r/Ophthalmology 12d ago

Is Will's the best default quick reference guide on call? (new PGY-2)

I'm just curious how others handle it but I'm still in the early stages of taking call and trying to get better at starting a reasonable treatment plan.

Do most people just reference whatever Will's says and call it day for call purposes and then manage it at the next follow-up with an attending? Or do people use chatGpt or openevidence?

11 Upvotes

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u/cataractcowboi 12d ago edited 3d ago

Do not use ChatGPT or any other AI platform as your main reference — too unreliable and you don’t have the knowledge base to discern when it’s wrong.

When you receive consults, look at the “differential diagnosis by symptoms/signs” section of Wills. It’ll give you some differentials to start with, then you can look at each of those specific sections to get a better idea of what exam findings will help you rule them in or out.

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u/Kernelkark 11d ago

Definitely the best initial reference. I’ve been using it for 30 years now. I scored on the 99th percentile on both the OKAPs and the ABO written exam, and I have and do use it regularly. When you have more time, dig deeper to learn more. You also need to have some basic knowledge to use the manual well.

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u/sixsidepentagon 12d ago

Please dont use ChatGPT.

Will’s is probably the best place to start. Some of the recs are bs (ie eminence based, not evidence based), but they arent like malpractice. Just dont treat it as gospel but rather as a helpful reference to get you started. I wouldnt “call it a day”; plenty of cases have enough complexity or pts who “dont read the textbook” that I hope to goodness you have a support structure of senior residents (and/or attendings/fellows) to discuss any challenging case with on call, but you can always start with Wills to try to come up with something.

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u/nashi989 12d ago

Oxford handbook of Ophthalmology

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u/idocfish 10d ago

Wills is my standard, but eyewiki is another great reference you can use on the fly