The fourth professional year is designed to promote continued development of the student's emerging clinical problem-solving abilities. This is a series of fulltime clinical rotations or externships. Direct patient care in individualized supervised clinical experiences is the focus. Students will provide eye care services in the Primary Care and Specialty Services (cornea and contact lenses, ocular disease, pediatric optometry, low vision rehabilitation, electro-diagnosis, vision therapy, sports vision and ocular prosthetics) at the Midwestern University Eye Institute or at selected external rotation sites. Clinical decision making will be enhanced through challenging patient care problems that highlight or emphasize differential diagnosis, management decisions, referral decisions and follow-up, and newer techniques and procedures for diagnosis and management. This course comprises patient care experiences and a seminar series presented weekly during each fourth year clinical rotation in the Eye Institute.