Hefner VAMC Residency Program Policies
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RESIDENCY IN PRIMARY EYE CARE/Ocular Disease
W. G. (BILL) HEFNER VA MEDICAL CENTER
SALISBURY , NORTH CAROLINA

affiliated with

SOUTHERN COLLEGE OF OPTOMETRY
MEMPHIS, TENNESSEE

PROGRAM MISSION

The mission of the residency is to prepare optometrists to provide full-scope primary care optometry with an emphasis in ocular disease by providing post-graduate clinical experience beyond that provided in the Doctor of Optometry program.

 

Goal 1: Enhance the resident's skills in optometric primary care

Objective: The resident will develop a high degree of efficiency in the provision of primary eye care services.

Outcome: The resident will provide primary eye care services involving a minimum of 1000 patient encounters, with at least 500 encounters including ophthalmic evaluation and management sufficient for justifying Current Procedure Terminology (CPT®) codes of 92004, 92014, 99204, 99205, 99214, 99215, 99244, or 99245.

Measure: A report on the number of patient encounters of this type will be generated using the VA database on patient encounters.

 

Goal 2: Strengthen the resident's expertise in the diagnosis and management of ocular disease.

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 with input from the other attending optometrists to determine if the desired level of technical and cognitive ability is being exhibited.

 

Objective 2: 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 with input from the other attending optometrists to assess the appropriateness of the resident's diagnostic ability.

 

Objective 3: The resident will determine the best management based on the diagnoses.

Outcome: The resident will consistently devise an appropriate management plan for each patient in order to best address the patient's needs.

Measure: The resident will be evaluated quarterly by the supervisor with input from the other attending optometrists to assess the resident's management skills.

 

Objective 4: The resident will develop a strong knowledge base in the treatment and management of glaucoma.

Outcome: The resident will provide care to at least 150 eyes with the diagnosis of glaucoma.

Measure: A ICD10 coding report will be generated for all encounters having the diagnosis of glaucoma using the VA database.

 

Objective 5: The resident will develop a strong knowledge base in the treatment and management of macular degeneration.

Outcome: The resident will provide care at least 50 eyes with the diagnosis of macular degeneration

Measure: A ICD10 coding report will be generated for all encounters having the diagnosis of macular degeneration using the VA database.

 

Goal 3: Expand the resident's knowledge of specialized diagnostic instrumentation.

Objective 1: The resident will develop expertise in performing ocular photography.

Outcome: The resident will perform and/or interpret ocular photography on at least 50 patients.

Measure: The CPT codes 92285 (External Ocular Photography) and 92250 (Eye Exam with Photos) will be tracked for each resident using the VA database.

 

Objective 2: The resident will develop expertise in performing and/or interpreting optic nerve OCTs.

Outcome: The resident will perform and/or interpret at least 125 OCTs of the optic nerve

Measure:The CPT Code 92133 (Computer Ophthalmic Diagnositc Imating of the Optic Nerve) will be tracked for each resident using the VA database.

 

Objective 3: The resident will develop expertise in performing and/or interpreting posterior segment OCTs

Outcome: The resident will order and/or interpret at least 175 posterior segment OCTs.

Measure: The CPT Code 92134 (Computer Ophthalmic Diagnostic Imaging of the Posterior Segment) will be tracked for each resident using the VA database.

 

Goal 4: Increase the resident's knowledge of systemic diseases and their treatment.

Objective: The resident will acquire additional knowledge of systemic disease and treatment, particularly those systemic diseases with significant ocular manifestations.

Outcome: The resident will provide care for at least 200 eyes on patients with a diagnosis of diabetes and 100 eyes with a diagnosis of hypertension.

Measure: A ICD10 coding report will be generated for all encounters having the diagnosis of diabetic retinopathy and hypertensive retinopathy using the VA database.

 

Goal 5: Develop the resident's skill in presenting topics to fellow professionals.

Objective: The resident will acquire and practice skills needed to effectively present information to other professionals in group settings.

Outcome: The resident will give at least 6 presentations over the course of the year to other professionals in a group setting.  These settings can include local, state, and national meetings. The resident will submit for acceptance at least one poster or lecture to a national optometric meeting, such as the American Academy of Optometry or SECO.

Measure: The resident will report 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.

 

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 efficiency in the provision of primary eye care services.

Learning Activity: The resident will provide primary eye care services involving a minimum of 1000 patient encounters with at least 500 encounters involving level 4 or 5 evaluation and management.

Outcome: The resident will develop enhanced skills in the management of primary eye care patients.

 

Program Goal 2

Objective: The resident's ocular disease-related diagnostic skills will be enhanced.

Learning Activity: The resident will provide services to a significant number of patients with ocular disease and 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 ocular disease, 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.

Learning Activity: The resident will perform and/or interpret fundus photography, optic nerve OCTs and posterior pole OCTs

Outcome: The resident will develop advanced knowledge of specialized diagnostic procedures and instrumentation.

 

Program Goal 4

Objective: The resident will acquire additional knowledge of systemic disease and treatment, particularly those systemic diseases with significant ocular manifestations.

Learning Activity: The resident will provide eye care to a large number of patients with systemic disease, specifically diabetes and hypertension.

Outcome: The resident will develop enhanced skills in the management of ocular complications related to systemic disease.

 

Program Goal 5

Objective: The resident will develop and present original presentations to other health care professionals.

Learning Activity: The resident will give at least The resident will give at least 6 presentations over the course of the year to other professionals in a group setting.  These settings can include local, state, and national meetings. The resident will submit for acceptance at least one poster or lecture to a national optometric meeting, such as the American Academy of Optometry or SECO.

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

 

Program Goal 6

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.

 

APPLICATION AND SELECTION PROCEDURES

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.

  1. You must have passed NBEO Part I, II and TMOD in order to apply to one of our programs through ORMatch.
  2. You must have passed NBEO Part III and ISE (if applicable) in order to begin an SCO affiliated residency program. 

  3. 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 an accredited school/college of optometry.

C. Applicant will furnish an official transcript from his/her school/college of optometry.

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.

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

G. An interview is required.

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

 

LETTER OF INTENT

All applicants selected for admission must sign a standard letter of intent.

 

DURATION OF RESIDENCY

Each residency is one calendar year in length, typically commencing on July 1st.

 

EXPECTED WEEKLY HOURS

Each resident works an 80 hour tour every two weeks. The current tour is 8:00 am to 4:30 pm Monday thru Friday. There are no required on-call hours, but there may be a rare occasion where a resident will see a follow-up patient with an attending during off-tour (e.g., for inpatients admitted with an ocular diagnosis).

 

RESIDENT COMPENSATION

A residency stipend will be provided for the year of training paid by W. G. (Bill) Hefner VAMC and the Office of Academic Affiliations. The stipend is currently $34,888.00 and is not contingent on productivity. Additional benefits such as FICA and insurance are also funded.

 

LEAVE POLICY

The resident is eligible for annual leave according to VAMC policy. This equates to 8 hours of Annual Leave and 4 hours of sick leave per two-week pay period.  The resident is also eligible for Authorized Absence to attend approved professional meetings at the Supervisor’s discretion. This time will not be counted against annual or sick leave balances. Annual and educational leave is granted with prior approval of the VA Residency Supervisor and the Chief of Optometry Service.

 

PROFESSIONAL LIABILITY PROTECTION

Professional liability protection for residents for work done at the W. G. (Bill) Hefner VAMC is provided under the Federal Tort claims act.

 

STATUS OF THE RESIDENT

A. The resident is defined as an employee of the W. G. (Bill) Hefner VAMC and the residency stipend is paid by the VAMC. No tuition or fees are applicable.

B. The resident should obtain a license in at least one of the fifty states prior to the start of the residency.  An exception to this is a resident taking the North Carolina Board during the beginning of the residency can wait on obtaining another state license pending passing of the North Carolina Board Exam.

C. Professional liability protection for residents for work done at the W. G. (Bill) Hefner VAMC is provided under the Federal Tort claims act.

D. Residents will have access to Southern College of Optometry facilities such as the library.

 

CRITERIA FOR COMPLETION OF RESIDENCY

A. The resident is required to deliver clinical services at a level that is satisfactory to the VA Residency Supervisor, the Residency Committee, Director of Residency Programs, and the SCO and Hefner VAMC administrations. Normal resident clinic hours are from 8:00 A.M. until patient care is completed, usually around 4:30P.M., Monday through Friday. The resident is expected to be present for assigned clinical sessions, except when attending conferences or undertaking other approved scholastic activities. The resident will not be required to be on call on a regular basis, but with prior notice may occasionally be asked to take call (e.g., for inpatients admitted with an ocular diagnosis).

B. The resident is 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.

C. 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 the W. G. (Bill) Hefner VAMC.

D. The resident will be required to deliver an oral presentation at the annual Resident Weekend, held on the campus at SCO.

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

F. Any resident accepted for training can be dismissed, without receiving a certificate of completion, for infractions of the rules and regulations of the W. G. (Bill) Hefner VAMC or those set forth by Southern College of Optometry, or for any action which jeopardizes the safety of patients, personnel, or physical facilities.

 

OTHER EMPLOYMENT

Resident moonlighting is permitted during the residency year as long as it does not interfere with any portion of the program's mission, goals and objectives. The moonlighting should only occur outside of the resident's normal duty hours.  Government resources, including email, computers, and printers, should not be used in the establishment of outside employment.

 

ACCREDITATION

The residency program at the W. G. (Bill) Hefner VAMC is accredited by the Council on Optometric Education, 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.

 

REPORTING STATUS

The resident reports to the VA Residency Supervisor. The VA Residency Supervisor reports directly to the SCO Director of Residency Programs who in turn reports directly to the Vice President of Clinical Programs 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: [email protected]