With high-speed links to the hospital, three of the clinics, also known as vision centers, screen about 1,500 patients each month. (Numbers are not yet available for the two other centers, which came online in May 2006.) Centers are run by a nurse trained in eye care. Patients first see the nurse, then spend about five minutes on a web camera consulting with an Aravind doctor. If the doctor determines that a closer examination or an operation is necessary, the patient is given a hospital appointment.