Henry Ford OptimEyes Residency

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.
• Under the supervision of attending staff, the resident will become proficient in the fitting of contact lenses for straightforward cases, as well as challenging cases that may require specialty contact lenses.
• 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 scheduled 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 participate in oral presentations to peer audiences that may include the HFO OptimEyes Morbidity and Mortality conference, Residency Day with the Michigan College of Optometry, and/or bimonthly journal clubs.

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. 
• At the conclusion of the extern rotation, fourth year optometry students will provide a written assessment of the resident’s performance. 
• The resident will submit a summary or a copy of the case presentation(s) 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:

• Record audits will assess performance in this area. 
• 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 required to write a paper suitable for publication in an ophthalmic journal
• The resident will submit a poster for presentation at a professional meeting. This poster may be a unique or unusual case report, clinical review, or original research. 

Measures : 

• A copy of the final paper must be submitted to, and approved by, the program supervisor. 
• The resident will be required to submit a copy of the poster and/or abstract to the program 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 HFO doctor/manager meetings.
• Manage consult requests from other members of the professional medical staff.
• Make appropriate referrals within the health care system through electronic medical records or referral letters.

Measures:

• Resident will submit a summary or copy of handouts.
• Referral requests will be reviewed by the Residency Supervisor. 
• The resident will maintain an ongoing log of all referral and co-management cases.
• 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 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. 
• Daily case discussions and scheduled chart reviews will evaluate patient management.

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

Objectives: 

• The resident will become proficient in the interpretation of ophthalmic special testing.

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 or electronic medical record.

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.

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.  Forty 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.

Clinical Activities:

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 interpreting specialty diagnostic testing and for examining walk-in emergency patients.  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.) 

Didactic Activities:

The resident will be required to attend the Henry Ford OptimEyes Morbidity and Mortality conference. The 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 may be outside of normal clinic hours. The resident will be required to present a lecture.

The resident attends, at minimum, one optometric professional meeting.  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 submit a poster for presentation 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 participate at residency day held in April at the Michigan College of Optometry.

The resident will participate in 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.  

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 $46,790 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
• 80 hours 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.
• Completion of the activities stated within the residency curriculum
• 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
• The resident is expected to exercise professional decorum and attitude in all relationships with patients, faculty, and staff