RESIDENCY IN VISION THERAPY & NEURO-OPTOMETRIC REHABILITATION
S. Moshe Roth, OD, FCOVD
Family Eye Care
3111 Route 9 North
Old Bridge, NJ 08857
Affiliated with the
SOUTHERN COLLEGE OF OPTOMETRY
The mission of the residency is to provide an opportunity to deliver full-scope primary, secondary, and tertiary care optometry, pediatrics through geriatrics, vision therapy, developmental vision, vision rehabilitation, and disease management, by providing post-graduate clinical experience beyond that of the Doctor of Optometry program. The intent is to provide the education and management skills needed to excel in a private practice setting.
General comprehensive examinations encompassing refractive solutions, diagnosis of eye health or disease, and making appropriate treatment recommendations.
Evaluation and treatment of individuals who have ocular disease and those who have functional problems who can benefit from vision therapy.
Encompasses individuals who require neuroptometric rehabilitation post-concussion, trauma or acquired brain injury.
Birth to 18.
Functional, Binocular Behavioral, Vision Therapy and Vision Rehabilitation
This includes diagnosis, management and treatment of individual with visual efficiency and visual processing, strabismus, amblyopia, binocular dysfunctions, accommodative dysfunctions, visual-auditory and visual-vestibular integration dysfunctions, visual motor dysfunctions, visual perceptual dysfunctions, and visual information processing problems, ADD/ADHD, autism spectrum, developmental, and acquired brain injury, from stroke or from head trauma.
Ocular & Systemic Disease
Includes glaucoma, ocular surface disease, conjunctivitis, iritis, macular degeneration, retinal disease, etc., as well as ocular manifestation of systemic diseases including diabetes, hypertension, thyroid, and other systemic disorders. Helping individuals best manage systemic disease.
Goal 1: To provide the opportunity to enhance the resident’s examination skills in optometric care, including pediatrics, functional binocular vision and ocular disease.
Objective: The resident will develop a high degree of competence and efficiency in providing full scope optometric care; primary, secondary, and tertiary care, including ocular disease, vision therapy, and vision rehabilitation. The resident will provide service for infants, pediatric, adult and seniors.
Outcome: The resident will provide primary eye and vision care services involving a minimum of 1200 patient encounters, 25% of which will include a comprehensive optometric examination or functional/behavioral evaluations. This includes obtaining a full case history, appropriately recording, refracting, internal and external evaluation, etc., and consistently arriving at a correct diagnosis and treatment plan.
Measure: The resident will report the number of patient encounters of this type using the activity log.
Goal 2: To provide the opportunity to strengthen the resident’s expertise in the diagnosis, management, and treatment of refractive, functional binocular vision, ocular, and systemic health problems.
Objective 1: The resident will acquire additional knowledge in selecting the appropriate diagnostic procedures for each of the conditions above.
Outcome: The resident will consistently select the correct diagnostic tests and procedures diagnoses for at least 100 patients, 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 technical ability.
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 progresses.
Measure: The resident will be evaluated quarterly by the supervisor to assess the appropriateness of the resident’s diagnostic ability.
Objective 3: The resident will determine the best management and treatment for each patient.
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 appropriateness of the resident’s management ability with increasing independence as the residency program progresses.
Goal 3: To provide the resident with the opportunity to develop expertise in advanced diagnostic procedures.
Objective: The resident will develop expertise in the utilization of advanced ophthalmic diagnostic instrumentation and testing in determining functional, ocular, systemic, and neurological disease, and brain injury.
Outcome: The resident will perform and/or interpret tests with advanced ophthalmic diagnostic instruments including ophthalmic visual fields, Optical Coherence Tomography (OCT), pachymetry, topography, gonioscopy, Retinal Fundus Photography, External Photography, VEP Electrophysiological, Readalyzer, computer based, standardized and observational tests, etc. , for at least 100 patients.
Measure: The resident will be evaluated quarterly by the supervisor to to assess the appropriateness of the resident’s diagnostic ability.
Goal 4: Expand the resident’s knowledge of diagnosis and treatment of binocular and perceptual vision problems.
Objective: The resident will gain experience in diagnosis and treatment of patients with visual processing disorders and/or vision related learning disabilities, accommodative dysfunction and/or non-strabismic disorders of binocular vision, strabismus, amblyopia, and acquired brain injury.
Outcome: The resident will evaluate, manage, and treat via vision therapy, a minimum of 50 patient encounters with the above diagnoses.
Measure: The resident will report on the number of patient encounters of this type using the activity log.
Goal 5: To provide the opportunity for the resident to acquire a practical understanding of electronic records, patient coding, billing, and practice management.
Objective: The resident will become proficient in electronic health records, the critical importance of recording, appropriate coding and claim submission.
Outcome: The resident will enter appropriate diagnosis ICD codes, appropriate procedure codes, Physician Quality Reporting System, meaningful use criteria office prepare at least one publication-quality manuscript on an approved topic.
Measure: The resident will gain a thorough understanding of proper coding, and the resident will be evaluated quarterly by the supervisor to assess the resident’s skills in recording in the records and appropriately recording these codes.
Goal 6: To provide the opportunity for the resident to develop the 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 lectures during meetings of the clinic or other health care providers at least once per quarter. The resident will, when possible, also present posters or lectures in other settings such as the College of Optometrists in Vision Development, the American Academy of Optometry, SECO, AOA or other such meetings.
Measure: The resident will report monthly on these types of activities using the activity log.
Goal 7: To provide the opportunity for the resident to appreciate the importance of scholarly activity.
Objective: Educate the resident in the preparation of a professional manuscript.
Outcome: The resident will prepare at least one publication-quality manuscript on an approved topic.
Measure: The resident will complete a paper of publication quality.
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 competence and efficiency in providing primary, secondary, and tertiary eye and vision care services, with respect to pediatrics, binocular vision, and ocular disease, per the definitions above.
Learning Activity: The resident will provide primary eye and vision care services involving a minimum of 1200 patient encounters, 25% of which will include obtaining a case history, performing a comprehensive eye examination and/or a full functional/behavioral evaluation.
Outcome: The resident will develop enhanced skills in the management of primary, secondary, and tertiary eye and vision care patients as mentioned above.
Program Goal 2
Objective: The resident will acquire additional knowledge in the diagnosis, treatment, management, and co-management of the conditions delineated in the definitions section above. In addition, the resident will acquire additional knowledge in the diagnosis, management, and co-management of systemic disease and injury.
Learning Activity: The resident will provide services to patients with conditions stated above, and will formulate a diagnosis, management, and treatment plan for at least 100 patients. When indicated, the resident will co-manage with other, non-optometric providers in the total care these patients.
Outcome: The resident will become highly proficient in performing and interpreting basic and advanced functional and ocular examination techniques on patients with complex problems and will attain advanced skills in the management and treatment of these patients. When indicated, the resident will be able to communicate effectively with other professionals; physicians, therapists, educators, in co-managing patients who have functional vision issues, ocular issues, and/or systemic disease that impact the patient’s quality of life.
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 diagnostic tests that can include visual fields, electrophysiological testing (VEP and pERG), ophthalmic photography, indirect ophthalmoscopy, gonioscopy, pachymetry, OCT, HRT, Readalyzer, computer based, standardized and observational functional vision tests, etc. on at least 100 patients.
Outcome: The resident will develop advanced knowledge of specialized diagnostic procedures and instrumentation, and functional vision testing.
Program Goal 4
Objective: Expand the resident’s knowledge of binocular and developmental vision problems.
Learning Activity: The resident will provide care to patients with vision related learning disabilities, accommodative dysfunction, non-strabismic disorders of binocular vision, strabismus, amblyopia, visual perceptual problems, and oculomotor dysfunction for at least 50 patients..
Outcome: The resident will develop advanced competence in managing patients with binocular and developmental vision problems.
Program Goal 5
Objective: The resident will be responsible for consistently recording the appropriate assessment and management plan, indicate the appropriate diagnostic and procedure codes, and demonstrate a good understanding of electronic health records, medical insurance and government compliance in maintenance of electronic records. These must be correctly posted so claims can be most efficiently processed, the critical importance of recording, appropriate coding and claim submission.
Learning Activity: The resident will record essential findings and supporting assessment and plan for each patient encounter. The resident will be responsible to correctly, appropriately, and consistently record all diagnostic ICD codes, post all CPT procedures codes, Physician Quality Reporting System, and Meaningful Use criteria.
Outcome: The resident will gain a thorough understanding of proper coding, and the resident will be evaluated quarterly by the supervisor to assess the resident’s skills in recording in the records and appropriately recording these codes.
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 to staff or other groups and when possible will present posters or lectures in other settings such as the College of Optometrists in Vision Development, the American Academy of Optometry, SECO, AOA and other such meetings.
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. The paper may be submitted to a peer reviewed journal.
A. All applicants must complete the SCO application and return by January 30. Supporting documents should be submitted to the Director of Residency Programs of Southern College of Optometry no later than January 30. This program uses Optometry Residency Match (ORMatch). Applicants must complete the ORMatch application by the SCO deadline of January 30, to be considered. Applicants are responsible for ensuring that all supporting documentation is submitted to each entity involved, e.g., the College, ORMatch, and the residency site supervisor.
In order to take part in the Match you must have passed NBEO Part I, Part II (PAM) and TMOD. Those applying to a VA hospital or a state that does not require TMOD to obtain licensure are an exception if TMOD is not passed on first attempt.
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 and furnish official transcripts when available.
E. Three letters of recommendation are required. One letter must be from the chief academic officer or clinical director of the institution. Two letters must be from full-time faculty members who have been most responsible for the clinical education of the applicant.
F. A brief essay stating reasons for applying to this program.
G. A personal interview is required at Family Eye Care, Old Bridge, NJ.
H. Southern College of Optometry 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.
LETTER OF INTENT
All applicants selected for admission must sign a standard letter of intent.
LENGTH OF RESIDENCY
The residency program is 12.5 months in length from July 1 to July 15 of the following year.
The resident is eligible for thirteen days annual, sick, or personal leave. The resident is also eligible for approved educational leave to attend approved professional meetings. Annual and educational leave is granted with prior approval of the Supervisor in conjunction with the SCO Director of Residency Programs.
STATUS OF THE RESIDENT
A. The resident is defined as an employee of Family Eye Care, Old Bridge, NJ and the residency stipend is paid by same. No tuition or fees are applicable.
B. The resident should apply for optometric license in New Jersey prior to the beginning of the residency.
C. Professional liability protection for residents for professional activity performed at Family Eye Care, Old Bridge, NJ is provided by Family Eye Care, Old Bridge, NJ.
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 Family Eye Care, Old Bridge, NJ.
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 SCO.
Presently, normal office hours are from 9:00 AM until patient care is completed, usually around 8:00 PM, Monday through Thursday. There is a possibility of some Friday or Saturday hours. The resident will work a 4 or 5 day week.
The resident is encouraged to join the residency director in participating in various committees meetings at the state optometric association and the Brain Injury Alliance. The resident is expected to be present in the office during all scheduled working hours, except when attending or delivering lectures. The resident will occasionally be required to be on call.
B. The resident is required to keep a record of patient contacts. The Supervisor of the Residency Program, the Director of Residency Programs, and the Residency Committee will review the resident’s activity periodically.
C. The resident is required to write a publication quality paper based on original research, literature review, or a clinical case.
D. The resident will be required to deliver an oral presentation at the annual Resident Weekend, held on the campus at SCO.
E. The resident is 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 Family Eye Care, Old Bridge, NJ and Southern College of Optometry Residency Programs.
F. The resident is 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 for 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 Family Eye Care, Old Bridge, NJ or those set forth by Southern College of Optometry, or for any action which jeopardizes the safety of patients, personnel, or physical facilities.
A resident rotating through a hospital based (or similar) residency program must adhere to all facility policies and procedures, including but not limited to, receiving all required immunizations or showing appropriate medical documentation that he/she is in full medical compliance with required immunizations. In addition, if a resident cannot receive a flu or similar immunization due to potential allergic reaction, medical documentation must be made available to the Program Supervisor prior to the program's start date. A resident should receive the required immunizations provided by the facility when appropriate. Otherwise, any costs incurred will be the resident's responsibility. Any grievances should be submitted in writing to SCO's Director for Residency Programs utilizing the procedures found in the Residency Handbook.
A residency stipend will be provided for the year of training paid by Family Eye Care, Old Bridge, NJ. The stipend is $40,000. Compensation is not contingent upon productivity of the resident. Additional benefits such as FICA and professional liability insurance are also funded by the practice.
Moonlighting is defined as employment outside of the residency during the term of the residency. Moonlighting is permitted while enrolled as a resident in this program ONLY with prior approval of the program supervisor. Moonlighting is not permitted to interfere with or be substituted for any assigned residency activity. The professional liability protection provided does not cover moonlighting activities.
The residency program at Family Eye Care, Old Bridge, NJ is fully accredited by the ACOE, 243 N. Lindbergh Blvd., St. Louis, MO 63141, 314-991-4100.
CERTIFICATE OF COMPLETION
Upon satisfying all the requirements for completion of the program as determined by the Supervisor of the Residency Program and the Director of the Residency Programs, a Certificate of Completion will be awarded to the resident by Southern College of Optometry.
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, Residency Programs
Southern College of Optometry
1245 Madison Avenue
Memphis, TN 38104
Affiliated with the
SOUTHERN COLLEGE OF OPTOMETRY