Author ORCID Identifier

0009-0004-3767-6490

Date of Graduation

5-2026

Document Type

Thesis (MS)

Program Affiliation

Genetic Counseling

Degree Name

Masters of Science (MS)

Advisor/Committee Chair

Leslie Dunnington, MS, CGC

Committee Member

Meagan Choates, MS, CGC

Committee Member

Ruchi Shah, MD

Committee Member

Laura Farach, MD

Committee Member

Samantha Montgomery, MS, CGC

Committee Member

Kathryn Leal, MS, CGC

Abstract

Background: Ophthalmologists are uniquely positioned to recognize ocular manifestations that may constitute further workup for a genetic etiology. Yet, the extent of genetics training in ophthalmology residency remains largely unexplored. This study assesses the current state of genetics curriculum within ophthalmology residency and describes resident’s requests for further professional development and academic support.

Methods: An electronic survey for current U.S. ophthalmology residents assessed training volume, frequency of educational methods, surveyed inclusion of conditions in curriculum, and measured confidence. Knowledge was assessed using a 35-question quiz. Qualitative responses revealed desired curricular changes. Recruitment ran from July to December 2025.

Results: Fifty-three residents participated. Most had less than 20 hours of genetics instruction annually. Residents had nominal awareness of most genetic conditions queried. Non-intern residents achieved significantly higher quiz scores than PGY-1 (z = −1.97, P = .048). Median confidence (60.7%) did not correlate with quiz performance (P = .147). Nearly half (46.1%) were dissatisfied with their genetics training. Qualitative analysis revealed demand for more frequent instruction, case-/problem-based learning, and support in clinical decision making.

Conclusion: Gaps in diagnostic accuracy present risks for both life-threatening false negatives and economically wasteful false positives. To optimize training, programs may consider integrating curricular changes that reflect resident preferences.

Keywords

ocular genetics, ocular, genetics, ophthalmology, residency, inherited eye disease, ocular phenotype

Available for download on Sunday, April 30, 2028

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