Introduction

Dell Laser Consultants (DLC) and the Rosenberg School of Optometry (RSO) have jointly developed a one year residency program to assist in the advancement of clinical optometric education. DLC is a tertiary, referral eyecare practice whose mission is to provide "World Class Specialty Eyecare". DLC's office is located in Austin, TX. The resident will spend the majority of their time at our main clinic working under the guidance of Derek N. Cunningham, OD, FAAO, Affiliated Residency Supervisor, and our ophthalmology corneal subspecialists. The program is designed to enhance the clinical skills necessary to diagnose and manage a wide variety of ocular disease. The residency program will provide vast experience in medical and surgical management of ocular disease with an emphasis on the co-management of ocular and refractive surgery and dry eye treatment. In addition to the advance clinical experience, the program will provide numerous opportunities for teaching the optometric community, scholarly activity including lecturing, writing, and clinical research, and service to both the profession and the community.

GOALS OF THE PROGRAM

The Council on Optometric Education defines a residency program as "an academic postgraduate program of prescribed length and content, usually in an area of patient care, which is available to fully qualified clinical practitioners. A residency program is clinical in content, and has the goals including development of unique skills and competence in one or more areas of optometric practice. It includes a body of knowledge beyond that effectively covered in the undergraduate program. In any postgraduate education program it is important to clearly delineate program goals that are both desirable and attainable within the general parameters of the program. The following goals of the Dell Laser Consultants Optometric Residency Program are designed to not only provide a framework within which the resident will develop significant expertise in the diagnosis and management of disorders of the eye and visual system, but to provide a level of personal and professional support that produces a caring and competent health care professional.

Dell Laser Consultants, Austin

Residency in Ocular Disease/ Ocular and Refractive Surgery

Mission Statement

The mission of the Residency Program in Ocular Disease / Refractive and Ocular Surgery at Dell Laser Consultants is to provide optometric residents an opportunity to become a "Leader in World Class Specialty Eyecare". Residents will obtain advanced clinical competencies in the areas of optometric comanagement of ocular surgery while mastering skills necessary to assess and be competent in treating ocular disease through education and patient care.

Goals, Objectives & Outcomes

Goal 1: Help the resident develop advanced diagnostic and management clinical skills in ocular disease.

  • Objective 1: Expose the resident to a wide variety of challenging ocular disease that includes medical and surgical management.
  • Outcome: The resident will examine and co-manage patients presenting to the practice for medical and surgical eye care rotating through Dry Eye, Cornea, and refractive subspecialties.
  • Measure: The resident will maintain a patient care log with diagnostic categories for quarterly review. The residency program supervisor will review the patient care experiences and determine if they are meeting the expected goal.
  • Objective 2: Ensure that the resident evaluates a minimum number of patients.
  • Outcome: The resident will gain experience by examining at least 2000 patients.
  • Measure: Utilizing the patient care log, the resident will document total patient encounters. The patient care log will be reviewed quarterly.
  • Objective 3: Provide the resident the opportunity to become proficient in advanced diagnostic and treatment procedures
  • Outcome: The resident will meet performance criteria for various eye care diagnostic and treatment procedures as outlined in the resident supervision policy (attachment).
  • Measure: The resident supervision log will be reviewed quarterly and the supervisor will ensure that the resident is experienced and proficient in the specified procedures within the first nine months of the residency.
  • Objective 4: The resident will gain experience and proficiency in managing pre- and post-operative ophthalmic surgery patients.
  • Outcome: The resident will provide a minimum number of perioperative evaluations (500 refractive cataract surgery and 100 other ocular surgical patient encounters)
  • Measure: The resident will record these visits in the patient care log which will be reviewed quarterly.

Goal 2: Provide the resident with a practical understanding of a referral based ophthalmic practice.

  • Objective 1: Ensure that the resident learns proper interaction with referring providers.
  • Outcome: The resident will be responsible to review information provided by the referral source and for correspondence back to the referring doctor following evaluation.
  • Measure: Using the resident’s activity log, the resident will document the amount of doctor correspondence.
  • Objective 2: Help the resident to learn appropriate use of other clinical support services.
  • Outcome: The resident will refer patients and consult with other providers such as: radiology, vascular, clinical laboratory etc.
  • Measure: Residents will report quarterly on the patient care log any referrals and consultations requested.

Goal 3: Expand the resident’s health care knowledge base.

  • Objective 1: Encourage the resident to review the current literature and utilize evidence based medicine.
  • Outcome: The resident will participate in the clinical journal club.
  • Measure: Documentation will be provided in the resident’s activity log.
  • Objective 2: Encourage the resident to strive toward academic and clinical excellence.
  • Outcome: Faculty will present lectures on various topics of eye care to students and the eye care community in addition to participation in monthly grand rounds lectures.
  • Measure: The resident will document these lectures in the resident activity log.

Goal 4: Instill in the resident an appreciation for the importance of research and other scholarly activity.

  • Objective: Educate the resident as to the process of optometric research and manuscript preparation.
  • Outcome: The resident will prepare a manuscript of publishable quality.
  • Measure: The supervisor will monitor the progress of manuscript preparation as outlined.

Goal 5: Assist the resident in becoming an effective educator.

  • Objective 1: Educate the resident on how to prepare and present a clinical lecture.
  • Outcome: The resident will prepare and present at least two lectures for community eye doctors.
  • Measure: The resident will document this presentation in the resident activity log.

Goal 6: Help the resident to gain an appreciation for service to patients and to the optometric profession.

  • Objective 1: The resident will gain experience and an appreciation for service to the profession of optometry.
  • Outcome: The resident will participate in local optometric society and state association activities working with the Central Texas Optometric Society.
  • Measure: The resident will document service and activity with organized optometry in the resident activity log.

Goal 7: Prepare the resident with a strong understanding of clinical integration and communication between health care providers including referral letters, progress notes, and proper billing and coding.

  • Objective 1: The resident will learn proper CPT and ICD coding and billing procedures.
  • Outcome: The resident will be responsible for filling out the routing sheet properly on all patients.
  • Measure: The attending reviews the coding prior to discharging the patient and the practice’s certified billing/coding compliance coordinator regularly reviews charts for proper coding.
  • Objective 2: The resident will gain vast experience working in an optometry/ophthalmology co-management setting.
  • Outcome: Residents completing the program will be qualified to obtain employment in a multidisciplinary setting.
  • Measure: The residency director will monitor resident program evaluations, completion rates, and career placement.

CRITERIA FOR COMPLETION OF RESIDENCY

  1. The resident is required to deliver clinical services at a level that is satisfactory to the Residency Supervisor of DLC, the Director of the Affiliated Residency Programs at RSO and the administration of RSO.
  2. The resident will be required to keep a record of patient contacts. The Residency Supervisor and the Director of the Affiliated Residency Programs at RSO, will periodically review patient contacts.
  3. 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.
  4. The resident will be expected to assist in the continuing education programs provided at DLC.
  5. The resident will be expected to perform in a professional manner in the delivery of professional care services and to observe the proprieties of conduct and courtesies that are consistent with the rules and regulations governing DLC.
  6. The Residency Supervisor and the Director of the Affiliated Residency Program will recommend the granting of certification to the resident through the office at The University of Incarnate Word Rosenberg School of Optometry upon successful completion of the Residency Program at DLC.
  7. Any resident accepted for training can be dismissed by DLC, without receiving a certificate of completion, for infraction of the rules and regulations of DLC, or those set forth by Rosenberg School of Optometry, or for any action that jeopardizes the safety of patients, personnel or physical facilities.
  8. The resident must prepare and present a Grand Round type presentation on campus at RSO at the time and date chosen by RSO.

The Residency Program Supervisor tracks the resident and ensures he/she attains all criteria. At the end of the year, the Residency Supervisor is required to send a letter in writing to the Director of Affiliated Residency Programs attesting to the fact that the Resident has completed all criteria to the Residency Supervisor's satisfaction and may be awarded the residency certificiate. The certificate is mailed to the Resident after June 30 (or end date of the residency).