RESIDENCY IN PRIMARY EYE CARE

AT

SOUTHERN COLLEGE OF OPTOMETRY

 

PROGRAM MISSION

The Primary Eye Care Residency Program educates graduate optometrists in the art and science of optometry by providing significant opportunities for residents to enhance skills in the diagnosis and management of eye and vision problems encountered in primary care practice, encompassing all aspects of optometric care, with a special emphasis on providing experience in the diagnosis and management of ocular problems beyond that provided in the Doctor of Optometry program.  These optometrists, upon completion of the residency program, 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:  To provide the resident with an adequate number of patient encounters to strengthen the residentŐs diagnostic and management skills of varying visual disorders.

 

Objective 1

The resident will complete a minimum of 1200 patient encounters.  The patient demographics will include patients of all age groups.

Outcome

The resident will develop advanced expertise in management of visual disorders from all aspects of Optometric Care.

Measure

The resident will report on the number and types of patient encounters using the activity log.

 

 

Objective 2

The resident will perform appropriate diagnostic procedures to diagnose and manage varying visual disorders.

Outcome

The resident will develop the knowledge and expertise as to when to select and perform varying diagnostic procedures.

Measure

The resident will be evaluated quarterly by the residency supervisor to ascertain the level of proficiency in performing various diagnostic procedures.

 

 

Objective 3

The resident will determine the correct diagnosis for a variety of patients with varying visual disorders.

Outcome

The resident will develop clinical insight enabling him/her to consistently establish the correct diagnosis for each patient.

Measure

The resident will be evaluated quarterly by the residency supervisor to ascertain the level of proficiency in diagnosing various visual disorders.

 

 

Objective 4

The resident will develop appropriate management options for a variety of patients with varying visual disorders.

Outcome

The resident will consistently formulate the most appropriate management plan for patients with various visual disorders.

Measure

The resident will be evaluated quarterly by the residency supervisor to ascertain the level of proficiency in managing various visual disorders.

 

 

GOAL 2:  To provide the resident with enough patient encounters to enhance the residentŐs examination skills.

 

Objective

The resident will develop advanced efficiency in providing visual care to a diverse patient population.

Outcome

The resident will perform a minimum of 800 comprehensive visual examinations on patients with varying visual disorders.

Measure

The resident will report on the number and age of patient encounters using the activity log.

 

 

GOAL 3: To provide the resident with the opportunity to develop expertise in advanced diagnostic procedures.

 

Objective

The residency will provide experience in advanced optometric diagnostic techniques, including, but not limited to ophthalmic photography, fluorescein angiography, medical laboratory testing, as well as their interpretation and analysis.

Outcome

The resident will perform these procedures either in The Eye Center, VA Medical Center Optometry Clinic, or other external clinical settings.

Measure

The resident will report on the number and type of procedures performed using the activity log.

 

 

GOAL 4:  To provide the resident the opportunity to develop expertise in the care of ocular refractive conditions.

 

Objective

The residency will provide experience in advanced refractive care, including, but not limited to contact lenses, low vision services, and vision therapy.

Outcome

The resident will perform examinations on patients applying advanced refractive options in the patientsŐ management of their refractive problems.

Measure

The resident will report on the number and type of advanced management options utilized, using the activity log.

 

 

 

GOAL 5:  To provide the resident with opportunities to participate in patient care in practice settings other than the SCO Eye Center.

 

Objective

The residency will provide clinical experience at off-campus clinical sites, on a rotating basis, with various specialties in Optometry, Ophthalmology, and Medicine.

Outcome

The resident will rotate through various off-campus clinical sites.  The number and variety will be determined on a monthly basis in consult with the resident and the residency supervisor.

Measure

The resident will receive a schedule at the beginning of each academic quarter, reflecting the dates and location of off-campus sites.  The resident will report on the number of patients seen in these off-campus sites and the types of encounters made, this being reflected in the residentŐs activity log.

 

 

 

 

GOAL 6:  To provide the resident opportunities for presenting topics in lecture and or poster format to fellow professionals.

 

Objective 1

The resident will be given the opportunity to present information to other professionals in a group setting.

Outcome

The resident will present at least one lecture to SCO optometry students, two lectures at the regular weekly residency conference, and make one lecture presentation at SCO ResidentŐs Day.

Measure

The resident will report on these types of activities using the activity log.

 

 

Objective 2

The resident will be given the opportunity to submit and, if accepted, present a poster at an optometric educational meeting.

Outcome

The resident will submit at least one poster abstract to an optometric educational meeting.  If accepted, the resident will produce the poster panels and visuals and present this poster at the meeting where it was accepted.

Measure

The resident will report this activity in the residency activity log. 

 

 

 

GOAL 7:  To provide the resident an appreciation of the importance of scholarly activity.

 

Objective 1

The resident will be educated in the preparation of a professional manuscript.

Outcome

The resident will prepare a publishable quality manuscript on an appropriate topic approved by the residency supervisor.

Measure

The resident will complete the manuscript as approved by the residency supervisor by the end of the residency.

 

 

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 (e.g. West Tennessee Optometric Society, SCO Continuing Education meetings, Journal Clubs).  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).  If presenting a poster at a meeting, this also will 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 twenty-five 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 8:  To provide the resident opportunities to develop skills considered necessary to become an effective educator.

 

Objective 1

The resident will provide direct supervision of student clinicians in The Eye Center at Southern College of Optometry and/or external

Clinic sites.

Outcome

The resident will gain experience in providing clinical education to optometry students.

Measure

The resident will report monthly on the number of patient encounters of this type using the residency activity log and will be evaluated quarterly by the residency supervisor.

 

 

Objective 2

The resident will present lectures to and participate in laboratory instruction of optometry students at Southern College of Optometry.

Outcome

The resident will gain experience in the preparation and presentation of laboratory and lecture materials.

Measure

The resident will report monthly on the number of activities of this type using the residency activity log and will be evaluated quarterly by the residency supervisor.

 

 

CURRICULUM

The resident will obtain extensive experience in managing patients in a primary care setting, gaining experience in the diagnosis and management of ocular disease, contact lens practice, childrenŐs vision, geriatric vision, low vision, and general optometry beyond that obtained in the Doctor of Optometry program, and acquiring experience in advanced optometric diagnostic techniques.  The resident will also obtain experience in presenting topics to peers in written and oral form.

 

PROGRAM GOAL 1

 

Objective

The resident will develop an advanced degree of proficiency in optometric care of patients.

Learning Activity

The resident will provide optometric services to a minimum of 1200 patients with varying visual problems in the SCO Eye Center and/or external clinics.

Outcome

The resident will develop an advanced degree of proficiency because of the complexity and variety of patient encounters.

 

 

PROGRAM GOAL 2

 

Objective

The resident will develop a more efficient means of examining and managing optometric patients.

Learning Activity

The resident will perform comprehensive examinations to a minimum of 800 patients with varying visual problems in the SCO Eye Center and/or external clinics.

Outcome

The resident will develop an advanced degree of efficiency due to the complexity and variety of patient encounters.

 

 

PROGRAM GOAL 3

 

Objective

A wide variety of advanced diagnostic instrumentation will be provided for the resident to utilize.

Learning Activity

The resident will perform and interpret a wide variety of advanced diagnostic procedures, including, but not limited to ophthalmic fluorescein angiography, fundus and anterior segment photography, GDx, OCT, HRT, A- and B-scan ultrasonography, and pachymetry.

Outcome

The resident will become experienced and become comfortable in a wide variety of advanced diagnostic instrumentation and interpretation.

 

 

PROGRAM GOAL 4

 

Objective

A wide variety of refractive patient encounters will be provided for the resident to manage.

Learning Activity

The resident will evaluate, counsel and manage patients needing various forms of refractive management, including, but not limited to contact lens, vision therapy,  low vision aids.

Outcome

The resident will become experienced and more confident with a wide variety of refractive management modalities.

 

 

PROGRAM GOAL 5

 

Objective

The resident will become familiar with various types of clinical settings and experience real-life practice situations.

Learning Activity

The resident will rotate through various types of clinical settings encompassing Optometric, Ophthalmologic, and Medical care delivery.

Outcome

The resident will gain insight in different styles of clinical office management and patient flow, and will develop an appreciation of other types of health care delivery.

 

 

PROGRAM GOAL 6

 

Objective

The resident will develop and present original presentations to optometric peers.

Learning Activity

The resident will present at least one lecture to SCO optometry students, three lectures to fellow residents, and will submit at least one poster abstract to an Optometric educational meeting.

Outcome

The resident will be able to effectively communicate with optometric peers.

 

 

PROGRAM GOAL 7

 

Objective

The resident will engage in scholarly activity.

Learning Activity

The resident will author an original, publishable quality paper that will be approved and critiqued by the residency supervisor.  The resident will also read at least twenty-five journal articles or one textbook and provide the residency supervisor summaries of the readings.

Outcome

The resident will develop an appreciation for scholarly activity and the importance of this to the residentŐs personal growth and professional development.

 

 

PROGRAM GOAL 8

 

Objective

The resident will gain experience in instructing optometry students.

Learning Activity

The resident will participate in lecture, laboratory, and clinical instruction of optometry students.

Outcome

The resident will develop basic skills in didactic and clinical instruction.

 

 

Clinical Rotations 

 

The Resident will gain clinical experience in the Southern College of Optometry campus clinic and in external multidisciplinary clinics affiliated with the College.  The campus clinic provides the resident with the opportunity to practice full‑scope primary care optometry.  Modern diagnostic instrumentation is readily accessible, as are Faculty who are experienced in all optometric specialties.  The resident will meet on a weekly basis with the family practice residency Supervisor for discussion of current cases. The resident will see patients at external multidisciplinary clinics in addition to the clinical experience available at the College.  These locations provide exposure to a wider variety of conditions than might be seen in an equivalent period of time at the College clinic.  .

 

DIDACTIC ACTIVITIES OF THE RESIDENT

 

During the residency a weekly conference is given at SCO which the resident is expected to attend.  The resident will be expected to present at least two of these conferences during the year.  A paper of publication quality is expected prior to the end of the residency.  The resident will be involved in student supervision during the second half of the program.  In addition, the resident may be asked to be a guest lecturer in a didactic course at SCO.

 

 

APPLICATION PROCEDURES

 

A.   All applicants must complete and return the Southern College of Optometry 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 Tennessee license and furnish official transcripts when available.  If accepted, the resident is expected to obtain a Tennessee 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 one calendar year in length from July 1 to June 30.  The stipend is $36,000 which will be paid on a bi-monthly basis.

The resident will also have the opportunity to purchase health insurance at a nominal cost.  Professional liability insurance and a $500 travel stipend are provided by the College.  Also included in the benefit package are clinic coats, 10 days academic leave, 10 personal days and 18 days vacation leave, as outlined in the paragraph below.

LEAVE POLICY

Eighteen days of vacation leave are provided to the resident.  These days are those on which The Eye Center at Southern College of Optometry is normally closed: July 4, Labor Day, Thanksgiving and the Friday following, ten working days at Christmas and New Year’s, Martin Luther King Day, two days during the Spring Break, and Memorial Day.  Provision of these vacation days is automatic and does not require approval or submission of a leave request form.  The resident may be required to provide on call services during some of these days.

Ten days of educational leave are provided.  These days are intended to allow the resident to attend professional meetings. Ten days of personal leave are provided. The resident must submit a standard leave request form in advance to request educational and personal leave.  This form should be completed by the resident and submitted to the supervisor.  The supervisor will then approve or disapprove the request.  If the request is approved by the supervisor the leave request form is forwarded to the Director of Residency Programs, who is responsible for tracking the resident’s leave balance.  If the resident has a leave balance sufficient to cover the request, the DRP will approve the request and forward the appropriate copies of the form to the resident and the supervisor.  The resident and supervisor are responsible for notifying the appropriate Chiefs of Service and the Director of Clinical Operations of the days that the resident will not be available to provide clinical services.

The resident should understand that on-call duties may be concurrent with some expected leave days.  Residents should plan ahead and consult with the director of the on-call service to avoid conflicts.

On-Call Service Policy

    The On-Call schedule for the academic year shall consist of equitable weeks  

    of service for each in-house resident at Southern College of Optometry.  ŇOn-

    CallÓ shall be defined as the period of time for which the resident is responsible

    for responding to urgent/emergent after-hours calls and those calls which may

    come during regular business hours of The Eye Center at Southern College of

    Optometry when TEC/SCO is closed for breaks and holidays.  An annually

    updated On-Call Manual will be supplied by TEC Chief of Staff to all residents

    at the onset of the program and can also be found in an electronic version at

    http://www.sco.edu/residency/SCOPrimaryEyeCare/Documents/TEC_EOCS_Manual.pdf.

 

        

Scholarly Activity

The resident is required to write a paper based upon original research, literature review, or a clinical case suitable for publication in a refereed optometric journal. See the program Curriculum description for details.

CRITERIA FOR COMPLETION OF RESIDENCY

 

A.   The resident is required to deliver clinical services at a level that is satisfactory to the Residency Supervisor, the Residency Committee, Director of Residency Programs, and the SCO administration.  The resident will be given a specific schedule each quarter.  Approximately 40 hours per week will be assigned.  After hours on-call assignments will be made on a periodic basis. Participation in community screening activities will be required on a periodic basis.

B.  The resident will be required to keep a record of patient contacts.  Cases will be reviewed periodically by the Supervisor of the Residency Program, 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.

D.  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 the Southern College of Optometry.

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, for failure to meet the requirements set forth in the Residency Handbook and program description, or for any action that jeopardizes the safety of patients, personnel, or physical facilities.

OTHER EMPLOYMENT

Other employment (moonlighting) activities are at the discretion of the residency supervisor.  However, under no circumstances is moonlighting permitted if it interferes with any part of the residency, including on-call assignments.  The professional liability protection provided by the College does NOT cover moonlighting activities.

ACCREDITATION

 

The Primary Eye Care residency program at Southern College of Optometry is fully accredited by the Council on Optometric Education of the American Optometric Association, 243 N. Lindbergh Blvd., St. Louis, MO 63141, 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 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, Residency Programs

Southern College of Optometry

1245 Madison Avenue

Memphis, TN  38104

(901) 722-3201

email: cervin@sco.edu

Sylvia E. Sparrow, O.D., Supervisor
(901) 722-3200

email: bsparrow@sco.edu

 

 


SUMMARY OF RESIDENT ACTIVITY

 

Resident_______________________________________________

 

Summary period:         From                _____________

                                    Through           _____________

 

I.          Comprehensive General Eye Examinations

            Age

            0-10                                                                 _______

 

            11-20                                                               _______

 

            21-30                                                               _______

 

            31-40                                                               _______

 

            41-50                                                               _______

 

            51-60                                                               _______

 

            61-70                                                               _______

 

71-over                                                                        _______          Level of Involvement

 

            TOTAL                                                              _______1        P____S____O____

 

II.         Brief & Limited Visits                                       _______2        Level of Involvement

                                                            P____S____O____   

III.        Contact Lens Procedures (NOT included in categories 1 & 2)

                                                Fittings &                     Brief office                                                                               Re-fittings                    visits

                                                                                    (PC, Disp., etc.)

            Soft Lens                     ___________              ___________

            Rigid Gas Permeable  ___________              ___________

            Other                           ___________              ___________

            TOTALS                       ___________3                        ___________4

Level of Involvement                    Level of Involvement

P____S____O____                      P____S____O____

            Sub-categories (included in categories 3 & 4)

                        Spherical         ______                        Bifocal             ______

                        Toric                ______                        Monovision      ______

                        Keratoconus    ______                        Other               ______

 

IV.        Vision Therapy Examinations (NOT included in          categories 1 & 2)

 

            Vergence problems                                         ________

            Accommodative problems                               ________

            Strabismus                                                       ________

            Oculomotor dysfunction                                              ________

            Amblyopia                                                       ________

            Visual perceptual                                            ________        Level of Involvement

            TOTAL                                                              ________5      P____S____O____


V.         Special Visits (screening patients, patients seen while performing special procedures, etc.)

 

            Patients seen on vision screenings                  ________

 

            __________________________________    ________

 

            __________________________________    ________

Level of Involvement

            TOTAL                                                              ________6         P____S____O____

 

VI.        Objective-related Encounters (included in categories 1, 2, 3, 4, 5, & 6)

            Electrodiagnostics                                           ________

            Fluorescein angiography                                 ________

            Ophthalmic photography                                 ________

            Laboratory procedures                                                 ________

            Refractive surgery co-management                 ________

            Low Vision (limited sight) encounters              ________

            ______________________________                        ________

 

 

VII.       Contact Lens Procedures (included in categories 1, 2, & 5)

                                                            Fittings &                     Brief office                                                                               Re-fittings                    visits

                                                                                                (PC, Disp., etc.)

            Soft Lens                                 ___________              ___________

            Rigid Gas Permeable              ___________              ___________

            Other                                       ___________              ___________

            Sub-categories (included in above totals)

                        Spherical         ______                        Bifocal             ______

                        Toric                ______                        Monovision      ______

                        Keratoconus    ______                        Other               ______

 

 

VIII.      Problems of binocular vision & ocular motility (included in categories 1, 2, 3, 4, 5, & 6)

 

            Amblyopia

               Refractive                                                     ________

               Strabismic                                                    ________

               Congenital                                                    ________

               Other                                                                        ________

            Strabismus

               Esotropia                                                      ________

               Exotropia                                                      ________

               Vertical                                                         ________

            Visual perceptual

               Visual motor dysfunction                              ________

               Visual memory                                              ________

               Laterality/Directionality                                ________

            Accommodative Insufficiency/Inflexibility                   ________

            Convergence Insufficiency/Excess                  ________

            Divergence Insufficiency/Excess                                 ________

            Phoria related problems

               Esophoria                                                     ________

               Exophoria                                                     ________

               Vertical                                                         ________


IX.        Ocular Disease (included in categories 1, 2, 3, 4, 5, & 6)

            Adnexa                                                                        ________

            Lacrimal system                                               ________

            Conjunctiva                                                     ________

            Cornea                                                             ________

            Anterior chamber & angle                               ________

            Glaucoma suspect                                           ________

            Glaucoma                                                       ________

            Iris                                                                    ________

            Lens                                                                 ________

            Vitreous                                                           ________

            Retina                                                              ________

            Choroid                                                                        ________

            Optic nerve                                                      ________

 

X.         Systemic Disease (included in categories 1, 2, 3, 4, 5, & 6)

            Hypertension                                                    ________

            Diabetes                                                          ________

            Degenerative joint disease                              ________

            Cardiovascular (excluding HTN)                                  ________

            CVA/Neurological                                            ________

            Dermatological                                                            ________

            Endocrine                                                        ________

            ENT                                                                 ________

            Gastrointestinal                                                            ________

            Hematologic                                                    ________

            Immunological/Allergic                                               ________

            Infectious/Parasitic                                          ________

            Musculoskeletal/CT/Collagen                          ________

            Neoplastic                                                       ________

            Nutritional/Metabolic                                       ________

            Psychological/Psychosomatic                         ________

            Pulmonary                                                       ________

            Renal/Urologic                                                            ________

            Other                                                               ________

 

XI. Referrals & Follow-up visits

            Referrals

                        Optometry                                            ________

                        General medicine                               ________

                        Ophthalmology                                                ________

                        Other                                                   ________

            Follow-up visits (included in categories 1, 2, 3, 4, 5, & 6)

                                                                                    ________

                                                                                                            Level of Involvement

TOTAL PATIENT ENCOUNTERS*                                 ________        P____S____O____

*Sum of 1, 2, 3, 4, 5, & 6.

Remember: The sum of P, S, and O for each category should equal the total encounters for that category. The total of all categories (1 through 6) should equal the total encounters above.

 

I certify that this document is an accurate record of my activities for the stated period.

_____________________________________________ Date_____________

Resident signature


XII.       List other activities such as CE, presentations             given, conventions attended, etc.