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Comment & Response
August 1, 2019

Considering Same-Day Access vs Emergency Department Ophthalmic Visits in Ophthalmology Trainee Education—Reply

Author Affiliations
  • 1Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland
  • 2Johns Hopkins University, Baltimore, Maryland
  • 3Wilmer Eye Institute at Odenton, Odenton, Maryland
JAMA Ophthalmol. Published online August 1, 2019. doi:10.1001/jamaophthalmol.2019.2942

In Reply We are grateful for the interest in our work and will try to address these important and useful comments. We completely agree that same-day access (SDA) clinics offer potential benefits for the education of ophthalmology trainees for the reasons stated in the letter. Indeed, as mentioned in our article,1 the SDA program was piloted in the Wilmer General Eye Services Clinic, where medical residents provide continuity care to their own patients under the supervision of attending faculty. The residents there saw the pathological conditions that patients needing urgent care might bring, and they did not state during informal postimplementation discussions that patients receiving SDA care created an onerous workload burden.