RESIDENCY IN FAMILY PRACTICE OPTOMETRY

AT

Bond-Wroten Eye Clinic, Denham Springs, LA

affiliated with

SOUTHERN COLLEGE OF OPTOMETRY

MEMPHIS, TENNESSEE

PROGRAM MISSION

The Residency Program in Family Practice Optometry at Bond-Wroten Eye Clinic (BEC) provides qualified optometrists with advanced clinical education in the diagnosis and management of eye and vision problems encountered in a primary eye care practice, encompassing all aspects of optometric care, including practice management. Upon completion of this residency program, optometrists will be able to provide patient care of the highest caliber and be qualified to serve the profession as leaders in optometric patient care and education.

PROGRAM GOALS AND OBJECTIVES

Goal 1: Strengthen the resident’s expertise in the diagnosis and management of visual disorders and ocular disease.

Objective 1:	The resident will complete a minimum of 2000 patient encounters with patients presenting with vision disorders and ocular disease. The demographics include infants, children, adults and geriatric patients.
Outcome:	The resident will develop advanced expertise in the management of patients with retinal disease, glaucoma, anterior segment disease, and neuro-ophthalmic disease.
Measure:	The resident will report on the number and type of patient encounters using the activity log.
Objective 2:	The resident will perform the appropriate diagnostic procedures.
Outcome:	The resident will consistently select and successfully perform the proper diagnostic procedures for each patient.
Measure:	The resident will be evaluated quarterly by the supervisor to determine if the appropriate level of technical and cognitive ability is being exhibited.
Objective 3:	The resident will determine the correct diagnoses for each patient.
Outcome:	The resident will consistently select the correct diagnosis for each patient with increasing independence as the residency program progresses.
Measure:	The resident will be evaluated quarterly by the supervisor to assess the appropriateness of the resident’s diagnostic ability.
Objective 4:	The resident will determine the best management based on the diagnoses.
Outcome:	The resident will consistently devise an appropriate management plan for each patient in order to best address the patient’s needs.
Measure:	The resident will be evaluated quarterly by the supervisor to assess the resident’s management skills.

Goal 2: Enhance the resident’s basic examination skills.

Objective:	The resident will develop a high degree of efficiency in the provision of optometric services.
Outcome:	The resident will perform a minimum of 1000 examinations that include a case history, measurement of visual acuity, refractive status verification, tonometry, and assessment of external and internal ocular health during a single encounter.
Measure:	The resident will report on the number of patient encounters of this type using the activity logs.

Goal 3: Expand the resident’s knowledge of specialized diagnostic procedures and instrumentation.

Objective 1:	The resident will develop expertise in performing and interpreting ophthalmic ultrasonography.
Outcome:	The resident will perform a minimum of 25 ophthalmic ultrasounds (A and B-scans, and pachymetry) and interpret the results.
Measure:	The resident will report on the number of patient encounters of this type using the activity logs.
Objective 2:	The resident will develop expertise in performing and interpreting digital anterior segment photography.
Outcome:	The resident will perform anterior segment photography on at least 50 patients and interpret the results.
Measure:	The resident will report on the number of patient encounters of this type using the activity logs.
Objective 3:	The resident will develop expertise in performing and interpreting digital ophthalmic fluorescein angiography.
Outcome:	The resident will perform and/or interpret the results of digital ophthalmic fluorescein angiography on a minimum of 25 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity logs.
Objective 4:	The resident will develop expertise in performing fundus photography.
Outcome:	The resident will perform fundus photography on at least 50 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity log.
Objective 5:	The resident will develop expertise in performing and interpreting optical coherence tomography (OCT).
Outcome:	The resident will perform and interpret scanning laser results on at least 30 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity log.
Objective 6:	The resident will develop expertise in performing and interpreting Dynamic Contour Tonometry (Pascal). The resident will develop expertise in ordering and interpreting visual fields.
Outcome:	The resident will perform and interpret Dynamic Contour Tonometry and Optic Nerve Head Blood Flow Analysis on at least 25 patients.The resident will order and interpret visual field procedures on at least 30 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity log.The resident will report on the number of patient encounters of this type using the activity log.

Goal 4: Expand the resident’s knowledge in the care of refractive patients.

Objective:	The resident will develop expertise in evaluating patients for advanced refractive care including contact lens care, low vision services, and refractive surgery.
Outcome:	The resident will provide advanced refractive care to a minimum of 500 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity log.

Goal 5: Expand the resident’s knowledge in the pre- and post-operative care of ophthalmic surgery patients.

Objective:	The resident will develop expertise in evaluating patients pre- and post-operatively for LASIK, cataract surgery, YAG posterior capsulotomy, selective laser trabeculoplasty, intraocular injections, and pterygium excision, among others.
Outcome:	The resident will provide pre- and post-operative ophthalmic care to a minimum of 50 patients.
Measure:	The resident will report on the number of patient encounters of this type using the activity log.

Goal 6: Increase the resident’s knowledge of systemic diseases and their treatment.

Objective:	The resident will acquire additional knowledge of systemic disease and treatment, particularly those systemic diseases with significant ocular manifestations, and order medical lab procedures as appropriate.
Outcome:	The resident will participate with non-optometric providers in management of patients with systemic disease. The resident will participate in relevant presentations and conferences on systemic disease. The resident will order and interpret relevant medical lab procedures.
Measure:	The resident will report on the number of patient encounters and participation in conferences of this type using the activity log.

Goal 7: Develop the resident’s skill in presenting topics to fellow professionals.

Objective:	The resident will acquire and practice skills needed to effectively present information to other professionals in group settings.
Outcome:	The resident will present at least one lecture per quarter during the regular Residency Conference, at least one grand rounds at BEC, one CE lecture at SCO’s Annual Resident’s Day, and when possible, will present posters or lectures in other settings such as the American Academy of Optometry, SECO, the American Optometric Association’s Congress, and/or state and local optometric society meetings.
Measure:	The resident will report on these types of activities using the activity log.

Goal 8: Instill in the resident an appreciation of the importance of scholarly activity.

Objective:	Educate the resident in the preparation of a professional manuscript.
Outcome:	The resident will prepare a publication-quality manuscript on an approved topic.
Measure:	The resident will complete the manuscript by May 1.
Objective 2	The resident will be given the opportunity to attend local and non-local optometric educational meetings.
Outcome	The resident will attend at least two local optometric educational meetings. The resident will also attend at least one non-local optometric educational meeting (e.g. SECO, AAO, AOA, COVD, national residency conference sponsored by an ophthalmic company, state meeting, etc). If presenting a poster at a meeting, this will also meet the non-local meeting attendance requirement.
Measure	The resident will document this attendance in the residency activity log.
Objective 3	The resident will read scholarly publications (either journal articles or books).
Outcome	The resident will read at least ten journal articles of personal interest or one book of personal interest.
Measure	The resident will give the residency supervisor either an article summary of the articles read, or a book summary of the book read.

Goal 9: Provide the resident with the opportunity to become an effective clinical educator.

Objective:	The resident will assist in the supervision of optometry student clinicians in the provision of services to patients.
Outcome:	The resident will mentor and oversee optometric externs during the final nine months of the residency.
Measure:	The resident will report the number of patient encounters of this type on the patient activity log.

Goal 10: The resident will acquire a practical understanding of patient coding, billing, and practice management in a primary eye care clinical setting.

Objective:	The resident will become familiar with the encounter/billing forms, and clinical chart recording requirements for proper billing.
Outcome:	The resident will log accurate diagnosis ICD codes, as well as appropriate office visit billing codes on the patient billing form.
Measure:	The results of regular review of the resident's billing/encounter forms by the Supervisor or attending doctor at BEC will be reflected in the quarterly resident evaluations.

CURRICULUM

The educational objectives of the curriculum are intended to ensure attainment of the mission, goals, and objectives of the program. Consequently, each educational objective reflects a specific program goal. Specifically:

Program Goal 1
Objective:	The resident will develop a high degree of proficiency in the provision of optometric services to patients with vision disorders and ocular disease.
Learning Activity:	The resident will provide optometric services involving a minimum of 2000 patient encounters to patients with vision disorders and ocular disease.
Outcome:	The resident will develop advanced skills in the management of patients with vision disorders and ocular disease.

Program Goal 2
Objective:	The resident’s basic examination skills will be enhanced.
Learning Activity:	The resident will perform a case history, measurement of visual acuity, refraction, tonometry, and assessment of external and internal ocular health during a single patient encounter a minimum of 1000 times.
Outcome:	The resident will become highly efficient in the performance of basic ocular examination techniques.

Program Goal 3
Objective:	The resident will utilize a wide variety of diagnostic procedures and instrumentation while caring for patients.
Learning Activity:	The resident will perform and/or interpret ophthalmic ultrasonography, digital ophthalmic fluorescein angiography, digital anterior segment and fundus photography, optical coherence tomography, Dynamic Contour Tonometry.
Outcome:	The resident will develop advanced knowledge of specialized diagnostic procedures and instrumentation.

Program Goal 4
Objective:	The resident will provide care to a large number of patients interested in contact lenses, low vision aids, and refractive surgery.
Learning Activity:	The resident will evaluate and counsel patients interested in contact lenses, low vision aids and refractive surgery including follow up / post-operative care.
Outcome:	The resident will become experienced in providing advanced refractive care.

Program Goal 5
Objective:	The resident will provide care to a large number of patients pre- and post-ophthalmic surgery.
Learning Activity:	The resident will evaluate, manage, and counsel patients interested in ophthalmic surgery, both pre- and post-operatively.
Outcome:	The resident will become experienced in providing care to ophthalmic surgery patients pre- and post-operatively.

Program Goal 6
Objective:	The resident will become familiar with the management of systemic diseases commonly associated with ocular disease, and order medical lab procedures as appropriate.
Learning Activity:	The resident will order and interpret relevant medical lab procedures and will consult with patients’ physicians when appropriate to coordinate the management of related ocular and systemic conditions.
Outcome:	The resident will be able to communicate effectively with physicians in the comanagement of patients who have systemic disease that impacts their ocular health.

Program Goal 7
Objective:	The resident will develop and present original presentations to other health care professionals.
Learning Activity:	The resident will present at least one lecture per quarter during the regular Residency Conference and when possible will present posters or lectures in other settings such as the American Academy of Optometry, SECO, AOA Congress, and/or state and local optometric meetings.
Outcome:	The resident will develop skills in providing effective presentations to health care professionals.

Program Goal 8
Objective:	The resident will engage in scholarly activity.
Learning Activity:	The resident will prepare a publication-quality manuscript on an approved topic that will be reviewed and critiqued by the supervisor
Outcome:	The resident will develop an appreciation for scholarly activity and its importance to the profession.

Program Goal 9
Objective:	The resident will supervise optometry student externs in the provision of patient care.
Learning Activity:	The resident will mentor and oversee the optometry students during the final ten months of the residency.
Outcome:	The resident will develop skills in providing effective clinical education.

Program Goal 10
Objective:	The resident will be responsible for recording the proper assessment and management plan and indicating the correct diagnostic and procedural codes for each patient.
Learning Activity:	The resident will record essential findings and supporting assessments and management plans for each patient encounter in the clinical record and appropriate forms.
Outcome:	The resident will gain a thorough understanding of proper coding.

In addition to the specific educational objectives listed, the resident will participate in the weekly residency conferences. These conferences cover a range of optometric topics and are updated each year. Generally, the following areas are covered during multiple presentations every year:

Contact lens fitting and problem solving

Office Emergencies

Anterior and posterior segment ocular disease

Binocular vision

Low vision

At least one grand rounds presentation, typically emphasizing ocular disease, will also be presented each year by BEC.

Clinical Rotations

The Resident will gain clinical experience in the Bond-Wroten Eye Clinic Offices and in external clinics affiliated with BEC. The resident will meet on a weekly basis with the residency supervisor for discussion of current cases. The exact schedule for these rotations will be determined by the program supervisor. Bond-Wroten Eye Clinic currently has clinics in Denham Springs, Amite, and Hammond, LA, each furnished with cutting edge diagnostic instrumentation and excellent staff.

DIDACTIC ACTIVITIES OF THE RESIDENT

During the residency, a weekly conference is given at SCO. The resident is expected to view the Tegrity recording when it is emailed, or review the slide presentation. The resident will be expected to present a talk at a minimum of three of these conferences during the year. A paper of publication quality is expected prior to May 1. The resident will also be involved in student extern supervision, the extent of which will be mutually agreed upon by the resident and the residency supervisor.

APPLICATION PROCEDURES

A. All applicants must complete and return application forms by January 15. Supporting documents should be submitted to the Director of Residency Programs of Southern College of Optometry no later than January 31. This program uses the Optometric Residency Matching Service. Applicants must complete the ORMS application and forward it to the ORMS as directed in the application. Applicants are responsible for ensuring that all supporting documentation is submitted to each entity involved, e.g., the College, ORMS, and the residency site if required.

B. Applicant must have earned an O.D. degree, or will have earned such a degree by the time of matriculation from a school/college of optometry accredited by the Accreditation Council on Optometric Education.

C. Applicant will furnish an official transcript from his/her school/college of optometry. An applicant should have a cumulative grade point average greater than 3.0 on a 4.0 scale in the professional optometric curriculum.

D. Applicant must pass all parts of the National Board of Examiners in Optometry examinations required for Louisiana license and furnish official transcripts when available. If accepted, the resident is expected to obtain a Louisiana optometry license

E. Three letters of recommendation are required.

F. A brief essay stating reasons for applying to this program.

G. A personal interview will be required.

H. Southern College of Optometry affirms that all residency candidates will be evaluated without regard to sex, race, color, creed, national origin or disabilities.

CONTRACT

All applicants selected for admission must sign a standard resident contract.

STIPEND AND BENEFITS

The residency program is fifty four weeks in length from July 1, to July 15 of the following calendar year. The stipend is $32,400.00 which will be paid on a biweekly basis by Bond-Wroten Eye Clinic. The resident will have the opportunity to purchase health insurance at a nominal cost through Southern College of Optometry’s group plan. Professional liability insurance is provided by Bond-Wroten Eye Clinic. A continuing education allowance of $500 is also provided by Bond-Wroten Eye Clinic. Also, BEC will provide two clinic coats and a digital pager/phone.

LEAVE POLICY

One week of educational leave, one week of sick leave, and one week of vacation leave are available with prior approval of the Supervisor and the SCO Director of Residency Programs. Additional educational leave may be allowed at the discretion of the above individuals. BEC is traditionally closed in observance of the following holidays: New Year’s Day, Good Friday, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day, the Friday after Thanksgiving, Christmas Eve, and Christmas Day. The resident may be required to provide on call services during some of these days.

SCHOLARLY ACTIVITY

The resident is required to write a paper based upon original research, literature review, and/or a clinical case suitable for publication in a refereed optometric journal.

OTHER EMPLOYMENT

The resident may be allowed to provide patient care services outside of the Bond-Wroten Eye Clinic system on a limited basis only with advance written permission by Bond-Wroten Eye Clinic’s residency supervisor.

CRITERIA FOR COMPLETION OF RESIDENCY

A. The resident is required to deliver clinical services at a level which is satisfactory to the Residency Supervisor of BEC, the Residency Committee, Director of Residency Programs, and the SCO administration. The office is open from 8:00 A.M. until patient care is completed, usually around 5:00 P.M., Monday through Friday. On-call services are required after one month of training, and are an integral part of the educational process. It is anticipated the resident will be on-call a maximum of 1-2 weeks per month, and will always have access to other BEC doctors for on-call consultation. “On-call” shall be defined as the period of time for which the resident is responsible for responding to urgent/emergent after-hours calls for the provision of medical eye care services.

B. The resident will be required to keep a record of patient contacts. Cases will be reviewed periodically by the Residency Supervisor at BEC, the Director of Residency Programs, and the Residency Committee when appropriate.

C. The resident will be required to write a paper based on original research, literature review, or a clinical case for publication in an acceptable professional journal.

4. The resident will be expected to perform in a professional manner in the delivery of patient care services and to observe those proprieties of conduct and courtesies that are consistent with the rules and regulations governing Bond-Wroten Eye Clinic.
5. The resident will be expected to assist in any continuing education programs provided at Bond-Wroten Eye Clinic.

F. The resident will be required to participate in and complete the requirements set forth in the curriculum.

G. Upon successful completion of the Residency Program, the Residency Supervisor and the Director of Residency Programs will recommend the granting of certification to the Vice President of Academic Affairs.

H. Any resident accepted for training can be dismissed, without receiving a certificate of completion, for infractions of the rules and regulations of Southern College of Optometry, or for any action that jeopardizes the safety of patients, personnel, or physical facilities.

ACCREDITATION

The residency program in Family Practice Optometry at Bond Eye Clinic is fully accredited by the Accreditation Council on Optometric Education, 243 N. Lindbergh Blvd., St. Louis, MO 63142, (314) 991-4100.

CERTIFICATE OF COMPLETION

Upon evidence of satisfactory performance in meeting all requirements of the program, the resident will be awarded a Certificate of Completion.

REPORTING STATUS

The resident reports to the Supervisor of the residency program. The Supervisor reports directly to the SCO Director of Residency Programs who in turn reports directly to the Vice President for Academic Affairs at Southern College of Optometry.

FOR FURTHER INFORMATION, PLEASE CONTACT:

Cheryl E. Ervin, O.D.
Director of Residencies
Southern College of Optometry
1245 Madison Avenue Memphis, TN 38104
Office: (901) 722-3201
Fax: (901) 722-3325
email: cervin@sco.edu