Saran Santhosh

Introduction

As the Clinical Teaching Fellow (CTF) in Ophthalmology at Cardiff and Vale University Health Board, my job plan is divided equally between clinical work in ophthalmology and teaching.

My main educational responsibility is designing, coordinating and delivering the ophthalmology placement for Cardiff University medical students. This article reflects on my experiences and the lessons I have learned in the role thus far.

Making Ophthalmology Accessible

One of the main challenges of teaching ophthalmology is making a complex specialty accessible to students with varying levels of prior knowledge. Ophthalmic examination techniques, particularly fundoscopy and slit-lamp examination, can initially seem unfamiliar and challenging.

I have found it important to focus teaching on clinically relevant presentations rather than overwhelming students with specialist knowledge. Emphasising common conditions, red flags and ophthalmic emergencies helps students develop skills applicable to their future clinical practice.

Case-based discussions and practical demonstrations are particularly valuable in bridging the gap between theoretical knowledge and clinical application. They encourage students to develop clinical reasoning while building confidence in their examination skills.

Developing Clinical Skills in Ophthalmology

Undertaking this role has enabled me to develop my own clinical skills and knowledge in ophthalmology.

Clinically, I spend much of my time in eye casualty and glaucoma clinics, alongside observing ophthalmic surgery in theatre.

The transition into ophthalmology initially presented a steep learning curve, given the specialised knowledge and practical skills required. However, regular clinical exposure and learning from experienced colleagues have helped me build a foundation in the specialty and develop greater confidence in assessing ophthalmic presentations. This has been greatly facilitated by the supportive environment within the department, with registrars and consultants generously sharing their knowledge and providing guidance throughout my learning.

A particular highlight has been attending postgraduate ophthalmology teaching sessions. These have complemented my clinical experience, allowing me to consolidate theoretical knowledge and develop practical skills through wet-lab and simulation training.

Research and Leadership Opportunities

Beyond teaching and clinical work, the role has also allowed me to become actively involved in research and leadership activities.

As a resident doctor, finding opportunities to participate in research can be challenging, particularly alongside clinical commitments. With the support of my supervisor, I have been fortunate to take a leading role in multiple research projects, developing my academic interests and gaining experience in conducting research. Most recently, I presented a project at the Welsh Ophthalmic Forum, where I also gained insight into the wider research being undertaken across Wales.

Mentorship has been another rewarding aspect of the role. As an educational supervisor, I meet regularly with a student allocated to me for the academic year. I help to provide guidance and support them in achieving their learning goals during clinical placements. I have also supported students interested in pursuing ophthalmology by helping them arrange additional clinical exposure and explore the specialty further.

These leadership experiences have highlighted the wider responsibilities of a clinical educator, extending beyond formal teaching to include mentorship and supporting students in their professional development.

Conclusion

Reflecting on my first few months as a CTF in Ophthalmology, I have found the role both rewarding and enriching, allowing me to develop clinically while striving to deliver a high-quality educational experience for students.

For doctors considering a clinical teaching fellowship, particularly those interested in ophthalmology, I would highly recommend this role. I look forward to building on what I have learned throughout the remainder of my fellowship.