophthalmology at Columbia University Irving Medical Center and president of the American Society of Ophthalmic Trauma, lists potential solutions to bolster ophthalmic trauma care in the United States.
Emphasizing trauma care in existing ophthalmology fellowships is important, said James Auran, MD, a professor of ophthalmology at Columbia University Irving Medical Center and president of the American Society of Ophthalmic Trauma.
Transcript:
What solutions can be implemented to address the shortage of providers trained to treat ophthalmic trauma?
I think the hospitalist movement, which is a brilliant introduction since I left medical school many years ago, has been expanded to ophthalmology. And there are eye doctors who do cover hospitals, and some of their care encompasses the emergency room and trauma. Also, we've established an ophthalmic trauma fellowship. But more importantly, I think, emphasizing trauma care in a lot of existing fellowships is important. Many anterior segment, microplastic, and retina fellowships, trauma is a key portion of that, and we hope to foster that.
Furthermore, I think training our colleagues—the first responders, the emergency room physicians and nurses, the PAs [physicians' assistants], or any doctor in the hospital—I think educating them is a big part of what we're doing. We're working with the American College of Surgeons Committee on Trauma to work with the general surgeons on this. Again, it's a matter of education. And it doesn't take that much of an effort to be up to speed. One of the issues is that your average ophthalmologist might not have seen a ruptured globe for years. Would you want to go have surgery with somebody who hadn't done the procedure for years? You wouldn't. But they can keep current. So recency is a concept, that everyone should make the effort if you're obligated to be on call, if your role is to cover a health care facility or emergency room, you really need to maintain your recency and that can be done with continuing medical education. We're exploring ways of not just offering continuing medical education, but offering it even if it's the same course every several years, so no one is rusty.
Areas of Unmet Need Continue to Burden Patients With gMG
April 2nd 2025Patient-reported outcomes measures in generalized myasthenia gravis (gMG) are more important than ever, for both those treating and being treated for the chronic autoimmune neuromuscular disorder, to have a more nuanced understanding of experiences and difficulties.
Read More
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
AI in Health Care: Closing the Revenue Cycle Gap
April 1st 2025This commentary explores the current state, challenges, and potential of artificial intelligence (AI) in health care revenue cycle management, emphasizing collaboration, data standardization, and targeted implementation to enhance adoption.
Read More
Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
Read More