Henry Ford OptimEyes Residency

Type: Primary Care with emphasis on Ocular Disease and Specialty Contact Lenses

Number of Positions: 1

Location: Henry Ford OptimEyes West Bloomfield, MI

Mission: This primary care residency program seeks to fulfill its mission by providing clinically focused post-graduate education in a multi-disciplinary environment with emphasis on ocular disease and specialty contact lens fitting.  Extensive interaction with attending optometrists and externs facilitates a truly unique learning experience, as well as an opportunity to interact with other members of the health care delivery team.  Direct optometric patient care is combined with clinical supervision of fourth professional year Michigan College of Optometry externs to complete the resident's optometric clinical education.  The primary goal of this program is to improve the resident's proficiency and clinical competency in diagnosis, treatment and management of patients. This residency’s patient population is diverse with a large variety of medical and ocular pathology and specialty contact lens fittings.  Upon completion of this program, the resident will be prepared to pursue professional opportunities such as academia or develop and operate a full-scope optometric clinic.

 Residency Supervisor:

Brian Schmidt, OD
Henry Ford OptimEyes West Bloomfield
7230 Orchard Lake Road
West Bloomfield, MI 48322
248.661.5100 - telephone  
[email protected]

Program Information

  • Goal 1 : To provide an extensive and varied clinical experience.

    Objectives:

    • Under the supervision of attending staff, the resident will assume primary responsibility for the care and follow up of their patients. The practice demographics include children, adults and geriatric patients.
    • Under the supervision of attending staff, the resident’s broad and diverse clinical encounters promote competency in the examination, diagnosis and fitting of contact lenses for straightforward cases, as well as challenging cases such as keratoconus and post-surgical presentations.
    • Under the supervision of attending staff, the resident develops competency in the detection, diagnosis, and management of ocular disease as well as in the ocular and visual system manifestations of systemic disease.
    • Under the supervision of attending staff, the resident will provide care to a sufficient number of primary care patients to enhance clinical decision-making skills

    Measures :

    • The resident will maintain a 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 and or consultation).
    • Daily case discussions, and quarterly chart reviews will evaluate patient management.
    • The resident’s performance will be communicated via daily feedback and be reflected in the written evaluations provided by the faculty at three, six and twelve month intervals.


    Goal 2: To develop the resident’s abilities to become an effective clinical educator.

    Objectives:

    • Under supervision of attending staff, the resident will serve as a clinical instructor for fourth year Michigan College of Optometry externs during the final 6 months of the residency.
    • The resident will present a clinical case to HFO OptimEyes doctors at the Morbidity and Mortality conference held in October and February.
    • The resident will participate in Residency Day held at the Michigan College of Optometry.
    • The resident will conduct a bimonthly journal club.

    Measures:

    • 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 time that is dedicated to clinical precepting of fourth year students.
    • At the conclusion of each extern rotation, fourth year optometry students will provide a written assessment of the resident’s performance.
    • The resident will submit a monthly report on the number of patient encounters, including a description of the type of encounter, using the residency activity log.
    • The resident will complete and submit an activity log summarizing these responsibilities.
    • Resident will submit a summary or a copy of the case handouts to the program supervisor.


    Goal 3 : The resident will communicate clearly and use appropriate terminology when presenting information to patients, clinic co-workers, students, and attending/consulting staff.

    Objectives:

    • The resident will develop the skills necessary for effective verbal and written communication with patients and members of the health care community.
    • The resident will use appropriate medical terminology when documenting the clinical findings, assessment, and plan in the medical record.

    Measures:

    • The resident shall prepare patient referrals to outside practitioners. These referrals will be reviewed by the Residency Supervisor. Documentation will be recorded in the patient log.
    • The resident’s performance in this area will be evaluated via frequent case discussions, including consultation with optometrists and ophthalmologists.
    • 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.


    Goal 4 : To provide the resident an appreciation of the importance of scholarly activity.

    Objectives:

    • The resident will be educated in the preparation of a professional manuscript. To improve the resident understanding of the research elements, and paper writing.
    • The resident will present a poster/paper at a professional meeting. This poster/paper may be a unique or unusual case report, clinical review, or original research.

    Measures :

    • The resident’s schedule will reflect the portion of the resident’s time that is dedicated to the design, data collection, and preparation for publication.
    • 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 a lecture format.
    • Manuscript preparation: the resident will be required to write a paper suitable for publication in an ophthalmic journal. A copy of the final manuscript must be submitted to, and approved by, the program supervisor.
    • 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 by their research mentor or supervisor


    Goal 5: Develop the resident’s ability to function as a primary care provider of a health care system through participation in a multidisciplinary health care delivery environment.

    Objectives:

    • The resident will be exposed to quarterly practice growth meetings.
    • The resident will be exposed to HFO doctor/manager meetings held twice a year.
    • Manage consult requests from other members of the professional medical staff.
    • The resident will participate in consults and/or referrals with providers in other non-Eye Care departments at Henry Ford Hospital

    Measures:

    • Resident will submit an activity log.
    • Resident will submit a summary or copy of handouts.
    • The resident will maintain an ongoing log of all consultation and co-management cases.


    Goal 6 : Develop skills/tools necessary to care for patients with complex problems.

    Objectives:

    • The resident will develop critical thinking and problem-solving skills that will enhance their ability to form differential diagnoses and management plans.
    • The resident will improve his/her knowledge of basic health and medical sciences and apply this knowledge in the evaluation, diagnosis and management of patients.

    Measures :

    • 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.
    • Record audits will assess performance in this area.


    Goal 7: To provide the resident with the opportunity to develop expertise in advanced diagnostic procedures.

    Objectives:

    • The resident will become proficient in the performance and interpretation of pachymetry, optical coherence tomography, visual fields, corneal topography, fundus and anterior segment photography.

    Measures:

    • 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.
    • The resident will report on the number and type of procedures performed using the activity log.
    • Record audits will assess performance in this area.


    Goal 8: The resident will acquire a practical understanding of patient coding, billing, and practice management in a primary eye care clinical setting.

    Objectives:

    • The resident will log accurate diagnosis ICD codes, as well as appropriate office visit billing codes on the patient billing form.

    Measures:

    • The results of regular review of the resident's billing/encounter forms by the Supervisor will be reflected in the resident evaluations.
    • Record audits will assess performance in this area.


    Goal 9: Develop the resident’s ability to function as a leader of a voluntary free eye clinic through participation in Detroit Capuchin Eye Care Clinic.

    Objectives:

    • Develop an understanding of community health issues that impact care.
    • Develop a culturally sensitive approach to patient care.
    • Develop an understanding of health care disparities.
    • Organize and participate in free eye clinics and community programs

    Measures:

    • The resident will be exposed to a once-a-month free eye clinic.
    • The resident will participate in the underserved segment of the Detroit community.
    • Resident will submit an activity log.
  • The residency will be for a period of 12 months, commencing July 1st and ending June 30th of the subsequent calendar year. 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 may contain irregular numbers of hours for each workday; however, the weekly average will be 40 hours of assigned duties. (This does not include outside development time necessary for research, lecture preparation, journal reviews, manuscript preparation, etc.)

     

    Schedule consists on average of four 10 hour days.

  • Clinical Activities:

    The residency will be for a period of 12 months, commencing July 1st and ending June 30th.  The resident’s schedule will vary according to patient care and training needs.  A minimum of 40 hours per week is required.  Approximately 4 hours per week will be allotted for working on case reports, journal club activities, and posters/presentations.  The remaining hours per week will be spent in direct patient care. The resident participates in patient care via providing professional services at the Henry Ford OptimEyes West Bloomfield Clinic, either directly or via supervising Michigan College of Optometry externs.  The resident examines primary eye care, contact lens, and ocular disease patients under supervision from faculty.  When assigned to direct patient care, the resident will also be responsible for performing specialty diagnostic testing and for examining walk-in emergency patients. 

    Once a month HFO provides an offsite eye clinic in association with the Capuchin Soup Kitchen in Detroit. Free eye exams and eyewear are provided to an underserved population who have limited access to eyecare/healthcare. The clinic is run/organized by the HFO Primary Care Resident. 

    The resident charts are reviewed by the attending staff and regular feedback is given to the resident regarding quality of documentation (accuracy and completeness) and appropriate care (necessary testing, correct diagnosis, appropriate treatment and follow up.)  Quarterly record reviews are completed and discussed with the resident.

    Didactic Activities:

    The resident will be required to attend the Henry Ford OptimEyes Morbidity and Mortality conference typically held twice per year. Along with presenting a one-hour lecture, each conference typically consists of 4 hours of lectures and cases presented by HFO staff optometrists and is approved for continuing education credits by the Michigan State Board of Optometry. The Morbidity and Mortality conference and lecture are outside of normal clinic hours.

    The resident attends, at minimum, one national professional meeting, usually the annual meeting of the American Academy of Optometry.  The resident is encouraged to attended and participate in the state and local professional meetings, specifically the Michigan Optometric Association.

    Scholarly Activities:

    The resident will present a poster or paper at a recognized professional meeting. 

    The resident will prepare, at minimum, one clinical study, research paper, literature review or case report suitable for publication in a revered journal. 

    The resident will present at residency day held in April at the Michigan College of Optometry.

    The resident will prepare and present cases or research studies at bimonthly journal clubs.

    Teaching:

    The resident is responsible for clinical instruction and supervision of 4th year professional students from the Michigan College of Optometry during the latter part of the residency year.  At minimum, the resident will be assigned to work with the students an average of one-half day per week for 6 months.

    In October and February of the residency year, the resident will be required to present a lecture or case presentation to staff at the Morbidity and Mortality conference.  The lecture will be submitted to Michigan State Board of Optometry for continuing education approval.

    The resident is required to implement and conduct bimonthly journal clubs with faculty and fourth year optometric externs. 

  •  

    Henry Ford OptimEyes West Bloomfield is located at 7230 Orchard Lake Road, West Bloomfield, MI 48322.  The clinic moved from its previous location to a new state-of-the-art facility in February 2017. The clinic contains staff and providers for both optometry and ophthalmology.  There are a total of 30 exam lanes, 11 of them dedicated to optometry.  The facility includes waiting areas, an optical with over 3000 frames, a dispensary, reception, an optical laboratory, special testing areas, a minor procedures room, and a contact lens clinic.  Ophthalmology specialties onsite include general, cornea, retina, glaucoma, pediatrics, and neuro-ophthalmology. The resident has their own desk space in a shared office with faculty. They have access to their own computer as well as file space.  The resident has access to many clinical text books and articles if needed for reference. The facility also includes a large conference room with access to teleconferencing and smart screens used during journal clubs and meetings. The facility allows the resident to practice to the fullest allowable scope and provides ample technology and space for education thus fulfilling the mission, goals, and objectives of the program.

    Equipment the resident has access to includes:

    • Phoropters
    • Trial lenses
    • Haag-Streit Slit Lamps
    • Clear Chart Acuity
    • Pachmate
    • Noncontact Tonometer
    • iCare Tonometer
    • Goldmann Tonometer
    • 3&4 Mirror gonioscopy lenses
    • 90D/78D/20D/Superfield lenses
    • Anterior segment camera
    • Cirrus HD-OCT
    • Maestro OCT & Fundus photography
    • Octopus Perimeter
    • Cordless BIOs
    • Handheld instruments
    • Blood pressure cuff
    • Foreign body removal kit/alger brush
    • Autorefractor
    • Auto/manual lensometer
    • Radiuscope
    • Punctal Plugs
    • Scleral lens fitting sets
    • RGP fitting sets
    • Multiple soft contact lens fitting sets (sph/toric/mf)
    • A stipend in the amount of $43,680 for the 12 month period
    • Additional $1,100 for CE stipend
    • Medical and malpractice insurance
    • Several paid holidays including New Years Day, Memorial Day, Labor day, Independence Day, Thanksgiving and Christmas Day
    • Ten (10) leave days for personal/professional activities
    • An appropriate amount of leave for illness. (Extended sick leave requires documentation of medical necessity from the resident’s physician).
    • To serve as a resident at Henry Ford OptimEyes for the entire period specified
    • To perform to the best of his/her professional abilities in all assigned duties
    • To maintain and complete supervisor evaluations, patient logs, etc.
    • To write a paper based on original research, literature review, or a clinical case suitable for publication in an ophthalmic journal
    • To maintain standards of competence in clinical practice
    • The resident is expected to exercise professional decorum and attitude in all relationships with patients, families, faculty and staff
    • The confidentiality between the resident and patient bestowed by the physician/patient relationship must never be compromised
    • To refuse fees or payment in any form from patients, staff
    • To observe all rules and regulations of the Michigan College of Optometry
    • Practice within the scope of clinical privileges
    • Practice according to the rules of residency supervision