Wyoming VA Health Care Center - Residency in Ocular Disease


logo

 

 

 










college image

ACOE Accredited

Affiliated with the
Michigan College of Optometry at
Ferris State University

Department of Veterans Affairs
Wyoming VA Health Care Center*
Wyoming, MI 
5838 Metro Way 
Wyoming, MI 49519

*Formerly the Grand Rapids VA Outpatient Clinic

MISSION
The optometric residency in ocular disease at the VA Health Care Center in Wyoming, MI will provide post-doctoral clinical education resulting in advanced competency in medical optometry. The residency will provide the challenging cases and attending expertise needed to help develop the resident into an ocular disease specialist. An interdisciplinary approach for providing care for patients with systemic disease and ocular complications will be emphasized. Furthermore, the residency will promote scholarly activities through the teaching of interns, research, and oral presentations to develop the resident into a leader for the optometric profession. 

Contact Person:
Douglas Coon, OD, FAAO, Program Director
VA Health Care Center, Wyoming, MI
5838 Metro Way
Wyoming, MI 49519
(616) 249-5300 ext 30565 – phone
(616) 365-7509 – fax
douglas.coon@va.gov

Clinical Teaching Faculty:
Douglas A. Coon, OD, FAAO
Joy A. Kerns, OD, FAAO
Jordan N. Kuipers, OD

 

VA Health Care Center, Wyoming, MI: The VA Health Care Center in Wyoming, MI (formerly the Grand Rapids VA Outpatient Clinic) has been associated with optometric education since 1992. Our health care center was constructed in 2014 and provides outpatient care for veterans in Grand Rapids (the second largest city in Michigan) and its surrounding areas. In addition to internal medicine, several specialty clinics are on-site including dermatology, urology, neurology, gastroenterology, infectious disease, wound care, dentistry, podiatry, psychiatry, psychology, social work, audiology, and optometry. Laboratory, Pharmacy, and Radiology are on site as well. 

Length of Program: 1 year

Admissions: All applicants to optometry residencies must use the Optometric Residency Matching Services (ORMS).

ORMatch provides:

• Comprehensive listing of all ACOE accredited residency programs
• Detailed instructions for applying to a residency program
• Standardized application forms
• Conducts a fair and standardized process for matching applicants to residency programs



More information, instructions, forms, and deadlines are available 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

Application and Instructions

 Download one of the following:

  • MSWord - allows you to type in responses and print
  • Pdf - allows you to print blank form for manual completion (requires Adobe Reader)
  • Rtf - Download, complete using your word processing program

 

Application Requirements:

1. Name, current address and phone number
2. Curriculum Vitae
3. Transcripts of NBEO scores
4. Transcripts of optometric education
5. Three letters of recommendation from faculty members of the applicant’s college of optometry. It is recommended that at least one of your letters of recommendations is written by a clinical instructor who directly supervised you during your Fourth year clinical experience.
6. Brief statement from the applicant regarding the individual’s desire to complete this particular residency program

college imageApplication Deadline: February 1 
For more information, please contact:

Douglas Coon, OD, FAAO
Douglas Coon, OD, FAAO, Program Director
VA Health Care Center, Wyoming, MI
5838 Metro Way
Wyoming, MI 49519
(616) 249-5300 ext 30565 – phone
(616) 365-7509 – fax
douglas.coon@va.gov

OR

Bruce Morgan, OD, FAAO
Director of Residencies
Michigan College of Optometry
Ferris State University
1124 S. State Street, MCO 231
Big Rapids, Michigan 49307
(231) 591-2180 - telephone
(231) 591-2394 - fax
morganb@ferris.edu



Schedule: M-F 8:00am-4:30pm 

Stipends and Expenses: The resident receives an annual stipend and the VA will carry professional liability insurance for the resident.

College image

Scope of the Residency: The eye clinic serves primarily older males with a high incidence of systemic and ocular disease. A multitude of chronic eye conditions including vascular eye disease, glaucoma, and macular degeneration are commonly encountered. Acute ocular disease conditions including ocular infections, uveitis, and trauma present frequently as well.

The Optometry Clinic consists of three attending optometrists, one optometry resident, three to four optometry interns, and two part-time optometrists. The eye clinic is the sole on-sight provider of all specialty eye care for our patients.

The attending optometrists and residents are granted hospital privileges and are responsible for treating the vast majority of problems encountered by our patients. The optometrist performs and interprets dilated eye examinations, refractions, visual field testing, corneal pachymetry, gonioscopy, digital photography, and Optical Coherence Tomography (OCT). Minor surgical procedures are commonly performed including dilation and irrigation of the lacrimal system, epilation, foreign body removal, injection of local anesthetics, incision and drainage of periorbital cysts, papilloma removal, and intralesional injections of chalazions. Our attending and resident optometrists are privileged to use topical, oral, and injectable medications for diagnostic and treatment purposes and commonly order imaging studies including computed tomography (CT), magnetic resonance imaging (MRI), and carotid Doppler ultrasounds.

Patients requiring eye care outside the scope of optometry are referred within the VA system to Ann Arbor VA Medical Clinic located two hours southeast of Grand Rapids.
However, the majority of patients choose to be referred locally to Grand Rapids area ophthalmologists. Grand Rapids VA Eye Clinic enjoys an excellent working relationship with several local eye surgeons. 



Goals and Objectives for the Residency:

Goal 1: The resident will gain proficiency in the diagnosis and management of ocular disease and become adept in managing the associated systemic complications encountered in eye care.

Objectives:
• The resident will be actively involved in over 1500 patient encounters through direct care and observation.
• The resident will assume responsibility for the care, follow up, and appropriate referrals of their patients under the supervision of the attending optometrists.
college imageThe resident will be involved in an interdisciplinary approach to eye care and be responsible for maintaining a working relationship with internal medicine and other associated specialties to ensure total care of the patient. The sending and receiving of electronic consults and personal interaction will be utilized.
• The resident will be responsible for appropriately ordering and performing/interpreting special testing involved in eye care including visual fields (Humphrey and FDT Matrix), optical coherence tomography (OCT), pachymetry, gonioscopy, and digital photography.
• The resident will be responsible for appropriately ordering imaging (CT, MRI, carotid Doppler) and laboratory tests and consulting with other physicians when indicated.
• The resident will become proficient in techniques of physical assessment (ie: blood pressure, pulse, cranial nerve screening, mental status assessment, carotid auscultation).
• The resident will become proficient in examination of ocular structure utilizing a variety of techniques including contact and non-contact lens examination and scleral depression.

Goal 2: The resident will gain proficiency in advanced treatment of eye disease including performing minor surgical procedures.

Objectives:

The resident will become proficient in the following:
  • Corneal Foreign Body Removal 
  • Epilation 
  • Dilation and Irrigation of the Nasolacrimal System 
  • Subcutaneous injection 
  • Incision and drainage of periorbital cysts (sebaceous, sudoriferous, etc.) 
  • Excision of periorbital tumors

Goal 3: The resident will gain experience in sub-specialty eyecare.

Objectives:

  • The resident will spend time with sub-specialists in eye care including glaucoma, retina, cornea, cataracts, low vision, oculoplastics and contact lenses. This will be accomplished with the assistance of local sub-specialty ophthalmologists and optometrists in Grand Rapids.

college imageGoal 4: The resident will develop effective communication and interpersonal skills.

Objectives:

 The resident’s verbal skills will be assessed and measured through the following:

  • Effective education of patients regarding assessment and plan. 
  • Presentation of their case summary in a clear and succinct manner to the attending faculty. 
  • Appropriate direct interaction with interdisciplinary providers. 
  • Quarterly case presentations at Grand Rounds. 
  • Lectures given at the Michigan College of Optometry’s Residency Day 
  • Monthly lectures about diabetic eye care to newly diagnosed diabetics
  • The resident’s written skills will be assessed and measured through the following:
  • The resident’s medical terminology and written skills will be assessed daily through progress notes in the computerized medical records system. 
  • Two case reports of publishable quality suitable for admission into the Academy of Optometry will be written. 
  • The resident will prepare a poster to be presented at a professional meeting (American Academy of Optometry).

** The Resident will achieve the necessary points to achieve fellowship in the American Academy of Optometry (FAAO). A total of 50 points is needed: 20 points for the residency, 10 points for each case report, and 10 points for an Academy Poster. Should the Academy Poster not be accepted, a third case report of publishable quality may be substituted.

college imageGoal 5: The resident will develop the necessary critical thinking and problem solving skills to effectively and correctly diagnose challenging ocular disease cases.

Objectives:

  • The resident will be challenged by the attending faculty to appropriately collect and analyze the data to create a list of differential diagnosis needed to make the assessment. The resident will be expected to know the reason for every test ordered. 
  • The resident will continuously strive to improve their knowledge of ocular and systemic disease and apply this knowledge in the evaluation, diagnosis and management of patients. 
  • The resident will improve their understanding of experimental design and statistical analysis necessary to critically review medically published and online articles/studies.

Goal 6: The resident will be encouraged to develop into a leader of the optometric community and will develop the skills needed to provide lifelong contribution to the profession of optometry.

Objectives:
college image

  • The resident will learn how to effectively teach clinical skills by assisting the attending optometrists with fourth year optometry interns. 
  • The resident will lead online case discussions through the WebCT program associated with the Michigan College of Optometry 
  • The resident will be encouraged to join the West Michigan Optometric Association and other optometric service organizations as well. 
  • The resident will present a poster at a professional meeting.
  • The resident will be an active leader in monthly Grand Rounds which provides continuing medical education to area providers. 
  • The resident will present a lecture to third year optometry students on the subject of ocular disease at the annual Michigan College of Optometry’s Residency Day. 
  • The resident will gain proficiency in the diagnosis and management of ocular disease and become adept in managing the associated systemic complications encountered in eye care. 
  • The resident will gain proficiency in advanced treatment of eye disease including performing minor surgical procedures. 
  • The resident will gain experience in sub-specialty eye care. 
  • The resident will develop effective communication and interpersonal skills. 
  • The resident will develop the necessary critical thinking and problem solving skills to effectively and correctly diagnose challenging ocular disease cases. 
  • The resident will be encouraged to develop into a leader of the optometric community and will develop the skills needed to provide lifelong contributions to the profession of optometry.

Program Completion Requirements:

The following criteria must be met in order to successfully complete the residency and obtain a Residency Certificate

  • Successful completion of all of the residency’s goals and objectives. 
  • Maintain a patient log and provide feedback to the residency coordinator at least monthly 
  • Write two case reports of publishable quality 
  • Submit a poster to a national optometry meeting 
  • If a poster is not accepted, a third case report of publishable quality may be substituted 
  • Obtain complete agreement from all residency faculty that the resident should be granted a certificate 
  • Complete all required evaluations and submit them to the residency coordinator at the appropriate time.

 

Instrumentation:

The Eye Clinic at the Wyoming VA Health Care Cente is well equipped with the latest in ophthalmic equipment.

Special Testing Room: 

  • Spectralis HRA + OCT
  • Cirrus OCT
  • Haag-Streit IM 900 Digital Anterior Segment Camera
  • Topcon KR-1W 5-in-1 Wavefront Analyzer
  • Optos Daytona Wide Angle Fundus Camera with Autofluorescence
  • Sonomed A/B Scan
  • Sonomed 300P PacScan Pachymeter
  • Reichert Avia Tonopen
  • iCare Tonometer
  • AccuTome PachPen
  • Marco NT-510 Non-Contact Tonometer

 

Visual Field Rooms: 2 Total

  • Haag-Streit Octopus 900 Pro
  • Fundus Camera
  • Full Diameter Minus Trial Lens Set
  • Topcon Cl-300 Automated Lensmeter

 

Exam Rooms:  7 total

  • Reliance 7000 Chair and Stand with Wheelchair Glides
  • Haag-Streit 900 BQ LED Slit-Lamps
  • Heine Omega 500 LED HQ Unplugged BIO
  • Reichert Phoropter
  • Heine Beta 200 Retinoscope
  • Heine Beta 200 Ophthalmoscope
  • Heine Finoff Transiluminator
  • Refraction Desk
  • Full Diameter Minus Trial Lens Set
  • Topcon Cl-300 Automated Lensmeter
  • Volk 20D Lens
  • Volk 78D Lens
  • Volk Digital Wide Field Lens
  • Electronic Eye Chart

In addition, there is a large group optometry office with 6 workstations, an optical, and a staff bathroom. There will be onsite CT, lab, ultrasound, and multiple conference rooms.

Multi-Disciplinary Health Services at Wyoming VA Health Care Center 

college image

  • Primary Care
  • Mental Health
  • Urology Clinic
  • Neurology Clinic
  • Infectious Disease Clinic
  • Wound Clinic
  • Women’s Health Procedure Clinic
  • Dermatology Clinic
  • Joint and Skin Procedure Clinic
  • Dental Audiology
  • Podiatry
  • Speech Pathology
  • Physical Therapy
  • Dietician Services
  • Radiology – CT Scan
  • Pulmonary Function
  • Anti-Coagulation Clinic
  • Gastrointestinal Clinic
  • Pain Management Clinic
  • Physical Medicine and Rehabilitation Clinic
  • Occupational Therapy
  • Cardiology Clinic
  • Rheumatology Clinic
  • Orthopedics
  • Chiropractic Care Clinic
  • Oral Surgery

 

Residents Must Possess the Following:

  • Doctor of Optometry (O.D.) degree from an accredited school or college of optometry 
  • License to Practice Optometry in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. 
  • Ability to work well in a team setting. 
  • Self-Motivation 
  • Eagerness to learn

Program Enrichment:

  • The resident is encouraged to interact with other disciplines inside and outside the medical clinic. Opportunities exist to visit Radiology, Laboratory Medicine, Pathology, Primary Care, and Dermatology as well as to visit private ophthalmologists in the area.
  • The resident is encouraged to interact with 4th year externs from MCO in the long distance Virtual Grand Rounds academic course as well as proctoring intern examinations.
  • The resident must be prepared for teaching, public speaking, and writing opportunities.
  • One Friday every other month is devoted to Grand Rounds. The resident is an active participant during rounds, guiding the presentation and discussion of both guest doctors and case reports. 


Biographical Sketches of Primary Faculty Members

Douglas A. CoonDouglas A. Coon, OD, FAAO – Program Director
Dr. Coon graduated with honors from the Michigan College of Optometry at Ferris State University in May of 2001. Following graduation, he completed his residency in Ocular Disease at the Battle Creek VA Medical Center. He is board certified in Medical Optometry by the American Board of Certification in Medical Optometry (ABCMO), which requires residency training and accreditation by the National Board of Optometry in Advanced Competence in Medical Optometry (ACMO). Dr. Coon serves as a reviewer for COPE certified continuing education, a consultant for the ACOE on residency accreditations, and is a Fellow of and lecturer for the American Academy of Optometry. He joined the Wyoming VA Health Care Center (formerly the Grand Rapids VA Outpatient Clinic) in August of 2003 after serving as a Clinical Assistant Professor of Optometry at the University Of Houston College Of Optometry. He is a Clinical Associate Professor at the Michigan College of Optometry and Clinical Adjunct Faculty at the Illinois College of Optometry. Dr. Coon serves as a Clinical Assistant Professor in the Department of Surgery at the Western Michigan University Homer Stryker M.D. School of Medicine. Dr. Coon and his wife, Dr. Kiersten Coon, enjoy spending time with their daughter, Lauren, and participating in various sports and outdoor activities. Douglas.Coon@va.gov


Joy Joy A. Kerns, OD – Clinical Attending Faculty
Dr. Kerns graduated with honors from the Michigan College of Optometry at Ferris State University in May 2004. Following graduation, she completed her residency training in ocular disease at the Battle Creek VA Medical Center in June 2005. She is board certified in Medical Optometry by the American Board of Certification in Medical Optometry (ABCMO), which requires residency training and accreditation by the National Board of Optometry in Advanced Competence in Medical Optometry (ACMO). Dr. Kerns serves as a reviewer for COPE certified continuing education and is a consultant for the ACOE on residency accreditations. Dr. Kerns spent a short amount of time as an independent primary care optometrist prior to joining the Wyoming VA Health Care Center (formerly the Grand Rapids VA) in December 2005 as a full-time staff optometrist. She is a Clinical Associate Professor at the Michigan College of Optometry and is responsible for proctoring fourth year optometry interns. Dr. Kerns also serves as a Clinical Assistant Professor in the Department of Surgery at the Western Michigan University Homer Stryker M.D. School of Medicine. Dr. Kerns and her husband, Josh, have two daughters. Joy.Kerns@va.gov

 

Jordan N. Kuipers, OD – Clinical Attending Faculty

Dr. Kuipers graduated with honors from the Michigan College of Optometry at Ferris State University in May 2011. Following graduation, he completed his residency training in ocular disease at the Grand Rapids VA Outpatient Clinic in June 2012. Dr. Kuipers serves as a reviewer for COPE certified continuing education and is a Clinical Assistant Professor at the Michigan College of Optometry. He is a Clinical Assistant Professor in the Department of Surgery at the Western Michigan University Homer Stryker M.D. School of Medicine. Dr. Kuipers and his wife, Jenae, enjoy softball, golf, fishing and hunting. Jordan.Kuipers2@va.gov


Grand RapidsThe City of Grand Rapids:
Located on the banks of the Grand River, Grand Rapids is rated among the top cities in the U.S., and combines sophisticated charm with midwestern friendliness. Known for being safe and clean, it’s a “walking” city. The downtown features a major new convention center with five star experiences: hotels, restaurants, and relaxation. Minutes away from spectacular Lake Michigan beaches and beach towns, Grand Rapids is known for its major art and cultural events, plays, museums, and a world-class botanical garden.
Visit this Website to find out more: http://www.visitgrandrapids.org/visit.php