Residency in Pediatric and Binocular Vision

Michigan College of Optometry  

Accredited 

Mission

The optometry residency in pediatrics at the Michigan College of Optometry will provide post-doctorate clinical experiences resulting in advanced competency in the evaluation, treatment, and management of a wide variety of ocular conditions, with special emphasis in infant and preschool care, integrating information processing care, and binocular vision management and treatment. This residency will equip the resident with the necessary tools for life long learning, thereby enabling continued advanced level competency throughout his/her professional career. The residency will emphasize the trainee’s responsibility for future contributions to the profession of optometry, particularly in the pediatrics specialty area by instilling in its residents a professional and scientific attitude. 

Residency Supervisor

Paula McDowell, OD, FAAO 
Michigan College of Optometry
1124 S. State Street, MCO 231
Big Rapids, MI 49307
231.591.2182 - telephone
231.591.2394 - fax
PaulaMcDowell@ferris.edu 

Affiliate and Residency Program Director:

The Michigan College of Optometry at Ferris State University provides educational direction and support for this program.  Dr. Bruce Morgan, who serves as MCO’s Director of Residency programs, may be contacted as follows:

Bruce W. Morgan, OD, FAAO
Email:  morganb@ferris.edu
Phone:  (231) 591-2180
Fax:  (231) 591-2394

Mailing Address:

Michigan College of Optometry
Ferris State University
1124 S. State Street, MCO 231
Big Rapids, Michigan 49307-2738

Goals and Objectives

 Goal 1 : To provide an extensive and varied clinical experience in management of primary pediatric care.

Objectives: 

a. The resident will become proficient and efficient in the provision of eye care services.

Outcome:

  •  The resident will be involved in over 1,000 patient care encounters.

Measure: 

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational/shared care or consultation).

 b. The resident will provide care to a sufficient number and diversity of patient encounters to feel competent in the evaluation, diagnosis, treatment and management of pediatric patients.

Outcome: 

  •  The resident will be involved in over 500 pediatric patient care encounters.

 Measure:

  •  The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational, or consultation).
  • Daily case discussions, chart review, and quarterly medical record audits will evaluate the appropriateness of lens designs and patient management.
  • The resident’s performance will be communicated via regular feedback, and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.

c. Under the supervision of attending staff, the resident will provide care to a sufficient number of patient encounters to feel competent in the treatment and management of binocular vision anomalies.

Outcome: 

  • The resident will be involved in the at least 300 sensorimotor and vision therapy visits..

      Measure:

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational, or consultation).
  • Daily case discussions, chart review, and quarterly medical record audits will evaluate the appropriateness of lens designs and patient management.
  • The resident’s performance will be communicated via daily feedback, and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.

d. Under supervision of attending staff, the resident will provide care to patients with learning-related vision problems. 

Outcome:

  • The resident will be involved in the care of at least 50 patients with reading and learning problems.

 Measure

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational or consultation). 

e. Under supervision of attending staff, the resident will provide care to a sufficient number of primary care patients to enhance clinical decision-making.

Outcome:

  •  The resident will be involved in the care of over 200 patients.

 Measure:

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational or consultation).
  • Daily case discussions, chart review, and quarterly medical record audits will evaluate the appropriateness of lens designs and patient management.
  • The resident’s performance will be communicated via daily feedback, and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals. 

f. Under supervision of attending staff, the resident will interact with pediatric sub-specialists.

Outcome:
  • The resident will assist or observe the care of over 200 patients and will observe a variety of treatment and/or surgical procedure.

Measure:

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, observational or consultation).
  • Daily case discussions, chart review, and quarterly medical record audits will evaluate the appropriateness of lens designs and patient management.
  • The resident’s performance will be communicated via daily feedback, and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.
  • The resident’s schedule will reflect the portion of the resident’s time that is dedicated to ophthalmology observation/interaction. 

Goal 2 : To provide the resident with experiences and skills that will facilitate continued contribution to the profession of optometry through a variety of venues including the following: teaching, scholarly activities, and involvement in community and professional organizations.    

Objectives:

a.      The resident will develop skills necessary for clinical optometric teaching

Outcome: 

  • The resident will precept optometry students in the delivery of patient care for over 600 encounters.

 Measure:

  • The resident will utilize the patient encounter log to track and report the number of patient encounters, including diagnoses, the level of case complexity, and the level of resident’s involvement (direct, precept, or observational).
  • Daily case discussions, chart review, and quarterly medical record audits will evaluate the appropriateness of lens designs and patient management.
  • The resident’s performance will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.
  • At the conclusion of their rotation, third and fourth year optometry students will provide a written assessment of the resident’s performance.
  • The resident’s schedule will reflect the portion of time that is dedicated to clinical preceptorship of third and fourth year students.

 b.  The resident will participate in a wide variety of didactic offerings.

Outcome: 

  • The resident will attend and actively participate in several case presentations and interactive lectures, continuing medical/optometric education courses, Michigan College of Optometry’s Teleoptometric Grand Rounds and Resident’s Day Grand Rounds

 Measure:

  • The resident will track and report attendance and participation on a quarterly basis (activity log).
  • The resident will track and report attendance at related conferences.

c. The resident will develop skills necessary to prepare a scientific publication or presentation.

Outcome: 

  • The resident will present a poster/paper at a professional meeting and prepare a manuscript of publishable quality.

Measure:

  • For poster/paper presentation: the resident will be required to submit a copy of the poster and abstract to the program supervisor and present their findings in lecture format during optometry conference. 
  • For manuscript preparation: the resident will be required to follow the standard format as detailed by Optometry and Vision Science’s “ Instructions to Authors.” A copy of the final manuscript must be submitted to, and approved by, the program supervisor. 

 d. The resident will be exposed to community and professional organizations and will be given the opportunity to participate.

Outcome: 

  • The resident will be encouraged to attend and speak at the Michigan Optometric Association (MOA) and the West Michigan Optometric Association (WMOA) meetings.
  • The resident will be encouraged to contribute brief articles or journal reviews for publication in the Michigan Optometrist, Journal of Optometric Education, AOSA News, Journal of Vision Development, etc.

Measure:

  • Resident will submit an activity log on quarterly basis.
  • Resident will submit a summary or copy of handouts.   

 

Goal 3 : To enhance the resident’s ability to communicate verbally and in writing.

Objectives:

a. The resident will develop the skills necessary for effective verbal communication with patients and members of the medical community

Outcome: 

  • The resident will communicate clearly and use appropriate terminology when presenting information to patients, clinic co-workers, students, and attending/consulting staff.

Measure:

  • The resident’s performance in this area will be evaluated via case discussions, including consultation with optometrists, ophthalmologists, parents and teachers.
  • Resident’s performance will be communicated via frequent feedback and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.  

b. The resident will develop the skills necessary for effective written communication within the medical community.

Outcome: 

  • The resident will use appropriate medical terminology when documenting the clinical findings, assessment, and plan in the medical record. 
  • The resident’s entries will be accurate and of sufficient detail to ensure continuity of care for the patient.

 Measure: 

  • The resident’s performance in this area will be evaluated via daily chart review and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals.
  • Quarterly medical record audits will assess performance in this area.
  • Resident’s written reports for InfantSEE, vision therapy, and learning disabled patients will be reviewed.

 c.      The resident will develop the skills necessary to prepare a scientific publication or presentation.

Outcome: 

  •  The resident will present a poster/paper at a professional meeting and prepare a manuscript of publishable quality.

 Measure:

  • For poster/paper presentation: The resident will be required to submit a copy of the poster and abstract to the program supervisor and present their findings in lecture format during an optometry conference. 
  • For manuscript preparation: The resident will be required to follow the standard format as detailed by Optometry and Vision Science’s “Instructions to Authors”. A copy of the final manuscript must be submitted to, and approved by, the program supervisor.


Goal 4
: To develop skills/tools necessary to care for patients with complex problems

Objectives:

a. The resident will develop critical thinking and problem solving skills that will enhance their ability to form differential diagnoses and management plans.

Outcome: 
 

  • The resident and attending faculty will discuss case analysis, differential diagnosis, and management strategies of complex patients routinely throughout the year.
  • The resident will facilitate similar discussions with fourth year students while precepting students in the clinical setting

Measure: 

  • The resident’sperformance in this area will be evaluated via frequent case discussions, chart reviews, and conference participation. 
  • The resident’s performance will be reflected in daily feedback, as well as in the written evaluations provided by the faculty at three, six, and twelve month intervals.
  • The resident’s performance in this area will be evaluated via case discussions, including consultation with optometrists, ophthalmologists, parents and teachers.
  • The resident will track and report attendance at conferences.
  • Seminars during the resident’s development time at MCO will be interactive in nature and emphasize differential diagnosis/ case analysis.
  • At the conclusion of their fourth year rotation, optometry students will provide a written assessment of the resident’s performance. 

b. The resident will improve his/her understanding of experimental design and statistical analysis, and will apply this knowledge in critical review of the ophthalmic literature.

Outcome

  • The resident will present a detailed review of at least one landmark study (including a discussion of the hypothesis, experimental design, results, conclusions, and limitations of the study). 
  • Residents attending the American Academy of Optometry (or other similar scientific meetings) will be required to present an overview and critical analysis of new ideas and information learned at the meeting.

 Measure

  • Resident performance in this area will be reflected in the written evaluations provided by faculty at three, six, and twelve month intervals.
  • The resident will record participation/presentations in optometry conferences. 

Goal 5 : To gain expertise in advanced technical skills

Objectives:

 a.  The resident will become proficient in diagnostic and therapeutic pediatric and binocular vision procedures.

Outcome

  • The resident will perform a variety of pediatric procedures including, but not limited to, infant exams and exams on multiply impaired individuals.
  • Resident will become familiar with the indication for each technique and the interpretation of the findings.

Measure:

  • Resident will utilize the patient encounter log to track and report the number of procedures performed.
  • The resident’s performance in this area will be evaluated via observation, case discussions, and chart review.
  • Resident’s performance will be communicated via daily feedback and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals. 

b.   The resident will become proficient in amblyopia and strabismus evaluations.

Outcome

  • The resident will perform a variety of diagnostic techniques including the following: correspondence testing, motor field assessments, oculomotor skills and fixation evaluation.
  • The resident will become familiar with the indications for each technique and the interpretation of findings.

 Measure:

  •  The resident will utilize the patient encounter log to track and report the number of procedures performed.
  • The resident’s performance in this area will be evaluated via observation, case discussions, and chart review.
  • Resident’s performance will be communicated via regular feedback and will be reflected in the written evaluations provided by the faculty at three, six, and twelve month intervals. 

c.  The resident will become proficient in visual information processing assessments.

Outcome:

  •  The resident will co-consult with faculty and interns on patients with learning-related vision problems referred for visual information processing assessments.
  • The resident will become proficient in administrating and interpreting tests for visual discrimination, visual memory, and visual-motor integration.
  • The resident will become proficient in assessing the need for reading testing and in diagnosing reading and spelling patterns in reading disabled patients.  

 Measure:

  • The resident’s performance win this area will be evaluated via observation, case discussions, and chart review. The resident will observe and interact with the reading consulting on appropriate patients.
  • The resident’s performance will be communicated via regular feedback and will be reflected in the written evaluations provide by the faculty at three, six, and twelve month intervals.
  • The resident will utilize the patient encounter log to track and report the number of contact lens induced complications or management problems.

 

Application and Instructions 

This program participates in the national Optometry Residency Match (ORMatch).  The application procedure, required supporting documentation and the matching algorithm may be found on the organization’s internet home page (ORMatch) or the applicant may contact ORMatch at:

Optometry Residency Match (ORMatch)
National Matching Services, Inc.
20 Holly Street, Suite 301
Toronto, Ontario
Canada, M4S 3B1
Telephone: 416-977-3431
Fax:  416-977-5020
E-mail: ormatch@natmatch.com

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Specific Application Requirements

1. Applicants must have a Doctor of Optometry degree from an accredited school or college of optometry by the start of the residency program.
2. Send a current curriculum vitae (CV) and a letter of intent (email acceptable) to the Program Supervisor to include individual’s reasons for wanting to complete the residency program.
3. Obtain three (3) letters of recommendation from faculty members at the applicant’s college of optometry and send directly to the program supervisor. At least one of these letters must be from individuals who provided supervision during your fourth year clinical experience.
4 . Have your official optometry college transcripts sent to the program supervisor (undergraduate transcripts are not required).
5. Send NBEO scores to the program supervisor. These scores may either be official transcripts sent to us from the national board, or photocopies of the score reports that were sent to you. If you are accepted for a residency position, we will need an official copy of the scores for credentialing purposes. Only those candidates who have already passed Part I will be considered. Candidates must also demonstrate that they have passed Part II prior to beginning the residency program.
6. Prior to completion of the residency, it is expected that the applicant will have passed the National Board exams and will obtain state licensure.
7. Register with ORMS
8. Non-Discrimination Policy: FSU/MCO is an Affirmative Action/Equal Opportunity Employer

Applications will be received until a qualified candidate is chosen. 

Following receipt of the necessary documents and personal interviews (preferably in person), the faculty collaborates to review and rank candidates.  The three primary criteria (which are discussed with the applicants during the interview) are as follows:

Basic knowledge (determined by interview, letters of recommendation, NBEO scores, transcripts of grades)

  • Clinical skills (determined by interview, letters of recommendation, clinical grades and previous clinical experiences)

  • Personal attributes including eagerness to learn, work hard and professional goals (determined by interview and letters of recommendation)

Resident’s rights:

The resident is entitled to the following:

  1. Employment for a 12 months period commencing on July 1 and ending June 30 of the residency year
  2. A stipend in the amount of $29,000 for this period
  3. Medical and malpractice insurance
  4. Ten (10) leave days for personal/professional activities
  5. An appropriate amount of leave for illness.  Extended sick leave requires documentation of medical necessity from the resident’s physician.
  6. Access to clinical instruction and facilities sufficient to meet the missions, goals and objectives of the program
  7. Access to a general schedule and program curriculum at the start of the program
  8. A certificate upon satisfactory completion of the residency 

Resident Tour of Duty and Privileges:

  1. The resident practices under the privileges of the attending optometrists/faculty.  Michigan College of Optometry covers malpractice for practitioners within the scope of these privileges.  The practitioners will have all authority regarding patient management; subject to supervision by the Clinic Director.
  2. The tour of duty for the resident will be assigned at the beginning of the program and modified depending on the needs of the clinic and the resident.  The schedule is likely to contain irregular number of hours for each workday; however, the weekly average will be 40-45 hours of assigned duties.  (This does not include outside development time necessary for research, lecture preparation, journal reviews, manuscript preparation, etc. The resident will be on call for various times during the program.  An attending will always be available by phone. 
  3. The resident may not hold a second position of employment.  The resident may, however, work outside of the Michigan College of Optometry if the following criteria are met:
    • Clinic/practice opportunity provides an academically oriented experience
    • Outside work does not interfere with the resident’s ability to fulfill their obligations to the residency program
    • The program supervisor gives his/her concurrence
    • Malpractice insurance is the sole responsibility of the resident or other employing facility

Resident Responsibilities and Requirements for Completion of Program:

  1. To serve as a resident for the entire period specified above
  2. To perform to the best of his/her abilities in all assigned duties
  3. To maintain and complete supervisor evaluations, patient logs, etc.
  4. To complete one publishable quality paper
  5. To maintain standards of competence in clinical practice
  6. To act in a professional manner at all times
  7. To observe all rules and regulations of the Michigan College of Optometry including:
  8. Practice within the scope of clinical privileges
  9. Practice according to the rules of residency supervision
  10. To refrain from participating in any activities (personal or other employment related) that would interfere with the effective performance of all assigned duties and responsibilities
  11. To refuse fees or payment in any form from patients, staff physicians or others

Current educational and informational resources

The program enjoys a wide variety of current educational and informational resources that are readily available to the resident.

  • Extensive library of ophthalmic text books located in conference room and offices (other texts available by request through inter-library loan)
  • Full access to MCO/FSU library facilities and librarian services (including literature search, article retrieval and inter-library loan)

Application Deadline: February 1

For more information, please contact:

Paula McDowell, OD, FAAO
Assistant Professor
Michigan College of Optometry
1124 S. State Street, MCO 231
Big Rapids, MI 49307
231.591.2182
PaulaMcDowell@ferris.edu

MCO 2013-2014 Resident Bio and Contact Information