Hefner VAMC Residency Program Policies
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RESIDENCY IN PRIMARY EYE CARE/OCULAR DISEASE

W G (Bill) Hefner VAMC

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 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, 50% of which will include obtaining a case history, visual acuity, refraction, tonometry, and external and internal ocular health assessment during the encounter. 

 

Measure: The resident will report monthly on the number of patient encounters of this type using the patient encounter logs and summary sheets.

 

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 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 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 to asses the resident's management skills.

 

 

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

 

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

 

Outcome: The resident will perform fundus photography on at least 50 patients.

 

Measure: The resident will report monthly on the number of patient encounters of this type using the patient encounter logs and summary sheets.

 

Objective 2: The resident will develop expertise in performing and/or interpreting fluorescein angiography.

 

Outcome: The resident will photograph and interpret the results of at least 40 patients undergoing fluorescein angiography over the course of the year.

 

Measure: The resident will report monthly on the number of patient encounters of this type using the patient encounter logs and summary sheets.

 

Objective 3: The resident will develop expertise in ordering and/or interpreting relevant laboratory procedures.

 

Outcome: The resident will order and/or interpret laboratory procedures on at least 30 patients.

 

Measure: The resident will report monthly on the number of patient encounters of this type using the patient encounter logs and summary sheets.

 

 

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 coordinate care 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 monthly on the number of patient encounters and participation in conferences of this type using the patient encounter logs and summary sheets.

 

 

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 7 presentations over the course of the year at conferences, professional society meetings, and other meetings held at the Hefner VAMC or the Southern College of Optometry.  The resident will prepare and 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 monthly 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.

 

 

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, 50% of which will include obtaining a case history, visual acuity, refraction, tonometry, and external and internal ocular health assessment during the encounter. 

 

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, fluorescein angiography and relevant laboratory procedures.

 

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 and will consult with non-optometric providers in the total care of these patients.

 

Outcome: The resident will be able to communicate effectively with physicians in the co management of patients who have systemic disease that impacts their ocular health.

 

 

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 7 presentations over the course of the year at conferences, professional society meetings, and other meetings held at the Hefner VAMC or the Southern College of Optometry.  The resident will prepare and 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. 

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 required for state licensure and furnish official transcripts when available. If accepted, the resident is expected to obtain a state optometry license.

E.    Three letters of recommendation are required.

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.

 

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 $32,018 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 4 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.  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 apply for optometric license in at least one of the fifty states prior to or during the residency.

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.  All records will be reviewed by the assigned attending optometrist.

C.   The resident is required to write a publication quality paper or to complete an original research project as approved by the Supervisor. 

D.   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.

E.    The resident is required to participate in and complete the requirements set forth in the curriculum.

F.    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.

H.   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.


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.

 

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.

 

ACCREDITATION

The residency program at the W. G. (Bill) Hefner VAMC is accredited by the Accreditation 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: cervin@sco.edu