RESIDENCY IN FAMILY PRACTICE OPTOMETRY

AT

WEST TENNESSEE EYE, MEMPHIS TENNESSEE

affiliated with

SOUTHERN COLLEGE OF OPTOMETRY

MEMPHIS, TENNESSEE

 

PROGRAM MISSION

 

The Residency Program in Family Practice Optometry at West Tennessee Eye (WTE) 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.

 

PROGRAM GOALS AND OBJECTIVES

Goal 1: Strengthen the residentŐs 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 vision disorders, 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 residentŐs 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 patientŐs needs.

Measure:

The resident will be evaluated quarterly by the supervisor to assess the residentŐs management skills.

 

Goal 2: Enhance the residentŐs 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 residentŐs 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 10 ophthalmic ultrasonography (A and B-scans) 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 ophthalmic fluorescein angiography.

Outcome:

The resident will perform ophthalmic fluorescein angiography 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 anterior/posterior photography.

Outcome:

The resident will perform anterior/posterior photography on at least 100 patients.

Measure:

The resident will report on the number of patient encounters of this type using the activity log.

 

 

Objective 4:

The resident will develop expertise in performing and interpreting optical coherence tomography (OCT).

Outcome:

The resident will perform and interpret scanning laser polarimetry 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 ordering and interpreting relevant medical laboratory procedures and ophthalmic laboratory fabrication.

Outcome:

The resident will order laboratory procedures on at least 30 patients.

Measure:

The resident will report on the number of patient encounters of this type using the activity log.

 

Goal 4: Expand the residentŐs 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: Increase the residentŐs 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.

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.

Measure:

The resident will report on the number of patient encounters and participation in conferences of this type using the activity log.

 

Goal 6: Develop the residentŐs 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, one grand rounds at WTE, and when possible will present posters or lectures in other settings such as the American Academy of Optometry and SECO.

Measure:

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

 

Goal 7: 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.

 

Goal 8: Provide the resident with the opportunity to become an effective clinical educator.

Objective:

The resident will supervise optometry student clinicians in the provision 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 9: 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 WTE 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 patient 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 residentŐs 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, ophthalmic fluorescein angiography, fundus photography, optical coherence tomography, relevant medical laboratory procedures and ophthalmic laboratory fabrication.

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 become familiar with the management of systemic diseases commonly associated with ocular disease.

Learning Activity:

The resident will consult with patientsŐ 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 6

 

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 and SECO.

Outcome:

The resident will develop skills in providing effective presentations to health care professionals.

 

Program Goal 7

 

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 8

 

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 nine months of the residency.

Outcome:

The resident will develop skills in providing effective clinical education.

 

Program Goal 9

 

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

           

Three to four grand rounds presentations, typically emphasizing ocular disease, are also presented each year.

 

Clinical Rotations 

 

The Resident will gain clinical experience in the West Tennessee Eye Centers and in external clinics affiliated with WTE.  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.

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 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 be involved in occasional student supervision if teaching is deemed a career goal.

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 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 13 months in length from June 15 to July 15.  The stipend is $32,400.00 which will be paid on a bimonthly basis by West Tennessee Eye. The resident will have the opportunity to purchase health insurance at a nominal cost through Southern College of OptometryŐs group plan.  Professional liability insurance is provided by West Tennessee Eye. A continuing education allowance of $500 is also provided by West Tennessee Eye. Also, WTE will provide two clinic coats and a digital pager/phone.

LEAVE POLICY

One week of educational leave, one week of sick leave, 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.

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.

OTHER EMPLOYMENT

The resident may be allowed to provide patient care services outside of the West Tennessee Eye system on a limited basis only with advance written permission by West Tennessee EyeŐs 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 WTE, the Residency Committee, Director of Residency Programs, and the SCO administration. The office is open from 8:30 A.M. until patient care is completed, usually around 5:30 P.M., Monday through Saturday.   On call services are required after one month of training.

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

  1. 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 West Tennessee Eye. 
  2. The resident will be expected to assist in the continuing education programs provided at West Tennessee Eye.

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 West Tennessee Eye Care 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 report 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

 

 

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)

            Ultrasonography                                               ________

            Fluorescein angiography                                 ________

            Fundus photography                                        ________

            Optical coherence tomography                                   ________

            Refractive surgery co-management                 ________

            Low Vision (limited sight) encounters              ________

            Laboratory procedures                                     ________

 

 

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.