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Contact Lens and Cornea Residency ManualMid-Atlantic Cornea ConsultantsJuly 2019 – July 2020Table of Contents TOC \h \u \z Program Mission3Clinical Curriculum3Resident Weekly Schedule4After-Hours Expectations5Salary and Benefits5Application, Admissions, and Selection Criteria5Website6Program Length6Program Start and End Dates6Completion Requirements6Program Goals and Objectives6Core Competencies9Didactic Curriculum10Supervision and Stages of Responsibility11Clinical Skills and Expectations12Completion of Clinical Goals15Remediation and Dismissal16Grievance Procedure17Evaluation of the Resident18Program MissionThe mission of this residency program at Mid-Atlantic Cornea is to provide the entry level optometrist with specialized training and mentorship which would allow the resident to evaluate, diagnose, treat, and manage complicated anterior segment disease. The resident will also have exposure to extensive anterior and posterior segment disease including glaucoma, macular degeneration, and retinal tears and detachments. The resident will manage cases that have significant ocular manifestations of systemic diseases such as Lupus, Fabry’s disease, and Trisomy 21. The resident will become proficient at fitting and evaluating specialty contact lenses, as well as troubleshooting complications which arise from these lenses. The program will encourage the resident to become academically and clinically knowledgeable in advanced anterior segment disease and contact lens fitting, and encourage him/her to share this knowledge as an educator of his/her peers. This fifty-four week experience will allow the resident to gain the skills necessary to distinguish him/herself competitively for any optometry health care job in the marketplace upon graduation, especially within the niche of specialty contact lens fitting. The program will allow for a supportive environment with appropriate supervision, such that the resident can be comfortable and efficient in a challenging clinical setting.The resident will train in an OD/MD private practice setting specializing in anterior segment. He/She will evaluate and manage pre and post-operative cases including corneal transplants, complicated cataract surgeries, pterygium removals, and corneal crosslinking. He/She will become proficient in scleral, hybrid, and RGP contact lens fitting using conventional methods as well as scleral profiling software. He/She will diagnose, treat, and manage acute and chronic ocular diseases including corneal ulcers, iritis, glaucoma, and diabetic eye disease. He/She will learn proper medical coding for office visits as well as the process for pre-authorizing medical contact lenses through vision carriers.Clinical CurriculumThis Contact Lens/Ocular disease residency program is intended to provide advanced optometric training with special emphasis on evaluation and management in the areas of Cornea, External and Internal Ocular Disease, Post-Operative Surgical Care, and Medical Contact Lens Fitting. Patient care will take place in the office of Sarah Bell, O.D., and Sudeep Pramanik, M.D., M.B.A in York, PA and Towson, MD. The program is 54 weeks and typically starts July 1st and ends July 14th of the following year. Under special circumstances, starting and ending dates can be modified, but the duration of the program will remain fixed at 54 weeks, which allows a 2 week overlap period for orientation between incoming and outgoing residents. Clinic hours provide 8 hours of patient care, with one half hour for lunch, Monday through Friday. The York office typically starts at 8:00AM and finishes by 4:30 PM. The Towson office typically starts at 7:30AM and finishes by 4:00PM. There are no weekend patient care hours but the resident will begin to triage after- hours emergency calls after their first quarter. The resident will be expected to report to the medical doctor on call, but is not obligated to see these patients after hours. The resident will attend an orientation period during the first week of the residency that covers the facilities’ layout and daily operation of the optometric clinic. The resident also receives a copy of the most updated residency manual and employee manual during this period. The resident will examine patients under the direct and indirect supervision of Drs. Bell, and Pramanik. As the residency progresses, there will be graduated levels of responsibility, however, all medical records throughout the year will be reviewed and co-signed by Drs. Bell or Pramanik. The resident will be responsible for examining and completing charts for 10-15 patients per clinic session – including emergent care, post-operative evaluations, comprehensive exams, corneal disease follow up care, and contact lens examinations. The resident will be expected to perform at least two new medical contact lens fittings per month, with appropriate follow up, and participate in at least 10 contact lens exams per month. Observation in the operating room with Dr. Sudeep Pramanik will be arranged as part of the curriculum throughout the year. As the resident establishes core competencies, they will progress into later stages of our 4-part supervision policy. Graduation to the next level of supervision will be determined as a collective decision between Drs. Bell and Pramanik, and each level of responsibility will be discussed with the resident and acknowledged in writing. Location of patient care will be reassessed monthly to ensure proper supervision and best learning experience for resident on each clinic day. Resident will receive a master schedule for the next month along with the rest of the staff at the end of each month. Surgical observation days will start at 7:30am and will end when cases are finished. Resident will then return to the clinic for same day post-op checks. 64 hours (or 8 workdays) of surgical observation will be scheduled throughout the residency (2 days each quarter) in either Pennsylvania or Maryland locations. Clinical Activities: 15-20% medical/specialty contact lenses 60-65% ocular disease care15% post-operative care5% surgical observationResident’s Typical Weekly Schedule*:Monday: Academic EnrichmentTuesday: York, PA 8:00AM - 4:30PM Patient CareWednesday: York, PA 8:00AM - 5:00PM Patient CareThursday: York, PA 8:00AM - 5:00PM Patient CareFriday: 1st and 3rd week of month in Towson, MD 7:30AM - 3:30PM Patient Care2nd, 4th, and 5th week of month in York, PA 8:00AM - 4:30PM Patient Care*Full day of academic enrichment on Monday and full day patient care on Friday started in February due to feedback from the resident requesting 1 full day rather than 2 half days.After-Hours ExpectationsTriage emergency calls 1-2 weeks per month and report to program supervisor, Dr. Sarah Bell, for plan of care (M.D. on call will see emergent patients, non-emergent will be seen during the next business hours)Salary and Benefits40,950 will be paid over 54 weeksTravel and accommodations to Salus University graduation/Resident’s DayTravel and accommodations to educational programs that meet didactic criteria to enrich knowledge in the field of contact lenses and anterior segment diseaseMedical health insuranceMalpractice insuranceState Optometric Licensure fees for Pennsylvania and MarylandGas card for travel between office locationsApplication Materials and Procedures: Register and apply through ORMatchSubmit the following application materials directly through ORMatch website:Curriculum VitaeStatement of InterestOfficial Optometry School TranscriptsThree Letters of Recommendation from clinical faculty or supervision doctors in externshipsProgram Admission Requirements:Successful completion of Parts I, II, III, and TMOD of the NBEO prior to the beginning of the program, or, scheduled to retake any parts of board that were failedPrior to matriculation, applicants must have attained their Doctor of Optometry degree from a school or college of optometry accredited by the Accreditation Council on Optometric Education.Residency Applicant must be a United States CitizenOptometric State Licensure in both Pennsylvania and MarylandSelection Procedure: Candidates are evaluated on the basis of clinical and academic competence, interest in the program area, recommendations, and interpersonal skills.In-person working interview – candidate will observe clinic with the program supervisor and co-coordinator during a typical patient day followed by a sit-down interview after patient careResident candidates will be ranked and assigned according to ORMatch regulationsAll applicants for educational programs, employment, or in services to the public will be considered without regard to race, color, religious creed, ancestry, sex, age, national origin, sexual orientation, marital status, genetic status, physical or mental disability or any other characteristic protected by law. Website: Deadline: February 1st, 2019Program Length: 54 weeksProgram Start and End Dates: July 1st, 2019 – July 14th, 2020Completion Requirements Attend and complete all assigned clinic sessions in a professional manner and remain in clinic until all patients are cared for or the clinic preceptor states otherwiseMaintain patient care log as assigned (with a minimum of 1200 patient encounters)Attend and document all other assigned activities, including in-house clinical, didactic, and scholarly activitiesComplete the required manuscript of publishable qualityPresent a clinical case at PCOSU Resident DayAchieve satisfactory performance evaluationsComplete all assigned evaluations of the residency program and facultyCompletion status is discussed at each of the formal evaluations with the resident, as well as periodically throughout the year. The residency certificate is released only upon completion of all elements.Program Goals and ObjectivesBy the completion of training, the graduating resident should have acquired a sound knowledge of the anterior and posterior segment and learned to correctly diagnose and treat all common diseases of the eye. They should have demonstrated ability to perform in-office procedures competently, independently and safely, including punctal plug insertion, intense pulse light therapy, foreign body removal, and amniotic membrane graft placement. The resident should be proficient in fitting patients in specialty contact lenses, including rigid gas permeable, soft keratoconic, hybrid, and scleral contact lenses. They will be expected to present clinical and scientific information in a succinct, clear, and well-organized fashion, both orally and in writing, to patients, students, and colleagues. They should be comfortable critically analyzing both their own practices as well as scientific and medical articles dealing with contact lenses and ocular disease, and use this information for continuous self-improvement. Goal 1: Seek and maintain accreditation from the Accreditation Council for Optometric Education (ACOE) of the American Optometric Association (AOA).Objective 1) Mid-Atlantic Cornea Consultants (MACC) will maintain an educational affiliation with Pennsylvania College of Optometry at Salus University (PCOSU) in support of the residency and its accreditation.Outcome Measure - Notice of affiliation with PCOSUObjective 2) MACC will abide by the standards provided by the ACOE and complete all necessary tasks by the imposed deadlines to seek and maintain ACOE accreditationOutcome Measure - Paid invoice for seeking and maintaining accreditation, completed self-study, ACOE site-visit, future annual reports.Goal 2: The program will recruit qualified candidates to fill the residency position.Objective 1) The program will attract candidates using a variety of methods including: developing and updating program information on our website , maintaining working relationships with optometry schools, and utilizing word of mouth via the student externship program and/or at educational conferences such as the American Optometric Association (AOA) and American Academy of Optometry (AAO).Outcome Measure - PCOSU Directors of Residency Programs will be present at AAO and AOA student/residency networking forums to field questions from prospective students, active link to residency program information on our website: Objective 2) Qualifying candidates will be offered an interview in the office during patient care to observe our patient population and work environment. Candidates will be ranked according to the OR Match guidelines. Outcome Measure - scheduled interview days in January and February to accommodate potential resident candidates. Ranking will be submitted electronically prior to the OR Match deadline. Goal 3: The resident will strengthen his/her entry level clinical skills in the examination, evaluation, and management of patients, and develop the advanced core competencies listed in this manual.Objective 1) The resident will provide direct care to patients exhibiting a wide variety of ocular and systemic diseases with varying levels of case complexities at two locations with different patient populations.Outcome Measure - The resident has a patient schedule in our practice management system, Advanced MD, to ensure a variety of cases are seen by the resident. The schedule allows for 3-4 days at York location and 1-2 days at Towson location. The resident will also see patients from the attending OD/MD schedule when their own schedule is completed. Resident will also log patient encounters in Meditrek system.Objective 2) The resident will practice and study advanced skills as outlined in the clinical curriculum.Outcome Measure - Review of Meditrek logs that the resident has completed that documents skills and procedures performed.Objective 3) The resident will participate in surgical observation in anterior segment disease cases. Outcome Measure - Resident schedule will document when resident is observing surgery and hours in surgery will be documented in the resident tracking system, Meditrek. Objective 4) The resident will provide direct patient care on a minimum of 1200 patients.Outcome Measure - The resident will document direct patient care encounters in resident tracking system, Meditrek.Goal 4: The resident will expand his/her knowledge of ocular and systemic conditionsObjective 1) The resident will attend weekly case discussions. A different supervisor will lead the case discussions each week to allow for expanding knowledge base with each supervisor’s specialty. Outcome Measure - Case discussions will be scheduled on resident’s monthly resident schedule document. The resident will present a summary document with appropriate research and questions regarding their case/diagnosisObjective 2) The resident may participate in regularly scheduled conferences and general grand rounds at PCO at Salus University available on Webex. The resident must attend and participate in Resident Day Grand Rounds at PCOSU.Outcome Measure - Attendance and participation at PCOSU Resident Day Grand Rounds. Continuing education credits from national conference courses attended. The resident will access and complete grand round videos during their research time on SU Blackboard system. Submission of attendance on Meditrek academic log.Objective 3) The resident will review recently published literature from peer-reviewed medical and optometric journals.Outcome Measure - Submission of Academic log on Meditrek.Goal 5: The resident will develop an interest in, and appreciation for, scholarly activity.Objective 1) The resident will prepare and deliver a presentation at PCO at Salus University on a disease process or clinical case. Outcome Measure - Presentation at Resident Day scheduled by PCO-SU program. Objective 2) The resident will prepare a manuscript of publishable quality for an optometric magazine or journal.Outcome Measure - Submission of the manuscript by the resident to the program supervisor. Objective 3) The resident will be encouraged to attend at least one regional/national optometry conference. The resident will be expected to give a presentation updating supervisors and staff on academic and clinical knowledge gleaned from the conferences. Outcome Measure - The resident may provide a written summary of clinical pearls learned from education courses and a summary of technology that could be implemented in a private practice from the exhibit hall. Alternatively the resident can provide a copy of the Continuing Education certificate.Objective 4) The resident will be encouraged to submit an abstract for a poster/paper presentation at a regional/national optometry conference. Outcome Measure - Submitted abstract to a national conference such as AAO or GSLS for consideration of poster or presentation. Core Competencies Patient Care:Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families Gather essential and accurate information about their patients Employ safe and sanitary clinical care practices with proper disposal of sharp and biomedical wasteMake informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment Develop and carry out patient management plans Counsel and educate patients and their families Use information technology to support patient care decisions and patient education Perform competently all medical procedures including medical contact lens fits, considered necessary for the diagnosis and within the scope of practice of our optometric careProvide timely communication of health care services to each patient’s health care team, including those from other disciplines and their referring doctor to establish continuity of careMedical Knowledge:This includes knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care. Investigatory and analytic thinking approach to clinical situations Knowledge and application of the basic and clinically supportive sciences which are appropriate to their discipline Specialty Contact Lens KnowledgeKnowledge and application of the basic and clinically supportive theories to fitting and evaluating contact lensesCompetency in designing and troubleshooting a fit for medical contact lenses and understanding the concepts of optical design of medical contact lenses. Familiarity and training on several specialty lens brands and modalities that are available in the Mid-Atlantic Cornea Practice. Didactic CurriculumThe program ensures the resident's involvement in didactic activities by having requirements in place to be completed by the resident before program completion:Grand rounds: Virtual grand round sessions through Salus University may be attended once per month. Case reports:Time will be scheduled each week for the resident to present an interesting case from the previous week to the clinic supervisors. The attending supervisor will rotate to allow for expanded knowledge in each supervisor’s specialty. (Advanced anterior segment medical and surgical management - Sudeep Pramanik, MD, MBA; Refractive surgery and Anterior segment surgical techniques - Angelique PIllar, MD; Specialty contact lenses and comprehensive care - Sarah Bell, OD)Pertinent journal article supporting case discussion should be presented in conjunction with case. The resident will create a log in which the cases and their supporting evidence based medicine is recorded, either through Meditrek or a typed document. Salus University provides electronic access to multiple medical journals and articles through Salus Blackboard. Numerous physical textbooks are available on site as well. Meetings Attended by Resident:Residents Day at Salus University - presentation requiredOne or more Contact Lens Resident only meetings through GLPI or another contact lens residency network. Local society meetings - may attend Maryland or Pennsylvania optometric society meetings. One or more national optometric meetings - The resident will be approved to attend as many optometric meetings as they are willing to present research or give an educational presentation. Attendance must be pre-approved and not disrupt patient flow. The resident will receive training in office for the following during the course of their residency:Multiple specialty contact lensesCXLIPLThe resident will be provided with insightful business experience in the realm of eye care and eye care business from both an OD and OD/MD concept. This includes training in coding, billing, insurances, marketing and many other important facets of eye care.Scholarly Curriculum:The resident will be required to submit one manuscript of publishable quality to a peer reviewed journal or magazine.The resident will be required to submit one or more abstracts to a national conference for consideration of a poster or paper presentation. The resident will be encouraged to complete weekly article readings and reviews to complement incorporation of evidence based medicine into patient care. Supervision and Stages of ResponsibilityDirect Patient Care: The resident will be expected to examine the patient, create an assessment and plan, educate the patient on the care plan, and report the case to an attending physician before executing the plan. The resident will complete the electronic chart for co-signing by the attending physician. Indirect Patient Care: The resident will observe the patient alongside the attending physician and aid in any in office procedure and documentation of exam and procedure. Surgical Observation: The resident will follow protocols necessary to observe surgical procedures in an outpatient surgery center. Location will be determined by the physician he or she is observing and surgical observation will be determined based on the cases that are scheduled. Responsibility Progression:First month: 75% indirect care, 15% direct care, 10% surgical observationMonth 2-4: 50% direct care, 40% indirect care, 10% surgical observationMonth 4-8: 70% direct care, 25% indirect care, 5% surgical observationMonth 8-12: 90% direct care, 5% indirect care, 5% surgical observationClinical Skills and ExpectationsThe primary educational goals of the resident in cornea, contact lens, and ocular disease is to develop skills in the examination of cornea and external disease patients, understanding in the basic physiology of the cornea, and ability to identify common pathological conditions and understand the appropriate use of pharmacological, surgical, and contact lens treatment regimens for treatment of disease. Clinical Practice Protocol will align with the standards put forth by the American Optometric Association as published in the following:AOA Optometric Clinical Practice Guidelines: lens fitting protocol will align with the standards put forth by the Gas Permeable Lens Institute as published in the following: Scleral Lens Fitting/Troubleshooting: Care Generates and prioritizes an appropriate differential diagnosis for routine patients as well as many complex patients. Is able to accurately respond to patient questions and effectively educate and counsel routine patients and some complex patients. Consistently gathers ample and pertinent information necessary in caring for routine patients and for some more complex patients. Performs an accurate and thorough examination for routine patients and for some more complex patients. Demonstrates effective judgment in most routine clinical decision-making. Presents most management options in a fashion that informs patients about risks and benefits. Management plans typically reflect current scientific evidence and patient preferences for routine patients and some complex patients Demonstrates the skills necessary to answer questions and counsel patients with routine problems. Identifies common resources and accessed them with guidance from a more senior clinician. Weighs risks and benefits to make sound surgical recommendations. Demonstrates competency in the following clinical skills:Taking of ocular historyOcular external examinationPupil testingExtraocular muscle movementsConfrontation fieldsCover testingAcuity measurement by Snellen and illiterate testing methods (tumbling E, pictures)Slit lamp examination:Diffuse illumination/sclerotic scatterIndirect illuminationRetroilluminationSpecular reflectionRefractionStreak RetinoscopyManifest RefractionPrism determinationHorizontal and Vertical VersionsAmplitude of Accommodation measurement (NRA/PRA)GonioscopyDirect and Indirect ophthalmoscopyTonometryGoldmann ApplanationiCareTonopen Delineate and describe different types of corneal pathology Identify the appropriate indications and use of vital dyes (e.g. Fluorescein, Lissamine Green, and Rose Bengal) to highlight corneal pathology Recognize corneal staining patterns and their diagnostic significancePerform and interpret the following tests:Automated Goldman visual field testsCorneal sensation testing with Cochet-Bonnet aesthesiometerSeidel testingOCTAnterior segmentPachymetry mappingOptic nerve headGanglion cell analysisPosterior segmentSchirmer testingFundus photographyEndothelial Specular ImagingCorneal TopographyManual and Automated KeratometryExophthalmometryA-Scan BiometryIOL Master / Optical BiometryUltrasound pachymetryPerform the following procedures:Corneal scraping and cultureCorneal and conjunctival foreign body removalMechanical epilationFitting and removal of bandage contact lensesRemoval of corneal suturesIntense Pulse Light TherapyMeibomian gland expressionDemonstrate proficiency in specialty contact lens fittings under the following corneal conditions:KeratoconusPost-LASIK ectasiaPKP/DALKCorneal scarIrregular astigmatismOcular surface disease such as stem cell deficiency and severe dry eyeDemonstrate proficiency in fitting and management the following modalities of contact lenses:Rigid Gas Permeable lensesHybrid design contact lensesScleral and mini-scleral contact lensesSoft disposable contact lensesSoft prosthetic contact lensesRecognize and initiate appropriate treatment for contact lens related complications including:Contact lens associated acute red eyeCorneal infiltratesCorneal ulcerMechanical keratitis secondary to contact lens fitCorneal warpagePhlyctenuleCorneal abrasionCorneal scarringCompletion of Clinical GoalsCompletion of residency goals will be assessed using ICD 10 codes collected for each patient which will show the resident engaged in direct patient care for those patients with each diagnosis. The resident will be responsible for logging patient encounters and appropriate ICD 10 codes in accordance to the Salus University Residency Patient Log system. Contact lens fitting goals will be met by tracking a specific contact lens fitting schedule which will be accessible through our practice management system. Residency goal tracking will be evaluated quarterly to ensure the residents is achieving goals in a timely fashion to allow for completion by the end of the residency cycle. Program evaluations, supervisor evaluations, and resident evaluations will be performed semi-annually and include a written evaluation to assess the success of the resident and the program at fulfilling its intended goals. Remediation and DismissalAny rating of “below expected levels” on the resident’s evaluation in any of the categories of Clinical Skills, Interpersonal Skills, or Ethics and Professionalism, as well as any patient encounter where care is deemed to be seriously inadequate or dangerous, necessitates remediation. The remediation plan will be developed by the Program Coordinator and approved by the Program Supervisor, and should include specific “benchmark” goals (e.g. performance of gonioscopy with accurate findings documented on four patients, examination of ten diabetic patients with accurate findings confirmed by attending, etc.), and specific activities to reach these goals, such as supervised workshop in procedures, selected assigned readings, etc. The plan must specify a completion date, at which time the Program Coordinator will evaluate and notify the resident as to whether remediation was satisfactorily completed.Failure to complete a remediation program may be grounds for dismissal. Violations of residency or office policy may also be grounds for dismissal. Certain violations such as endangering a patient or patient abuse will be grounds for immediate dismissal. In other cases, such as repeated failure to complete clinic assignments, the resident would generally be counseled verbally after the first occurrence, notified of a subsequent violation in writing, and finally dismissed if the violation is repeated. Copies of written notifications of violations would be sent to the Program Supervisors and Office Manager.Conduct Violation:Each resident is expected to abide by Mid-Atlantic Cornea Consultants’ regulations and policies outlined in the Employee Manual so that the highest possible standards of conduct, honest, integrity, impartiality, and ethical behavior are maintained at all times. When these standards are not met, prompt and just corrective action will be taken by the Residency Coordinator and Residency Supervisors.Disciplinary Action/Termination:Action taken may include closer supervision and counseling, formal written censure, or dismissal based on, and in proportion to, the severity of the infraction. Progressive discipline will be used for repeated minor offenses and may result in dismissal from the residency program. In all cases, the resident will be specifically informed of the charges and given an opportunity to respond to them. If the resident feels that the action taken by the Residency Coordinator is inappropriate or unwarranted, a review by the Office Manager can be requested. If the matter remains unresolved, the resident may request a review by the Salus University Residency Program Coordinator. This request must be made in writing giving the specific reasons why the resident feels that the action is unjust and must be filed within seven days of their notification of the action. The information provided by the resident and all other information pertinent to the case will be reviewed by Salus University Residency Program Coordinator and a final decision will be made. This decision will be provided to the resident in writing.Grievance ProcedureA grievance is a specific complaint by a resident that the established policies and procedures pertaining to employment conditions and disciplinary actions are not being properly applied in his/her situation. A grievance is not a minor irritation or gripe that can and should be tolerated, nor is it a complaint that the established benefits, policies, or procedures are unsatisfactory. A resident who believes he/she is being treated unfairly may raise a question in the form of a grievance and will receive an answer from management. Whenever possible, informed resolution of complaints at a level as close to the source of the problem as possible should be attempted. The Residency Coordinator is always available for advice, discussion, or consultation on any matter a resident considers pertinent. If the nature of the grievance is such that the resident feels the matter cannot be taken up with his/her first-level supervisor, it may be presented to the appropriate person at the next higher supervisory level.Grievances should be initiated and discussed with the immediate supervisor within fifteen days of the date of the incident. The basis of the grievance and the corrective action desired should be carefully presented and discussed. If the matter cannot be resolved, the resident will be advised to present his/her grievance progressively to the next higher level until the Salus University Residency Coordinator has been involved. The resident should receive an answer within five work days after consideration of the grievance by the Salus University Residency Coordinator. The Residency Coordinator will maintain written records of receiving, adjudicating, and resolving any resident complaints.Pennsylvania College of OptometryAffiliated ResidenciesEvaluation of the ResidentResident________________________________Program__________________________Evaluation (circle one): FallMidyearFinalDate______________Please complete the following by circling the most appropriate response code as follows:= Excellent= Above Expected Levels= At Expected Levels= Below Expected Levels= Not AcceptableN/A = Not Applicable or Don’t KnowI -Clinical Skills – The resident has demonstrated proficiency in:1. Managing routine cases4 3 2 1 0 N/AManaging complex cases4 3 2 1 0 N/AManagement of refractive care4 3 2 1 0 N/AManagement of ocular disease4 3 2 1 0 N/AManagement of binocular problems4 3 2 1 0 N/A6. Cases requiring referral and/or consecutive management 4 3 2 1 0 N/AVerbal professional communication4 3 2 1 0 N/AWritten professional communication4 3 2 1 0 N/AII- Interpersonal Skills- The resident has demonstrated appropriate behavior in:1. Patient interaction 4 3 2 1 0 N/AStaff interaction4 3 2 1 0 N/AAcceptance of criticism 4 3 2 1 0 N/AIII- Teaching and supervision- The resident has demonstrated appropriate attitudes and skills in:Working with students4 3 2 1 0 N/ASupervising students4 3 2 1 0 N/AProviding a role model to students4 3 2 1 0 N/A4. Providing educational assistance to students4 3 2 1 0 N/AIV- Scholarship – The resident has demonstrated an appropriate interest in life-long learning by:Using reference sources in patient management4 3 2 1 0 N/ASelf- Study4 3 2 1 0 N/AParticipation in scheduled academic conferences4 3 2 1 0 N/AParticipation in CE programs4 3 2 1 0 N/AAcademic presentations4 3 2 1 0 N/AProfessional writing and publication4 3 2 1 0 N/AV- Demonstrates appropriate ethics and professionalism 4 3 2 1 0 N/AVI- Overall evaluation (circle one)Initial EvaluationSame as previous evaluationPerformance decliningImprovingComments:Signed___________________________ Residency SupervisorResident signature indicates review of evaluation with SupervisorCountersigned________________________Date________________ResidentPennsylvania College of OptometryAffiliated ResidenciesEvaluation of the Residency Program by the ResidentResidency Program_____________________________________________Evaluation (circle one) FallMidyearFinalDate_________Please complete the following by circling the most appropriate response code as follows:= Excellent= Above Expected Levels= At Expected Levels= Below Expected Levels= Not AcceptableN/A = Not Applicable or Don’t Know1. Number of patient encounters4 3 2 1 0 N/AQuality of patient encounters related to:Diagnostic type4 3 2 1 0 N/Ab. Level of participation4 3 2 1 0 N/Ac.Faculty involvement 4 3 2 1 0 N/AQuantity of non-clinical educational activitiesIndividual consultation by faculty4 3 2 1 0 N/APlanned didactic presentations4 3 2 1 0 N/ACE Conferences4 3 2 1 0 N/APCO Conferences4 3 2 1 0 N/AYour case presentation experience 4 3 2 1 0 N/AWriting paper4 3 2 1 0 N/ASelf- study4 3 2 1 0 N/AOther non-clinical activities4 3 2 1 0 N/APCO ParticipationSupport by PCO and Residency Director4 3 2 1 0 N/APCO Educational programs4 3 2 1 0 N/ALibrary Services by PCO4 3 2 1 0 N/AFacilities and professional environmentBuilding and environment4 3 2 1 0 N/AProfessional equipment4 3 2 1 0 N/ASupport personnel4 3 2 1 0 N/ALocal library support4 3 2 1 0 N/A6. Precepting of students4 3 2 1 0 N/ASTRENGTHSWEAKNESSESSUGGESTIONS FOR IMPROVEMENTOTHER COMMENTSSigned____________________________________DATE:_____________________ResidentPennsylvania College of OptometryAffiliated ResidenciesFaculty Evaluation by the ResidentFaculty _________________________________Program_________________________Evaluation (circle one) FallMidyearFinalDate_________Please complete the following by circling the most appropriate response code as follows:= Excellent= Above Expected Levels= At Expected Levels= Below Expected Levels= Not AcceptableN/A = Not Applicable or Don’t KnowThe faculty member:1. Is knowledgeable in his/her clinical area(s)4 3 2 1 0 N/ADemonstrates appropriate clinical skills4 3 2 1 0 N/ADemonstrates/shares knowledge and skills with resident 4 3 2 1 0 N/A3. Is a good role model4 3 2 1 0 N/A4. Is available4 3 2 1 0 N/AIs approachable4 3 2 1 0 N/AProvides regular counseling4 3 2 1 0 N/ADemonstrates interest in new information and scholarship. 4 3 2 1 0 N/AEncourages resident in his/her academic pursuit4 3 2 1 0 N/AFosters an environment of learning 4 3 2 1 0 N/ATreats Resident with collegial respect4 3 2 1 0 N/ADemonstrates appropriate ethics and professionalism4 3 2 1 0 N/ADemonstrates appropriate flexibility 4 3 2 1 0 N/ACOMMENTS:STRENGTHSWEAKNESSESSUGGESTIONS FOR IMPROVEMENTOTHER COMMENTSSigned____________________________________DATE:_____________________Resident ................
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