| Objective |
Continuity of Care |
Resources |
Mechanism / Evaluation |
CME/Noon Conf |
Rotation Cycle |
Faculty Responsible |
1. The QFMR resident will be able to examine an eye demonstrating:
- tests of visual acuity
- tests of evaluating color vision
- tests of depth perception
- direct ophthalmoscopy
- tonometry
- evaluation of the red of eye
- slit lamp evaluation |
ER call
QFMR Clinic |
QFMR Faculty
ER Faculty
Ophthalmologist
Optometrist |
Documentation given by faculty. Resident will demonstrate above skills during ophthalmology rotation. Resident is responsible for obtaining written documentation from faculty |
Primary Care
Evaluation of the Eye |
Annually |
May be done by any faculty. Give documentation to Lorraine LaLond |
2. The QFMR resident will perform an eye exam on a newborn and pediatric patient demonstrating:
- Unique approach to the pediatric patient. |
QFMR Clinic
FP Inpatient Rotation
Sick Nursery |
QFMR Faculty
Pediatric Faculty
Ophthalmologist
Optometrist
View video "Pediatric Vision Screening" |
Demonstrate skills to faculty during continuity clinic or ophthalmology rotation |
.. |
Annually |
Any faculty -- Documentation to Lorraine LaLond |
3. The QFMR resident will perform an eye exam on a newborn and pediatric patient demonstrating:
- Major/Common problems encountered in the pediatric eye patient (I.e. blocked tear duct, strabismus, ambliopia |
QFMR Clinic
FP Inpatient Rotation
Sick Nursery |
Read "Pediatric Ophthalmology for Primary Care" |
Demonstrate skills to faculty during continuity clinic or ophthalmology rotation |
.. |
Annually |
Any faculty -- Documentation to Lorraine LaLond |
| 4. The QFMR Resident will demonstrate the approach and management of a patient presenting with an occular emergency |
QFMR Clinic
ER Call |
-View the video
"Approach to the Patient with Red Eye"
Read the book, "Physicians Guide to Eye Care" (2nd ed)
(Lorraine will have these resources) |
Demonstrate to faculty exam and proper use of anesthetic and loops |
Eye Emergencies |
Annually |
Can use any faculty. Documentation to Lorraine LaLond |
5. The QFMR Resident will understand and demonstrate the role of the family physician in managing common disorders of the eye in conjunction with other healthcare providers such as ophthalmologists, opticians, optometrists, and social workers.
Explanation: There are many eye conditions that the family physicians deal with including benign acute conditions such as viral conjunctivitis or chalazions that can and should be managed by the primary care practitioner. Other acute but more serious acute conditions such as retinal artery oclusion, iritis or herpetic conjunctivitis need to be identified and quickly referred to an ophthalmologist.
Chronic conditions of the eye, however, are commonly co-managed by a group of healthcare providers. Benign chronic conditions such as myopia, allergic conjunctivitis or entropions are commonly managed by primary care physicians, opticians and optometrists.
More serious chronic conditions such as retinal degeneration, graves disease, and glaucoma are commonly co-managed with a general ophthomologist of those that subspecialize in retinal disease, etc.
There are too many diseases of the eye to list here or to practically be managed by a family physician. The part of this objective is to outline an approach to a patient with eye disease from a primary care perspective. At times we may need to coordinate care for our patients.
Example: An elderly patient with glaucoma and failing eyesight may not only need to see an ophthalmologist for eye drops and surgery but also an optometrist to adjust glasses. This patient may have other medical conditions or take medications that affect this condition. As their eyesight fails, they may become depressed or may need help with activities of daily living. Other health professionals such as social workers or occupational therapists may be called upon to help in the patient's care. |
QFMR Clinic |
UpToDate.com
American Academy of Ophthalmology
National Eye Institute www.nei.nih.gov
Same as Resources in #3 |
The QFMR resident is responsible to use one of the resources to become familiar with the common conditions of the eye. A complete list is found at www.aafp.org/x1651.xmi in the curriculum for ophthalmology, but review of "Ophthalmology Made Ridiculously Simple" is a nice summary and can be read easily in one evening.
The resident is responsible to become a bit more familiar with one chronic condition of the eye. Example: glaucoma - go to UpToDate.com. The resident will select one of her/his patients with a chronic eye condition and write a short report (2-10 pages) that will include:
a short narration about the patient and their medical problems, social situation, and eye condition
a short summary about the eye disease that the patient has
- the other healthcare providers involved in their care, how they helped the patient and/or identify any healthcare provider or resources that could help the patient
a treatment plan for the present and future for the patient as the disease progresses |
.. |
.. |
Dr. J. Daniels
Dr. J. Kruse
Documentation to Lorraine LaLond |
