Residency in Vision Rehabilitation, with Emphasis in Low Vision Rehabilitation and Ocular Disease
PAUL VISION INSTITUTE
1613 Military Cutoff Road, Suite 230
Wilmington, North Carolina 28403
Clinic Main: 910-256-6364
www.PaulVisionInstitute.com
www.DrEdwardPaul.com
Program Mission
The mission of this residency is to provide advanced training and education in Low Vision Rehabilitation and Ocular Disease through direct patient care, education and research. The Resident will see patients at Paul Vision Institute’s main campus in Wilmington, North Carolina for ocular disease and low vision experience and education. The applicant completes requirements for residency certification with a capstone project.
Location
Wilmington is situated along NC's southeastern coast, nestled between the Atlantic Ocean and Intracoastal Waterway to its east and the Cape Fear River to its west, making for beautiful ocean sunrises and river sunsets. Three island beaches (Carolina, Kure, Wrightsville) are just minutes away from Wilmington.
Program Goals and Objectives
Goal 1: Enhance the resident’s examination skills in low vision rehabilitation and ocular disease.
Objective: The resident will develop a high degree of efficiency in the provision of low vision rehabilitation care
Outcome: The resident will provide low vision rehabilitation services involving a minimum of 300 encounters.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Goal 2: Strengthen the resident’s expertise in the diagnosis and management of low vision patients.
Objective 1: 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 desired level of technical and cognitive ability is being exhibited.
Objective 2: The resident will determine the correct diagnosis 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.
Goal 3: Expand the resident’s knowledge of specialized low vision assistive devices and non-optical low vision assistive techniques.
Objective 1: The resident will develop expertise in low vision patient evaluation and prescription of magnifiers.
Outcome: The resident will evaluate and instruct at least 75 low vision patients for magnifiers.
Measure: The resident will report on the number of patient encounters of this type using the activity log
Objective 2: The resident will develop expertise in low vision patient evaluation and prescription of hand-held and spectacle-mounted telescopes.
Outcome: The resident will evaluate and instruct at least 75 low vision patients for hand-held and/or spectacle mounted telescopes.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 3: The resident will develop expertise in low vision patient evaluation and prescription of electronic magnification systems.
Outcome: The resident will evaluate and instruct at least 75 low vision patients for electronic magnification systems.
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 low vision patient evaluation and prescription of prism.
Outcome: The resident will evaluate and instruct at least 30 low vision patients for prism.
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 low vision patient evaluation and prescription of optical filters.
Outcome: The resident will evaluate and instruct at least 40 low vision patients for optical filters.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 6: The resident will gain experience in managing patients with vision impairment with non-optical assistive devices.
Outcome: The resident will evaluate and manage at least 50 patients with vision impairment using non-optical assistive devices.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Goal 4: Expand the resident’s knowledge of ocular disease management.
Objective 1: The resident will gain experience in managing patients with ocular pathology.
Outcome: The resident will evaluate and manage a minimum of 300 patients with ocular pathology.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 2: The resident will gain experience in managing patients with retinal pathology
Outcome: The resident will evaluate and manage a minimum of 100 patients with retinal disease.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 3: The resident will gain experience in managing patients with anterior segment disease.
Outcome: The patient will evaluate and manage a minimum of 75 patients with anterior segment disease.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 4: The resident will gain experience in managing patients with Glaucoma.
Outcome: The resident will evaluate and manage a minimum of 100 patients with Glaucoma.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Objective 5: The resident will gain experience in managing patients with neurologic conditions.
Outcome: The resident will evaluate and manage a minimum of 85 patients with neurologic conditions.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Goal 5: Develop the resident’s skills 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 two lectures and when possible will present posters or lectures in other settings such as the North Carolina Optometric Society, the Southeastern District Optometric Society, the American Academy of Optometry, SECO, and the American Optometric Association.
Measure: The resident will report on these types of activities using the activity summary.
Goal 6: 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 the designated completion date.
Goal 7: Expand the resident's health care knowledge base in the field of rehabilitative vision care.
Objective: Expose the resident to the multidisciplinary approach for treatment and management of persons with vision impairment.
Outcome: The resident will visit different practice approaches pertaining to low vision rehabilitation. These may include a private practice occupational therapy offering low vision services; a state-based rehabilitation center (Governor Morehead School); a non-profit rehabilitation agency (NC Services for the Blind); and/or a hospital-based rehab center.
Measure: The resident will report participation in the above activities in the activity log.
CURRICULUM
The educational objectives of the curriculum are designed to facilitate the mission, stated goals, and objectives of the program as follows:
Program Goal 1
Objective: The resident will develop proficiency in the delivery of eye and vision care, principally directed toward low vision rehabilitation and the diagnosis and management of ocular disease.
Learning Activity: The resident will provide eye and vision care services involving a minimum of 1000 patient encounters, demonstrating advanced skills in reviewing intake information, obtaining a case history, and performing a comprehensive eye health and visual evaluation.
Outcome: The resident will develop advanced skills in the management of patients as mentioned above.
Program Goal 2
Objective: The resident's expertise in the diagnosis and management of refractive, physiologic and pathologic conditions of the eye, the adnexa, visual pathways and central nervous system will be enhanced.
Learning Activity: The resident will provide services to a significant number of patients with refractive, physiologic and pathologic conditions of the eye and vision, particularly in areas of a functional/behavioral evaluation in addition to the routine optometric examination. The resident will formulate a diagnosis based on the results of the procedures performed.
Outcome: The resident will become highly proficient in the performance and interpretation of basic and advanced ocular examination techniques on patients with complex ocular and vision anomalies and will attain advanced skills in the management of these patients.
Program Goal 3
Objective: The resident will utilize a wide variety of diagnostic procedures and instrumentation while caring for patients with ocular disease, trauma and emergency eye care.
Learning Activity: The resident will perform and/or interpret ophthalmic diagnostic tests that can include electro diagnostics, ophthalmic photography, and relevant laboratory and radiological procedures.
Outcome: The resident will develop advanced knowledge of specialized diagnostic procedures and instrumentation as well as the treatment of ocular disease, trauma and emergency eye care. The resident should have a minimum of 300 ocular disease patient encounters.
Program Goal 4
Objective: Expanding the resident's skills in low vision rehabilitation.
Learning Activity: The resident will develop proficiency in diagnosing and determining appropriate low vision rehabilitation protocols according to accepted guidelines, as well as adapt, customize and innovate as required for optimal patient care.
Outcome: The resident should have a minimum of 300 clinical low vision patient encounters.
Program Goal 5
Objective: The resident will develop and present original presentations to other professionals.
Learning Activity: The resident will acquire skills needed to present information publically in a group setting, to include lectures during on-site case conferences and to a group off-site.
Outcome: The resident will develop skills in providing presentations to health care professionals.
Program Goal 6
Objective: The resident will engage in scholarly activity.
Learning Activity: The resident will prepare a manuscript of publishable quality on an approved topic reviewed and critiqued by the supervisor. The resident will have the opportunity to submit the paper to be published. The resident also has the opportunity to submit a poster to either AOA, AAO, or SECO.
Outcome: The resident will develop an appreciation for scholarly activity and its importance to the profession.
Duties
The resident performs direct care in specific areas of low vision rehabilitation and ocular disease management and treatment.
Approximately 15 hours a week direct patient care of Low Vision Rehabilitation.
Approximately 15 hours a week direct patient care of ocular disease treatment and management.
Approximately 10 hours a week in primary care, emergency/urgent eye care or pediatrics as dictated by the semester.
The resident must make one or more didactic presentations to a professional group that may consist of OD, MD and or Residents on a subject approved by their supervisor.
Resident maintains an online Activity Log on each encounter detailing the nature of the patient encounter or educational activity, which is reviewed by the Director of Residencies and Program Supervisor. A statement summarizing the knowledge gained from each encounter is required at the supervisor level.
Residency expectations include participation in an after hour “on-call” rotation to handle emergencies in the related services in consultation with other licensed providers and independent but subject to review by a Supervisor.
Application Procedures
A. All applicants must complete the SCO application. All applicants must complete the Optometry Residency Match (ORMatch), and provide all required supporting documentation by the deadline of January 30 to be considered for an SCO program.
- You must have already passed NBEO Part I, II and TMOD in order to apply to one of our programs through ORMatch.
- You must have passed NBEO Part III and ISE (if applicable) in order to begin an SCO affiliated residency program.
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 a transcript to ORMatch from his/her school/college of optometry. An applicant should have a cumulative grade point average of 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 state licensure. If accepted, the resident is expected to obtain the appropriate state license.
E. A personal interview will be required.
F. The College affirms that no person shall be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity at or affiliated with Southern College of Optometry on the basis of race, color, creed, religion, gender, age, disability, or national origin.
Contract
All applicants selected for admission must sign a standard residency contract.
Stipend and Benefits
The residency program begins July 17 and continues through July 14 of the following year. The stipend is $65,000 which will be paid on a bi-monthly basis. Compensation is not contingent upon productivity of the resident. The resident will have the opportunity to participate in health, dental and vision insurance coverage through Paul Vision Institute. Additional benefits such as FICA and professional liability insurance are also funded by the clinic. Included in the benefits package are clinic coats, $1,000 travel stipend for professional meetings, 5 days of academic/professional leave, 10 days of personal leave, and 8 days of holiday leave, as outlined below.
Leave Policy
Ten days of personal (vacation) leave are provided to the resident. Eight days of holiday leave are provided as follows: Easter (Good Friday), Memorial Day, July 4, Labor Day, Thanksgiving Day, Christmas Eve and Christmas Day, New Years Day. Provision of holiday leave is automatic and does not require approval or submission of the leave request. Five days of academic/professional leave are provided. These days are intended to allow the resident to attend professional meetings. Ten days of personal leave (vacation) are provided. The resident must submit a standard leave request in advance to request educational and personal leave. The form should be completed by the resident and submitted to the supervisor. The supervisor will then approve or disapprove the request.
Status of the Resident
A. The resident is defined as an employee of Paul Vision Institute and the residency stipend is paid by Paul Vision Institute.
B. The resident should apply for optometric license in North Carolina prior to the beginning of the residency.
C. Professional liability protection for residents for professional activity performed at Paul Vision Institute is provided by Paul Vision Institute.
D. Residents will be required to present credentials according to the Southern College of Optometry policy for credentialing of residents.
E. Resident privileges will be determined by Paul Vision Institute.
Criteria for Completion of Residency
- The resident is required to deliver clinical services at a level that is satisfactory to the Residency Supervisor. The resident receives a specific schedule each quarter. Resident's schedule includes approximately 40 hours per week assigned in accordance with those outlined in duties.
- The resident will be required to keep a record of patient contacts. The Supervisor, when appropriate, will review cases periodically.
- The resident will be required to write a paper based on original research and a thorough literature review, or a clinical case series for publication in an acceptable professional journal.
- The resident will be required to deliver an oral presentation at the annual Residents' Weekend, held on campus at SCO.
- Resident must perform in a professional manner while engaged in the delivery of patient care services. Professional conduct, proprieties and courtesies must be consistent with the rules and regulations in the PVI handbook.
- The resident will be required to participate in and complete the requirements set forth in the curriculum.
- Upon successful completion of the Residency Program, the Residency Supervisors and the Director of Residency Programs will recommend the granting of certification to the Vice President of Academic Affairs.
- Any resident accepted for training may be dismissed without receiving a certificate of completion for infractions of the rules and regulations of Paul Vision Institute and 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. Moonlighting, if permitted, may not interfere with any part of the residency, including on-call assignments. The professional liability protection provided by Paul Vision Institute does not cover moonlighting activities.
Accreditation
The Paul Vision Institute Residency Program is accredited by the Accreditation Council on Optometric Education of the American Optometric Association, 243 N. Lindbergh Blvd., St. Louis, MO 63141, 314-991-4100.
Certificate of Completion
Resident receives a Certificate of Completion upon evidence of satisfactory performance in meeting all requirements of the program.
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 SCO.
FOR FURTHER INFORMATION, PLEASE CONTACT:
Edward L. Paul, Jr., O.D., Ph.D.
Paul Vision Institute
1613 Military Cutoff Road, Suite 230
Wilmington, NC 28403
(910) 256-6364
Email: [email protected]
-or-
Cheryl E. Mengelt, O.D.
Director, Residency Programs
Southern College of Optometry
1245 Madison Avenue
Memphis, TN 38104
(901) 722-3201
Email : [email protected]