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Department of Ophthalmic Technologies Ophthalmic Medical Technology Program College of Health Related Professions University of Arkansas for Medical Sciences Little Rock, AR 72205 Ophthalmic Medical Technology Self-Study Report Submitted to Commission on Accreditation for Ophthalmic Medical Programs (CoA-OMP) for Continuing Program Accreditation Suzanne Hansen, COMT, Program Director and Chairman, Ophthalmic Medical Technology Program Michael N. Wiggins, M.D., Medical Director, Ophthalmic Medical Technology Program Submitted to CoA-OMP December xx, 2011 1 The Ophthalmic Medical Technology Program Self-Study Report has been prepared in accordance with the COMMISSION ON ACCREDITATION FOR OPHTHALMIC MEDICAL PROGRAMS Guidelines for Conducting the Self-Study & Instructions for Preparing the Self-Study Report Approved through October 22, 2011 2 List of Abbreviations ABO ABOC ACH ATPO BSN American Board of Opticianry American Board of Opticianry Certification Arkansas Children’s Hospital Association of Technical Personnel in Ophthalmology Bachelor of Science in Nursing CAVHS Central Arkansas Veterans Healthcare System CHRP CO COA CoA-OMP COMT COT DO JCAHPO JEI MD NCLE OMP OMT PhD RN SC UAMS VA College of Health Related Professions Certified Orthoptist Certified Ophthalmic Assistant Committee on Accreditation for Ophthalmic Medical Personnel Certified Ophthalmic Medical Technologist Certified Ophthalmic Technician Doctor of Osteopathy Joint Commission on Allied Health Personnel in Ophthalmology Harvey & Bernice Jones Eye Institute Doctor of Medicine National Contact Lens Examiners Ophthalmic Medical Personnel Ophthalmic Medical Technologist (graduate of professional technologist program) Doctor of Philosophy Registered Nurse Semester Credits University of Arkansas for Medical Sciences John L. McClellan Memorial Veterans Administration Medical Center (Little Rock, AR) & Eugene J. Towbin Healthcare Center (North Little Rock, AR) 3 Organization As described in the CoA-OMP Guidelines for Conducting the Self-Study & Instructions for Preparing the Self-Study Report, the OMT Self-Study Report is organized as follows: Table of Contents Part I 1. 2. 3. 4. 5. PAGE Introduction…………………………………………………………….. 6 Institutional Data Form………………………………………………… 12 Program Data Form……………………………………………………..17 Narrative……………………………………………………………….. 29 Section I …………………………………………………………… 30 Standard A: Sponsorship………………………..………... 30 Standard B: Resources……………………………………... 36 Standard C: Students…………………………..………….. 54 Standard D: Operational Policies……………………..…..... 61 Standard E: Program Evaluation…………………………… 64 Section II ……………………………………………………………85 Instructional Plan and Curriculum ….……………………. 85 Summary……………………………………………………………….. 92 Part II PAGE Appendix 1: INSTITUTIONAL INFORMATION…………………….….. 96 1a: Institutional organizational chart………………………. 96 1b: Mission statement of institution…………………….…..97 1c: Catalog and program brochures…………………….….. 98 1d: Consortium data form (A-3)………………………….. 100 Appendix 2: PROGRAM OBJECTIVES………………………………….. 102 Appendix 3: ENROLLMENT………………………………………………103 Summary of enrollment, attrition, & relevant outcomes…... 103 Appendix 4: CLINICAL/ACADEMIC AFFILIATIONS…………………. 104 4a. Copies of affiliation agreements……………………….. 105 4b. List of current affiliates………………………………… 109 Appendix 5: PROGRAM ADMINISTRATION AND FACULTY……….. 110 5a. Curricula vitae for program chairman/director ..……….111 5a. Curricula vitae for medical director …………….…..….119 5b. Curricula vitae forms (A-4) for rest of faculty………… 124 4 PAGE Appendix 6: PROGRAM FINANCES…………………………………….. 153 6a. Completed form (A-5) or institution’s form containing 3-year (last, current, and projected) budgets…………… 154 Appendix 7: STUDENT ACADEMIC POLICIES…………………………155 7a. Admission policies & criteria…………………………...155 7b: Criteria for progression & completion of program…….. 160 7c: Summary of methods used to evaluate students’ success in completing each course (A-6).……………… 161 7d: Copy of student work policy, if applicable………….…. 172 Appendix 8: COURSE SUMMARIES…………………………………….. 173 Course outlines & content as defined by the curriculum committee…………………………………………………...173 ***************************** The following items are also provided with this report: 1. 2. 3. 4. The 2011-2012 CHRP Catalog The 2011-2012 CHRP Handbook The CHRP Promotion & Tenure Guidelines The Academic Employee Grievance Procedure outlined in Section G of the UAMS Faculty Handbook 5. The Ophthalmic Medical Technology Program Handbook ******************************* 5 PART I 1. INTRODUCTION Overview of the Program Program name: Program level: Department name: Institution: Address: Telephone: FAX: E-mail: Internet: Ophthalmic Medical Technology Technologist Department of Ophthalmic Technologies College of Health Related Professions and Harvey & Bernice Jones Eye Institute University of Arkansas for Medical Sciences 4301 West Markham (#523) Little Rock, AR 72205-7199 Student Admissions & Dean’s Office: (501) 686-5730 Program Chairman/Director: (501) 526-5880 Medical Director: (501) 686-5150 (501) 686-6346 (Chairman) hansensuzannej@uams.edu or OMT@uams.edu www.uams.edu/chrp/omt The Ophthalmic Medical Technology (OMT) Program is housed within the Department of Ophthalmic Technologies of the College of Health Related Professions (CHRP) at the University of Arkansas for Medical Sciences (UAMS). The OMT program is 1 of 18 different allied health professions represented in the 11 departments of the CHRP. The CHRP is one of the five colleges of the UAMS, which also includes the Colleges of Medicine, Nursing, Pharmacy, Public Health, and the Graduate School. UAMS is the academic health science center for the state. It serves students and patients throughout Arkansas and the mid-south region of the U.S. and attracts students, faculty, and patients from throughout the U.S. and the world. The OMT program was established in 1999, and the first class of students was admitted in August of 2000. Since that time, the program has graduated nine classes, and the tenth and eleventh classes are currently enrolled. Suzanne Hansen, M.Ed., COMT, assumed the role of Program Director in 2005 and then Interim Chairman of the Department of Ophthalmic Technologies in 2006 and Chairman in 2009. Michael Wiggins, M.D., succeeded Christopher T. Westfall, M.D. as Medical Director for the program in 2008. Classroom and laboratory teaching and clinical rotation supervision are provided by the faculty and support staff of the Department of Ophthalmology located in the Harvey & Bernice Jones Eye Institute, a unit of the College of Medicine at UAMS. The program submitted its last Self-Study Report for accreditation in 2006, had a site visit in February of 2007, and is currently accredited by CoA-OMP (Commission on Accreditation of Ophthalmic Medical Programs). Appendix 1a (Organizational Chart) illustrates the relationships between the Ophthalmic Technologies Department and the CHRP of UAMS. 6 Design, Duration, and Conduct of the Self-Study This section describes the design (panel, responsibilities), duration, and conduct of the self-study. Design Technical and administrative panels involved with the self-study are described below. These panels provide oversight mechanisms for the program. Administrative Panel Responsibilities Diane H. Skinner, Ed.D., M.P.H. Assoc. Dean for Academic & Student Affairs, CHRP Ensure OMT compliance with institutional rules, regulations, and policies. Ensure that students’ administrative needs are met. Suzanne Hansen, M.Ed., COMT Department Chairman, Program Director, and Instructor Perform administrative functions to promote the education process and accreditation of the OMT program, and ensure that students comply with CHRP/OMT policies and procedures. Michael N. Wiggins, M.D., OCS Medical Director, and Associate Professor Develop and support administrative cooperation between the OMT program and the JEI, ACH, CAVHS, and local private ophthalmology clinics. Provide administrative direction for OMT courses and comprehensive and surgical clinical rotations. Pamela Whitlock, COA JEI Clinic Practice Manager policies Provide administrative oversight by ensuring that OMT clinical rotations are in compliance with UAMS and procedures. Mary Rinke, R.N. JEI Clinic Charge Nurse Oversee clinical rotation assignments for OMT students; direct clinical assignments to allow technical staff appropriate instruction time with students. Kimberly Glaze, COMT JEI Clinic Supervisor & Instructor Oversee clinical rotation assignments for OMT students; direct clinical assignments to allow technical staff appropriate instruction time with students; OMT course director for didactic instruction. Christopher Westfall, M.D. JEI Director and Chairman, Professor Provide administrative direction for OMT courses and oculoplastics clinical and surgical rotations. Romona Davis, M.D. Assistant Professor Provide administrative direction for OMT courses and comprehensive and surgical clinical rotations. 7 Stacia Grimes, COMT Instructor & JEI Clinical Instructor Provide administrative assistance to Program Director for OMT courses and clinical rotations; OMT course director for didactic instruction. Joy Banks, M.Ed., COMT Instructor & JEI Clinical Instructor Provide administrative assistance to Program Director for OMT courses and clinical rotations; OMT course director for didactic instruction. Leora Bibbs, OMT OMT Site Coordinator & JEI Clinical Instructor Provide administrative assistance to Program Director for OMT courses and clinical rotations; OMT course director for didactic instruction. Steve Staples, COMT, CEBT Instructor Provide administrative oversight for student recruiting activities. Susan Brummett, COMT Instructor & Technologist, CAVHS Provide administrative oversight for student/alumni activities. Katherine Fray, C.O. Instructor & OMT Site Coordinator ACH Clinic Instructor Provide administrative oversight by ensuring that OMT clinical rotations are in compliance with UAMS and ACH policies and procedures (coordinate with Shawn Brown). Provide instruction for strabismus clinical rotation. Shawn Brown, C.O., COMT Instructor & OMT Site Coordinator, ACH Clinic Instructor Provide administrative oversight in the ACH Eye Clinic (coordinate with Katherine Fray). Provide instruction for pediatric and strabismus clinical rotation. Fredrick Hammond, O.D. CAVHS Optometrist & CAVHS Clinical Instructor Provide administrative oversight in the CAVHS Eye Clinic. In addition to the administrative panel above, Ronald H. Winters, Ph.D., Dean, CHRP and John P. Shock, M.D., Chairman, Department of Ophthalmology, UAMS and Director, Harvey & Bernice Jones Eye Institute continued to provide substantial support and assistance for the program as needed since the last comprehensive review by CoA-OMP. Christopher T. Westfall, M.D., succeeded Dr. Shock as Chairman and Director in 2010. In 2011, Douglas Murphy, Ph.D., succeeded Dr. Winters as Dean, CHRP. Technical Panel Responsibilities Michael N. Wiggins, M.D., OCS Medical Director and Associate Professor Develop and support technical cooperation between the OMT program and the JEI, ACH, and CAVHS clinics, including assigning ophthalmology faculty for OMT lectures, laboratories, and supervised clinical rotations. 8 Suzanne Hansen, M.Ed., COMT Program Director and Instructor Perform technical functions to promote the educational process, including teaching, creating schedules for lectures, laboratories, and supervised clinical rotations, and coordinating these activities with the ophthalmology faculty. Joseph Chacko, M.D. Associate Professor Provide technical instruction for OMT didactic courses and supervised clinical rotations. Romona Davis, M.D. Assistant Professor Provide technical instruction for OMT didactic courses and supervised clinical rotations. Inci Dersu, M.D., M.P.H. Associate Professor Provide technical instruction for OMT didactic courses and supervised clinical rotations. Christopher Westfall, M.D. Professor Provide technical instruction for OMT didactic courses and supervised clinical rotations. Kim Glaze, COMT JEI Clinic Supervisor & Instructor Coordinate and assist with supervised clinical rotations in the JEI clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed. Stacia Grimes, COMT OMT Site Coordinator, JEI Instructor Assist with supervised clinical rotations in the JEI clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed. Joy Banks, M.Ed., COMT OMT Site Coordinator, JEI Instructor Assist with supervised clinical rotations in the JEI clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed, including photography. Leora Bibbs, OMT OMT Site Coordinator, JEI Assist with supervised clinical rotations in the JEI clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed. Steve Staples, COMT, CEBT Instructor Provide assistance with lectures, laboratories, and “hands-on” instruction as needed; assist with recruitment activities. Kathy Fray, CO Coordinate supervised clinical rotations in the ACH eye clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed including orthoptics. Instructor & OMT site Coordinator, ACH Shawn Brown, CO, COMT OMT Site Coordinator, ACH & ACH Clinical Instructor Coordinate supervised clinical rotations in the ACH eye clinic within the dynamics of the clinic and assist with “hands-on” instruction as needed including orthoptics. 9 Rick Hammond, O.D. CAVHS Optometrist CAVHS Clinical Instructor Coordinate supervised clinical rotations in the CAVHS Eye Clinic within the dynamics of the clinic and assist with “hands-on” instruction. Duration and Conduct The OMT program continuously evaluates the overall program effectiveness and employs regular communication with the administrative and technical panels listed above and students to complete the self-study. Methods for review include: Since spring 2006, the OMT program has continued to conduct the following meetings for continuous program review: 1. OMT Student Meetings (formerly referred to as OMT Performance Review meetings) are held on a regular basis (weekly from 2006-2008 and then semimonthly from 2008present). These meetings are scheduled to address the OMT program progress and any student issues or concerns and are attended by: Michael N. Wiggins, M.D., Medical Director Suzanne J. Hansen, COMT, Chairman and Program Director OMT students 2. Semimonthly Clinic Faculty Meetings are held during the lunch hour so that clinic coordinators can attend (all members listed on the Technical Panel on pages 8-10 are encouraged to attend these meetings). The purpose of these meetings is to communicate continuing clinical goals for the current students and address any areas of concern. Meeting minutes are distributed to all program and clinic faculty members. 3. OMT Administration Meetings also occur monthly. These meetings are scheduled to address continuing administrative concerns and developments relating to the program. Attendees at these meetings include: Christopher T. Westfall, M.D., Chairman, Jones Eye Institute Suzanne J. Hansen, COMT, Program Director Kathryn Rich, JEI Administrator Pam Whitlock, JEI Clinic Practice Manager 4. Jones Eye Institute Education Meetings are conducted each month since spring 2010, to discuss program progress and goals and address any faculty areas of concern related to all educational programs that are assigned to the Department of Ophthalmology (including OMT students, ophthalmology residents, and medical students). 5. In addition to the meetings above, the OMT Program Director attends regular meetings with the Associate Dean for Academic and Student Affairs of CHRP, Diane Skinner, Ed.D., M.P.H. These meetings are conducted to ensure the program compliance with institutional regulations and discuss methods for continuous program improvement. 10 Since the last comprehensive review in 2007, the meetings listed above have occurred to ensure continuous program monitoring and allow for adequate participation by OMT students, faculty, and administrative staff in determining program progress. 11 PART I INSTITUTIONAL DATA FORM CoA-OMP Accreditation Self-Study Report Institutional Data Form 1. Official name of sponsoring institution _University of Arkansas for Medical Sciences College of Health Related Professions___________________________________ Address 4301 West Markham, (# 619)______________________________________ City Little Rock_____________________ State & Zip _AR 72205-7199_______ 2. Type of institution Academic Health Center/Medical School Four-year College or University Two-year College Vocational or Technical School Hospital or Medical Center Non-hospital Medical Facility (blood bank, laboratory) Dept of Veterans Affairs US Dept of Defense Consortium (if applicable, complete Consortium data form; include in Appendix I) 3. Nature of Institution Public Private, not-for-profit Private, for-profit 4. Chief Administrative Officer of Sponsoring Institution Name Dan Rahn, M.D. Title Chancellor Address University of Arkansas for Medical Sciences 4301 W. Markham (# 541)____________ City ___Little Rock___________________________ State & Zip __AR 72205-7199_ 5. Dean or Coordinator of Allied Health Education Name ____Douglas L. Murphy, Ph.D.__ Title ____Dean_________________ Address College of Health Related Professions 12 University of Arkansas for Medical Sciences 4301 W. Markham (# 619)____________ City ___Little Rock___________________________ State & Zip __AR 72205-7199_ Telephone ____(501) 686-5731_________ FAX Number __(501) 686-6855 6. Institutional Accreditation Regional Association Name The Higher Learning Commission of the North Central Association _ Date September 10, 2007 JCAHO __Jones Eye Institute __________________________ Date _12/08 – 12/11_ Other ______________________________________________ Date _____________ 7. Is the sponsoring institution legally authorized under applicable state law to provide postsecondary education? Yes No No applicable state law 8. In general, educational programs in the institution operate on a Semester system Trimester system Quarter system Co-op system All vary, according to program requirements. 9. Does the institution publish a general bulletin of its educational programs? Yes (Each college has its own catalog) No 10. Does the institution have a tuition refund policy? Yes No 11. Where does the institution publish information on tuition rates and refunds? General Bulletin or Catalog (College) Individual Program Bulletin or Catalog As separate documents Does not publish this information 13 12. Does the institution have an Office of Financial Aid for students? Yes No 13. Does the institution have a faculty grievance policy? Yes No 14. Does the institution have a student grievance policy? Yes No 15. Students in the allied health programs have ready access to which of the following library resources? Univ/College/School library Academic Health Center library Interlibrary loan Program/Department library Hospital library 16. Student Health Services are available at: Student Health Services operated by sponsoring institution General health care facility operated by sponsoring institution Referral to contracted student health service elsewhere Referral to provider of student’s choice Other 17. Official student records are maintained: Permanently Other duration (Specify) ______________________________________ 18. Official student records are maintained by: Institutional Registrar/Office of Student Records Allied Health Dean’s/Director’s Office (College Registrar) Program/Department office Other duration (Specify) ______________________________________ 19. The following items should be included as Appendix 1 of the Self-Study Report: a. Institutional Operational Chart (s) showing relationship between the allied health program(s) being evaluated and the institution. b. Mission Statement of the institution – or a reference to appropriate page in Institution’s Bulletin or Catalog. 14 UAMS The mission statement of the University of Arkansas for Medical Sciences as stated in the 2011 – 2012 CHRP Catalog is shown below. To Teach –The University of Arkansas for Medical Sciences prepares excellent health care professionals and scientists who are committed to high ethical and professional standards, life-long learning, and skill advancement in health care for Arkansas, the nation, and the world To Heal – The University of Arkansas for Medical Sciences provides comprehensive, nationally and internationally recognized, health care in many specialties and disciplines for Arkansas, the nation, and the world To Search – The University of Arkansas for Medical Sciences conducts pioneering research that leads to new knowledge with application and integration into the health care disciplines, systems of care public policy, and economic progress for all people To Serve – The University of Arkansas for Medical Sciences provides leadership and service in the health care disciplines and in public health policy for the benefit of the citizens and communities of Arkansas. CHRP The mission statement of the College of Health Related Professions as stated in the 2011 – 2012 CHRP Catalog is shown below. The College of Health Related Professions (CHRP) serves the state of Arkansas as the primary arm of the University of Arkansas in offering programs that provide education, service, and research in the allied health professions. The College was organized as a separate college within the University of Arkansas for Medical Sciences in 1971. In fulfilling its mission, the College of Health Related Professions offers education and training opportunities for students of the allied health professions to prepare them as graduates to assume the roles of the professional. The College curricula coordinate the professional course work with the arts, humanities, and basic and social sciences into a total educational experience that emphasizes life-long learning in the allied health professions. Patient and public health education is an important part of the mission of the College of Health Related Professions. In its public service role, programs in the College render patient care services as part of their educational efforts under the supervision of faculty. Technical advice and consultative services are available from the College to institutions and agencies throughout the state. The professional service mission of the College includes the offering of continuing education courses to practitioners to enhance teaching, administration, and professional skills. Research in the College of Health Related Professions involves the educational process as well as professional fields. The research mission involves the quest for new information which addresses the health and health care educational needs of the state, and the sharing of this information with the scientific community. 15 c. Institution’s General Bulletin/Catalog, and relevant Program brochures or catalogs. d. Consortium data form, if applicable. (Items a-d are included in Appendix 1) 16 PART I PROGRAM DATA FORM CoA-OMP Accreditation Self-Study Report Program Data Form 1. Official Name of Program ___Ophthalmic Medical Technology_______________________ Address _____Department of Ophthalmic Technologies_____________________________ _____College of Health Related Professions_______________________________ _____University of Arkansas for Medical Sciences__________________________ _____4301 West Markham (# 619)_______________________________________ City _____Little Rock_______________ State & Zip ___AR 72205-7199_________ Telephone ___(501) 686-5730__________ FAX # ____(501) 686-6855________________ 2. Program Objectives In Appendix 2 include statement of the program’s overall objectives and competencies needed for graduation – or a reference to the appropriate page in the Institution’s Bulletin/Catalog. See Appendix 2 for details. 3. Specify the following: a. Length of professional program in months __________ 24_______________________ in credit hours, if applicable _____________69 (plus 55 credit hours of pre-professional course work) b. Number of classes admitted per year __________________1_______________________ c. Month(s) in which classes begin __________________August_____________________ d. Maximum capacity per class ________________________8_______________________ e. Total number of students currently enrolled in program ___8_(Fall 2011)_____________ f. Certificate or Degree awarded ____________Bachelor of Science (OMT)____________ g. Tuition and fees (2011-2012): Resident $220 per semester credit_______ Non-Resident $534 per semester credit__ 4. In Appendix 3, provide a table summarizing enrollment, attrition, and any available graduate statistics for the past three years. Graduate statistics may include certification/ licensure/ registry results; employment statistics, etc. 17 5. In Appendix 4, include a) a sample copy of a current affiliation agreement, and b) a list of current affiliates, indicating those for which there is a signed agreement. 6. Program Director Name Suzanne Hansen, M.Ed., COMT_ Title Chairman & Program Director Address Harvey & Bernice Jones Eye Institute_______________________________ University of Arkansas for Medical Sciences__________________________ 4301 West Markham (# 523)_______________________________________ City ___Little Rock__________ State & Zip ____AR___72205-7199____________ Telephone (501) 526-5880_____ Fax (501) 686-6346__________________________ 7. Department Chair or Administrator (if different from above) Not applicable 8. Medical Director Name Michael N. Wiggins, M.D., OCS_ Specialty _____Comprehensive____ Address Harvey & Bernice Jones Eye Institute_______________________________ University of Arkansas for Medical Sciences_________________________ 4301 West Markham (# 523)______________________________________ City ___Little Rock__________ State & Zip ____AR___72205-7199___________ Telephone ____(501) 686-5150_______ 9. Clinical/Educational Coordinator (s) Name ___Kim Glaze, COMT (at JEI*)____ Phone ____(501) 686-5822______ Name Shawn Brown, CO, COMT (at ACH*) Phone ____(501) 364-1150______ 10. In Appendix 5, include a) the curriculum vitae for the above key personnel, and b) a faculty vitae form (A-4) for all remaining faculty assigned to the program. 11. Does the institution have a tenure system? Yes No Not applicable 12. Are full-time faculty in this program eligible for tenure track appointment? Yes (If at the rank of asst. professor or higher) Not applicable 13. How many full-time faculty are tenured? _________4_______________________ (* see List of Abbreviations, p. 3) 18 14. The institution provides which of the following for professional development of faculty? Continuing or in-service education at the institution Tuition remission Release time Travel and/or registration funds Other (numerous on-campus workshops, lectures, and seminars) 15. List below the key professional and clerical personnel of the program and identify their responsibilities by the code provided: (A) administrative; (B) curriculum development; (C) coordination of instruction; (D) teaching; (E) student performance evaluation; (F) faculty evaluation; (G) student recruitment; (H) student selection; (I) administrative assistance; (J) secretarial; (K) clerical; (L) other (please specify). Also identify the approximate percentage of each individual’s total employed time that is devoted to the program. This chart is intended to provide an overview of the distribution of program-related activities among key personnel. Name and Title Responsibility(ies) % of time _____________________________________________________________________ JEI Clinic: Suzanne Hansen, M.Ed., COMT Chairman & Program Director (7/04 – present) A B C D (Lecture, lab & clinic) E F G H 20 4 15 32 10 10 5 4 Michael N. Wiggins, M.D. Medical Director (7/08 - present) A B C D E F H 5 3 1 10 4 2 2 Joseph Chacko, M.D. Associate Professor A B D E 1 4 5 1 19 Romona Davis, M.D. Assistant Professor A B D E 1 4 5 1 Inci Dersu, M.D. Associate Professor A B D E 1 4 5 1 Christopher T. Westfall, M.D. Professor A B D E F 5 3 7 1 1 Joy Banks, M.Ed., COMT, JEI Clinic Instructor A B C D (Lecture, lab & clinic) E G H 6 3 3 10 2 1 1 Kim Glaze, COMT, JEI Clinic Instructor A B C D (Lecture, lab & clinic) E G H 6 3 3 10 2 1 1 Stacia Grimes, COMT, JEI Clinic Instructor A B C D (Lecture, lab & clinic) E G H K 6 3 3 10 2 1 1 1 Steve Staples, COMT, CEBT, JEI Clinic A Instructor D G H 1 5 2.5 1 20 Leora Bibbs, JEI Clinic Course Director A B C D (Lecture, lab & clinic) E G H 6 3 3 10 2 1 1 Pamela Whitlock, JEI Clinic Practice Manager A C D 3 1 1 Mary Rinke, R.N., JEI Clinic Charge Nurse A C D 2 1 1 Elizabeth Walsh, OMT Administrative Specialist I J K 20 15 15 A C D E 1 2 5 2 Shawn Brown, C.O., COMT, ACH Clinic A Instructor C D E 1 2 5 2 ACH Eye Clinic Katherine Fray, C.O., ACH Clinic Instructor CAVHS Eye Clinic Susan Brummett, COMT, CAVHS Clinic D 2 Instructor L (student/alumni activities) 3 D 2.50 (Other administrative staff at the JEI and CHRP also provide services, as needed.) 16. Specify the following: a. Number of full-time faculty assigned to the program_______1____________ b. Number of part-time faculty assigned to the program ______26____________ c. Number of clinical faculty ___________________________26____________ 21 17. Indicate the program’s current fiscal year budget for: SALARIES Faculty (full-time) Administrative support $ 54,210 (Program Director) $ 7,083 (Medical Director’s salary is primarily provided by UAMS College of Medicine) $ 23,700 SUPPLIES Office supplies Computer supplies $ 2,000 $ 1,800 OTHER OPERATING EXPENSES Travel Advertising Professional memberships Leased equipment Other (maintenance/service) TOTAL EXPENSES $ 5,400 $ 700 (postage, printing, phones for OMT program/recruitment) $ 1,000 $ 1,020 $ 300 97,243.00 18. What percent of the above total is from sources external to the institution (i.e. sponsored research, grants, contracts, professional service): ___________________________None_____________________________________ 19. In Appendix 6, include completed form A-5 or an institutional form containing the budgets for the last and present fiscal year, including aggregated instructional personnel costs, travel, instructional supplies, etc. (Appendix 6, Form A-5 is included) 20. Does the program/institution have written health/safety policies for students? Yes No (Health/safety policies are described in Sections 3.17 and 4.0 of the 2011-2012 CHRP Handbook and page 16 of the Ophthalmic Medical Technology Handbook, a copy of which is included.) 21. Counseling for students in academic difficulty, and other educational guidance is provided by: Program administration Institution’s guidance center Program faculty Referral (Counseling is provided by the Office of Educational Development whose policies are described in Section 3.9 of the 2011-2012 CHRP Handbook, a copy of which is included. The Student Affairs Office and the Associate Dean for Academic and Student Affairs also provide advisement related to support services.) 22 22. Personal counseling for students is available from: Program administration Institution counseling center Program faculty Referral to private counseling (Counseling is provided by the UAMS Student Wellness Program whose policies are described in Section 3.17.6 of the 2011-2012 CHRP Handbook, a copy of which is included.) 23. In Appendix 7, include the following items: a. A copy of program admission policies and criteria, or a reference to relevant pages in Institution/Program official publication. b. A brief summary of program’s admissions process. c. Copies of policies regarding criteria for progression in and completion of the program, or a reference to relevant pages in Bulletin/Catalog. d. Completed Form A-6 or other document summarizing methods used to evaluate student’s success in completing each course or segment of the curriculum. e. A copy of student work policy, if applicable. Items a – e are included in Appendix 7. 23 24. CURRICULUM SEQUENCING Using the codes identified below, present a schematic representation of the curriculum components and their sequences by shading in the horizontal spaces as appropriate. For those programs which are considered as 4-year programs, please exclude those courses which are required before entry into the professional curriculum track. For a majority of allied health programs, there will be entries only for one or two years. BSI = basic science instruction* CDI = classroom clinical didactic instruction ABSI = applied behavioral science instruction, if applicable SCP = supervised clinical practice ____________________________________________________________________ PROGRAM MONTH No. OF STUDENTS ___________________________________________________________________________________________ YEAR 1 2 3 4 5 6 7 8 9 10 11 12 _______________________________________________________________ BSI _______________________________________________________________ 1st ABSI _____________________________________________________________________________________ CDI 5 _____________________________________________________________________________________ SCP 5 BSI _______________________________________________________________ 2nd ABSI _____________________________________________________________________________________ CDI 3 _____________________________________________________________________________________ SCP 3 BSI _______________________________________________________________ ABSI _____________________________________________________________________________________ CDI _____________________________________________________________________________________ SCP BSI _______________________________________________________________ ABSI _____________________________________________________________________________________ CDI _____________________________________________________________________________________ SCP *This is a four-year Bachelor of Science degree program. Prior to beginning the professional phase of the program, students must complete 55 semester credit hours of general education preprofessional course work which includes 26 semester credit hours of basic science (BSI) and 6 semester credit hours of applied behavioral science (ABSI) course work. 24 25. DIDACTIC COURSES - SUMMARY List the required and elective didactic courses. Identify the faculty member with the primary responsibility for teaching each course. Indicate a) the number of credit hours granted per course and b) the number of class and/or laboratory hours required per course. Identify elective courses with an asterisk. (There are no ELECTIVE courses in our program.) COURSE NUMBER PRINCIPAL CREDIT LAB OR AND TITLE INSTRUCTOR HOURS CLASS HRS ______________________________________________________________________________________ Lecture & Lab. Courses (All courses are REQUIRED) FALL (1) OPH 3101 Clinical Skills Lab I L. Bibbs 1 2250 minutes (laboratory) OPH 3201 General Medical Knowledge & Terminology K. Glaze 2 1500 minutes (lecture) OPH 3202 Intro.to Ophthalmic Technology & Medical Ethics S. Hansen 2 1500 minutes (lecture) OPH 3203 Ocular Anatomy & Physiology R. Davis S. Hansen 2 1500 minutes (lecture) OPH 3204 Optics I M. Wiggins S. Hansen 2 1500 minutes (lecture) OPH 3105 Clinical Skills Lab II J. Banks L. Bibbs 1 2250 minutes (lecture) OPH 3206 Optics II M. Wiggins S. Hansen 2 1500 minutes (lecture) OPH 3207 Contact Lenses/Opticianry S. Hansen B. Wright B. Duhamel 2 1500 minutes (lecture) OPH 3208 Ophthalmic Pharmacology S. Grimes 2 1500 minutes (lecture) OPH 3209 Ocular Motility I K. Glaze 2 1500 minutes (lecture) SPRING (2) 25 COURSE NUMBER PRINCIPAL CREDIT LAB OR AND TITLE INSTRUCTOR HOURS CLASS HRS ______________________________________________________________________________________ SUMMER (3) OPH 3106 Clinical Skills Lab III S. Hansen J. Banks 1 2250 minutes (laboratory) S. Grimes 1 2250 minutes (laboratory) OPH 4201 S. Hansen Ocular Motility II: Abnormalities Of Binocular Vision 2 1500 minutes (lecture) OPH 4202 Survey of Eye Diseases R. Davis S. Hansen 2 1500 minutes (lecture) OPH 4204 Ophthalmic Photography & Angiography J. Banks 2 1500 minutes (lecture) OPH 4207 Advanced Concepts in Ophthalmology J. Banks 2 1500 minutes (lecture) OPH 4303 Special Testing S. Hansen 3 2250minutes (lecture & hands-on) OPH 4108 CPR S. Hansen D. Wollard 1 750 minutes (lecture & hands-on) OPH 4205 Ocular Emergencies & Oculoplastics C. Westfall S. Hansen 2 1500 minutes (lecture) OPH 4306 Special Topics S. Hansen 2 1500 minutes (lecture) OPH 4309 Ophthalmic Surgical Assisting R. Davis J. Banks 3 FALL (4) OPH 4101 Clinical Skills Lab IV SPRING (5) 2250 minutes (lecture & OR observation) ********************************************* 26 OMT Didactic Curriculum The OMT program, with a curriculum based on CoA-OMP guidelines, requires a total of 124 semester credits for award of the Bachelor of Science degree from the UAMS. The curriculum includes 55 pre-requisite semester credits and 69 semester credits from the professional curriculum. 26. CLINICAL COURSES – SUMMARY List each required and elective clinical or fieldwork practicum. Estimate the percentage of time the student is likely to spend in each of the several settings in a given practicum. Please identify elective practicum with an asterisk. In identifying data regarding the clinical lectures, include only those which are regularly provided as a integral part of the clinical rotation and the program’s curriculum and which are experienced by each student who is assigned to the practicum. COURSE NUMBER PRINCIPAL CREDIT LAB AND TITLE INSTRUCTOR HOURS HOURS _____________________________________________________________________________________ ALL COURSES ARE REQUIRED FALL (1) OPH 3510 SPRING (2) OPH 3611 SUMMER (3) OPH 3412 FALL (4) OPH 4510 SPRING (5) OPH 4511 SUMMER (6) OPH 4412 S. Hansen supported by JEI faculty & technical staff 5 20.8 hours/week for 15 weeks S. Hansen supported by JEI faculty & technical staff 6 25 hours/week for 15 weeks S. Hansen supported by JEI faculty & technical staff 4 25 hours/week for 10 weeks S. Hansen 5 supported by JEI, ACH, CAVHS faculty & technical staff 20.8 hours/week for 15 weeks S. Hansen 5 supported by JEI, ACH, CAVHS faculty & technical staff 20.8 hours/week for 15 weeks S. Hansen 4 25 hours/week supported by JEI, ACH, CAVHS for 10 weeks faculty & technical staff as well as faculty at elective private ophthalmology clinics ********************************************* 27 OMT Clinical Practicum OMT clinical rotation assignments are based on clinical schedules to ensure the best educational experience. Students receive clinical assignments weekly. In general, students are assigned to rotations at JEI, ACH, and CAVHS for seven-week blocks during the fall and spring semesters and for five-week blocks during the summer semesters. Interested students may elect to complete some of their required clinical rotations at a private ophthalmology office during their final semester in the program. 27. In Appendix 8, provide course outlines, objectives, etc., as requires and defined by the relevant program committee on accreditation. This information is included in Appendix 8. 28 PART I 1. Narrative Organization of Sections This Self-Study is organized in the following sections and sub-sections in accordance with CoAOMP Standards and Guidelines for completion of a Self-Study Report for an ophthalmic medical technologist program. Section I: General Requirements for Accreditation A. B. C. D. E. Sponsorship Resources Students Operational policies Program evaluation Section II: Instructional Plan and Curriculum 29 Section I: General Requirements for Accreditation As described in the CoA-OMP Accreditation Guidelines for Conducting the Self-Study and Instructions for Preparing the Self-Study Report each sub-section below is first described and then summarized in order to highlight FOUR principal aspects: Strengths, Concerns, Remedies, Compliance. Standard A: Sponsorship I.A.: The sponsoring institution must meet at least one of the following criteria: a. A postsecondary academic institution accredited by a national or state accrediting agency that is recognized by the U.S. Department of Education, and is authorized under applicable law, or other acceptable authority, to provide a postsecondary program which awards a minimum of a certificate of completion of the program. b. A hospital, medical center, branch of the United States Armed Forces, or other governmental education or medical service which meets the standards of national or state accrediting agency that is recognized by the U.S. Department of Education to offer postsecondary education. Sponsoring Institution The University of Arkansas for Medical Sciences (UAMS) is accredited by the Higher Learning Commission of the North Central Association. The institution was last accredited in 2007, and UAMS was granted a full 10-year accreditation at that time. The next comprehensive evaluation is scheduled for 2016-2017. Under applicable law UAMS is authorized to provide a program of postsecondary education and is organized into six academic units: the Colleges of Health Related Professions, Medicine, Nursing, Pharmacy, Public Health, and the Graduate School. The Ophthalmic Medical Technology (OMT) program is offered through the Department of Ophthalmic Technologies, which is academically housed in the College of Health Related Professions (CHRP). The OMT program is jointly sponsored by the CHRP and the UAMS College of Medicine’s Department of Ophthalmology and the Harvey & Bernice Jones Eye Institute (JEI). In addition to providing technical support (e.g., didactic, supervised clinical rotations, classrooms, instrument laboratory), JEI also has an accredited residency program for training ophthalmology residents. The JEI faculty draws on extensive and diverse experience in order to provide an educational opportunity for ophthalmology residents. JEI patients are also aware that the eye clinic is part of a teaching institution. This unique teaching environment has been available to the OMT program and its students. The Institutional Organizational Chart (Appendix 1a) shows the relationship structure of the OMT program with the UAMS College of Health Related Professions. 30 Affiliated Institution The affiliated institutions for the OMT program are also accredited by recognized agencies or meet equivalent standards. Arkansas Children’s Hospital (ACH) is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and follows the guidelines of the Arkansas Department of Health. The Central Arkansas Veterans Healthcare System hospital is accredited by JCAHO. Details of each institution are listed in Consortium Data Form (A-3; Appendix 1d). I.B.: A consortium sponsor is an entity consisting of two or more institutions that exists for the purpose of operating an education program. The responsibilities of each member of the consortium must be clearly documented as a formal affiliation agreement or memorandum of understanding, which includes governance and lines of authority. Supervised practice (termed Clinical Practicum in the curriculum) is provided at the UAMS (Sponsoring Institution), ACH, and the CAVHS (Affiliated Institutions). Affiliation agreements for ACH and CAVHS clearly describe roles, responsibilities, and expectations of each affiliate. The ACH affiliation agreement is included in Appendix 4. Copies of all other clinical academic affiliations are maintained in the department. Key personnel are listed below with brief descriptions of their responsibilities. 1. The Department Chairman and Program Director, Suzanne Hansen, COMT, has responsibilities for providing administrative direction, didactic and supervised clinical instruction. 2. The Medical Director and Associate Professor, Michael Wiggins, M.D., has overall responsibilities for providing guidance with didactic instruction and supervised clinical experiences for students. 3. The JEI faulty provide didactic instruction through selected lectures during the semester and clinical instruction through “hands-on” demonstration during patient examinations. 4. Pam Whitlock, COA, JEI Clinic Practice Manager, provides administrative oversight by ensuring that OMT JEI clinical rotations are in compliance with UAMS policies and procedures. 5. Mary Rinke, R.N., JEI Clinic Charge Nurse, authorizes daily clinical rotation assignments for OMT students assigned to clinic technical staff. 31 6. Kim Glaze, COMT, JEI Clinic Supervisor, authorizes daily clinical rotation assignments for OMT students assigned to clinic technical staff and coordinates and provides administrative direction for select OMT courses and classroom and clinical instruction. 7. Joseph Chacko, M.D., Associate Professor, provides administrative direction for select OMT courses and classroom and clinical instruction. 8. Romona Davis, M.D., Assistant Professor, provides administrative direction for select OMT courses and classroom and clinical instruction. 9. Inci Dersu, M.D., Associate Professor, provides administrative direction for select OMT courses and classroom and clinical instruction. 10. Christopher Westfall, M.D., Professor, provides administrative direction for the Department of Ophthalmology, select OMT courses, and classroom and clinical instruction. 11. Joy Banks, COMT, Instructor and OMT Site Coordinator, JEI, coordinates supervised clinical experience in the JEI clinic within the dynamics of the clinic and assists with “handson” instruction as needed. She provides administrative direction for select OMT courses and classroom and clinical instruction. 12. Stacia Grimes, COMT, Instructor and OMT Site Coordinator, JEI, coordinates supervised clinical experience in the JEI clinic within the dynamics of the clinic and assists with “handson” instruction as needed. She provides administrative direction for select OMT courses and classroom and clinical instruction. 13. Leora Bibbs, OMT, OMT Site Coordinator, JEI, coordinates supervised clinical experience in the JEI clinic within the dynamics of the clinic and assists with “hands-on” instruction as needed. She provides administrative direction for select OMT courses and classroom and clinical instruction. 14. Kathy Fray, C.O., Instructor and OMT Site Coordinator, ACH, coordinates supervised clinical experience in the ACH eye clinic within the dynamics of the clinic and assists with “hands-on” instruction as needed. Provides administrative oversight by ensuring that OMT clinical rotations are in compliance with UAMS and ACH policies procedure. 15. Shawn Brown, C.O., COMT, Instructor and OMT Site Coordinator, ACH, coordinates supervised clinical experience in the ACH eye clinic within the dynamics of the clinic and assists with “hands-on” instruction as needed. 16. Rick Hammond, O.D., CAVHS Optometrist, provides administrative oversight and supervised clinical experience in the CAVHS Eye Clinic. The OMT program was established in 1999 at UAMS, an academic health science center consisting of various academic programs, the University Hospital and associated clinics, Winthrop P. Rockefeller Cancer Research Center, Harvey and Bernice Jones Eye Institute, 32 Donald W. Reynolds Institute on Aging, Myeloma Institute for Research and Therapy, and Jackson T. Stephens Spine and Neurosciences Institute. UAMS has its own administration and is part of the University of Arkansas System that includes 12 colleges and universities, two in Little Rock, the largest general campus in Fayetteville, and nine other campuses distributed throughout the state. The UAMS is the only academic health center in the state. I.C.: The sponsoring institution assumes primary responsibility for student selection and admission processes, curriculum planning, development and distribution of admission criteria, selection of course content, coordination of classroom teaching and supervised clinical practice, appointment of faculty, and granting the certificate or degree documenting satisfactory completion of the educational program. The sponsoring institution is also responsible for providing assurance that the clinical practice activities assigned to students are appropriate for the program. Primary Responsibility The UAMS, through the CHRP in cooperation with the JEI, assumes primary responsibility for student admission and selection, receiving and processing applications for admission, curriculum planning, course content, coordination of classroom teaching and supervised clinical practice, appointment of faculty, and granting the degree documenting satisfactory completion of the educational program. Appropriate Clinical Training The technologist level of education is assured by 1) assigning the appropriate didactic and clinical courses in accordance with the CoA-OMP Standards for the technologist level program (Section II: Requirements for Ophthalmic Medical Technologist Program of this report outlines the curriculum for our program in detail), 2) availability of all ophthalmology subspecialties, and 3) periodic reviews of the curriculum to ensure that courses adhere to the technologist level as required by JCAHPO. Degree Graduates of the program receive a Bachelor of Science in Ophthalmic Medical Technology. The requirements for this degree are similar to those for other B.S. degrees awarded by the UAMS. One hundred and twenty four (124) semester credits (SC) are required to earn the degree and are divided into the preprofessional curriculum (55 SC) and the professional curriculum (69 SC). The full curriculum is listed in the 2011-2012 CHRP Catalog (p. 81 – 84). Grades & Credits Student grades and credits are clearly identified and recorded on student transcripts, and records are maintained in the CHRP Registrar’s Office. 33 The sponsor must appoint sufficient faculty with the necessary qualifications to perform the functions identified in documented job descriptions and also ensure the program has adequate leadership and management. The OMT Chairman and Program Director, Suzanne Hansen, M.Ed., COMT, and the OMT Medical Director, Michael N. Wiggins, M.D., have the required skills to guide the OMT program in accordance with CoA-OMP and JCAHPO guidelines as documented by their respective curriculum vitae. Both were employed based on their qualifications for effective management of the OMT program. The Medical Director is also the Associate Residency Program Director in the College of Medicine’s Department of Ophthalmology. This reflects his experience in all facets of academia, including formulating departmental policies and procedures and dealing with student and faculty matters. In addition, the Chairman/Program Director and the Medical Director are expected by the Chairman of the Department of Ophthalmology and the Dean of the CHRP to keep current any relevant licenses, certifications, and registrations. Their complete curricula vitae are included in Appendix 5a and the faculty vitae form A-4 for the rest of the faculty are included in Appendix 5b. The program sponsor should establish policies to access competence in teaching. Important criteria that must be considered include: (a) knowledge of subject matter; (b) ability to organize and present the subject; (c) a positive attitude towards students and teaching; and professional competence. The program sponsor must also issue a policy for faculty grievance. Instructors for the OMT program are selected based on his/her knowledge of the subject matter, ability to organize and present the subject, and a strong desire to teach students. Appendix 5b includes faculty vitae form A-4 for all instructors. Additional instruction is provided by other experts for topics outside of ophthalmology; these guest instructors are selected by the Program Director and faculty and are approved by the Medical Director. CHRP Student Evaluation of Instruction forms are completed by students each semester to allow students the opportunity to provide feedback on the instruction and to improve instruction as needed. The UAMS Faculty Handbook outlines the Academic Employee Grievance Procedure in Section G. A copy of the policy is provided with this report. The sponsoring institution shall demonstrate encouragement of continuing professional growth to assure that program faculty and officials can fulfill their professional responsibilities. UAMS provides numerous opportunities for continuing and in-service education as well as tuition discount for continuing education within the University of Arkansas System. The OMT program budget includes travel allowance for continuing education. Promotion and tenure are also available for faculty based upon merit and academic excellence. 34 Strengths: 1. The College of Health Related Professions has considerable experience in the development and implementation of allied health programs over a broad range of disciplines. Accordingly, personnel, policies, and procedures are in place to assure academic quality, adherence to relevant laws and university rules and regulations, maintenance of academic records, and needed student support (e.g., counseling). In addition, the CHRP operates a statewide student recruiting program and a centralized admissions process that incorporates both program and College criteria and facilitates selection of the best possible applicants. 2. The Harvey and Bernice Jones Eye Institute (JEI) on the UAMS campus includes faculty, patients, and facilities for providing didactic and supervised clinical instruction in all ophthalmic subspecialties. 3. The Arkansas Children’s Hospital eye clinic (approximately five minutes by automobile from UAMS) includes faculty, patients, and facilities for providing didactic and supervised clinical instruction in pediatric ophthalmology and strabismus. 4. Eye clinics at the Central Arkansas Veterans Healthcare System hospitals include ophthalmologists, optometrists, technical staff, patients, and facilities for providing didactic and supervised clinical instruction in comprehensive ophthalmology. The Little Rock hospital is adjacent and physically connected to the UAMS hospital. The VA clinic in North Little Rock (approximately 20 minutes by automobile from the UAMS campus) provides practical experience with automated instruments not available at other clinics. 5. Together, the UAMS, ACH, and CAVHS provide a vibrant learning environment with a diverse faculty and broad medical scope. 6. Abundant diagnostic instruments and technologies are available at these clinical rotation sites to enrich the educational experience for OMT students. 7. The UAMS has the technical and administrative staff to appropriately attend to duties listed in the standard. This includes the CHRP and JEI faculty and staff and the staff at ACH. The CHRP has 17 other allied health disciplines from which the OMT program can draw examples and support. Graduates of UAMS programs are widely recognized for the quality of their education and clinical competencies. Concerns None Remedy Not applicable Compliance 35 1. Program compliance is regularly assessed in semimonthly meetings attended by the Chairman/Program Director and Medical Director in addition to regular meetings with the CHRP Associate Dean for Academic and Student Affairs in order to ensure that all CoAOMP and JCAHPO guidelines for a technologist-level program are met. 2. Supervised clinical rotations are regularly assessed at separate semimonthly meetings with JEI and ACH clinical supervisors and coordinators. 3. The Chairman/Program Director has ready access to the CHRP Admissions Officer and Registrar to ensure that the CHRP policies and procedures are met. 4. The Chairman/Program Director is included in the CHRP Executive Committee that meets on a weekly basis to discuss UAMS and CHRP issues and policies. Thus, the Chairman/Program participates in formation of college and campus policy. 5. The Program Director has ready access to the CHRP Dean and Associate Dean for Academic and Student Affairs to discuss the OMT program and seek guidance, recommendations, and other means of support. ******************************* Standard B: Resources II.A. Personnel 1. Program Officials (II.A.) Program Director (1) Responsibilities II.A.(1): The program director is responsible for the organization, administration, continuous review, planning, development, and general effectiveness of the program. The OMT Program Director, Suzanne Hansen, COMT, is ultimately responsible for all aspects relating to the organization, administration, continuous review, planning, development, and general effectiveness of the OMT program including, but not limited to, the following: Organization and administration The OMT curriculum was initially developed jointly by the CHRP, represented by Ronald H. Winters, Ph.D., Dean, and Patricia K. Monoson, Ph.D., then Associate Dean for Academic and Student Affairs, and the JEI, represented by John P. Shock, M.D., Chairman, Department of Ophthalmology and Director of JEI, and Christopher T. Westfall, M.D., Past Chairman and Medical Director, OMT, and with the consultative services of Dale Williams of the University 36 Eye Center in Morgantown, West Virginia. Aaron V. Shukla, Ph.D., COMT, also provided four years of leadership for the program as program director and eventually as chairman. The Chairman/Program Director, Suzanne Hansen, COMT, is now responsible for organizing the professional curriculum, developing lecture and clinic schedules, conducting “hands-on” projects, and guiding research projects by OMT students. Ms. Hansen reports academically to the Dean of the CHRP, where overall responsibility for academic programs in allied health at the UAMS resides. Student records are maintained both at the JEI and the CHRP, with official records (including official transcripts and files) residing in the Office of the Registrar in the CHRP. The Program Director conducts the student selection process in consultation with the CHRP Admissions Officer and, as needed, with the Medical Director. The OMT budget is managed at the JEI by the Program Director and the JEI Administrator (Kathryn Rich, MHSA). The Program Director is responsible for proposing the budget for each year, monitoring expenditures, and requesting additional support when needed. Review, planning and development The Program Director is responsible for planning, developing, and reviewing the OMT curriculum including 1) changing existing courses, 2) adding new courses, and 3) streamlining supervised clinical rotations to enhance the educational experience of the OMT students. Continuous review of student lecture and course evaluations, survey results from graduating students, and recent graduates and their employers are utilized for curriculum improvement based on the standards. Curriculum changes are reviewed and approved by the CHRP curriculum committee. Educational responsibilities Teaching through lectures takes place at the JEI under the supervision of the Program Director who 1) creates course outlines, 2) selects appropriate topics and reference books and materials for each course, 3) facilitates the selection of topics by the JEI faculty who select preferred topics each semester, and 4) makes the schedule for each course by listing topics, lecturers, references, dates, times, and locations. The Program Director and the JEI faculty members deliver all the lectures. The Program Director, with assistance from the site coordinators, JEI faculty, and appropriate technical staff, provides overall guidance to supervised clinical practice at the JEI and ACH clinics. The Program Director supervises laboratory teaching (instrumentation) in the JEI with participation, as needed, from the JEI faculty. Program Effectiveness 37 The Program Director summarizes survey results from graduating students, recent graduates and their employers to determine general effectiveness of the program. Section V of this report outlines relevant outcomes including matriculation, program satisfaction, job placement, and certification progress of the graduates. II.A.(2): The program director must demonstrate experience that is appropriate for the level of the program. The program director must be certified at or above the highest level offered by the program or have qualifications otherwise acceptable. The certification, education, and professional experience demonstrate that Suzanne Hansen, M.Ed., COMT, Program Director, has appropriate experience in ophthalmology, as well as in the areas of teaching and administration to discharge fully the duties of a program director. Education: Master of Education (2008 – Adult Education) Bachelor of Science (2003 – Ophthalmic Medical Technology) Bachelor of Arts (2000 – Chemistry) Certifications: COMT (5/04 – present) Experience: Full time technologist program director (2004 – Present) Full time clinical assistant (2003 – 2005) Part time optometric assistant (1998 – 2002) Publications: Managing Editor of the Journal of Ophthalmic Medical Technology (2000 – Present) Teaching: Lectures & Workshops at annual meetings; 2004 – present Instructor for OMT program (2004 – present) Ms. Hansen’s current curriculum vitae is included in Appendix 5. II.B.(1): The medical director of the program must provide competent direction or guidance and instruction (as appropriate) to ensure that the medical components of the curriculum, both didactic and supervised clinical practice, meet current acceptable performance standards. The Medical Director, Michael N. Wiggins, M.D., provides guidance and direction to the program in three principal ways, ensuring that the medical components of the program (including didactic and supervised clinical practice) receive adequate support and meet acceptable standards. OMT Student Meetings: The Medical Director meets semimonthly and additionally as needed with the Chairman/Program Director and the OMT students to discuss program assessment, progress, problems, and solutions. 38 OMT Clinical Teaching: The Medical Director is in charge of clinical teaching most days of the week in the JEI clinic and gives appropriate lectures when needed, including an optics course for OMT I students in the fall and spring semesters of each year. Liaison: As Associate Residency Program Director of the Department of Ophthalmology (JEI), the Medical Director acts as a liaison for implementation of new policies and procedures to guide the OMT students through their supervised clinical rotations at the JEI, ACH, and CAVHS. II.B.(2): The medical director must be a board - certified ophthalmologist. Michael N. Wiggins, M.D., Medical Director for Department of Ophthalmic Technologies, Associate Professor and Associate Residency Program Director, Department of Ophthalmology (JEI), UAMS, has been a board-certified ophthalmologist since 2002. Strengths (Administrative Personnel): 1. The Medical Director is a board-certified, practicing, ophthalmologist with strong clinical, surgical, and teaching skills. He utilizes his professional experience and his personal enjoyment of his work to motivate and guide students. He is readily available for consultation and other forms of assistance as needed by the Program Director and students. 2. The Chairman/Program Director has a strong background in the sciences and education and is a COMT with ten years of work experience that includes all major subspecialties in ophthalmology as well as optical work. She is committed to teaching and motivating students. She is readily available to the students and faculty in the program. Concerns (Administrative Personnel): None Remedy (Administrative Personnel): Not Applicable Compliance (Administrative Personnel): Not Applicable II.C.(1): In each location where a student is assigned for didactic or supervised practical instruction, there must be a qualified individual designated to provide that supervision and 39 related frequent assessments of the student’s progress in achieving acceptable program requirements. At JEI: Kim Glaze, COMT, JEI Clinic Supervisor (JEI) and Mary Rinke, R.N., JEI Charge Nurse, authorize daily schedules in which OMT students are guided by JEI technical staff (listed below) to provide supervised clinical instruction. During their clinical rotation experience, clinical instruction is also provided to OMT students by ophthalmologists (listed below) and, occasionally, by ophthalmology residents. During each semester, students complete weekly clinical assignments. Details of supervised clinical rotations are provided in the Program Data Form (Item 26). The following Department of Ophthalmology (JEI) faculty members and technical staff are each scheduled to supervise OMT supervised clinical instruction. All are board-certified ophthalmologists with two exceptions as noted. Faculty: Jennifer Anderson, M.D. Laurie Barber, M.D. Tom Cannon, M.D. Joseph G. Chacko, M.D. Romona Davis, M.D. Inci Irak Dersu, M.D. *K. Camille DiMicelli, M.D. Richard Harper, M.D. Nicola M. Kim, M.D. R. Scott Lowery, M.D. John David Pemberton, D.O. Paul Phillips, M.D. John Shock, M.D. A. Henry Thomas, M.D. Deepa Thayi, M.D. Sami Uwaydat, M.D. *David Warner, M.D. Christopher Westfall, M.D. Michael Wiggins, M.D. Comprehensive Ophthalmology Comprehensive Ophthalmology Pathology & Comprehensive Ophthalmology Neuro-ophthalmology Comprehensive Ophthalmology Glaucoma Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology & Low Vision Comprehensive Ophthalmology Pediatric Ophthalmology & Strabismus Oculoplastics Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology Retina Cornea and External Diseases Oculoplastics Comprehensive Ophthalmology * denotes board eligible Residents: Four ophthalmology residents assist with occasional teaching as needed during their regular clinic work. All have earned the D.O. or M.D. degree and are assigned to JEI for four-month time periods. Staff: Karin Aletter, COT Joy Banks, COMT OMT Instructor 40 Leora Bibbs OMT Course Director Megan Brown Kim Carman, COMT Shane Carter Angela Covert, COT Stephanie Dycus, COA Brenda Duhamel, COA, NCLE Kim Glaze, COMT Clinic Supervisor/OMT Instructor Stacia Grimes, COMT OMT Instructor Suzanne Hansen, COMT Amanda Hillborn, R.N. Allison Johnson Jeremy Lemmons Mary Rinke, R.N. Clinic Charge Nurse Brandon Tillman Dana Wolford Barbara Wright, ABOC Master Optician At ACH: Kathy Fray, CO, and Shawn Brown, CO, COMT, authorize daily schedules in which OMT students are guided by ACH technical staff to provide supervised clinical instruction. During their daily clinical work, educational experience is provided to OMT students by the ACH orthoptists and ophthalmologists listed below. During fall and spring semesters, the OMT students complete eight-week rotations; during the summer semester students complete fiveweek rotations at this institution. Details of supervised clinical rotations are provided in the Program Data Form (Item 26). Faculty: K.Camille DiMicelli R. Scott Lowery, M.D. Paul Phillips, M.D. Pediatric Ophthalmology & Strabismus Pediatric Ophthalmology & Strabismus Pediatric Ophthalmology & Strabismus Residents: Two ophthalmology residents assist with occasional teaching as needed during their regular clinic work. Each has earned the D.O. or M.D. degree and are assigned to ACH for four-month periods. Staff: Shawn Brown, CO, COMT Orthoptist Kathy Fray, CO OMT Graduate/ OMT Site Coordinator/ OMT Site Coordinator/ Orthoptist At CAVHS: Supervised clinical instruction is provided by the following personnel when an OMT student is assigned to them during the semester. 41 Details of supervised clinical rotations are provided in Item 26 of the Program Data Form. Optometrist: Rick Hammond, O.D. II.C.(2): The instructors must be knowledgeable in course content and effective in teaching their assigned subjects. Instructors In addition to the Program Director, didactic responsibility rests with 19 board-certified ophthalmologists (two of whom are board eligible and are in the process of taking the board examination), 11 ophthalmology residents, 1 optometrists, 2 licensed orthoptists, 1 certified master optician, and 2 photographers/angiographers. As indicated by the qualifications below, these individuals can provide appropriate instruction and supervision of clinic and laboratory work. OMT students and the Program Director evaluate the teaching provided at JEI, ACH, and CAVHS on a weekly basis and at the end of each semester. Responsibility for supervised clinical practice rests with technical staff: 19 ophthalmologists; one optometrist; some of the ophthalmology residents; and the Program Director, who also manages the logistics of the rotations. All the individuals who provide supervised clinical practice have appropriate experience in clinical work. Qualifications - The ophthalmologists on the faculty are board-certified D.O.s or M.D.s, or board-eligible M.D.s in the process of taking the board examination - The ophthalmology residents are D.O.s or M.D.s. - The optometrist is a board-certified O.D. - The clinical staff include 6 program graduates who have earned the COMT certification - The orthoptic and optical support staff members are appropriately certified - The angiographers have extensive experience in ophthalmic photography and angiography - The OMT site coordinators have professional preparation II.C.(3): There must be sufficient faculty to provide students with adequate attention, instruction and supervised practice to acquire the knowledge and competencies needed for entry to the profession. A sufficient number of faculty and instructional staff exist to provide the OMT students with superior didactic (lecture and laboratory) and clinical training, as listed below: 19 faculty D.O./M.D.s 11 ophthalmology residents 42 1 optometrist 6 faculty COMTs (including the Program Director) 1 A.B.O.M. (Master Optician) 2 C.O. (orthoptists) 2 photographers/angiographers JEI Faculty 1. Jennifer Anderson, M.D. 2. Laurie Barber, M.D. 3. Tom Cannon, M.D. 4. Joseph G. Chacko, M.D. 5. Romona Davis, M.D. 6. Inci Irak Dersu, M.D. 7. K. Camille DiMicelli, M.D. 8. Richard Harper, M.D. 9. Nicola M. Kim, M.D. 10. R. Scott Lowery, M.D. 11. John David Pemberton, D.O. 12. Paul Phillips, M.D. 13. John Shock, M.D. 14. A. Henry Thomas, M.D. 15. Deepa Thayi, M.D. 16. Sami Uwaydat, M.D. 17. David Warner, M.D. 18. Christopher Westfall, M.D. 19. Michael Wiggins, M.D. Comprehensive Ophthalmology Comprehensive Ophthalmology Pathology & Comprehensive Ophthalmology Neuro-ophthalmology Comprehensive Ophthalmology Glaucoma Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology & Low Vision Comprehensive Ophthalmology Pediatric Ophthalmology & Strabismus Oculoplastics Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology Pediatric Ophthalmology & Strabismus Comprehensive Ophthalmology Retina Cornea and External Diseases Oculoplastics Comprehensive Ophthalmology Ophthalmology Residents 1. Tayyeba Ali, M.D. 2. Brita Deacon, M.D. 3. Fusun Fowler, M.D. 4. Ryan Friedman, M.D. 5. Jeffrey Gardiner, D.O. 6. Sunali Goyal, M.D. 7. Jeffrey Holt, M.D. 8. Justin Lieblong, M.D. 9. Jessica Miller, M.D. 10. Morgan Pansegrau, M.D. 11. Bradley Thuro, M.D. Instructional Staff 1. Joy Banks, COMT, photographer/angiographer 2. Leora Bibbs, OMT 3. Susan Brummett, COMT, photographer/angiographer 6. Kathy Fray, CO, Orthoptist 7. Kim Glaze, COMT 8. Suzanne Hansen, COMT 43 4. Shawn Brown, CO, COMT 5. Brenda Duhamel, COA, NCLE 9. Steve Staples, COMT, CEBT 10. Barbara Wright, A.B.O.M., Master Optician Student-Teacher Ratios Didactic Instruction (OMT I): 5:1 per lecture and instrumentation lab JEI Supervised Clinical Rotation: 1:1 or 2:1 ACH Supervised Clinical Rotation: 1:1 or 2:1 CAVHS Supervised Clinical Rotation: 1:1 Strengths (Faculty and Instructional Staff): 1. Didactic teaching and supervised clinical practice for OMT students are provided by 19 ophthalmologists, 1 optometrist, 11 residents, 6 COMTs, 2 orthoptists, 1 master optician, 2 COMT photographer/angiographer, and additional JEI faculty and staff. 2. All ophthalmic subspecialties are represented. Concerns (Faculty and Instructional Staff): None Remedy (Faculty and Instructional Staff): Not applicable Compliance (Faculty and Instructional Staff): 1. Compliance with appropriate and effective teaching standards is assessed with evaluations by and suggestions from the OMT students and faculty during regularly scheduled meetings. Each instructor is also evaluated by the OMT students at the end of the semester with the standard CHRP course/instructor evaluation. These evaluations are processed directly by the CHRP. 2. If new policies and procedures are instituted, after appropriate participation by the OMT students, the Chairman/Program Director and the Medical Director, and the CHRP Associate Dean for Academic and Student Affairs, they are defined clearly in a written document. 44 II.D.: Adequate clerical and other support must be available. Adequate clerical and support staff are available at the CHRP and the JEI to meet the needs of the OMT students, as shown by the listing below. Clerical Support Staff Name Duties JEI Anna Latta Carryl Blackburn Elizabeth Walsh Shelli Madison Marilee Taylor Secretarial duties for the Administrator General JEI supervision and auditorium and library reservations OMT correspondence and secretarial duties Financial and grant responsibilities for the department Secretarial duties for the Chairman, Department of Ophthalmology CHRP Should the need arise; clerical staff and the Dean’s assistant in the CHRP Dean’s Office are also available to provide assistance on a wide variety of projects. Administrative Support Staff JEI Kathryn Rich, MHSA Shelli Madison Pam Whitlock Mary Rinke, R.N. Shannon Giger Adminstrator Budget and Finances JEI Clinic Practice Manager JEI Charge Nurse JEI Director of Communications CHRP Monna Stiles Phyllis Fields Phyllis Lloyd Carol J. Carrell Deborah Taylor Susan Schaffer CHRP Admissions Officer CHRP Admissions Officer CHRP Registrar Associate Deans’ assistant: clerical support Dean’s assistant: clerical support Assistant to the CHRP Admissions Officer & Registrar 45 Technical Support Staff JEI Karin Aletter, COT Joy Banks, COMT Leora Bibbs, OMT Megan Brown, OMT Kim Carman, COMT Angela Covert, COT Shane Carter, OMT Brenda Duhamel, COA, NCLE Natalie Etheridge, OMT Kim Glaze, COMT Stacia Grimes, COMT Jeremy Lemmons, OMT Brandon Tillman, OMT Dana Wolford, OMT Strengths (Clerical and Support Staff): 1. Administrative and clerical staff available at the CHRP and the JEI. 2. The JEI technical staff are available for help with instruments and procedures. Concerns (Clerical and Support Staff): None Remedy (Clerical and Support Staff): Not Applicable Compliance (Clerical and Support Staff): Compliance is assessed by comments from students and faculty relating to their experiences in the CHRP and the JEI. II.E.: Programs must demonstrate encouragement of continued professional growth to assure that program faculty and officials can fulfill their professional responsibilities. The CHRP, JEI, and the OMT program encourage appropriate faculty and staff to continue their professional growth by making funds and time available for attending annual, regional, and state, ophthalmology meetings. Faculty members are also encouraged to present results of ophthalmic research at such meetings and to publish them in appropriate journals. Since our last self-study report ten technical members and several physician faculty members have attended the JCAHPO Annual Continuing Education Programs and ATPO Scientific Sessions held annually in conjunction with the American Academy of Ophthalmology Annual Meeting, the OMT Program Director has provided instruction for the review course for JCAHPO applicants planning to take the COMT performance test at six meetings so far and served as a coinstructor for the COMT multiple-choice review course at two meetings to date. The OMT 46 Medical Director has won the Best ATPO Scientific Session Presenter for three consecutive years. Most of our technical staff and physicians have provided lectures and workshops at the annual meeting as well. Participation in these meetings was funded by the institution. The institution also funded the development of the Journal of Ophthalmic Medical Technology (www.JOMTonline.com) in 2005, a national resource for ophthalmic personnel. In addition, both the CHRP and the College of Medicine (COM) have clearly defined guidelines and rules for promotion and tenure of faculty, which also serve as standards for evaluation of faculty development over time. Copies of these documents are maintained in the department. Strengths (Professional Development): 1. Clear guidelines exist for helping faculty develop professional knowledge and skills and make significant contributions in teaching, scholarship, and service to the university/community. 2. Resources are available to support faculty attendance at ophthalmology meetings in order to promote professional growth. Concerns (Professional Development): None Remedy (Professional Development): Not Applicable Compliance (Professional Development): 1. Compliance is assessed with an annual evaluation of faculty by department chairmen, and of the chairmen by the CHRP Dean. 2. The evaluation is based on the success in achieving expected goals set the previous year in consultation with the faculty member/chairman and using guidelines approved by the CHRP. II.F.: Financial resources to operate an educational program must be ensured to fulfill obligations to current and enrolled students. As required, financial data for three years are provided in Appendix 6 and show that the sponsoring institution has adequate financial resources for meeting program commitments and obligations to matriculating and enrolled students. Annual documentation of the financial resources of the program, including budget allocations and expenditures, is maintained in the office of the JEI Administrator (Kathryn Rich, MHSA). Financial commitment by the UAMS to the OMT program is also demonstrated by construction of new classrooms and a dedicated teaching examination lane. The classrooms and examination 47 lane have been regularly used since fall of 2001. Two new classrooms and one examination lane were completed in early 2006 when the program relocated within the building. Strengths (Financial Resources): 1. Financial commitment is demonstrated by the UAMS, including construction of classrooms and a dedicated examination lane for the OMT program. 2. Funds for supplies and instruments are provided as needed. Concerns (Financial Resources): None Remedy (Financial Resources): Not Applicable Compliance (Financial Resources): Compliance is assessed by documented availability of sufficient funds in the annual budget. II.G.(1): Adequate classrooms, laboratories, clinical and other facilities, and administrative offices must be provided for students, program staff, and faculty. Classrooms, clinical facilities, library, administrative offices, computer support with Internet access, and a break room are provided for students, program staff, and faculty. The OMT students also are assigned individual desks in their study area. Classrooms: State-of-the-art audio-visual projection systems are available in the JEI Bowen Auditorium for use for a variety of presentations, such as 35 mm slides, video, and PowerPoint. Additional audio-visual projection is provided in the JEI 2nd floor conference room and the two OMT classrooms. Additional classroom space is available in the JEI Library. Many other classrooms and specialized spaces are available elsewhere on the UAMS campus. In 2006 construction of classrooms and administrative space was completed on the 9th floor of the JEI for the OMT program. In addition to these two classrooms, a program-dedicated examination lane is available for clinical instruction as well. 48 Clinical Facilities: The JEI has 61 lanes, six perimetry rooms, two photography rooms, a minor surgery room, four major surgery rooms and one refractive surgery suite, a contact lens complex (examination rooms, storage, and laboratory), an electrophysiology room, a low vision room, an ultrasound room, two rooms for laser procedures, an eye bank, and optical coherence tomography for anterior and posterior segment of the eye. Additional clinic lanes were added to the 7th floor of the JEI in 2006 and on the 8th floor of the JEI in 2011 for the Leland and Betty Tollett Retinal and Ocular Genetics Center. The ACH has 14 lanes and all ophthalmic instruments necessary for pediatric and strabismus eye examinations. The CAVHS eye clinic in North Little Rock has automated equipment not available in the other facilities. Laboratory A dedicated examination lane and equipment for the OMT program is located on the 9th floor of the JEI and includes clinical instruments such as slit-lamp biomicroscope, fundus cameras, surgical microscope, ophthalmoscopes, retinoscope, and various lenses. Library: Books required for OMT courses as well as other additional printed material, such as reference books, journals, and ophthalmic news bulletins and reviews, are available in the JEI library, the UAMS library, as well as in the student study area. Administrative: Department of Ophthalmology administrative offices are located on the 2nd and 6th floors of the JEI; the program director, administrative support personnel, and a faculty office are on the 9th floor of JEI and are readily accessible to the students. Other UAMS and the CHRP offices are located in a different part of the campus, but within a 5 – 10 minute walk. II.G.(2): Appropriate and sufficient equipment, supplies, and storage space must be provided for student use and for teaching the didactic and supervised clinical practice components of the curriculum. Instructional aids, such as clinical specimens, documents and related materials, reference materials, equipment, and demonstration aids, must be provided when required by the types of learning experiences delineated for either the didactic or supervised clinical education components of the curriculum. Equipment, supplies, instructional aids, reference materials, journals, demonstration aids, and other materials necessary for an OMT program are present and available for program use on a regular basis at the JEI and at ACH and are adequate for teaching the didactic and supervised clinical components of the curriculum, as demonstrated by the following equipment list (includes the JEI). 49 EQUIPMENT LIST Fully equipped exam lanes Contact lens exam lanes and supplies Manual lensometers Automated refractors Phoropters Keratometers Slit lamps w/ applanation Tonopens Retinoscopes Direct ophthalmoscopes Indirect ophthalmoscopes Trial lens sets Prisms (loose and bars) Color testing (Ishihara) Stereo testing Worth 4 Dot Fundus cameras Slit lamp camera IOL Master and manual A-scan Optical Coherence Tomography for retina Optical Coherence Tomography for ant. seg 61 1 suite 61 4 61 44 61 18 51 51 61 51 51 51 51 51 3 1 3 2 1 II.H.(1): Students must have ready access in time and location to an adequate supply of current books, journals, periodicals and other reference materials related to the curriculum. Books, journals, periodicals, and other reference materials related to the program are located in the JEI Library (located on the 6th floor of JEI) as well as the main the UAMS Library. Additional books, journals, and reference materials are available in offices of the JEI faculty and the Program Director. These materials are in addition to the standard reference materials that the OMT students are required to purchase for each course. The UAMS Bookstore orders and stocks reference material required for each course upon request of the faculty. Examples of books, journals, and periodicals available to OMT students are listed below. Books Basic and Clinical Science Course, Sections 1 – 13, Amer. Acad. Ophthalmology. Physicians Desk Reference PDR for Ophthalmic Medicines Ophthalmic Drug Facts The Wills Eye Manual, 4th Ed., 2004 Color Atlas and Synopsis of Clinical Ophthalmology, Series 1-5, 2003 50 Journals Ophthalmology American Journal of Ophthalmology Archives of Ophthalmology Review of Ophthalmology Journal of the American Medical Association New England Journal of Medicine Survey of Ophthalmology Retina Journal of Cataract and Refractive Surgery Periodicals Ophthalmology Times Ocular Surgery Eye World II.H.(2): Clinical subjects, specimens, records and related reference materials, computer hardware and software, and audio and visual resources must be available in sufficient number and quality to enhance student learning. Clinical subjects: Approximately 30,000 patients are seen each year at the JEI, and most of these are available to the OMT students for supervised clinical practice. The OMT students see additional patients at the ACH and CAVHS eye clinics. Medical records: After obtaining proper consent from the patient and observing patient privacy guidelines, medical records are available to the OMT students for the purpose of enhancing their educational experience through supervised clinical practice. Chart documentation is via electronic medical record and diagnostic tests (photography, visual fields, etc.) at JEI are electronically stored in the exam room. Reference materials: All reference books, journals, and ophthalmic news bulletins are available to OMT students in the JEI library and the Program Director’s office. Published material can also be obtained from individual JEI faculty members. The UAMS library also has reference books, eResources, eBooks, and eJournals available for students. Computers: Windows XP workstations with software for all required work are available to OMT students free of charge in the OMT student study room, JEI library, administrative offices, and the UAMS library. These workstations also possess capabilities for scanning documents and 35mm slides for incorporation into PowerPoint presentations. 51 New students are provided a UAMS e-mail account during fall registration to receive program information and updates. This Microsoft Outlook account can be accessed on campus or from home by logging on to the UAMS e-mail server. Audio Visual: This equipment is available to OMT students for playback of commercially available recorded ophthalmology lectures and study guides (e.g., videos and DVDs from the American Academy of Ophthalmology on ocular motility, A-scan biometry, fluorescein angiography, slit-lamp biomicroscopy, and retinoscopy and refraction). The JCAHPO Learning Systems CD is also readily available for student use on campus. II.I.: In programs in which academic and clinical didactic and supervised practice are provided by two or more institutions, responsibilities for program administration, instruction, supervision, and other functions of the sponsoring institution and each affiliate must be clearly documented as a formal affiliation agreement or memorandum of understanding. Academic and clinical didactic and supervised practice are primarily provided by UAMS as outlined in I.B. and I.C. above. Appendix 4 includes a list of all current affiliates and a sample of one affiliation agreement. Strengths (Physical Resources): 1. Commitment by the UAMS to the OMT program is demonstrated by dedicated classrooms and an examination lane, and by the availability of the latest computer and audio-visual equipment for enhancing educational experiences of the students. 2. Supervised clinical practice at affiliated institutions and the instrumentation laboratory and examination lane on the 9th floor of JEI are available to the OMT students. 3. All needed books and journals are available in the JEI library, faculty offices, and/or the main UAMS Library. The UAMS Library also participates in an inter-library loan program than can quickly provide journal articles not immediately available on campus. 4. Purchasing of equipment and supplies is facilitated by an efficient staff. Concerns (Physical Resources): None Remedy (Physical Resources): Not Applicable 52 Compliance (Physical Resources): Monitor compliance for physical resources by periodic inventory of existing equipment and supplies, and by periodic reassessment of program needs. Submit requests for needed enhancements in a timely fashion. *************************** 53 Standard C: Students III.A. Admission Policies and Procedures Admission of students, including advanced placement, must be made in accordance with clearly defined and published practices of the institution. Any specific academic and technical standards required for admission to the program must also be clearly defined and published, and readily accessible to prospective students and the public. If the program admits students on the basis of ability to benefit, then it must employ appropriate methods, such as a preadmission test or evaluation, for determining that such students are in fact capable of benefiting from the training or education offered. Policies regarding advanced placement, transfer of credit, and credit for experiential learning must be readily accessible to prospective students. Requirements for previous education or work experience must also be provided and readily accessible. Admission of students, including advanced placement, is made in accordance with clearly defined policies and procedures of the CHRP, as described in the 2011-2012 CHRP Catalog (pages 8 – 14), which is available to all prospective students and the public online and via CD by request. Specific requirements for admission to the OMT program are also described in the 2011-2012 CHRP Catalog (pages 81 – 84). Applicants to the OMT program who meet the requirements must also 1) provide evidence of professional observation in order to demonstrate an understanding of responsibilities and duties of an ophthalmic medical professional and 2) appear for an interview with the Program Director and Medical Director. The JEI facilities are made available, on a predetermined schedule, to those applicants who are approved for submitting evidence of professional observation but do not have access to an ophthalmology clinic. Examples of the JEI Professional Observation form and the Interview form may be found in Appendix 7b. Both objective and subjective criteria are used as weighting factors to rank applicants. Objective criteria include cumulative and science GPAs, whereas subjective criteria include assessments of motivation, enthusiasm, and potential performance of the applicant as an OMT student and on the COMT test. A copy of the 2011-2012 CHRP Catalog is included with this report. III.B. Evaluation of Students Criteria for successful completion of each segment of the curriculum and for graduation must be given in advance to each student. Evaluation methods must include content related to the objectives and competencies described in the curriculum for both didactic and supervised clinical education components. They must be employed frequently enough to provide students and program officials with timely indications of the students’ progress and academic standing and to serve as a reliable indicator of the effectiveness of the course design and instruction. 54 Criteria for completion of the OMT curriculum and for graduation from the UAMS are clearly specified in the Academic Requirements section included in the 2011-2012 CHRP Catalog (pages 17 – 19) and 2011-2012 CHRP Handbook (pages 79 – 86), both of which are included with this report. A current CHRP Handbook is given to all new and returning OMT students during Fall Semester Registration each year. In order to help students successfully complete each didactic OMT course, they are provided with 1) course objectives and a list of topics for the course, 2) required references with appropriate page and/or chapter numbers, 3) dates for review sessions, and 4) grading policies. Sample syllabi and course objectives for OMT courses are included in Appendix 8. In order to help students successfully complete each supervised clinical practice course, they are provided with 1) a schedule for attending the JEI, ACH, and CAVHS clinics, 2) skill (competency) evaluation sheets for skills (previously termed Performance Areas by JCAHPO) required for successfully completing the semester, 3) dates for review sessions and the semester skill examination, and 4) grading policies. As described below, the skill (competency) examination is a very effective method for providing students and the Program Director assessments of the students’ progress in attaining proficiency in various ophthalmic techniques. The quality, efficacy, and timing of instruments employed for evaluating the performance of OMT students are described in the table below: _________________Evaluation of the Performance of OMT Students_____________ Didactic Courses Instrument Technical Content Frequency Efficacy Quizzes Combination of multiple choice and short answer questions. Standard A, B, C, D, F grading. In each course the average of all quizzes ranges 15%-35% of the final grade for the course. Semimontly-Monthly An excellent indicator of the progress of a student. Any weakness can be identified and addressed. Midterm Examination Comprehensive multiple choice test of material covered during first half of semester. Exam ranges 30%-40% of the final grade for the course. Once per semester Efficient method to assess understanding of material. Final Examination Comprehensive test which ranges 40% -60% of the final grade for the course. One per semester per course Most efficient way to assess a student’s overall knowledge, as well as instruction methods. 55 Supervised Clinical Practice Instrument Technical Content Frequency Skill (Competency) Examination Evaluates a student’s ability One skill exam to perform an ophthalmic test per semester (formerly termed Performance Area incorporating by JCAHPO). Each Skill Sheet three to four assesses 10 criteria necessary for Skill Sheets (skills) proper performance of the ophthalmic per semester. test. A score is based on the number of properly completed criteria. In the more complicated tests (e.g., refractometry), students must complete two Skill Sheets (Basic and Advanced). Tasks are assessed in a timed, structured, environment with evaluators and volunteer patients. Efficacy An excellent way to ensure that a student knows the necessary steps for properly completing an ophthalmic test. Problems can be identified and addressed as they occur. The Skill Sheet will also help the new graduate in preparing for the COMT Performance Test. ______________________________________________________________________________________ Skills required for completing the supervised clinical practice portion of the OMT program are based on JCAHPO guidelines described in the 2010 Criteria for Certification & Recertification (pages 39; Skill Areas for the COT Skill Evaluation and Skill Areas for the COMT Performance Test), and skills required for our clinic rotation sites and include: 1. Tonometry 2. Retinoscopy and Refinement 3. Keratometry 4. Lensometry 5. Ocular motility I (distinguish and measure phorias and tropias) 6. Ocular motility II (positions of gaze; evaluate versions and ductions) 7. Ophthalmic photography 8. Pupil assessment 9. Axial length measurement by biometry 10. Visual fields (Tangent screen, Goldmann Visual Field, automated visual field) ________________________________________________________________________ Directions for completing Skill (Competency) Examinations are included in the Skill Sheet protocol given to each student for skills required to be developed in each semester as part of supervised clinical practice. The protocol lists specific steps required for completing the skill examination, including who may evaluate an OMT student’s skill. Scores from these examinations comprise part of the final grade for the course. Completion of Skill Sheets ensures that students have addressed the requirements necessary for acquiring proficiency for each of the Performance Areas for the COMT Performance Test. Any deficiencies in acquiring the requisite skills are readily identified and addressed with directions for improvement. The instruments comprising the technical criteria used for evaluating the performance of OMT students in each didactic and supervised clinical practice course relate strictly to the objectives 56 and competencies specified for each course. They are also employed frequently during each semester (see above) and have been a reliable indicator of the effectiveness of course design and instruction and provide the Program Director with timely indication of the students’ progress and academic standing. In addition, students are evaluated informally and continuously during their supervised clinical practice by their supervisors and the Program Director, who provide guidance for needed improvement. Deficiencies in the instruments comprising technical criteria used for evaluating the performance of OMT students have not been noted, since the criteria for evaluation strictly follow institutional guidelines of the UAMS and CHRP, as well as guidelines from accreditation and certification agencies. Examples of instruments used for evaluating the performance of OMT students in didactic and supervised clinical practice courses may be found in Appendix 7c. III.C. Health The program officials must establish a procedure for determining that the applicants’ or students’ health will permit them to meet the written technical standards of the program. Students must be informed of and have access to the health care services by the institution. The protocol for determining whether the health of applicants will permit them to fulfill the requirements of the OMT program includes the following actions: 1. The CHRP Admissions Officer’s letter to applicants offering admission, or conditional admission, to the OMT program states that a Physical Examination Form should be completed and returned to the UAMS Student and Employee Health Services. Examples of this form are on file in the CHRP Admission Office. 2. The CHRP Admissions Officer’s letter offering admission, or conditional admission, to the OMT program states that all students are required to have a TB skin test. This test can be performed by a personal physician or during registration when the service is made available to all new students. 3. The CHRP Admissions Officer’s letter to applicants offering admission, or conditional admission, to the OMT program states that Hepatitis B vaccinations are strongly recommended. Furthermore, the first of three injections will be made available, free of charge, to all new students during Registration. The remaining two injections are received without charge by the students during the course of the first year in the program. UAMS also provides Influenza vaccination to students each fall. Examples of the CHRP Admissions Officer’s letters offering admission or conditional admission to the OMT program are included in Appendix 7a. 57 Additional procedures for determining whether the health of applicants will permit them to fulfill the requirements of the OMT program include observation and assessment during the interview of generally accepted qualities of cognition, dexterity, mobility, and general appearance. The determination of whether the health of students will permit them to fulfill the requirements of the OMT program also includes observation and assessment during the semester of generally accepted qualities of cognition, dexterity, mobility, general appearance, and academic performance. Quality of health care available to students The 2011-2012 CHRP Handbook (pages 23 – 26) describes various types of health care available to students by the UAMS. The Family Medical Center meets nationally recognized health and safety standards of the Joint Commission on Accreditation of Healthcare Organizations. The Student Wellness Program provides confidential assistance for students who are actively enrolled at UAMS. Accessibility of health care to students The 2011-2012 CHRP Handbook (pages 23 – 24) describes the Student Employee Health Services (SEHS), the Student Health Clinic (a part of the SEHS) and the Family Medical Center, all of which are located on the UAMS campus less than one block from the JEI and with services available generally between 8:00 AM and 4:30 PM. UAMS students are given preference in scheduling. The Student Wellness Program provides short-term treatment to students and confidential appointments are available generally between 7:45 AM and 4:30 PM Monday through Friday on the UAMS campus less than one block from the JEI. Cost The 2011-2012 CHRP Handbook (page 21 – 22) describes the University of Arkansas System requirements for health insurance for students, which may be purchased from the UAMS or from private insurers. Written health and safety policies The institution has written health and safety policies which are clearly described in appropriate places in the 2011-2012 CHRP Handbook. III.D. Guidance Guidance must be available to assist students in understanding course content and in observing program policies and practices, and to provide counseling or referral for problems that may interfere with the students’ progress through the program. 58 Understanding course content The Program Director provides a fall semester orientation to all students to review the program policies and course objectives. The students also receive written instructions regarding policies to be followed for understanding course content and properly completing a didactic course or supervised clinical rotation. These instructions refer to course content, topics, lecture and clinical rotation schedules, references, monthly quizzes, and review sessions, and are designed to guide an OMT student through the appropriate section of the curriculum. Students have many opportunities to ask questions throughout each course regarding these policies as well as about the course content itself, and they may do so in class or privately with the Program Director or other instructor upon request. In addition to the CHRP Handbook, students receive the Ophthalmic Medical Technology Handbook at registration. These references address program policies and practices. An example of guidance provided for a didactic course, OPH 3203 Ocular Anatomy & Physiology (Fall Semester, 2011) is found in Appendix 8. Observing program policies and practices Program policies regarding 1) professional attire, appearance, and behavior, 2) patient privacy, 3) confidentiality of medical records, 4) usage of appropriate language, 5) professional interactions with the UAMS faculty and staff, 6) proper usage and concern for ophthalmic equipment, 7) absences and tardiness, 8) grading systems, and 9) generally accepted standards of behavior, are clearly explained to all OMT students. Time is also made available throughout the program for students to ask questions about these policies. The CHRP Catalog describes the rules for responding to students who violate the cognitive or non-cognitive behavior policies of the college. The Ophthalmic Medical Technology Handbook also addresses these policies specific to the program. Providing counseling and referral Academic assistance regarding study and learning skills are available to OMT students through the UAMS Office of Educational Development. These are explained in Section 3.9 of the 20112012 CHRP Handbook, which is included with this report. The Student Affairs Office and the Associate Dean for Academic and Student Affairs provide advisement related support services for students as well. Strengths (Students): 1. Including the Department of Ophthalmic Technologies, there are 11 departments in the CHRP offering 21 programs. Accordingly, the Program Director can 1) draw on the experiences of the other chairmen, division and program directors, and faculty, as well as the readily available staff of the college dean’s office, and 2) examine policies and procedures of other programs in order to create those for the OMT program. While a number of collegewide policies exist in a wide variety of academic areas, the CHRP has always sought to 59 maintain sufficient flexibility to insure that the unique needs of each of its disciplines and programs have been recognized and accommodated. 2. Since the UAMS is an academic health science center, numerous services are available to OMT students for academic assistance, including counseling. 3. Clear criteria have been established for grading lecture quizzes, laboratory assignments, and final examinations. 4. Clear criteria have been established for evaluating clinical skills. 5. Since UAMS is a major medical center, excellent health services are available to students. Concerns (Students): None Remedy (Students): Not Applicable Compliance (Students): Continue to monitor student performance and maintain individual progress meetings with students to provide guidance. *********************** 60 Standard D. Operational Policies IV.A. Fair Practices IV.A.(1): Announcements and advertising must accurately reflect the program. The 2011-2012 CHRP Catalog (pages 81 – 84) accurately and completely describes the OMT program, profession, requirements for certification and licensure, preprofessional and professional curricula, application procedures, and deadlines. Similar descriptions are included in the OMT brochure that is made available to potential applicants during recruitment activities and mailed to potential applicants who inquire about the program. The OMT brochure may be found in Appendix 1c. A copy of the 2011-2012 CHRP Catalog is included separately. Cover letters included with the brochures accurately describe the program and the profession. An example of a cover letter sent to a potential applicant is included in Appendix 1c. IV.A.(2): Student and faculty recruitment and student admission and faculty employment practices must be nondiscriminatory with respect to race, color, creed, sex, age, disabling conditions (handicaps), and national origin. The University of Arkansas System, the UAMS, the CHRP, and the Department of Ophthalmic Technologies and its OMT Program are strongly committed to fair and nondiscriminatory practices with respect to student recruitment and admission and faculty recruitment and employment. The Equal Opportunity policy for students at the CHRP is clearly stated in the 2011-2012 CHRP Catalog (p. 7), and the 2011-2012 CHRP Handbook (Section 1.2). The CHRP Associate Dean for Academic and Student Affairs is available for investigating student concerns. Both University of Arkansas (System) Board of Trustees and UAMS policies govern faculty recruitment and employment practices. IV.A.(3): Academic credit and costs to the student must be accurately stated, published and made known to all applicants. All CHRP fees, and their refund policies, are clearly stated in the 2011-2012 CHRP Catalog (pages 20 – 21). Because tuition for a given academic year is often changed by the Board of Trustees after the Catalog for that year has gone to press, an appropriate disclaimer urges the student to contact the CHRP for the most current information. Furthermore, as soon as the new tuition figures are known for the coming year, they are communicated to the students and applicants by letter and/or email. IV.A.(4): The program or sponsoring institution shall have a defined and published policy and procedure for processing student and faculty grievances. 61 Procedures for processing student and faculty grievances and complaints are clearly described in the 2011-2012 CHRP Handbook (pages 43 – 50), and Section G of the UAMS Faculty Handbook, copies of which are included. IV.A.(5): Policies and processes for student withdrawal and for refunds of tuition and fees must be published and made known to all applicants. The CHRP procedures for refund of fees are clearly stated in the 2011-2012 CHRP Catalog (page 21), a copy of which in included. IV.A.(6): Institutional policies and process by which students may perform service work while enrolled in the program must be published and made known to all concerned in order to avoid practices in which students are substituted for regular staff. Students may not take the responsibility, or the place, of qualified staff. However, after demonstrating proficiency, if institutional policy permits, students may be allowed to undertake certain defined activities with appropriate supervision and direction. Students may be employed in the field of study outside regular educational hours, provided the work does not interfere with regular academic responsibilities, does not cause a perceived or real conflict of interest, and does not take advantage of, or abuse, the student. The work must be non-compulsory, paid, and subject to standard employee policies. Clearly defined policies regulating “work” by OMT students are in effect at the JEI, ACH, and CAVHS clinics, and are periodically communicated to students during meetings. The student work policy is included in Appendix 7d. The work policies include the following points: 1. The OMT students are informed that they may not be paid for performing ophthalmic work when classes and supervised clinical rotations are in session. 2. OMT students cannot be considered “technologists” or be viewed as being “certified” in any way. 3. Through its Standards and Guidelines for technologist-level programs, the Committee on Accreditation for Ophthalmic Medical Programs (CoA-OMP) mandates that students may not be substituted for, or take on the responsibility of, regular staff. 4. They may, however, work after hours, on weekends, and any time when OMT classes and supervised clinical rotations are not in session. This paid time, however, may not be counted towards fulfilling requirements for clinical rotations. IV.A.(7): The health and safety of patients, students, and faculty associated with the educational activities of the students must be adequately safeguarded. The CHRP policies guiding health and safety of students and associates are clearly stated in the 2011 – 2012 CHRP Handbook (Sections 4.4, 4.5, 4.10, 4.12 – 4.21), which is included in this report. 62 While fulfilling requirements for didactic and supervised clinical practice courses the OMT students are directed to follow established health and safety policies at the JEI clinic, and are strongly advised to seek advice in the event they have any uncertainties. Health and safety polices require 1) wearing appropriate masks for protection against diseases transmitted through pulmonary aerosols, such as coughing and sneezing, 2) hand washing to protect against the spread of communicable diseases through fomites, 3) following universal precautions against diseases spread through body fluids, 4) observation of proper clean-up of bio-hazardous material, and 5) knowledge of proper procedures for eye wash and for consulting material safety data sheets, if necessary. IV.B. Student Records Satisfactory records must be maintained for student admission, attendance, and evaluation. Grades and credits for courses must be recorded on the student transcript and permanently maintained by the sponsoring institution in a safe and accessible location. Student records mentioned above are maintained in four separate, secure, and accessible locations. 1. The CHRP Admissions Officer, located in the CHRP Dean’s Office, maintains student records relating to admission to the OMT program in locked, fire-resistant, files in a locked office. 2. The Program Director maintains records relating to attendance, grades, and evaluation of students and faculty, in a locked file in the Director’s office in JEI. 3. The CHRP Registrar, located in the CHRP Dean’s Office, permanently maintains student records relating to grades and transcripts in locked, fire-resistant, files in a locked office and in a student information database that is routinely backed up. 4. Transcripts are also copied onto CDs periodically, with one copy of each CD maintained in a locked safe on campus and the other in a safe deposit box at an off-campus bank. Strengths (Operational Policies) 1. As part of institutional policy, all announcements and advertising accurately reflects the OMT program in terms of requirements for admission and completion and for student and faculty recruitment. 2. All policies relating to OMT students performing service for pay are clearly specified. 3. Clear policies are in place to safeguard adequately OMT students, JEI and ACH patients, and the JEI faculty. 4. Student records are maintained permanently and satisfactorily. 63 Concerns (Operational Policies) None Remedy (Operational Policies) Not applicable Compliance (Operational Policies) 1. The Chairman/Program Director and the Medical Director adequately monitor compliance with technical operational policies. 2. The CHRP Dean and Associate Dean for Academic and Student Affairs adequately monitor compliance with administrative operational policies. 3. The CHRP Admissions Officer and Registrar follow clear, written, guidelines in order to discharge their duties. ********************** Standard E. Program Evaluation V.A. The program must have a continuing system for reviewing the effectiveness of the educational program especially as measured by student achievement, and must prepare timely self-study reports to aid staff, the sponsoring institution, and the accrediting agency in assessing program qualities and needs. V.B. Outcomes Programs must routinely secure sufficient qualitative and quantitative information regarding the program graduates to demonstrate an ongoing evaluation of outcomes consistent with the graduate competencies specified by the educational program. Outcomes data assembled in Fall Semester, 2011 include 1) Exit Interview survey responses from graduates, 2) employment of graduates in eye clinics after graduation, 3) survey responses from employers and graduates six to nine months after completing the program, and 4) pass rates on the Technologist-level (COMT) certification test administered by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). The program will continue to obtain data from graduates to assess periodically its efficacy in preparing students to assume technologistlevel professional positions. Examples of data forms are provided in this report. 64 Survey from Graduates The program surveys graduates to evaluate the OMT program immediately after they complete all program requirements, asking them to identify strengths and weaknesses and to provide suggestions for improvement. Exit Interview survey results from the overall program rating by all the graduating classes to date are summarized in the table below. Sample forms for the Exit Interview survey are shown on pages 67-73. OMT Exit Interview: Overall Program Rating Response to the following question: Are you satisfied with the training you have received? Strongly Agree Agree 5 4 OMT Class 2009 – 2011 2008 – 2010 2007 – 2009 2006 – 2008 2005 – 2007* 2003 – 2005 2002 – 2004 2001 – 2003 2000 – 2002 Neutral 3 Disagree Strongly Disagree 2 Average Score 5.0 4.8 5.0 5.0 4.5 4.6 4.5 3.2 3.75 Not Applicable 1 N/A Response Rate 4/4 4/4 4/4 3/3 4/4 5/5 2/2 5/5 4/4 *The program did not accept a class for 2004-2006 due to inability to find qualified applicants at that time. Graduate Employment Most of the OMT program graduates are successfully employed in the ophthalmic field as shown below. # of program graduates (Classes of 2002 - 2011) 35 # of graduates employed in ophthalmic field 29 (≈83%) # of graduates pursuing advanced degrees on full-time basis 2 (≈6%) # of graduates working in other health care fields (non-ophthalmology fields, such as physician assistant) # of graduates working in non-health care fields 2 (≈6%) 2 (≈6%) 65 The majority (nearly 83%) of the OMT program graduates are employed in the ophthalmic field at this time. Job placement for graduates within six months of completing the program not immediately pursuing advanced degrees is typically 100%. The only exception is one student from the 2010 class who elected delay the pursuit for employment greater than nine months after the program in order to care for her newborn child. In the summer, 2011 the number of central Arkansas ophthalmic employment opportunities exceeded the number of graduates. Approximately six percent of the OMT program graduates are enrolled in a full-time physician assistant program and another six percent are already working as a physician assistant. Of the remaining six percent of graduates (2 graduates) not working in healthcare, one is working in satellite television and one is not employed at this time. Survey from Employers and Graduates The program surveys both the graduates and their current employers to help determine the graduates’ preparation and competencies, plus to obtain any suggestions the respondents may have for improvements in the education program. Each graduate and his/her employer receive an evaluation form approximately six to nine months after the alumnus’ or alumna’s completes the program. Employer and graduate survey results for the overall graduate rating/preparedness to date are summarized in the table below. Sample survey forms are shown on pages 74-79. Employer Evaluation of OMT Graduate: Overall Employee Rating Response to the following: Rate the overall quality of this graduate Excellent 5 Very Good 4 Satisfactory/ Neutral 3 Poor 2 OMT Class Average Score 2008 – 2010 2007 – 2009 2006 – 2008 2005 – 2007 2003 – 2005 2002 – 2004 2001 – 2003 2000 – 2002 5.0 4.75 4.67 5.0 4.0 4.0 Data not available Data not available Unacceptable 1 Not Applicable N/A Employer Response Rate 2/2 3/3 2/2 1/1 2/2 1/1 - 66 Graduate Evaluation 6-9 Months after Completing Program: Overall Preparedness Rating Response to the following: Rate the overall quality [of the program] and your preparation as an entry-level ophthalmic allied health personnel Excellent 5 Very Good 4 Satisfactory/ Neutral 3 Poor 2 OMT Class Average Score 2008 – 2010 2007 – 2009 2006 – 2008 2005 – 2007 5.0 5.0 4.67 Data not available Unacceptable 1 Not Applicable N/A Graduate Response Rate 4/4 4/4 3/3 4/4 Average score data for the above question is not available for the Classes of 2007 and earlier. These graduates were only asked to assess each skill area. Comments from the Class of 2007 are relevant to the above question are included below: - I was prepared very well. It just took having confidence in myself, that came later. I feel like the OMT program prepared me so well in my profession; I have a lot of confidence in my skills. This program helped me enter the workforce with a great amount of confidence. 67 OMT II Student Name___________________________ EXIT INTERVIEW Please answer the following questions as fairly as possible. Using the following grading scale please CIRCLE the MOST APPROPRIATE choice, e.g., 5 4 3 2 1 0 Strongly Agree 5 Agree Neutral 4 Disagree 3 Strongly Disagree 2 Not Applicable 1 N/A 1. Expectations This section addresses your initial expectations, and whether they have been fulfilled. 1. On joining the OMT program I expected to learn new concepts 5 4 3 2 1 N/A 2. On joining the OMT program I was excited about a field I did not know 5 4 3 2 1 N/A 3. On joining the OMT program I expected to learn important marketable skills 5 4 3 2 1 N/A 4. On joining the OMT program I expected to acquire new useful knowledge 5 4 3 2 1 N/A 5. On joining the OMT program I expected that the instructors will be helpful to me 5 4 3 2 1 N/A 6. On joining the OMT program I expected that the instructors will be respectful to me 5 4 3 2 1 N/A 7. On joining the OMT program I expected that after 2 years of training good jobs will be available 5 4 3 2 1 N/A 8. On joining the OMT program I expected 5 that the training will be intense but appropriate 4 3 2 1 N/A 9. After 2 years I learned new concepts 5 4 3 2 1 N/A 10. After 2 years I am excited about ophthalmology 5 4 3 2 1 N/A 68 11. After 2 years I learned marketable skills 5 4 3 2 1 N/A 12. After 2 years I have acquired new useful knowledge 5 4 3 2 1 N/A 13. During the 2 years I found the instructors to be helpful 5 4 3 2 1 N/A 14. During the 2 years I found the instructors to be respectful 5 4 3 2 1 N/A 15. After 2 years I found that good jobs are available 5 4 3 2 1 N/A 16. After 2 years I found that the training was intense but appropriate 5 4 3 2 1 N/A 17. Overall the program fulfilled my expectations 5 4 3 2 1 N/A 2. Curriculum This section addresses the quality of the curriculum and instructors 1. Overall, the OMT curriculum met my expectations 5 4 3 2 1 N/A 2. Overall, the OMT curriculum has provided me with the necessary knowledge & skills 5 4 3 2 1 N/A 3. Overall, the instructors had the necessary knowledge & skills 5 4 3 2 1 N/A 4. Overall, the instructors were respectful 5 4 3 2 1 N/A 5. Overall, the instructors had the necessary communication skills 5 4 3 2 1 N/A 6. Student input was considered when changes were made to the evolving OMT curriculum 5 4 3 2 1 N/A 7. The quality of the curriculum continually improved as changes were made 5 4 3 2 1 N/A 8. The curriculum now reflects my view of how a good program should be 5 4 3 2 1 N/A 9. Overall the quality of the curriculum and its instructors was good 5 4 3 2 1 N/A 69 3. Didactic Courses (Lecture & Laboratory) This section addresses the quality of courses and their content 1. The organization of lectures and topics showed continual improvement 5 4 3 2 1 N/A 2. By the second year, lecture courses had clearly stated objectives, topics, and references 5 4 3 2 1 N/A 3. By the second year, lecture quizzes covered relevant topics and used stated references 5 4 3 2 1 N/A 4. By the second year comprehensive final examinations were well laid out and useful later on for reviewing subject matter 5 4 3 2 1 N/A 5. If lectures were canceled due to surgery obligations by the lecturer, attempts were made to reschedule the lecture 5 4 3 2 1 N/A 6. Guest lecturers covered the stated topic 5 4 3 2 1 N/A 7. Laboratory courses allotted enough time for practice 5 4 3 2 1 N/A 8. The overview of ophthalmic instruments provided in the laboratory course was helpful 5 4 3 2 1 N/A 9. Appropriate demonstrations were given for each ophthalmic instruments 5 4 3 2 1 N/A 10. Instruments and space were readily available for practice 5 4 3 2 1 N/A 11. At the end of the program I have a sufficient understanding of ophthalmic instruments 5 4 3 2 1 N/A 12. At the end of the program I have the skills to use ophthalmic instruments 5 4 3 2 1 N/A 13. Overall the quality of courses and their content was good 5 4 3 2 1 N/A 70 4. Clinical Rotations This section addresses the quality of clinical rotations and their content 1. The organization of clinic rotations showed continual improvement 5 4 3 2 1 N/A 2. By the second year, clinical rotations had clearly stated objectives 5 4 3 2 1 N/A 3. During the two years of the program attempts were regularly made in order to have a better and more streamlined protocol 5 4 3 2 1 N/A 4. Clinical rotations at ACH and NLR-VA helped in developing skills 5 4 3 2 1 N/A 5. At the end of the program I have a sufficient understanding of ophthalmic clinical practice 5 4 3 2 1 N/A 6. At the end of the program I have the skills for working in an ophthalmic clinical practice 5 4 3 2 1 N/A 7. Overall the quality of clinical rotations and their content was good 5 4 3 2 1 N/A 8. Were any of the clinical rotation sites you attended within a one-hour drive of your residence when you were a student? Yes No If “Yes,” approximately what fraction of them was within that distance?……………………………….__________________% 5. Classroom Space, Teaching Equipment, and Lockers This section addresses the availability and quality of classroom space and audio-visual equipment 1. Sufficient classroom space was made available to students 5 4 3 2 1 N/A 2. Audiovisual aids met the needs of students and lecturers 5 4 3 2 1 N/A 3. During the two years of the program attempts were regularly made in order to have space available 5 4 3 2 1 N/A 71 4. Computer, and telecommunication devices were readily available 5 4 3 2 1 N/A 5. Library and other study areas were were sufficient and readily available 5 4 3 2 1 N/A 6. Lockers and storage was sufficient and readily available 5 4 3 2 1 N/A 7. Meetings were held regularly to discuss issues and obtain feedback from students 5 4 3 2 1 N/A 8. Lockers and storage space assigned 5 4 3 2 1 N/A 5 4 3 2 1 N/A 3 2 1 N/A to students was adequate 9. Overall the quality of classroom space, A/V equipment, and lockers was adequate 6. Overall Program Rating This section addresses your satisfaction with the program 1. Are you satisfied with the training your have received? 5 4 7. Final Thoughts 1. In general what are some of the things that you LIKED about the OMT program? 2. In general what are some of the things that you DISLIKED about the OMT program? 3. If you had to change TWO things, what will they be? 72 4. If you had to choose ONE thing NOT to change, what will that be? 8. Comments Please list any issues not included above. You may also use the back of this page. 73 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF HEALTH RELATED PROFESSIONS Department of Ophthalmic Technologies Employer Evaluation of OMT Graduate Date: Sent to employer approximately 6-9 months after graduate completed program Name of graduate _____________________________________ Employed since ________________ Place of employment ____________________________________________________________________ ____________________________________________________________________ Telephone _________________________________ Email ____________________________________ Please rate the following questions using the scale described below. 5=Excellent 4=Very Good 3=Satisfactory 2=Poor 1=Unacceptable N/A=Not Applicable ________________________________________________________________________________________________ In your estimation how well did the program prepare the OMT graduate in the following areas? 1. Positive interaction with patients 5 4 3 2 1 N/A 2. Proper usage of ophthalmic instruments 5 4 3 2 1 N/A 3. Knowledge of ophthalmic pharmacology 5 4 3 2 1 N/A 4. Proper documentation in patient chart 5 4 3 2 1 N/A 5. Ability to work independently 5 4 3 2 1 N/A 6. Compliance with accepted medical protocols 5 4 3 2 1 N/A 7. Performing refractometry 5 4 3 2 1 N/A 8. Performing Goldmann applanation tonometry 5 4 3 2 1 N/A 9. Performing A-scan ultrasound 5 4 3 2 1 N/A 10. Working with contact lenses 5 4 3 2 1 N/A 11. Assisting in minor surgery 5 4 3 2 1 N/A 12. Overall assessment of performance of graduate 5 4 3 2 1 N/A COMMENTS _(please use back of form and/or additional sheets if more space is needed)________________________ ________________________________________________________________________ Evaluation completed by Please mail completed forms to: OMT Program, Jones Eye Institute (Slot 523), UAMS, 4301 W. Markham, Little Rock, AR 72205 (501) 526-5880 74 Part V Employer Survey Sent to employer approximately 6-9 months after graduate completed program INSTRUCTIONS: The primary goal of an educational program is to prepare the graduate to function as competent ophthalmic allied health personnel. This survey is designed to help the program faculty determine the strengths and areas for improvement for our program. Data will be used for program evaluation purposes. We request that this survey be completed by the graduate’s immediate supervisor. Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N if you do not know about a particular area. 5 Strongly Agree 4 Generally Agree 3 Neutral 2 Generally Disagree 1 Strongly Disagree N Not Applicable Name of Graduate: Institution Name: Length of employment at time of evaluation: CoA-OMP Program Number years and months. What credentials as an employer do you require of your ophthalmic medical personnel (select all that apply)? COA COT COMT ROUB Other (specify): I. Knowledge Base (Cognitive Domain) The graduate: A. Has the ophthalmic knowledge necessary to function in a healthcare setting B. Has the general medical knowledge necessary to function in a healthcare setting C. Is able to collect data from charts and patients D. Is able to interpret patient data E. Is able to recommend appropriate diagnostic and therapeutic procedures F. Uses sound judgment while functioning in a healthcare setting 5 4 3 2 1 N 5 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1 N N N N N 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 N N N N 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 N N N N Comments: II. Clinical Proficiency (Psychomotor Domain) The Graduate: A. Effectively performs a broad range of clinical skills B. Possesses the skills to perform patient assessment C. Is able to perform current ophthalmic procedures and modalities D. Is able to perform and interpret diagnostic procedures Comments: III. Behavioral Skills (Affective Domain) The Graduate: A. Communicates effectively within a healthcare setting B. Conducts himself / herself in an ethical and professional manner C. Functions effectively as a member of the healthcare team D. Accepts supervision and works effectively with supervisory personnel 75 E. Is self-directed and responsible for his / her actions 5 4 3 2 1 N 5 4 3 2 1 N Comments: V. Overall Rating Please rate and comment on the overall quality of this graduate Comments: VI. Additional Comments What qualities or skills (if any) did you expect of the graduate upon employment that he/she did not possess? Please provide comments and suggestions that would help this program to better prepare future graduates. What are strengths of the graduate(s) of this program? If given the opportunity, would you hire another graduate from this program? Yes / No Signature Date Title 76 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF HEALTH RELATED PROFESSIONS Department of Ophthalmic Technologies OMT Program Evaluation by Graduates Sent to graduates approximately 6 months after completing program Date: Name of graduate _____________________________________ Year of graduation ________________ Place of employment ____________________________________________________________________ ____________________________________ Employed since __________________ Telephone _________________________________ Email ____________________________________ Please rate the following questions using the scale described below. 5=Outstanding 4=Very Well 3=Satisfactory 2=Not Well 1=Unacceptable N/A=Not Applicable ________________________________________________________________________________________________ How well did the program prepare you for properly performing the following tasks? 1. Obtaining patient VA; cc; HPI; MHx; and FHx 5 4 3 2 1 N/A 2. Retinoscopy and refractometry 5 4 3 2 1 N/A 3. Lensometry 5 4 3 2 1 N/A 4. Keratometry 5 4 3 2 1 N/A 5. Perimetry 5 4 3 2 1 N/A 6. Slit lamp examination 5 4 3 2 1 N/A 7. Motility and muscle balance 5 4 3 2 1 N/A 8. Goldmann applanation tonometry 5 4 3 2 1 N/A 9. A-scan ultrasound 5 4 3 2 1 N/A 10. Working with contact lenses 5 4 3 2 1 N/A 11. Assisting in minor surgery 5 4 3 2 1 N/A 12. Understanding and instilling ocular medications 5 4 3 2 1 N/A COMMENTS _(please use back of form and/or additional sheets if more space is needed)________________________ ________________________________________________________________________ Please mail completed forms to: OMT Program, Jones Eye Institute (Slot 523), UAMS, 4301 W. Markham, Little Rock, AR 72205 (501) 526-5880 77 Part V Graduate Survey Sent to graduates approximately 6-9 months after completing program INSTRUCTIONS: The primary goal of an educational program is to prepare the graduate to function as competent ophthalmic allied health personnel. This survey is designed to help the program faculty determine the strengths and areas for improvement for our program. Data will be used for program evaluation purposes. Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N if you do not know about a particular area. 5 Strongly Agree 4 Generally Agree 3 Neutral 2 Generally Disagree 1 Strongly Disagree N Not Applicable Name of Graduate: Institution Name: Program Number Length of employment at time of evaluation: What level did you complete: Assistant Credential Status (select all that apply): I. years and Clinical Assistant COA COT COMT months. Technician ROUB Technologist Other (specify): Knowledge Base (Cognitive Domain) The Program: A. Helped me acquire the ophthalmic care knowledge necessary to function in a healthcare setting B. Helped me acquire the general medical knowledge base necessary to function in a healthcare setting C. Prepared me to collect data from charts and patients D. Prepared me to interpret patient data E. Prepared me to evaluate findings in order to perform appropriate procedures F. Trained me to use sound judgment while functioning in a healthcare setting 5 4 3 2 1 N 5 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1 N N N N N 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 N N N N 5 5 4 4 3 3 2 2 1 1 N N 5 4 3 2 1 N Comments: II. Clinical Proficiency (Psychomotor Domain) The Program: A. Prepared me to perform a broad range of skills B. Prepared me with the skills to perform patient assessment C. Prepared me to perform up-to-date ophthalmic procedures D. Prepared me to perform and interpret diagnostic procedures Comments: III. Behavioral Skills (Affective Domain) The program: A. Prepared me to communicate effectively within a healthcare setting B. Prepared me to conduct myself in an ethical and professional manner C. Prepared me to manage my time efficiently while functioning in a healthcare setting 78 Comments: IV. General Information Select Yes or No A. I have actively pursued attaining my credentials B. I am a member of a state / local ophthalmic professional association C. I am a member of a national ophthalmic professional association D. I actively participate in continuing education activities Yes Yes Yes Yes No No No No Comments: V. Overall Rating of the Program Please rate and comment on the OVERALL quality and your preparation as an ENTRY-LEVEL ophthalmic allied health personnel 5 4 3 2 Comments: VI. Additional Comments Based on your work experience, please identify several strengths of the program. Based on your work experience, please make several suggestions to further strengthen the program. What qualities/skills (if any) were expected of you upon employment, that were not included in the program? Please provide comments and suggestions that would help to better prepare future graduates. Thank You! Date: 79 1 Pass Rate on COMT Test Prior to 2010, all OMT students were ineligible to take the COMT Multiple-Choice Examination until officially completing all program requirements. Many graduates did pursue certification after completing the program, but several did not due to work and other obligations. We are extremely pleased with the change JCAHPO announced in 2009 that allows students the opportunity to take the COMT Multiple-Choice Examination prior to graduation. The entire classes of 2010 and 2011 volunteered to begin the certification application process prior to completing the program, and starting with the class of 2012 it will be a requirement for students to register for the COMT Multiple-Choice Examination in the last semester of the program. To date, approximately 83% of our program graduates have participated/taken the COMT Multiple-Choice Examination with 20 (out of 29) successfully passing the first step of the COMT certification process yielding a 69% program pass rate compared to the current overall national average of 54%. A total of ten (10) graduates have earned the COMT credential. We expect this number to increase as graduates decide to take the examination and as the COMT Performance Test hopefully becomes readily available at local testing sites. Measures of Program Effectiveness The effectiveness of the OMT program is continually assessed 1) by student performance on quizzes and final examinations, 2) at semimontly meetings with students to determine if the teaching methods employed are benefiting them, and if not, how the teaching methods can be suitably altered to increase their effectiveness, and 3) by compiling data showing student achievement (final grades) in the OMT courses. The grades reflect the level of performance that the program deems will permit graduates to become successful professionals when they complete their courses of study. Teaching methods include lectures, discussions, practical demonstrations of various ophthalmic instruments, and demonstration of protocols for working with patients. Results of quizzes, final examinations, and final grades are on file in the Program Director’s office. Results of meetings with students are described below (Ongoing Program Evaluation). Results of student achievements in OMT courses are summarized in V.C. Results of Ongoing Program Evaluation. V.C. Results of Ongoing Program Evaluation The results of ongoing program evaluation must be appropriately reflected in the curriculum and other dimensions of the program. In particular, the program must systematically use the information obtained in its evaluation to foster student achievement with respect to the certificate or degree offered. 80 The program has been continuously revised from August of 2000 to present as a result of information from external (employment and COMT Test) and internal (student achievement and OMT student meeting) sources. Graduate Employment The majority of graduates of the OMT program were successfully employed following graduation. The table below illustrates the current employment summary for program graduates as of Fall Semester, 2011.* Number of graduates (n) - # employed in eye clinics 35 29 - # of these employed in private eye clinics - # of these employed in multi-specialty hospital eye-clinics 9 20 * Two graduates currently work in other non-ophthalmic fields, two graduates are employed as physician assistants, and two graduates are currently enrolled in a full-time physician assistant program. As more graduates are successfully employed around the state, awareness of the OMT program will increase, and thus the likelihood will increase that all graduates will continue to be successfully employed and meet performance levels expected by employers. Pass Rate on COMT Test The pass rate of program graduates on the COMT test is summarized and discussed below. Number of graduates taking Number graduates the COMTof examination** 29 (83%) # passed the COMT multiple-choice test 20 (69%) # passed COMT Performance Test / earned COMT credential 10 (34%) # granted conditional pass for Performance Test / completion of COT Skill Test 5 4 Total number of graduates: 35 **Information provided as of November 4, 2011 81 In 2002, changes were made to the curriculum and included restructuring the final semester to allow more time to focus on the COMT Multiple-Choice Examination, inclusion of the Exit Test (comprehensive examination that students must achieve a minimum passing score to complete the program), and decreasing the number of weekly quizzes to larger monthly quiz/exams that require deductive reasoning, critical thinking, and a good knowledge base in the field. Also there was initially a low desire for certified employees by local employers. The program continues to encourage alumni to pursue certification by recognizing alumni accomplishments in the annual alumni newsletter. Other external factors that may have played a role with a decreased urgency to complete the certification process for the 2008 graduates and classes following include the decrease in state support in terms of the student loan forgiveness program for certified ophthalmic medical technologists that remain in the state of Arkansas to work in the ophthalmic field. Another external factor mentioned by graduates included the decreased motivation to pursue certification during the extended time frame when there was not a hands-on or computersimulated test available for the COMT level. The program continuously reevaluates methods used to prepare students for the board examination. The addition of the Final Performance Examination in 2005 along with the comprehensive written Exit Examination has allowed the students the opportunity to address areas they may need to focus on prior to the JCAHPO-administered certification examinations. OMT Performance Review OMT Performance Review meetings were routinely held between OMT students and various program and institutional personnel from 2000-2004. In 2004, the meetings were renamed OMT Student Meetings and increased in frequency to weekly meetings due to the transition between program directors. Since 2008, the OMT Student Meetings are scheduled semimontly. The purpose of the meetings includes: 1) Discussion of the effectiveness of teaching methods. 2) Identification of specific problems in didactic or supervised clinical practice portions of the program. 3) Discussion of possible solutions to problems identified, as noted above. 4) Discussion of the effectiveness of changes made in addressing identified problems. 5) Identifying general plans to improve the OMT program. Minutes of each meeting are recorded and on file in the Program Director’s office. 82 Strengths (Program Evaluation) 1. The program has put in place a continuing system for reviewing, evaluating, and revising the OMT program based on discussion with the JEI faculty and staff and the OMT students. Administrative assistance is readily available from the CHRP Dean’s Office. 2. Meetings are held regularly and are attended by the Chairman/Program Director, Medical Director, and the OMT students. 3. The Program Director or Medical Director convenes special meetings as needed. 4. Minutes from all meetings are on file in the Program Director’s office. 5. The program is able to evaluate effectiveness of teaching methods and has flexibility to allow outcomes to influence changes wherever they are needed. 6. Strong commitment from the JEI faculty and the CHRP Dean’s Office supports efficient planning for improving the program in the future. 7. Routine CHRP course evaluations and instructor evaluations along with routine department lecture evaluations are obtained from students each semester to assess the current effectiveness of teaching methods. Instructor evaluations that score below the standard are reviewed by the Associate Dean for Academic and Student Affairs and Department Chairman/Program Director. The Department Chairman/Program Director meets with the instructor to discuss evaluation results. Concerns (Program Evaluation) 1. Maintain adequate response by future employers and graduates for survey completion to assess overall graduate performance in the ophthalmic field. 2. Increasing the number of program graduates taking and passing the COMT certification examination. 3. Limited availability of dates and locations to take the COMT Performance Examination each year. Remedy (Program Evaluation) 1. Notify program graduates and students of updates to the COMT certification examination as information is obtained from JCAHPO. Compliance (Program Evaluation) 1. Compliance with CoA-OMP guidelines is assured by implementing appropriate evaluation systems (e.g., meetings, student achievement, and lecture and course evaluations). 83 2. Information from OMT students (including information obtained from routine CHRP course and instructor surveys and department lecture surveys) and JEI faculty and staff is regularly used to improve the structure and function of the program. 3. The OMT program routinely sends surveys to all graduates and known employers approximately six to nine months following graduation to obtain their evaluations, opinions, and suggestions. ******************* 84 Section II: Requirements for Ophthalmic Medical Technologist Instructional Plan and Curriculum VI.A.: Faculty and students must be provided with clearly written description of the program and its content including learning goals, course objectives, supervised clinical practice assignments and competencies required for graduation. The goals of the OMT program are clearly described in the 2011-2012 CHRP Catalog and program brochures made available to students and applicants. The role of ophthalmic medical technologists in providing a broad range of assistance to ophthalmologists in delivering eye care to patients is also clearly described. The OMT courses are designed to provide the graduate with appropriate skills and knowledge to become an essential part of the ophthalmic team. In accordance with CHRP policies and procedures, each OMT course is submitted to the CHRP Curriculum Committee for review and suggestions before it becomes part of the curriculum. Subsequent changes in course title, content, and/or semester hours have to be submitted to the CHRP Curriculum Committee as well. These procedures ensure that effective regulatory mechanisms are in place to guide the development of new courses and changes to existing courses. The OMT program provides sufficient opportunities for students to practice ophthalmic protocols for supervised clinical courses and to put into practice ophthalmic concepts they learn in didactic courses. Each course syllabus contains clearly stated objectives, course description, rationale, instructional methodology and materials, description of evaluation procedures, session schedules, and general policies governing absences and tardiness. Sample OMT curriculum course forms and all course descriptions are included in Appendix 8. VI.B.: The curriculum must include, or have as prerequisites, appropriate background course material. This requirement includes, but is not related to, the following subject areas (that do not necessarily imply individual courses): (1) Medical Technology (2) Medical Law and Ethics and Medical Economics (3) Introduction to Diseases of the Eye (4) General Psychology (5) General and Ocular Anatomy and Physiology (6) Ophthalmic Optics (7) Ophthalmic Pharmacology (8) Ocular Motility (9) Special Diagnostic Techniques (10) Contact Lenses (11) Ophthalmic Surgical Assisting and Infection Control 85 (12) Maintenance of Ophthalmic Instruments and Supplies (13) Supervised Clinical Experience (14) General Medical Knowledge and Cardiopulmonary Resuscitation Additional Areas for the Ophthalmic Medical Technologist (15) (16) (17) (18) (19) (20) (21) Physiological Optics Abnormalities of Binocular Vision Microbiology Ophthalmic Photography and Angiography Electrophysiology Low Vision Aids Supervision of Ophthalmic Allied Health Personnel Some subject areas listed above are required as prerequisites for admission to the program whereas others are included in the two-year OMT curriculum, as described below. 1. Medical Terminology Concepts of medical terminology and medical word structure are included in OPH 3201 General Medical Knowledge & Terminology which is part of the Fall (1) Semester curriculum of the first year of the program, and is described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. 2. Medical Law and Ethics and Medical Economics These topics are included in OPH 3202 Introduction to Ophthalmic Technology, Medical Law & Ethics which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. 3. Introduction to Diseases of the Eye Detailed concepts of eye diseases are included in OPH 4202 Survey of Eye Diseases, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 4. General Psychology OMT students follow the curriculum described in the CHRP Catalog which states (p. 82) that 3 semester credits (SC) of general psychology are required as a prerequisite for admission to the program. 5. General and Ocular Anatomy and Physiology 86 Concepts of ocular anatomy and physiology are included OPH 3203 Ocular Anatomy & Physiology, which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83). A syllabus for the course and description listed above is included in Appendix 8. 6. Ophthalmic Optics Concepts of physical and geometric optics are included in OPH 3204 Optics I, part of the Fall (1) Semester curriculum of the first year of the program, and OPH 3206 Optics II, part of the Spring (2) Semester curriculum of the first year of the program. These are described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. 7. Ophthalmic Pharmacology Concepts of pharmacology are included in OPH 3208 Ophthalmic Pharmacology, which is part of the Spring (2) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 8. Ocular Motility Detailed concepts of ocular motility are included in OPH 3209 Ocular Motility I, which is part of the Spring (2) Semester curriculum of the first year of the program and is described in the 20112012 CHRP Catalog (page 84) and included in Appendix 8. 9. Special Diagnostic Techniques Detailed concepts of various diagnostic techniques are included in OPH 4303 Special Testing, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 10. Contact Lenses Detailed concepts of contact lenses are included in OPH 3207 Contact Lenses/Opticianry, which is part of the Spring (2) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 11. Ophthalmic Surgical Assisting and Infection Control Detailed concepts of ophthalmic surgical assisting and universal precautions are included in OPH 4309 Surgical Assisting, which is part of the Spring (5) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84). Concepts of universal precautions are also covered in sections dealing with microbiology included in 1) OPH 3202 Introduction to Ophthalmic Technology, Medical Law & Ethics, which is part of the Fall (1) Semester curriculum of the first year of the program; and 2) OPH 4303 87 Special Testing, which is part of the Spring (5) Semester of the second year of the program. These courses are described in the 2011-2012 CHRP Catalog (pages 83-84) and included in Appendix 8. 12. Maintenance of Ophthalmic Instruments and Supplies Detailed concepts of working with, and properly maintaining, ophthalmic instruments are included in 1) OPH 3510 Clinical Practicum I, which is part of the Fall (1) Semester curriculum of the first year of the program; 2) OPH 3105 Clinical Skills Lab II, which is part of the Spring (2) Semester curriculum of the first year of the program; and 3) OPH 3106 Clinical Skills Laboratory III, which is part of the Summer (3) Semester curriculum of the first year of the program. These are described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. 13. Supervised Clinical Experience Supervised clinical experience is provided to OMT students in all six semesters of the program. Students follow a highly structured protocol designed to 1) increase their level of confidence in dealing with patients and 2) enable them to progressively increase their skills in using ophthalmic instruments. Prescribed Skill Sheets are used to track the progress of students. A schedule of skills development is described below. Students complete a combined total of 1,960 hours of clinical and laboratory experience during the two year program. _____________________________________________________________________________________________ OMT SCHEDULE OF SKILLS DEVELOPMENT Ophthalmic Medical Technology (OMT) students will observe the following schedule for developing clinical skills specified by the Joint Commission on Allied Health Personnel in Ophthalmology and program. Fall 1 Ophthalmic exam protocol (obtaining Pt VA and Hx) OPH 3510 Clinical Practicum I Spring 2 Basic Retinoscopy Basic Refractometry Basic Tonometry Confrontation Visual Field Lensometry OPH 3611 Clinical Practicum II Summer 3 Advanced Retinoscopy Advanced Refractometry Basic Goldmann Perimetry OPH 3412 Clinical Practicum III Fall 4 Advanced tonometry OPH 4510 Clinical Practicum IV Ophthalmic photography & angiography Advanced Goldmann Perimetry Spring 5 Keratometry Biometry Tangent screen visual fields OPH4511 Clinical Practicum V Summer 6 Pupil function OPH 4412 Clinical Practicum VI Ocular motility II ________________________________________________________________________________________________________ 88 14. General Medical Knowledge and Cardiopulmonary Resuscitation Concepts of systemic diseases are included in OPH 3201 General Medical Knowledge & Terminology, which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. Cardiopulmonary resuscitation (CPR) is included in OPH 4108 CPR, which is part of the Spring (5) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84). The syllabus for the course listed above follows standard American Red Cross/American Heart Association guidelines. 15. Physiological Optics Concepts of physiologic optics, such as understanding binocular vision, and correction of refractive errors are included in OPH 3204 Optics I, which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. Concepts of color vision and its abnormalities are covered in 1) OPH 3203 Ocular Anatomy & Physiology, which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83); and 2) OPH 4303 Special Testing, which is part of the Fall (4) Semester curriculum of the second year of the program. These are described in the 2011-2012 CHRP Catalog (page 84). 16. Abnormalities of Binocular Vision Detailed concepts of binocular vision and its abnormalities are included in OPH 4201 Ocular Motility II: Abnormalities of Binocular Vision, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 17. Microbiology The CHRP Catalog (page 82) states that 4 semester credits (SC) of microbiology are required as a prerequisite for admission to the program. 18. Ophthalmic Photography and Angiography Detailed concepts of ophthalmic photography and angiography are included in OPH 4204 Ophthalmic Photography & Angiography, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 89 19. Electrophysiology Basic concepts of electrophysiology (ERG; EOG; and VER/VEP) are introduced in OPH 3203 Ocular Anatomy & Physiology, which is part of the Fall (1) Semester curriculum of the first year of the program and is described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. Detailed concepts of electrophysiology (ERG; EOG; and VER/VEP) are included in OPH 4303 Special Testing, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. 20. Low Vision Aids Basic concepts of visual impairment and disability and visual aids for partially sighted and blind patients are introduced in OPH 3202 Introduction to Ophthalmic Technology, Medial Law & Ethics, which is part of the Fall (1) Semester curriculum of the first year of the program and 2) OPH 3206 Optics II, which is part of the Spring (2) Semester curriculum of the first year of the program These are described in the 2011-2012 CHRP Catalog (page 83) and included in Appendix 8. Detailed concepts of loss of visual function are included in OPH 4303 Special Testing, which is part of the Fall (4) Semester curriculum of the second year of the program and is described in the 2011-2012 CHRP Catalog (page 84) and included in Appendix 8. Competencies in low vision are further developed in the second year of the program during supervised clinical practice. OMT students are assigned to observe with Richard Harper, M.D., an ophthalmologist who specializes in low vision and conducts a low vision clinic one-half day per week. 21. Supervision of Ophthalmic Allied Health Personnel In the OMT curriculum students are exposed to concepts of supervising ophthalmic allied health personnel in OPH 4306 Special Topics in Spring (5) Semester of the second year of the program. Students are assigned to observe carefully the Clinic Supervisor and Clinic Charge Nurse with emphases on the following topics: • • • • • scheduling staff, setting goals and standards, and evaluating performance addressing tardiness, malingering, and providing conflict resolution policies for documenting complaints promoting professionalism teaching This course is described in the 2011-2012 Catalog (page 84) and included in Appendix 8. 90 VI.C.: Instruction must follow a plan which documents 1. Appropriate learning experiences and curriculum sequencing to develop the competencies necessary for graduation, including appropriate instruction materials, classroom presentations, discussions, demonstrations and supervised practice. 2. Clearly written course syllabi that describe learning objectives and competencies to be achieved for both didactic and supervised clinical education components. 3. Frequent, documented evaluation of student to assess their acquisition of knowledge, problem-solving skills, psychomotor, behavioral, and clinical competencies. The CHRP’s Department of Ophthalmic Technologies developed a two-year OMT curriculum with appropriate sequencing of topics for didactic and supervised clinical practice required for a technologist-level program. In addition to the 21 topics listed by CoA-OMP for a technologistlevel program, the OMT curriculum also has flexibility to incorporate the latest advances, concepts, technologies, and treatment modalities to enhance the education of the students in areas such as corneal procedures, glaucoma modalities, oculoplastics, and strabismus. The OMT program has clearly-defined protocols for developing competencies in didactic and supervised clinical practice courses necessary for graduation. These include classroom presentations with discussions, quizzes, demonstrations of ophthalmic tests and procedures, skill (competency) evaluations, independent research, and informal discussions. These are described in Standard C: Students (III.B. Evaluation of Students). In addition, the Chairman/Program Director, Medical Director, and the JEI faculty and appropriate technical staff are readily available for consultations and providing assistance. OMT course syllabi are clearly written and include full-semester schedules for didactic and supervised clinical practice courses. The schedules list specific topics, lecturers, dates, times, locations, and relevant reference materials. Consequently, the students can plan ahead, thus making their learning experiences more efficient and productive. Examples of lecture schedules are included in Appendix 8, and examples of clinic schedules are included in Item 26 (Clinical Courses – Summary) of the Program Data Form and also in Appendix 8. Knowledge and skills are monitored throughout each semester using a variety of instruments, as described in Standard C: Students (III.B. Evaluation of Students). Problem-solving abilities and psychomotor and behavioral competencies are monitored continuously and deficiencies are rapidly identified and correctional steps implemented. Strengths 1. The OMT program follows CoA-OMP guidelines in offering a technologist-level ophthalmic program, with usage of appropriate instructional protocols for the 21 areas listed by CoAOMP. 91 2. Although the program has a comprehensive structure, it is not rigid and offers flexibility for incorporation of new developments in ophthalmology as they may apply to a future COMT. 3. The OMT syllabi are clearly written and all monitoring and evaluation procedures are in place. Concerns None Remedy Not applicable Compliance 1. Compliance with CoA-OMP guidelines is observed by regularly scheduled meetings between the Chairman/Program Director, Medical Director, and OMT students. 2. Compliance with skills for each JCAHPO Performance Area and areas required by the program is monitored by requiring OMT students to complete Skill Sheets at the semester skill examination. Protocols for this are described in sub-section C.2 (Evaluation of Students). 3. Logs for all meetings and skill evaluations are maintained in the Program Director’s office. ******************************** PART I 5. Summary This section is a brief summary of the significant findings from the self-study process including strengths and concerns, and should also include a review of how the program has addressed any concerns cited during the previous accreditation review. Significant Findings From the OMT Self Study Significant findings from the OMT Self Study are discussed below: 1. The administrative, instructional, and technical resources are adequate and appropriate for maintaining a high quality ophthalmic medical technology program that meets CoA-OMP guidelines for a technologist-level training. 92 2. The CHRP policies and procedures relating to student admission, evaluation, health, and guidance are lawful, unambiguous, and fulfill the needs of the OMT students. The CHRP Dean, Associate Dean, Registrar, and Admissions Officer are readily available for consultations. 3. Institutional operational polices reflect fair practices towards students and faculty, and students’ records are permanently and securely maintained. 4. The OMT students have reported significant satisfaction in their educational experience because the program includes a continuing system for reviewing, evaluating, and revising the curriculum based on discussion with the JEI faculty and the OMT students. 5. As a result of meetings attended by the Chairman/Program Director, Medical Director, the CHRP Associate Dean for Academic and Student Affairs, the OMT students, and the JEI faculty, existing or potential problems and their solutions have been identified. Consequently, an open forum is in place to improve continually the OMT program. The CHRP Dean is readily available for consultation and guidance. 6. The program is able to evaluate the effectiveness of teaching methods and regularly uses the more successful methods to enhance the learning of the OMT students. 7. Strong commitment from the UAMS, the CHRP Dean and Associate Dean for Academic and Student Affairs, and the JEI faculty enables efficient planning for improving the program in the future. Strengths (Summary) Significant strengths of the OMT program include: 1. Availability of high quality clinicians and clinical facilities 2. Strong commitment by the UAMS, CHRP, and JEI 3. Readily available administrative and logistical support 4. All major ophthalmology subspecialties are represented 5. Students encouraged to learn and perform as many clinical protocols as possible 6. Students encouraged to observe ophthalmic surgery 7. Readily available books, journals, and consultations with the JEI faculty 8. High quality ophthalmic equipment is readily available 9. Dedicated classroom and examination facilities for the OMT program have been constructed 10. Large, diverse, and accessible patient population Concerns (Summary) 1. Unfortunately, Ophthalmic Medical Technology is not a field generally well-known to students in two-year or four-year colleges. Even though there is a need for COMTs in Arkansas, the program will have to work diligently to develop an awareness of this vital 93 specialty among potential students and their advisors across the state in order to ensure an appropriate flow of high quality applicants. 2. Improving the COMT certification participation and pass rate of program graduates. Remedy (Summary) 1. The department participates in the CHRP Student Recruitment Committee to construct a comprehensive and continuing student recruitment effort for this program. The program has seen great success with suggested CHRP advertising, mailing, and e-mail campaigns. The CHRP employs a full-time student recruiter with state-wide responsibilities and travel who has helped emphasize the OMT program during her recruitment visits and presentations. Continuous efforts are being made to notify potential students about the program. 2. Students are now required to complete the COMT application for certification while in the program. Therefore, the participation of students/graduates is expected to increase significantly and will hopefully lead to more graduates earning the COMT credential. Concerns Cited During Previous Accreditation Review The 2007 composite report from CoA-OMP deemed our program to be in substantial compliance for all areas including: the general requirements for accreditation, resources, students, operational policies, program evaluation, and curriculum using the Standards and Guidelines for Accrediting Educational Ophthalmic Medical Personnel Programs. Remedy Not applicable ******************************** 94 PART II List of required Appendices PAGE Appendix 1: INSTITUTIONAL INFORMATION…………………….….. 96 1a: Institutional organizational chart………………………. 96 1b: Mission statement of institution…………………….…..97 1c: Catalog and program brochures…………………….….. 98 1d: Consortium data form (A-3)………………………….. 100 Appendix 2: PROGRAM OBJECTIVES………………………………….. 102 Appendix 3: ENROLLMENT………………………………………………103 Summary of enrollment, attrition, & relevant outcomes…... 103 Appendix 4: CLINICAL/ACADEMIC AFFILIATIONS…………………. 104 4a. Copies of affiliation agreements……………………….. 105 4b. List of current affiliates………………………………… 109 Appendix 5: PROGRAM ADMINISTRATION AND FACULTY……….. 110 5a. Curricula vitae for program chairman/director …… ..…111 5a. Curricula vitae for medical director ……...…………….119 5b. Curricula vitae forms (A-4) for rest of faculty………… 124 Appendix 6: PROGRAM FINANCES…………………………………….. 153 6a. Completed form (A-5) or institution’s form containing 3-year (last, current, and projected) budgets…………… 154 Appendix 7: STUDENT ACADEMIC POLICIES…………………………155 7a. Admission policies & criteria…………………………...155 7b: Criteria for progression & completion of program…….. 160 7c: Summary of methods used to evaluate students’ success in completing each course (A-6).……………… 161 7d: Copy of student work policy, if applicable………….…. 172 Appendix 8: COURSE SUMMARIES…………………………………….. 173 Course outlines & content as defined by the curriculum committee…………………………………………………... 173 95 Appendix 1a: Institutional Organizational Chart 96 Appendix 1b: Mission Statement of the Institution UAMS The mission statement of the University of Arkansas for Medical Sciences is described in the 2011-2012 CHRP Catalog (p. 1), and included below. To Teach –The University of Arkansas for Medical Sciences prepares excellent health care professionals and scientists who are committed to high ethical and professional standards, lifelong learning, and skill advancement in health care for Arkansas, the nation, and the world To Heal – The University of Arkansas for Medical Sciences provides comprehensive, nationally and internationally recognized, health care in many specialties and disciplines for Arkansas, the nation, and the world To Search – The University of Arkansas for Medical Sciences conducts pioneering research that leads to new knowledge with application and integration into the health care disciplines, systems of care public policy, and economic progress for all people To Serve – The University of Arkansas for Medical Sciences provides leadership and service in the health care disciplines and in public health policy for the benefit of the citizens and communities of Arkansas. CHRP The mission statement of the College of Health Related Professions is described in the 20112012 CHRP Catalog (p. 2), is listed below. The College of Health Related Professions (CHRP) serves the state of Arkansas as the primary arm of the University of Arkansas in offering programs that provide education, service, and research in the allied health professions. The College was organized as a separate college within the University of Arkansas for Medical Sciences in 1971. In fulfilling its mission, the College of Health Related Professions offers education and training opportunities for students of the allied health professions to prepare them as graduates to assume the roles of the professional. The College curricula coordinate the professional course work with the arts, humanities, and basic and social sciences into a total educational experience that emphasizes life-long learning in the allied health professions. Patient and public health education is an important part of the mission of the College of Health Related Professions. In its public service role, programs in the College render patient care services as part of their educational efforts under the supervision of faculty. Technical advice and consultative services are available from the College to institutions and agencies throughout the state. The professional service mission of the College includes the offering of continuing education courses to practitioners to enhance teaching, administration, and professional skills. Research in the College of Health Related Professions involves the educational process as well as professional fields. The research mission involves the quest for new information which addresses the health and health care educational needs of the state, and the sharing of this information with the scientific community. 97 Appendix 1c: Institution’s Catalog and Program Brochures Catalog As required, the 2011-2012 CHRP Catalog is included. Pages 81 – 84 of the Catalog describe the OMT profession, program, certification and licensure, pre-professional curriculum and requirements, professional curriculum, application procedures and deadlines, and professional coursework. Program Brochures OMT program brochures are used for promotional purposes in recruiting students for the program. Recruitment visits to 2-year colleges and two 4-year colleges by OMT faculty and CHRP recruiter in addition to attending CHRP Open Houses and mailing campaigns to prospective students. A copy of the OMT brochure is attached. Letters to Potential Applicants Letters with accompanying OMT brochures are sent to potential applicants requesting information by telephone, the Internet, or through written requests. A typical OMT cover letter is shown on the next page. 98 ______________________________________________________________________________ LETTERHEAD Date Address Salutation I am writing in response to your inquiry about Ophthalmic Medical Technology, one of the programs at the College of Health Related Professions (CHRP), University of Arkansas for Medical Sciences (UAMS). This is a very exciting and vital field of health care, and employment opportunities in this profession are excellent with demand likely to increase as our population ages thus requiring more eye care. The Ophthalmic Medical Technology program accepts students after two years of pre-professional college preparation, and combines didactic (lectures, lab) and clinical teaching. We believe that clinical experience should begin early and therefore supervised rotations start in the first semester, at Jones Eye Institute and Arkansas Children’s Hospital. Our faculty and technical staff members are very encouraging and supportive, and act as facilitators and enablers helping students progress as rapidly as their potential allows. Ophthalmic Medical Technology graduates are awarded a Bachelor of Science degree (OMT major) from UAMS, and will have a thorough medical training including approximately 2,000 hours of clinical training in direct patient care. This background provides many choices for a career path after graduates have passed the 3-part national certification test for Certified Ophthalmic Medical Technologists (COMTs), the highest certification level administered by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). As COMTs, our graduates can work in general ophthalmology or specialize, and can give lectures and workshops in professional meetings. Our graduates can also consider competing for admission to medical (MD or DO) or physician assistant (PA) schools, both of which require a Bachelor of Science degree and experience in direct patient care. Details about the OMT profession can be obtained from JCAHPO (http://www.jcahpo.org) and the Association of Technical Personnel in Ophthalmology (http://www.atpo.org). The enclosed Ophthalmic Medical Technology brochure describes our program, the OMT profession, employment prospects, and certification requirements. Additional details about the College, our program, and financial aid can be obtained from our Internet web site: http://www.uams.edu/chrp/OMT. A CHRP application form and a Professional Observation form are also enclosed. We invite you to call us at (501) 526-5880 to schedule an appointment to tour our campus and the Harvey & Bernice Jones Eye Institute at your earliest convenience. I hope this information will help you in planning your career. Please do not hesitate to contact me if you have any questions. Sincerely, Suzanne Hansen, M.Ed., COMT Instructor & Program Director (Ophthalmic Technologies) The Harvey & Bernice Jones Eye Institute, and College of Health Related Professions University of Arkansas for Medical Sciences 4301 W. Markham (#523) Little Rock, AR 72205 501.526.5880 Encl. _____________________________________________________________________________ 99 Appendix 1d: Consortium Data Form (A-3) 1. Institutions comprising the consortium. A. Name: University of Arkansas for Medical Sciences City, State Zip: Little Rock, AR, 72205 CEO or Comparable Official: Dan Rahn, M.D., Chancellor Telephone: 501/ 686-5680 B. Name: Arkansas Children’s Hospital City, State, Zip: Little Rock, AR 72201 CEO or Comparable Official: Jonathan Bates, M.D. Telephone: 501/364-1100 C. Name: 2. Central Arkansas Veteran Healthcare System City, State, Zip: Little Rock, AR 72201 CFO or Comparable Official: Michael Winn Telephone: 501/257-1000 Accreditation agency recognition of institutions comprising consortium Institution A: Higher Learning Commission of North Central Association Institution B: Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Arkansas Department of Health Institution C: Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 3. Nature of institutions (check appropriate category) A. Public Yes ____ Private, not for profit _____ Private for Profit _______ B. Public Private for Profit _______ ____ Private, not for profit __Yes 100 C. Public Yes ____ Private, not for profit _____ 4. Private for Profit _______ Facilities and responsibilities Institution A Institution B Institution C 5. Library Yes Yes No Student Health Services Yes Yes No Maintenance of Official Student Records Yes Yes Yes Financial Aid Services for Students Yes No No Chief administrative officer of consortium Name and Credentials: Douglas L. Murphy, Ph.D. Title: Dean, College of Health Related Professions Address: College of Health Related Professions, UAMS 4301 West Markham (# 619) Little Rock, AR 72205-7199 Telephone: 501/686-5730 101 Appendix 2: PROGRAM OBJECTIVES Program’s educational objectives & competencies needed for graduation Program’s Educational Objectives The overall educational objective of the OMT program is to train ophthalmic medical personnel at the technologist level in order to assist ophthalmologists in the assessment and care of patients with eye disorders, by providing didactic knowledge (lectures and laboratory) in ophthalmology and performance skills in using ophthalmic equipment. Program’s Competencies Needed for Graduation In order to graduate from the OMT program a student should meet the following requirements as stated in the 2011-2012 Ophthalmic Medical Technology Handbook (page 9): • • • Completion of all required course work with a grade point average of 2.0 or better Completion of all 124 SC of required courses (pre-professional and professional courses) Successful completion of a comprehensive end-of-program competency assessment examination (written exam and skill exam) Published Criteria for Successful Progression and Completion of Program The following resources provide students detailed information regarding criteria for successful progression in and completion of the program. 1. As stated in the 2011-2012 CHRP Catalog (page 17) a minimum of 2.0 Cumulative Grade Point Average (CGPA) is required. 2. As stated in the 2011-2012 CHRP Handbook (page 10) students whose transcript GPA are 3.5 or higher will graduate with honors from CHRP, and those whose transcript grade point averages (TPGA) are 3.7 or higher will graduate with high honors. 3. As stated in the 2011-2012 CHRP Catalog (page 82) a student scoring a grade of “F” in the last semester will not be allowed to graduate. 4. If a grade of “F” is scored in the second-last or earlier semesters the student will not be allowed to progress to the next semester ss stated in the 2011-2012 CHRP Catalog (page 82). 102 Appendix 3: ENROLLMENT Summary of enrollment, attrition & relevant outcomes __________________________________________________________________ Summary of enrollment, attrition, and graduation by program year Year EnteringYear 1 4 2000 6 (1) 2001 4 (2) 2002 5 2003 2004 5 (1) 2005 3 2006 4 2007 4 2008 5 (1) 2009 4 (1) 2010 5 2011 ( ) = Attrition Certification: EnteringYear 2 4 5 2 5 4 3 4 4 4 3 Total 4 10 9 7 5 5 7 7 8 9 8 8 Attrition 1 2 1 1 1 Grand Total 4 9 7 7 5 4 7 7 8 8 7 Graduates 4 5 2 5 4 3 4 4 4 The table below summarizes the number of program graduates attaining certification. Number of graduates taking Number graduates the COMTof examination** 29 # passed the COMT multiple-choice test 20 # passed COMT Performance Test 10 # granted conditional pass for Performance Test/ completion of COT Skill Test 5 4 Total number of graduates: 35 Employment: The table below summarizes the current employment information of program graduates. # of program graduates 35 # of graduates employed in ophthalmic field** 29 # of graduates employed in health care field (non-ophthalmic) 2 # of graduates pursuing advanced degrees on full-time basis** 2 # of graduates working in non-health care field 2 ____________________________________________________ **Number of graduates as of November 4, 2011 103 Appendix 4a: CLINICAL/ACADEMIC AFFILIATIONS Sample copy of a current affiliation agreement (See next page) 104 105 106 107 108 Appendix 4b: CLINICAL/ACADEMIC AFFILIATIONS List of current affiliates 1. Arkansas Children’s Hospital, Little Rock, AR 2. Central Arkansas Veterans Healthcare System, Department of Veterans Affairs 3. University Hospital of Arkansas, University of Arkansas for Medical Sciences, Little Rock, AR 4. Phillip Suffridge, M.D., Benton, AR 5. Magie Mabrey Eye Clinic, P.A., Little Rock, AR 6. Little Rock Eye Clinic, Little Rock, AR 109 Appendix 5a: PROGRAM ADMINISTRATION Curriculum vitae for program director & medical director 110 CHAIRMAN/PROGRAM DIRECTOR Suzanne Hansen, M.Ed., COMT Ophthalmic Medical Technology University of Arkansas for Medical Sciences 4301 W. Markham St., #523 Little Rock, AR 72205 hansensuzannej@uams.edu Education Master of Education in Adult Education Program, University of Arkansas at Little Rock, Little Rock, AR 2008 Bachelor of Science in Ophthalmic Medical Technology, University of Arkansas for Medical Sciences, Little Rock, AR 2003 Bachelor of Arts in Chemistry, Hendrix College, Conway, AR 2000 Certification Certified Ophthalmic Medical Technologist, awarded by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) ID #: 139804 2004 – Present Appointments Chairman, Department of Ophthalmic Technologies University of Arkansas for Medical Sciences Little Rock, AR March 2009 – Present Interim Chairman, Department of Ophthalmic Technologies University of Arkansas for Medical Sciences Little Rock, AR 2006 – March 2009 Program Director, Department of Ophthalmic Technologies University of Arkansas for Medical Sciences Little Rock, AR 2005 – Present Interim Program Director Department of Ophthalmic Technologies University of Arkansas for Medical Sciences Little Rock, AR 2004 – 2005 Instructor Department of Ophthalmic Technologies University of Arkansas for Medical Sciences College of Health Related Professions Little Rock, AR 2004 – Present Clinical Coordinator Ophthalmic Medical Technology Program Harvey & Bernice Jones Eye Institute University of Arkansas for Medical Sciences Little Rock, AR 2003 – 2005 111 Professional Memberships and Activities JCAHPO’s Arkansas Regional Continuing Education Program for Ophthalmic Medical Personnel, Program Coordinator 2/2006, 2/2008, 4/2010 UAMS Leadership Institute, Inaugural Class 3/2006 – 12/2006 Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Managing Editor 9/2005 – Present Consortium of Ophthalmic Training Programs (COTP), Secretary 2007 – 2008 Consortium of Ophthalmic Training Programs (COTP), Director-at-large 2005 – 2007, 2010 – Present Consortium of Ophthalmic Training Programs (COTP), Delegate Association of Technical Personnel in Ophthalmology, Member 2004 – Present 2001 – Present Honors and Awards Outstanding OMT Faculty Award recipient Nominated for UAMS Outpatient Services VITAL Link of the Month award UAMS College of Health Related Professions Chancellor’s List for Academic Achievement for each semester Honor graduate from UAMS, B.S. in Ophthalmic Medical Technology 6/2009 6/2007 2001 – 2003 Committee Assignments and Administrative Services National: ATPO Fellow Committee 2/2010 – Present ATPO Scientific Session Annual Meeting Curriculum Committee 2008 – 2009 ATPO Viewpoints Magazine Communications Committee 2008 – 2009 ATPO COMT Flashcard Committee 1/2007 – 11/2007 Subcommittee Member for the Committee on Accreditation for Ophthalmic Medical Personnel (CoA-OMP) for Standards & Guidelines Review 5/2006 – 11/2006 College of Health Related Professions (CHRP) Editorial Committee for CHRP Publications 6/2011 – Present CHRP Excellence in Service Award Selection Committee 6/2011 – Present Harvey & Bernice Jones Eye Institute Leadership Committee 4/2010 – Present Harvey & Bernice Jones Eye Institute Education Committee 4/2010 – Present UAMS: 112 CHRP Human Resource Review Committee 10/2009 – 2010 UAMS Interdisciplinary Curriculum on Electronic Health Record Committee and Interprofessional Education 6/2009 – Present Office of Educational Development Faculty Search Committee 4/2009 – 7/2009 Harvey & Bernice Jones Eye Institute Marketing Committee 4/2009 – Present Jones Eye Institute Clinic Performance Improvement (15 Minute) Committee 10/2008 – Present CHRP Faculty Development and Services Committee 8/2007 – 8/2009 CHRP Associate Dean Faculty Search Committee 7/2007 – 12/2007 Medical Technology Faculty Search Committee 2/2007 – 8/2007 UAMS College of Health Related Professions Grievance Committee 2005 – 2007, 2009- Present Continuing Education Program Coordinator for CE Events, Harvey & Bernice Jones Eye Institute, UAMS 2004 – Present UAMS College of Health Related Professions Recruitment Committee 2004 – Present Educational Activities 1. Ophthalmic Medical Technology Program Organize all lectures, exams, assignments, and provide lectures for OMT students 2. Regional Continuing Education Programs for Ophthalmic Personnel Organize lectures and workshops for continuing education credit Workshops 1. Lead instructor for the Association of Technical Personnel in Ophthalmology (ATPO) National Meeting, COMT Performance Review Course 2. Co-Instructor for Ophthalmic Pearls Workshop for family medicine physicians, Jones Eye Institute, UAMS, March 14, 2009. 2. Ophthalmic Exam Room Basics for junior and senior medical students for the monthly Clinical Neuroscience Lecture Series, Jones Eye Institute, UAMS 3. Ophthalmic Exam Workshop for Harding Physician Assistant Students, Jones Eye Institute, UAMS 4. Instructor for the Association of Technical Personnel in Ophthalmology (ATPO) National Meeting, COMT Performance Review Course 5. Annual Skill Review and Check for JEI Technical Staff, Jones Eye Institute, UAMS th 6. Lead instructor for the Corneal Topography Workshop, JCAHPO’s 34 Annual Continuing Education Program for Ophthalmic Medical Personnel, Las Vegas, Nevada. November 13, 2006. 7. ICM Lab Instructor (for UAMS Medical Students), Visual Acuity and Confrontational Visual Fields, Jones Eye Institute, UAMS 2004 – Present 2006– Present 10/2009 3/2009 2007 – Present 2008 – Present 2004-2007, 2011 2007 – Present 11/2006 2004 – 2011 113 Oral Presentations 1. Hansen, S., Brummett, S. (co-presenter), Larson, P. COMT Written Exam Review. JCAHPO & ATPO Annual Continuing Education Program. Orlando, Florida. October 24, 2011. 2. Hansen, S., Diggins, D. (co-presenter), Shukla, A., Larson, P. COMT Written Exam Review. JCAHPO & ATPO Annual Continuing Education Program. San Francisco, California. October 27, 2009. 3. Hansen, S., Common Eye Disorders. Certified Professional Coders (CPC) Workshop. Little Rock Central Arkansas Chapter of American Academy of Professional Coders (AAPC). Little Rock, Arkansas. October 9, 2009. 4. Hansen, S., Common Eye Disorders. Arkansas Association for nd Healthcare Documentation Integrity. 22 Annual State Symposium. Little Rock, Arkansas. April 18, 2009. 5. Hansen, S., Ocular Sonography. Diagnostic Medical Sonography program. UAMS, Little Rock, AR. April 17, 2008. 6. Hansen, S., Common Disorders of the Eye. Conway Noon Lion’s Club. Univ. of Central Arkansas, Conway, AR. February 5, 2008. 7. Hansen, S., The Road to Certification. JEI Clinic Staff Meeting. JEI, UAMS, Little Rock, AR. January 24, 2008. 8. Hansen, S. Ophthalmic Medical Technology: An Eye Opening Career. Cabot High School Students, JEI, UAMS, Little Rock, AR. January 17, 2008. 9. Hansen, S., Ocular Examination Room Basics for College of Medicine students. JEI, UAMS, Little Rock, AR. Monthly presentation through 5/2010; weekly presentation 6/2010 to present. 10. Hansen, S. Ocular Health Review for Cytotechnology Program. JEI, UAMS, Little Rock, AR. February 9, 2007. st 11. Hansen, S, Westfall, CT. Orbital Rhabdomyosarcoma. ATPO’s 21 Annual Scientific Session. Las Vegas, Nevada. November 14, 2006. th 12. Hansen, S. Ophthalmic Medical Technology—Update 2006: 26 Annual Resident and Alumni Day. JEI, UAMS, Little Rock, AR. May 26, 2006. 13. Hansen, S. Introduction to Ophthalmology: 2005 Medical Application of Science Health (MASH) Program (for Arkansas High School Students). JEI, UAMS, Little Rock, AR. June 15, 2005, June 20, 2006, June 21, 2007, and June 19, 2008. 14. Westfall, CT, Hansen, S. Ophthalmic Medical Technology—Update th 2005: 25 Annual Resident and Alumni Day. JEI, UAMS, Little Rock, AR. May 27, 2005. 15. Hansen, S. Ophthalmic Medical Technology: An Eye Opening Career. Arkansas Gamma Chapter of Alpha Epsilon Delta (AED), University of Arkansas at Little Rock (UALR), Little Rock, AR. April 21, 2005. 10/2011 10/2009 10/2009 4/2009 4/2008 2/2008 1/2008 1/2008 9/2007 – Present 2/2007 11/2006 5/2006 2005 – 2008 5/2005 4/2005 114 Publications 1. Hansen, S. Progress Update. Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 6, no. 1, February 2010. 2. Hansen, S. Great News: New Occupational Classification for Ophthalmic Medical Technicians! Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 5, no. 2, August 2009. 3. Hansen, S. Hands-on Versus Computer Simulation for Clinical Skills, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 5, no. 1, February 2009. 4. Hansen, S. The Road to Certification: An Update on the Ophthalmic Certification Process, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 4, no. 1, February 2008. 5. Co-author for the COMT Flash Cards-Category: Advanced Ocular Motility, Association of Ophthalmic Medical Personnel, available for purchase from www.jcahpo.org. 6. Hansen, S: Pursing COMT Certification, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 3, no. 2, August 2007. 7. Hansen, S. Westfall, C: Proptosis in a Young Child, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 3, no. 1, February 2007. 8. Hansen, S: Keratometry, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 2, no.3, September 2006. 9. Hansen, S: The COT Certification Process, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 2, no. 2, June 2006. 10. Hansen, S: Maddox Rod Test, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol. 2, no. 2, June 2006. 11. Jenkins, P., Hansen, S: Double Maddox Rods, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.2, no. 1, March 2006. 12. Wiggins, M., Hansen, S: A New Journal for Ophthalmic Medical Personnel, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.1, no. 1, September 2005. 13. Wiggins, M., Hansen, S: The Subjective Refraction Issue, Editorial, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.1, no. 2, December 2005. Publication Reviews a. Shukla, A. (2008). Clinical Optics Primer for Ophthalmic Medical Personnel: A Guide to Laws, Formulas, Calculations, and Clinical Applications. Thorofare, New Jersey: SLACK. Reviewed Chapter 25: Decentration, Prentice’s Rule, and Induced Prism. Managing Editor, Journal of Ophthalmic Medical Technology, www.JOMTonline.com. b. Grants 2/2010 8/2009 2/2009 2/2008 11/2007 8/2007 2/2007 9/2006 6/2006 6/2006 3/2006 9/2005 12/2005 2008 2005 – Present Educational resources grant for Ophthalmic Medical Technology Program, $1,260 from the College of Health Related Professions, UAMS. 6/2007 Educational resources grant for Ophthalmic Medical Technology Program, $1,800 from the College of Health Related Professions, UAMS. 4/2006 Educational resources grant for Ophthalmic Medical Technology Program, $2,500 from the College of Health Related Professions, UAMS. 3/2005 115 Work Experience Ophthalmic Medical Technologist Harvey & Bernice Jones Eye Institute, Little Rock, AR Responsibilities include: provide technical support for physicians and staff for patient care, clinical supervision and instruction for OMT students and new staff. Optometry Technician VisionCare Arkansas, Conway, AR Responsibilities included: dispensed contact lenses and prescribed glasses, assisted with training new technicians, performed preexamination workup of patients, and updated patient records into main database. Ophthalmic Medical Technology Student Attended clinical rotations at: Harvey & Bernice Jones Eye Institute, UAMS, Little Rock, AR Arkansas Children’s Hospital, Dept. of Ophthalmology, Little Rock, AR Central Arkansas Veteran’s Healthcare Administration, VA, North Little Rock, AR 2003 – Present 1999 – 2003 2001 – 2003 116 Ophthalmic Continuing Education 1. JCAHPO/ATPO Annual CE Program. Orlando, Florida. October 21-24, 2011. 19 CE credit hours. 2. 2011 Ophthalmic Continuing Education Program. JEI, UAMS, Little Rock, Arkansas. June 10, 2011. 6.5 CE credit hours (Group A). 3. Mack, K. Reimbursement Update by the Corcoran Consulting Group. JEI, UAMS, Little Rock, Arkansas. April 21, 2011. 4 CE credit hours (Group A). 4. 2010 Ophthalmic Continuing Education Program. JEI, UAMS, Little Rock, Arkansas. June 11, 2010. 6.5 CE credit hours (Group A). 5. ATPO’s Arkansas Regional Continuing Education Program for Ophthalmic Medical Personnel. Little Rock, Arkansas. April 24, 2010. 6.75 CE credit hours (Group A). 6. Mack, K. Medicare Reimbursement for Office Visits & Consultations by the Corcoran Consulting Group. JEI, UAMS, Little Rock, Arkansas. November 12, 2009. 4 CE credit hours (Group A). 7. JCAHPO’s Annual Continuing Education Program for Ophthalmic Medical Personnel and th ATPO’s Scientific Session and Review Courses 37 Annual Meeting. San Francisco, California. October 23-27, 2009. (22.5 CE credit hours, 19 Group A and 3.5 Group B) 8. Cornea Problems. JEI, UAMS, Little Rock, Arkansas. July 30, 2009. 2 CE credit hours (Group A). 9. Slighton, J. Contact Lenses. JEI, UAMS, Little Rock, Arkansas. July 23, 2009. 5 CE credit hours (Group A). 10. Ophthalmic Continuing Education Program. JEI, UAMS, Little Rock, Arkansas. June 5, 2009. 6.5 CE credit hours (Group A). 11. Pediatric Problems. JEI, UAMS, Little Rock, Arkansas. May 29, 2008. 2 CE credit hours (Group A). th 12. 28 Annual Ophthalmology Resident Day. JEI, UAMS, Little Rock, Arkansas. May 23, 2008. 6 CE credit hours (Group B). 13. JCAHPO’s Arkansas Regional Continuing Education Program for Ophthalmic Medical Personnel. Little Rock, Arkansas. February 29 and March 1, 2008. 6.75 CE credit hours (Group A). 14. Steelman, F. Low Vision Rehabilitation. JEI, UAMS, Little Rock, Arkansas. February 21, 2008. 1 CE credit hour (Group A). 15. JCAHPO’s Annual Continuing Education Program for Ophthalmic Medical Personnel and th ATPO’s Scientific Session and Review Courses 35 Annual Meeting. New Orleans, Louisiana. November 9 – 13, 2007. 16. Jones Eye Institute Problem Case Conferences/Grand Rounds. Jones Eye Institute. Little st th st Rock, Arkansas. May 31 , June 4 , and 21 2007. 6 CE credit hours (8 Group B). 17. JCAHPO’s Annual Continuing Education Program for Ophthalmic Medical Personnel and th ATPO’s Scientific Session and Review Courses 34 Annual Meeting. Las Vegas, Nevada. November 10 – 14, 2006. 18. 2006 Contact Lens Training Seminar. The Vision Care Institute of Vistakon, Inc. Jacksonville, Florida. October 3-6, 2006. 19. Jones Eye Institute Problem Case Conferences/Grand Rounds. Jones Eye Institute. Little th th rd th Rock, Arkansas. June 9 , 16 , 23 , and 30 , 2006. 8 CE credit hours (8 Group A). 20. 2006 Ophthalmology Update. Baptist Eye Center. Little Rock, Arkansas. May 13, 2006. 6 CE credit hours (6 Group A). 21. JCAHPO’s Arkansas Regional Continuing Education Program for Ophthalmic Medical Personnel. Jones Eye Institute. Little Rock, Arkansas. February 4, 2006. 7.25 CE credit hours (4.25 Group A, 3 Group B). 22. JCAHPO’s Annual Continuing Education Program for Ophthalmic Medical Personnel and rd ATPO’s Scientific Session and Review Courses 33 Annual Meeting. Chicago, Illinois. October 14 – 18, 2005. 17.5 CE credit hours (10.5 Group A, 7 Group B). 23. de la Garza, Adam. Diagnosis and Management of Common Eyelid Lesions. 2005 COTP (Consortium of Ophthalmic Training Programs) Educational Program and Annual Meeting. Chicago, Illinois. October 15, 2005. 1 CE credit hour (1 Group A). 24. 2005 Ophthalmology Update. Baptist Eye Center. Little Rock, Arkansas. April 23, 2005. 6 117 CE credit hours (Group A). 25. JCAHPO’s Annual Continuing Education Program for Ophthalmic Medical Personnel and nd ATPO’s Scientific Session and Review Courses 32 Annual Meeting. New Orleans, Louisiana. October 22 – 27, 2004. 15 CE credit hours (12 Group A, 3 Group B). 26. Vann, Robin. Axial Length Biometry and IOL Calculations. 2004 COTP (Consortium of Ophthalmic Training Programs) Educational Program and Annual Meeting. New Orleans, Louisiana. October 23, 2004. 1 CE credit hour (Group A). 27. Summerville, Karen. Optics 101. 2004 COTP (Consortium of Ophthalmic Training Programs) Educational Program and Annual Meeting. New Orleans, Louisiana. October 23, 2004. 1 CE credit hour (Group A). 28. 2004 Ophthalmology Update. Baptist Eye Center. Little Rock, Arkansas. April 9, 2004. 6 CE credit hours (Group A). 29. Steelman, F. Low Vision Rehabilitation. JEI, UAMS, Little Rock, Arkansas. April 15, 2004. 1 CE credit hour (Group A). 30. 2003 Ophthalmology Update. Baptist Eye Center. Little Rock, Arkansas. April 2003. 118 MEDICAL DIRECTOR Michael N. Wiggins, MD, OCS Associate Professor of Ophthalmology College of Medicine College of Health Related Professions Medical Director, Department of Ophthalmic Technologies Associate Residency Program Director Jones Eye Institute University Of Arkansas for Medical Sciences 4301 W. Markham -Slot 523 Little Rock, AR 72205 Phone: (501) 686-5150 Fax: (501) 686-6798 Email: wigginsmichael@uams.edu Education MBA, Harding University Searcy, Arkansas, January 2010-July 2012 (anticipated completion date) Teaching Scholars Program, University of Arkansas for Medical Sciences Little Rock, Arkansas, September 2003-March 2005 Residency, Ophthalmology, University of Texas Medical Branch Galveston, Texas, July 1998-June 2001 Internship, Internal Medicine, University of Texas Medical Branch Galveston, Texas, July 1997-June 1998 MD, University of Arkansas for Medical Sciences Little Rock, Arkansas, August 1993-May 1997 BS, Biology, University of Central Arkansas Conway, Arkansas, August 1989-May 1993 Board Certification American Board of Ophthalmology, June 18, 2003 to December 31, 2013 119 Licensure and Certifications* Arkansas State Medical Board, 2002-present Texas State Board of Medical Examiners, 1998-present Ophthalmic Coding Specialist, 3/18/11-present Medicare/Medicaid DEA Academic Appointments Associate Professor - College of Medicine, Department of Ophthalmology 7/1/08 to present Associate Professor - College of Health Related Professions, Department of Ophthalmic Medical Technologies 7/1/09 to present Assistant Professor - College of Medicine, Department of Ophthalmology 1/02/03 to 6/30/08 Assistant Professor - College of Health Related Professions, Department of Ophthalmic Medical Technologies 7/15/05 to 6/30/09 Current Hospital Appointments University of Arkansas Hospital, Little Rock, AR Arkansas Children’s Hospital, Little Rock, AR John C. McClellan VA Hospital, Little Rock, AR Professional Organizations Fellow of the American Academy of Ophthalmology Associate Fellow, American College of Surgeons American Academy of Ophthalmic Executives Arkansas Ophthalmological Society Arkansas Medical Society Association of American Medical Colleges, Group on Educational Affairs Galveston Eye Association 120 Awards and Achievements* 17 Awards Six Faculty of the Year/Teaching Awards Six Clinical Awards Four Didactic Presentation Awards One Educational Research Award Current Administrative Duties Medical Director of the Ophthalmic Medical Technologies Program 7/15/08 to present Associate Residency Program Director, 12/11/03 to present Founder and Editor-in-chief, Journal of Ophthalmic Medical Technology www.JOMTonline.com, 6/10/05 to present Didactic course director for four courses, Department of Ophthalmology residency program Clinical Optics and Refractive Surgery, 7/29/08 to present Department of Ophthalmic Technologies Optics I and Optics II, 6/9/05 to present Residency Oral Examination Director, 10/29/04 to present Past Administrative Duties Director of Refractive Surgery and the Jones Eye Institute Laser Center 10/25/06 to 1/23/09 Department of Ophthalmology CME Director, 7/15/03 to 5/14/08 Jones Eye Institute Grand Rounds Director, 7/15/03 to 5/14/08 Departmental Director for Quality Improvement, 12/14/04 to 9/21/07 Interim Clerkship Director, UAMS Medical School, Ophthalmology elective 121 7/04 to 8/04 Current Committee Service* National Faculty member, American Academy of Ophthalmology Basic and Clinical Science Course Committee 11, Lens and Cataract 1/1/08 to 12/31/12 UAMS Faculty Group Practice Executive Committee Revenue Cycle subcommittee, 4/11/11 to present Department of Ophthalmology Seats on six committees, including the Education Directors committee and the Clinic Directors committee Editorial Review* Editorial reviewer for The Joint Commission on Allied Health Personnel in Ophthalmology Manuscript reviewer for four peer-reviewed Ophthalmology journals Publications* 37 peer-reviewed publications 17 publications in the Journal of Ophthalmic Medical Technology 20 publications in other Ophthalmology or Medical Education peer-reviewed journals Posters* Four posters presented at regional and national medical education or ophthalmology conferences National Meeting Presentations* Six allied health presentations given with two presentations voted as the best session lecture Two ophthalmology presentations as second- author, presented by the first author 122 Local and Regional Meeting Presentations* Six presentations as the primary lecturer Fifteen resident physician mentored projects Guest Lectures* Ten invited lectures given with one presentation awarded as the best review course lecture Civic Activities* Eight public service appearances on television Five public service community lectures Four public service interviews, radio/newspaper Volunteerism at the River City Ministries Sight-Savers program and the UAMS Mini-medical School Past Work Experience* Ophthalmology Private Practice Carrollton Eye Clinic, Carrollton, GA, July 2001-December 2002 Lions Eye Bank procurer University of Texas Medical Branch, Galveston, TX 2000 Emergency Department physician University of Texas Medical Branch, Galveston, TX 1999 Anesthesiology technician, UAMS 1997 Research assistant, UAMS, Departments of Psychiatry, Pharmacology, Nephrology; Summers: 1991-1994 123 Appendix 5b: PROGRAM FACULTY Vitae forms (A-4) for rest of faculty 124 Form A-4 No. 1 NAME AND CREDENTIALS: Jennifer Anderson, MD FACULTY POSITION AND RANK Asst _____X_____ CURRENT RESPONSIBILITIES: Prof, Dept of Ophthalmology, UAMS / VA FULL-TIME __________ PART-TIME Chief of ophthalmology LRVA; teaching ophthalmology residents, OMT students, and medical students.________________________ EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS /VA Asst Prof 7/10 to Present UAMS/VA Chief of Ophth. VA 2011 to Present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Eastern Virginia Medical School MD UAMS Pham D (1999) (2004) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE) 1. Anderson J; Swollen Eyelid. Journal of Ophthalmic Medical Technology 2005 December, 1(2): 2. Sutherland J, Tanner L, Moore J: Conversion of Ferulic Acid to 4-Vinylguaiacol by Yeasts Isolated from Frozen Concentrated Orange Juice. Journal of Food Protection 1995 November. 58: 1260-1262 125 Form A-4 No. 2 NAME AND CREDENTIALS: Joy Banks, M.Ed., COMT FACULTY POSITION & RANK: Instructor, Dept. of Ophthalmic Technologies, UAMS CHRP____ X Full-Time Part-Time CURRENT RESPONSIBILITIES: Patient care; photography; coordination of instruction, teaching, OMT student preceptor, and student evaluations. ___ EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Tech 8/05 to present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED University of Arkansas at Little Rock M.Ed. Adult Education (2009) __________ UAMS B.S. Ophthalmic Medical Technology (2005) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Banks J; Fluorescein Angiography, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.4, no. 1, February 2008. 2. Banks J; Manifest Refraction, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.3, no. 1, February 2007. 3. Banks J; Basic Retinoscopy, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.2, no. 3, September 2006. 126 Form A-4 No. 3 NAME AND CREDENTIALS: Laurie G. Barber, M.D FACULTY POSITION & RANK: Professor, Dept. of Ophthalmology, UAMS Full-Time X Part-Time CURRENT RESPONSIBILITIES: Comprehensive ophthalmology clinic; research; ultrasound; teaching UAMS Ophthalmology residents, medical students, and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Professor 7/04 to present UAMS Assoc Prof 7/1/97 to 2004 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED College of Medicine, Univ. of Iowa MD with Honors (1984) Iowa State University BS with Distinction (1980) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 4. Barber L; Tolerability, Efficacy of Topical Antihistamine in Case Study Scenario, Ophthalmology Times 2010 February 5. Barber, L; Dry Eye: Closing the Treatment Gap, Review of Ophthalmology 2006 November; 13(11) 6. Barber LD, Pflugfelder SC, Tauber J; Foulks GN; Phase III safety evaluation of cyclosporine 0.1% ophthalmic emulsion administered twice daily to dry eye disease patients for up to 3 years. Ophthalmology 2005 Oct; 112(10):1790-1794 127 Form A-4 No. 4 NAME AND CREDENTIALS: Leora (Hansberry) Bibbs, OMT FACULTY POSITION & RANK: Course Director, Dept. of Ophthalmic Technologies, UAMS CHRP___________________________________________ X Full-Time Part-Time CURRENT RESPONSIBILITIES: Patient care; low vision; coordination of instruction, teaching, OMT student preceptor, and student evaluations. ___ EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Tech 2007 to present __ EDUCATION HISTORY INSTITUTION UAMS DEGREE OR AWARD RECEIVED B.S. Ophthalmic Medical Technology (2007) Pulaski Technical College Associate of Arts (2003)________________ CERTIFICATION PROGRESS Completed COMT Multiple-Choice Exam 11/ 2006 Completed COT Skill Evaluation 5/2011 PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Hansberry L; Central Serous Retinopathy, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.3, no. 2, August 2007. 128 Form A-4 No. 5 NAME AND CREDENTIALS: Shawn Brown, C.O., COMT FACULTY POSITION & RANK: Instructor, Dept. of Ophthalmic Technologies, UAMS CHRP Orthoptist/Technologist, Arkansas Children’s Hospital X Full-Time Part-Time CURRENT RESPONSIBILITIES: Patient care; pediatric and adult strabismus; coordination of instruction, teaching, OMT student preceptor, and student evaluations. ___ EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT Arkansas Children’s Hospital C.O./COMT 2007 to present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Park Nicollet Clinic Orthoptic Fellowship (2006-2007) _____ UAMS B.S. Ophthalmic Medical Technology (2004) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Brown S; Ocular Fixation, Saccade, Pursuit & Vestibular Functions, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.4, no. 1, February 2008. 2. Brown S; Plastic Surgery: It’s All Connected, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.4, no. 1, February 2008. 129 Form A-4 No. 6 Name and credentials: Susan Brummett, COMT Faculty Position & Rank: Instructor, College of Health Related Professions, UAMS __X___ Full-Time Current Responsibilities: ______ Part-Time Patient care, coordination of instruction, teaching, and preceptor for OMT students, and student evaluations. Employment History (Last two positions) Employer 1. CAVHS-LR_____ Position Dates of Employment COMT 7/2010- Present____________________ 2. Education History Institution Degree or Award Received 1. UAMS, College of Health Related Prof._B.S., Ophthalmic Medical Technology (2003) Publications (Most recent, not to exceed three) 1. Brummett, S: Introduction to Lensometry. Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 3, No.2, August 2007. 2. Brummett, S: The Toxic Houseplant. Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 3, No.1, February 2007. 3. Brummett, S: History and Evolution of Ophthalmic Medical Personnel (Editorial). Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 2, No.3, September 2006. 130 Form A-4 No. 7 NAME AND CREDENTIALS: Thomas C Cannon, MD FACULTY POSITION AND RANK ASSOC PROF, DEPT OF OPHTHALMOLOGY, UAMS/VA _____X_____ CURRENT RESPONSIBILITIES: FULL-TIME __________ PART-TIME Ocular pathologist and comprehensive ophthalmologist, Dept of Ophthalmology, VA; teaching ophthalmology residents, OMT students, and medical students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS /VA –Dept of Ophthalmology Assoc Prof 2009 to present UAMS/VA-Dept of Ophthalmology Asst Prof 2003-2009 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED American Univ of the Caribbean School of Med MD (1987) Salve Regina College BA (1983) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Thuro B, Cannon TC, Deacon B, Staples S, Brown G, Brown MF; The Basics of Corneal Transplantation: from Donor to Recipient. Journal of Ophthalmic Medical Technology (JOMT) 2008 August; 4(2): 2. Lovelace K, Cannon TC, Flynn S, Davis P, Schmucker T, Westfall CT: Optic neuropathy in patient with Wegener’s granulomatosis. J Ark Med Soc 2004 Jun 100(12):428-429. 3. Cannon TC, Hughes BM, Flynn SB, Feiz V, Westfall CT; Fishhook injuries of the eye: report of a case and review and management. Journal of Ophthalmic Medical Technology (JOMT)2008 August;4(2) 131 Form A-4 No. 8 NAME AND CREDENTIALS Joseph Chacko, M.D. FACULTY POSITION AND RANK Assoc Professor, Dept of Ophthalmology & Neurology, UAMS ____X______ FULL-TIME CURRENT RESPONSIBILITIES: __________ PART-TIME Neuro-ophthalmology & comprehensive ophthalmology clinic & surgery; research; teaching UAMS Ophthalmology residents, medical students, and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Assoc Prof 7/10 to present UAMS Asst Prof 2005-2010 EDUCATION HISTORY DEGREE OR AWARD RECEIVED _Medical College of PA_____________________ INSTITUTION MD (1991)_____________________ Medical College of GA Ophth Residency 1992-1995 Univ. of Miami – Bascom Palmer Neuro-ophth Fellow 2004-2005 PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Chacko JG, Brock W, Brown H, Luetmer P, Giannini C. Blurred Vision and Eye Pain in a Middle-Aged Woman. Journal of Neuro-Ophthalmol. 2010; 30(3): 284-7. 2. Chacko JG, Miller JL, Angtuaco EJ. Spontaneous Postpartum Resolution of Vision Loss caused by a presumed Hormonally-Responsive Meningioma. Journal of Neuro-Ophthalmol. 2010 30(2):1-3. 3. Chacko JG, Lam BL, Adusumilli J, Dubovy, SR. Multicentric malignant Glioma of Adulthood Masquerading as Optic Neuritis. BJO 2008 October, print: 2010;(94):782-783, 812-813 132 Form A-4 No. 9 NAME AND CREDENTIALS: Romona L. Davis, M.D. FACULTY POSITION & RANK: Asst Prof, Dept. of Ophthalmology, UAMS Asst Prof, College of Health Related Professions, UAMS X CURRENT RESPONSIBILITIES: Full-Time ______ Part-Time Comprehensive ophthalmology clinic; research; teaching UAMS Ophthalmology residents, medical students, and OMT students. Course director for Ocular Anatomy and Physiology and Surgical assisting for the OMT program. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS & VA Asst Prof 2005 to present CIBA Sales Rep 1992-1996 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED UAMS, College of Medicine MD (2004) Dillard University BS (1998) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Davis, RL, O’Sullivan, P, Mercado, CC, et al. Defining the Core Competency of Professionalism Based on the Patient’s Perception of Physician-Patient Interaction. Experimental Ophthalmology 2006 2. Lovelace K, Cannon TC, Flynn SB Schmucker T, Davis RL; Optic Neuropathy in Wegener’s Granulomatosis. The Journal of the Arkansas Medical Society 2004 3. Flynn SB, Phillips PH, Cannon TC, Schmucker T, Davis RL; Carcinomatous Optic neuropathy. The Journal of the Arkansas Medical Society 2004. 133 Form A-4 No. 10 NAME AND CREDENTIALS Inci Irak Dersu, M.D., MPH FACULTY POSITION AND RANK Assoc Prof, Dept of Ophthalmology, UAMS ____X______ FULL-TIME CURRENT RESPONSIBILITIES: __________ PART-TIME Ophthalmology (glaucoma) clinic & surgery; research; teaching UAMS Ophthalmology residents, medical students, and OMT students. Director Medical Student Clerkship EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Assoc Prof 7/10-Present UAMS Asst Prof 6/05- 6/10 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Univ. of Hacettepe MD Univ. of Ankara Ophthalmology Residency Univ. of Medicine/Dentistry, New Jersey Ophthalmology Residency PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Michael Wiggins, I Irak-Dersu, Scott Turner, Jeffrey Thostenson; Glare testing in cataract patients after dilation. 2009, 116:1332-1335. Ophthalmology. 2. Irak D, Thayi D; Primary angle-closure glaucoma. Ophthalmology 2007 May; 114(5):10311032 3. I Irak-Dersu, Balamurugan A; First report of Prevalence of Eye Diseases and Visual Disability in Arkansas-2006: In press. Journal of Arkansas Medical Society 134 Form A-4 No. 11 NAME AND CREDENTIALS: K. Camille DiMiceli, MD FACULTY POSITION AND RANK: Assistant Prof, Dept of Ophthalmology, UAMS X CURRENT RESPONSIBILITIES: FULL-TIME _____ PART-TIME Pediatric ophthalmology and adult strabismus. Teaching Ophthalmology residents, medical and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Assistant Prof 9/11 to Present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Northwestern University, Chicago, IL Fellowship 7/10 to 8/11____ Geisinger Medical Center, Danville, PA Residency 6/07 to 6/10_____ University of California – Irvine, Orange CA____________ Internship 7/06 – 6/07______ University of Texas Southwestern Medical School, Dallas, TX____MD 8/02 – 6/06___________ University of Texas Austin, Austin, TX______________________ BA 8/98 to 5/02__________ PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. D’Orazio, Tom, MD, PhD, DiMiceli, K. Camille, Sullivan, Brian, MD, “Explanted Intraocular Lenses: A Ten-Year Retrospective Review.” Prepared for submission to the Journal of Cataract and Refractive Surgery (1/1/1995 to 12/31/2004). 2. Dr. Dwight Cavanagh’s Laboratory: Ren, David H., M.D., Yamamoto Kazuaki, MS, Cavanagh, Dwight, MD, PhD. “Adaptive Effects of 30-Night Wear of Hyper-O2 Transmissible Contact Lenses on Bacterial and Corneal Epithelium.” Ophthalmology, vol 109, No.1, 2002. 135 Form A-4 No. 12 Name and credentials: Brenda Duhamel, COA, NCLE Faculty Position & Rank: Contact Lens Specialist, Jones Eye Institute __X___ Full-Time Current Responsibilities: ______ Part-Time Contact lens specialist, delivering patient care at JEI; teaching UAMS Ophthalmology residents and OMT students. Employment History (Last two positions) Employer Position Dates of Employment 1. UAMS – JEI________________Contact Lens Specialist_1999 to present____________ Education History Institution Degree or Award Received 1. Arkansas State University___________________Associate (Business) 1985__________ Publications (Most recent, not to exceed three) 1. Duhamel B: Types of Contact Lenses. Journal of Ophthalmic Medical Technology; vol 3, Nu 2, August 2007. 2. Duhamel B: Contact Lenses 101 Journal of Ophthalmic Medical Technology; vol 1, nu 1, September 2005. 136 Form A-4 No. 13 Name and credentials: Katherine J. Fray, C.O. Faculty Position & Rank: Certified Orthoptist, ACH, UAMS __X___ Full-Time Current Responsibilities: ______ Part-Time Clinical and academic orthoptist delivering patient care at ACH, & JEI; orthoptic research; teaching UAMS Ophthalmology residents, medical students, and OMT students. Employment History (Last two positions) Employer Position Dates of Employment 1. UAMS – ACH Certified Orthoptist 10/1990 to present______________ 2. UAMS- JEI Adjuct Teaching 10/1990 to present______________ Education History Institution Degree or Award Received 1. U. Iowa Orthoptics Training Pgm. C.O. (1990)__________________________ 2. U. Iowa, Iowa City, Iowa B.S. (1983-1988)______________________ Publications (Most recent, not to exceed three) 1. Phillips PH, Fray KJ, Brodsky MC: Convergence insufficiency intermittent exotropia--a “soft” sign of neurological disease. Brit J Ophthalmol 2005; 89:1120-1122. 2. Fray, KJ, Brodsky MC: Angle kappa or angle lambda? Am J Ophthalmol 2004; 138:692-693. 3. Fray, KJ: The role of the orthoptist in eye health care delivery in developing countries. Transactions of the Xth International Orthoptic Congress [on CD-ROM] 2004; 487-489. 137 Form A-4 No. 14 NAME AND CREDENTIALS: FACULTY POSITION & RANK: Kimberly Glaze, COMT Instructor, College of Health Related Professions, UAMS_______ X CURRENT RESPONSIBILITIES: Full-Time ______ Part-Time Clinic supervisor for JEI, Patient care, coordination of instruction, teaching, OMT student preceptor, and student evaluations. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER UAMS POSITION DATES OF EMPLOYMENT OMT 2002 to present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED UAMS, College of Health Related Prof. B.S., Ophthalmic Medical Technology 2002 PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) NOT APPLICABLE 138 Form A-4 No. 15 NAME AND CREDENTIALS: Stacia Grimes, COMT FACULTY POSITION & RANK: Instructor, Dept. of Ophthalmic Technologies, UAMS CHRP____ X Full-Time Part-Time CURRENT RESPONSIBILITIES: Patient care; coordination of instruction, teaching, OMT student preceptor, and student evaluations. ___ EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Tech 8/05 to present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED UAMS B.S. Ophthalmic Medical Technology (2005) University of Arkansas B.S._________________________________ PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Grimes S; Mydriatics and Cycloplegics, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), vol.3, no. 2, August 2007. 139 Form A-4 No. 16 NAME AND CREDENTIALS: Richard A. Harper, M.D. FACULTY POSITION & RANK: Professor, Dept of Ophthalmology, UAMS __X CURRENT RESPONSIBILITIES: Full-Time ______ Part-Time Comprehensive ophthalmology clinic & surgery; low vision clinic; research; residency program director; teaching UAMS Ophthalmology residents, medical students, and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Prof 7/07 to present UAMS Assoc Prof 7/00 to 6/07 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED U. Oklahoma, Coll. of Med, Oklahoma City M.D. (1984) Alpha Omega Alpha Univ. of Oklahoma, Oklahoma City, OK B.S. (1980) Phi Beta Kappa PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. George M, Harper R, Balamurugan A, Kilmer G, Bynum L. Diabetic retinopathy and Its Risk Factors in a Population-Based Study Journal of Primary Care & Community Health. 2011 Apr;2(2): 122-6 2. Harper RA, Exec Editor 9th ed. Basic Ophthalmology. American Academy of Ophthalmology: 2010 3. Suffridge P, Wiggins M, Landes R, Harper R: Diphenhydramine as a topical ocular anesthetic. Canadian Journal of Ophthalmology. 2009 Apr;44(2):181-4 140 Form A-4 No. 17 NAME AND CREDENTIALS Nicola M. (Selig) Kim, M.D FACULTY POSITION AND RANK Asst Professor, Dept of Ophthalmology, UAMS __________ FULL-TIME CURRENT RESPONSIBILITIES: ____X______ PART-TIME Comprehensive ophthalmology clinic & surgery; research; teaching UAMS Ophthalmology residents, medical students, and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Asst Prof 2002- Present____________ T. Jeff Russell, M.D. Ophthalmologist 10/00 – 6/02 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Georgetown University, School of Medicine MD (1993) Alpha Omega Alpha Georgetown University, Washington, D.C. BA (1989) Magna Cum Laude PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Kim N, Diabetic Retinopathy Clinical Research Network; Three year Follow Up of a Randomized Trial Comparing Focal/Grid Photocoagulation and Intravitreal Triamcinolone for Diabetic Macular Edema. 2009. 245-251. Arch Ophthalmol. 2. Stier CT Jr., Selig N. Itskovitz HD. Enhanced vasodilatory response to bradykinin in stroke-prone spontaneously hypertensive rats. Eur J Pharmacol. 210(2):217-9, 1992 3. Stier CT Jr., Benter IF, Ahmad S, Zuo HL, Selig N, Roethel S, Levine S. Itskovitz HD. Enalapril prevents stroke and kidney dysfunction in salt-loaded stroke-prone spontaneously hypertensive rats. Hypertension. 13(2):115-21, 1989. 141 Form A-4 No. 18 NAME AND CREDENTIALS: R Scott Lowery, MD FACULTY POSITION AND RANK: Assoc Prof, Dept of Ophthalmology, UAMS X CURRENT RESPONSIBILITIES: FULL-TIME _____ PART-TIME Pediatric ophthalmology and adult strabismus. Teaching Ophthalmology residents, medical and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Assoc Prof 7/11 to Present UAMS Asst Prof 2005 -6/11 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED UAMS MD (1999) Baylor University, Waco, TX BA (1995) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 3. Lowery RS, Hutchinson A, Lambert SR; Emmetropization in accommodative esotropia: an update and review. Compr Ophthalmol Update 2006 May; 7(3):145-149. 4. Lowery RS, Atkinson D, Lambert Scott R; Cryptic Cerebral Visual Impairment In Children. Br J Ophthalmol 2006 5; 90:960-963. 142 Form A-4 No. 19 NAME AND CREDENTIALS: JOHN D PEMBERTON, DO FACULTY POSITION AND RANK ASST PROF, DEPT OF OPHTHALMOLOGY, UAMS _____X_____ CURRENT RESPONSIBILITIES: FULL-TIME __________ PART-TIME Asst Prof, Dept of Ophthalmology, UAMS; Oculoplastic reconstructive surgery; teaching ophthalmology residents, OMT students, and medical students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS –Dept of Ophthalmology Asst Prof 6/11 Irwin Army Community Hospital Ophthalmologist 12/10-5/11 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Touro University College of Osteopathic Medicine DO (2001) Grand Canyon University BS (1994) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Weir RE, Mehta MN, Pemberton JD, Fay A. Growth Patterns in the orbital region: A Study of Cadava Crania. May 04, 2011 ARVO Presentation. 2. Pemberton, JD, Vidor I, Sivak-Callcott JA, Bailey NG, Sarwari AR, North American Blastomycosis of the Eyelid. Ophthal Plast Reconstr Surg. 2009 May-June: 25(3)230-2. 3. Pemberton JD, Smith SK. What is your Diagnosis? Cicatricial Pemphigoid. Cutis. 2004 Jul; 74(1):26,68-9. 143 Form A-4 No. 20 NAME AND CREDENTIALS: FACULTY POSITION & RANK: Paul H. Phillips, M.D Professor, Dept of Pediatric Ophthalmology & Strabismus, ACH, UAMS __X___ Full-Time CURRENT RESPONSIBILITIES: ______ Part-Time Pediatric/adult ophthalmology and strabismus clinic & surgery; research; teaching UAMS Ophthalmology residents, medical students, and OMT students, Chief of Oph Service ACH. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Prof 2008 to present UAMS Assoc Prof 2002 to 2008 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED SUNY (Buffalo) Medical School MD (1989) Summa cum laude Clark Univ, Worchester, MA BS (1984) Summa cum laude PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Phillips PH; Current Management in Child Neurology, 4ed. Connecticut:BC Decker, Inc., Peoples Medical Publishing; 2009. Pseudotumor Cerebri: idiopathic Intracranial Hypertension: In Maria, BL. 2. Nazir S, O’Brien M, Qureshi NH, Slape L, Green TJ, Phillips PH; Sensitivity of papilledema as a sign of shunt failure in children. J AAPOS 2009 November; 13:63-66 3. Chacko JG, Phillips PH; Optic Nerve Head Drusen Simulating a Bitemporal Hemianopia. Annals of Ophthalmology (Skokie) 2009 41:47-49 144 Form A-4 No. 21 NAME AND CREDENTIALS: John P. Shock, M.D. FACULTY POSITION & RANK: Distinguished Prof, Dept of Ophthalmology, UAMS __X___ Full-Time CURRENT RESPONSIBILITIES: ______ Part-Time Comprehensive/retinal ophthalmology clinic; teaching ophthalmology residents, and OMT students. Practice Director EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS – Jones Eye Inst Practice Director 2010 to present UAMS – Jones Eye Inst Founding Director 2010 UAMS – Jones Eye Inst Distinguished Prof 2010 UAMS – Jones Eye Inst Director 1993 to 2010 UAMS – Dept Ophthalmology Prof & Chairman 1979 to 2010 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Duke Univ Medical School MD (1966) US Military Academy, West Point, NY BS (1959) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Harper RA, Shock JP; General Ophthalmology. 17th ed. Appleton & Lange;2006..Lens. 2. Shock, JP: President’s Perspective: Reform with Change. AUPO News and Views, March 2003. 3. Harper RA, Shock JP; General Ophthalmology. 16th ed. Appleton & Lange:2003. Lens. 145 Form A-4 No. 22 Name and credentials: Steve Staples, COMT, CEBT Faculty Position & Rank: Instructor, College of Health Related Prof., UAMS Certified Eye Bank Technician for Arkansas Eye Bank __X___ Full-Time Current Responsibilities: ______ Part-Time Teaching, student evaluations, and recruiting for OMT program. Employment History (Last two positions) Employer 1. UAMS, Lions Eye Bank Position Dates of Employment Technical Director 2004 – Present_______________ 2. UAMS, Jones Eye Institute COMT 12/2002 – 2004______________ Education History Institution Degree or Award Received 1. UAMS, College of Health Related Prof. B.S., Ophth. Medical Technology (2002) 2._Arkansas Tech. Univ. B.S. (1996)_______________________ Publications (Most recent, not to exceed three) 1. Thuro B, Cannon T, Deacon B, Staples S, Brown G, Brown: The Basics of Cornealv Transplantation: From Donor to Recipient, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 4, No.2, August, 2008. 2. Staples, S: An Introduction to Eye Banking, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 2, No.3, September, 2006. 3. Staples, S: An Eye on Public Health, Journal of Ophthalmic Medical Technology (www.JOMTonline.com), Vol. 1, No.2, December, 2005. 146 Form A-4 No. 23 NAME AND CREDENTIALS: Deepa R Thayi, MD FACULTY POSITION AND RANK Asst _____X_____ CURRENT RESPONSIBILITIES: Prof, Dept of Ophthalmology, VA FULL-TIME __________ PART-TIME Comprehensive ophthalmologist; teaching ophthalmology residents, OMT students, and medical students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS / VA Asst Prof 2009-present UAMA / VA Instructor 2008-2009 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Kilpauk Medical College Dr M G R (1988-1994) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Thayi, DR; Retina Grand Rounds, Journal of Ophthalmic Medical Technology 2006 September; 2(3). 147 Form A-4 No. 24 NAME AND CREDENTIALS: FACULTY POSITION & RANK: A. Henry Thomas, M.D. Prof , Dept of Ophthalmology, UAMS __X___ Full-Time cURRENT RESPONSIBILITIES: ______ Part-Time Adult and pediatric ophthalmology and strabismus clinic; teaching UAMS Ophthalmology residents, medical students, and OMT students. EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS_________ Professor 2004 – Present UAMS Assoc Prof 1976-2004 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED University of Arkansas for Medical Sciences MD (1968) University of Arkansas BA (1964) PUBLICATIONS (MOST RECENT, NOT TO EXCEED THREE) 1. Brodsky MC and Thomas AH: Accommodative Esotropia. An unrecognized cause of hemi facial spasm in children. Development Medicine and Child Neurology; Vol. 43, 2001 p. 552-554. 2. Thomas AH: Divergence Insufficiency. Journal of American Association for Pediatric Ophthalmology and Strabismus; Vol. 4, December 2000, p. 359 – 361. 3. Thomas AH: Superior Oblique Myokymia. Current Ocular Therapy. (5) Fraunfelder, R.T. and Roy, F.H. (eds). W.B. Saunders, Philadelphia 2000, p. 412. . 148 Form A-4 No. 25 NAME AND CREDENTIALS: Sami Uwaydat, MD FACULTY POSITION AND RANK Asst Prof, Director of Vitreoretinal Service, Dept of Ophthalmology, UAMS _____X_____ CURRENT RESPONSIBILITIES: FULL-TIME __________ PART-TIME Ophthalmologist (retina subspec), teaching ophthalmology residents, OMT students, and medical students. Ocular genetics EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS Asst Prof 2008 to Present EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED American University of Beirut MD (1994) American University of Beirut BS (1990) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Wiggins MN, Uwaydat; Cannula ejection into the Cornea During Wound Hydrations. British Journal of Ophthalmology 2008 92 181. 2. Bayram JD, Uwaydat; The Five Minute Emergency Medicine Consult. Third ed. Philadelphia, PA: Lippincogtt Williams & Wilkins; 007. Hyphema In: Schaider JJ, Hayden SSR, Wolfe RE Barin RM, Rosen P, eds. 3. Wiggins MN, Uwaydat SH; Microbial contamination of ophthalmic operating microscopes. Eye 2007 Jul 21(7):1012-1013. 149 Form A-4 No. 26 NAME AND CREDENTIALS: David B Warner, MD FACULTY POSITION AND RANK Asst _____X_____ CURRENT RESPONSIBILITIES: Prof, Dept of Ophthalmology, UAMS FULL-TIME __________ PART-TIME Asst Prof subsp Cornea; teaching ophthalmology residents, OMT students, and medical students; medical director Arkansas Lions Eye Bank EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS –Dept of Ophthalmology Asst Prof 8/11 South Arkansas Eye Clinic Ophthalmologist 11/09 – 6/10 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED St Louis University MD (2004) with distinction in resch University of Utah BA (1999) PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Lowery RS, Warner D, et al. Long-term visual acuity and initial postoperative refractive error in pediatric pseudophakia. Can J Ophthalmol 2011 (Apr);46:143-7. 2. Wiggins MN, Warner D; Resident physician operative times during cataract surgery. Ophthalmic Surg Lasers Imaging 2010 (Sept); 41:518-522. 150 Form A-4 No. 27 NAME AND CREDENTIALS: Christopher T Westfall, MD FACULTY POSITION AND RANK Prof _____X_____ CURRENT RESPONSIBILITIES: and chair, Dept of Ophthalmology, UAMS FULL-TIME __________ PART-TIME Chair, Dept of Ophthalmology, UAMS; Oculoplastic reconstructive surgery; teaching ophthalmology residents, OMT students, and medical students, director of JEI EMPLOYMENT HISTORY (LAST TWO POSITIONS) EMPLOYER POSITION DATES OF EMPLOYMENT UAMS –Dept of Ophthalmology Prof & Chair 2010 UAMS-Jones Eye Institute Director 2010 UAMS-Jones Eye Institute Vice chair 2000-2010 EDUCATION HISTORY INSTITUTION DEGREE OR AWARD RECEIVED Ohio State University MD US Military Academy , West Point, NY BA PUBLICATIONS, MOST RECENT (NOT TO EXCEED THREE 1. Lovelace K, Cannon TC, Flynn S, Davis P, Schmucker T, Westfall CT: Optic neuropathy in patient with Wegener’s granulomatosis. J Ark Med Soc 2004 Jun 100(12):428-429. 2. Flynn SB Cannon TC, Schmucker T, Davis R, Westfall CT: Orbital Foreign Body. Arch Ophthalmol 2004 6:122(2):296-297. 3. Naxir SA, Westfall C, Chacko, Joseph G, Phillips Paul H, Stack Jr BC: Direct traumatic optic neuropathy: a remarkable case of recovery. American Journal of Otolaryngology 2009 epub March 29, 2009. 151 Form A-4 No. 28 Name and credentials: Barbara Wright, Master Optician Faculty Position & Rank: Manager, Jones Eye Institute Optical Shop __X___ Full-Time Current Responsibilities: ______ Part-Time Manage all aspects of an optical shop associated with a major ophthalmology clinic, including measuring for glasses and lenses, ordering, managing inventory, and keeping up-to-date on progress in the industry. Employment History (Last two positions) Employer Position Dates of Employment 1. UAMS – Jones Eye Institute Manager 1994 to present________________ 2. Sam’s Optical Manager 1993 – 1994__________________ Education History Institution 1. Des Moines Area College. Degree or Award Received Diploma___________________________ Publications (Most recent, not to exceed three) NONE 152 Appendix 6: PROGRAM FINANCES Completed form (A-5) or institution’s form containing 3-year (last, current, and projected) budget. 153 PROGRAM FINANCES (A – 5) --------------------------- Financial Year ------------------------------Past Year 2010 - 2011 Current Year 2011 – 2012 Projected year 2012 – 2013 $ 53,147 $ 7,083 $ 26,730 (full time) $ 54,210 $ 7,083 $ 23,730 (temp service) $ 54,210* $ 7,589** $ 12,500 (part time) $ 1,500 $ 2,000 $ 1,500 $ 1,800 $ 1,800 $ 1,800 $ 250 $ 300 $ 150 $ 5,700 $ 1,200 $ 50 $ 400 $ 5,400 $ 250 $ 150 $ 1,000 $ 5,000 $ 1,000 $ 50 $ 800 $ 1,020 $ 300 $ 1,020 $ 300 $ 1,020 $ 300 CAPITAL PURCHASES 0 0 0 TOTAL EXPENSES $ 99, 180 $97,243 ___ _ $ 85, 919 Description SALARIES Faculty (full-time) Faculty (Medical Director) Admin Assistant SUPPLIES Instructional supplies Office supplies Books/Texts Rentals Computer supplies Software OTHER OPERATING EXPENSES Contracted Services Postage/Freight Faculty/Staff Training Travel Advertising/Recruitment Catalogs/Brochures/Recruitment Membership Dues/Subscriptions Accreditation Equipment Maintenance Leased Equipment Other (maintenance/service) NOTE: *Program Director’s salary **Majority of Medical Director’s salary is provided by UAMS College of Medicine 154 Appendix 7a: STUDENT ACADEMIC POLICIES Admission policies & criteria Information on criteria and policies regarding admission to the CHRP, admission deadlines, minimum criteria and pre-requisites, re-applying, transcript evaluation, advanced placement, academic regulations, and information regarding foreign applicants and their special needs are stated in the 2011-2012 CHRP Catalog (pages 8 – 18; and 81 - 84), a copy of which is attached. Examples of the CHRP Admissions Officer’s letters offering admission or conditional admission to the OMT program are shown in the following pages. Examples of the OMT Professional Observation form and the Interview form are also shown on the following pages. 155 Example of an Unconditional Acceptance (Admission) Letter Date Student Name Student Address City, State Zip Salutation On behalf of the College of Health Related Professions and the Department of Ophthalmic Technologies, I am pleased to offer you admission to the Fall ____ class of Ophthalmic Medical Technology (OMT). A mandatory orientation for new students will be held on August __, ____. More information concerning these activities will be forwarded to you during the coming months. If you wish to secure your place in the Fall ____ class, I must receive your acceptance in writing along with a $57.00 non-refundable deposit. The deposit will be applied to your fall tuition. This deposit, the written statement of acceptance and the enclosed completed Student Data Sheet must be sent to Phyllis Fields, Admissions Officer, UAMS, 4301 West Markham, Slot #619, Little Rock, AR 72205, no later than Tuesday, August __, _____. I am also enclosing a Physical Examination form which should be completed as quickly as possible and returned to UAMS Student and Employee Health Service, 521 Jack Stephens Drive, Slot #530-8, Little Rock, AR 72205. Please keep a copy of the completed Physical Examination form for your records. Tuition for full-time enrollment for Fall ____ has not been established at this time; however, tuition for full-time enrollment for Fall ____ was $_______ and more than likely there will be a tuition increase for Fall ____. Tuition is due at the time of registration. Additionally, there is a Student Liability Insurance fee of $13.00, a Technology fee of $44.10, a Student Health fee of $76.10, and a Student Clinic fee of $60.00 that must be paid when you register for classes. There may be other fees included; these figures can give you some idea of the cost associated with the program. These fees are subject to change in July ___ as directed by the University Board of Trustees. All students are required to have a TB skin test. You may have this done by your personal physician or during registration. If you have the TB test prior to enrollment, you must bring the test report to registration to verify the results. Hepatitis B vaccinations will also be available free of charge for all incoming students. You may receive the first in a series of three shots on Tuesday, August __, ____, the day you register for your classes. We strongly recommend these immunizations. If you are interested in obtaining information concerning financial aid, you may contact the Director of Student Aid, Financial Aid Office, 4301 West Markham, Slot #864 at UAMS. The telephone number is 501-686-5451. Immediate application is advised to ensure arrival of financial aid checks by the time of registration. The College of Health Related Professions will provide reasonable and appropriate accommodations for students with documented disabilities who demonstrate a need for accommodation in accordance with the Americans with Disabilities Act. Students who wish to request accommodations should contact their Department Chair or the Associate Dean for Academic Affairs. More information about the CHRP Policy on Request for Special Accommodation may be found on the College Web site at http://www.uams.edu/chrp/current_students/. Information required to make a request includes: a comprehensive report describing the disability, a specific diagnosis for learning disabilities, information about needed accommodations, and other information as listed in the Policy. More information about the specific diagnosis of a learning disability and the form to request special accommodations may be found at Web site noted above. After your acceptance letter and deposit have been received, I will contact you periodically throughout the summer with information that will help make your transition to our program a little easier. If your plans change and you do not wish to be considered for this class, please let me know immediately. If you have questions, or desire more information, you may contact me at 501-686-5150. Sincerely, Suzanne Hansen, COMT Enclosures (2) 156 Example of a Conditional Admission Letter Date Student Name Address Salutation On behalf of the College of Health Related Professions and the Department of Ophthalmic Technologies, I am pleased to offer you admission to the Fall ____ class of Ophthalmic Medical Technology (OMT). Your admission to the OMT program is contingent upon the satisfactory (grade “C” or better) completion of a deficiency in the pre-requisite course, listed below, at an accredited college or university: • Pre-requisite course deficiency listed here (page 82 of the 2011-12 CHRP Catalog explains the maximum number of pre-requisite hours allowed for conditional acceptance) An official transcript indicating proof of completion of an upper level biology course must be forwarded to our office no later than August ___, ____. A mandatory orientation for new students will be held on ________, August __, ____. More information concerning these activities will be forwarded to you during the coming months. If you wish to secure your place in the fall class, your acceptance must be received in writing along with a $57.00 non-refundable deposit. The deposit will be applied to your fall tuition. This deposit, the written statement of acceptance and the enclosed completed Student Data Sheet must be received no later than date by Phyllis Fields, Admissions Officer, UAMS, 4301 West Markham, Slot #619, Little Rock, AR 72205. Also enclosed please find a Physical Examination form which should be completed as quickly as possible and returned to UAMS Student and Employee Health Service, 521 Jack Stephens Drive, Slot #530-8, Little Rock, AR 72205. Please keep a copy of the completed Physical Examination form for your records. Tuition for Fall ____ is ____. Additionally, there is a Student Liability Insurance fee of $13.00, a Technology fee of $44.10, Student Health fee of $76.10, and a Student Clinic fee of $60.00. There may be other fees included; these figures can give you some idea of the cost associated with the program. Tuition is due at the time of registration. All students are required to have a TB skin test. You may have this done by your personal health care provider or during registration. If you have the TB test prior to enrollment, you must bring the test report to registration to verify the results. Hepatitis B vaccinations will also be available free of charge for all incoming students. You may receive the first in a series of three shots on Tuesday, August __, ____, the day you register for your classes. We strongly recommend these immunizations. If you are interested in obtaining information concerning financial aid, you may contact the Director of Student Aid, Financial Aid Office, 4301 West Markham, Slot #864 at UAMS. The telephone number is 501-686-5451. Immediate application is advised to ensure arrival of financial aid checks by the time of registration. The College of Health Related Professions will provide reasonable and appropriate accommodations for students with documented disabilities who demonstrate a need for accommodation in accordance with the Americans with Disabilities Act. Students who wish to request accommodations should contact their Department Chair or the Associate Dean for Academic Affairs. More information about the CHRP Policy on Request for Special Accommodation may be found on the College Web site at http://www.uams.edu/chrp/current_students/. Information required to make a request includes: a comprehensive report describing the disability, a specific diagnosis for learning disabilities, information about needed accommodations, and other information as listed in the Policy. More information about the specific diagnosis of a learning disability and the form to request special accommodations may be found at Web site noted above. After your acceptance letter and deposit have been received, I will contact you periodically throughout the summer with information that will help make your transition to our program a little easier. If your plans change and you do not wish to be considered for this class, please let me know immediately. If you have questions, or desire more information, you may contact me at 501-686-5150. Sincerely, Suzanne Hansen, COMT Enclosures (2) 157 Professional Observation Ophthalmic Medical Technology This note attests that Mr./Ms./Mrs.____________________________________________ observed ocular procedures in our clinical / surgical (circle one or both) facility in order to fulfill professional observation requirements for applying to the Ophthalmic Medical Technology program at the College of Health Related Professions, University of Arkansas for Medical Sciences, Little Rock, AR. Date: Total hours: List of observations: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Comments: ____________________________________________________________________________ Signed: __________________________________________________ Print name: _______________________________________________ Clinic Address: ____________________________________________ ____________________________________________ ________________________________________ Telephone: ________________________________________________ ______________________________________________________________________________ Completed forms should be mailed by the applicant to: Student Admissions Office, College of Health Related Professions, UAMS 4301 W. Markham (# 619), Little Rock, AR 72205-7199 (501) 686-5730 158 University of Arkansas for Medical Sciences Department of Ophthalmic Technologies Jones Eye Institute & College of Health Related Professions OMT APPLICANT INTERVIEW FORM Date: Name: ___________________________ has applied for admission to the OMT program in the Department of Ophthalmic Technologies, CHRP-JEI, UAMS, and is appearing today for a scheduled interview. Please rate the qualities of the applicant according to the scale described below, state your recommendation, and add any pertinent comments. __N/A = Not applicable; 1 = Unacceptable; 2 = Below Average; 3 = Average; 4 = Above Average; 5 = Excellent__ Comments Professionalism 5 4 3 2 1 N/A Motivation 5 4 3 2 1 N/A Work experience in eye care 5 4 3 2 1 N/A Knowledge of OMT 5 4 3 2 1 N/A Verbal communication ability 5 4 3 2 1 N/A Interest in professional growth 5 4 3 2 1 N/A How well will applicant fit into OMT? 5 4 3 2 1 N/A Employability as an OMT graduate 5 4 3 2 1 N/A Chances of passing COMT boards 5 4 3 2 1 N/A Comments: ______________________________________________________________________________________ ________________________________________________________________________________________________ Recommendation: Accept / Reject Interviewed By: (Sign)______________________________________________ Print Name, Position, Title:_________________________________________________________________________ Completed forms may be mailed, faxed, or E-mailed: hansensuzannej@uams.edu OMT Program, Jones Eye Institute (Slot 523), UAMS, 4301 W. Markham, Little Rock, AR 72205 Telephone: (501) 526-5880 Fax: (501) 686-6346 159 Appendix 7b: STUDENT ACADEMIC POLICIES Criteria for progression & completion of program. The general CHRP criteria for progression and completion of the OMT program are described on pages 17 – 19 of the 2011-2012 CHRP Catalog, while pages 81 – 84 list the OMT curriculum and specific courses required for completing the program. A copy of the 2011-2012 CHRP Catalog is attached. ______________________________________________________________________________ 160 Appendix 7c: STUDENT ACADEMIC POLICIES Summary of methods used to evaluate students’ success in completing each course Methods & Frequency of Student Evaluation (A-6) Instructor/ Evaluator Oral Exam Evaluation Method & Frequency* Written Practical Other Exam Exam Exam L. Bibbs No Monthly Yes Final OPH 3201 K. Glaze General Medical Knowledge & Terminology No Semimonthly No Final OPH 3202 Intro. to Ophthalmic Technology & Medical Ethics S. Hansen No Semimonthly No Final OPH 3203 Ocular Anatomy & Physiology R. Davis S. Hansen No Semimonthly No Final OPH 3204 Optics I M. Wiggins S. Hansen No Midterm No Final OPH 3105 Clinical Skills Lab II J. Banks L. Bibbs No Monthly Yes Final OPH 3206 Optics II M. Wiggins S. Hansen No Midterm No Final OPH 3207 S. Hansen No Contact Lenses/Opticianry B. Wright/B. Duhamel Semimonthly Yes Final OPH 3208 Ophthalmic Pharmacology S. Grimes No Semimonthly No Final OPH 3209 Ocular Motility I K. Glaze No Semimonthly No Final S. Hansen J. Banks No Semimonthly Yes Final Course No. & Title Didactic Course FALL (1) OPH 3101 Clinical Skills Lab I SPRING (2) SUMMER (3) OPH 3106 Clinical Skills Lab III 161 FALL (4) OPH 4101 Clinical Skills Lab IV S. Grimes No Semimonthly Yes Final OPH 4201 S. Hansen Ocular Motility II: Abnormalities Of Binocular Vision No Semimonthly No Final OPH 4202 Survey of Eye Diseases No Semimonthly No Final OPH 4204 J. Banks Ophthalmic Photography & Angiography No Semimonthly No Final OPH 4207 Advanced Concepts in Ophthalmology J. Banks No Semimonthly No Final OPH 4303 Special Testing S. Hansen No Semimonthly No Final OPH 4108 CPR S. Hansen D. Wollard No Weekly Yes Final OPH 4205 Ocular Emergencies & Oculoplastics S. Hansen C. Westfall No Yes Semimonthly Weekly No No Final Final OPH 4306 Special Topics S. Hansen No Monthly No Final OPH 4309 Ophthalmic Surgical Assisting R. Davis J. Banks No Semimonthly No Final R. Davis S. Hansen SPRING (5) ________________________________________________________________________ 162 Course No. & Title Instructor/ Evaluator Oral Exam Evaluation Method & Frequency* Written Practical Other Exam Exam Exam Supervised Clinical Practice Course FALL (1) OPH 3510 SPRING (2) OPH 3611 SUMMER (3) OPH 3412 FALL (4) OPH 4510 SPRING (5) OPH 4511 SUMMER (6) OPH 4412 MD/DO; COMT/OMT No No Yes No MD/DO; COMT/OMT No No Yes No MD/DO; COMT/OMT No No Yes No MD/DO; COMT/OMT No No Yes No MD/DO; COMT/OMT No No Yes No MD/DO; COMT/OMT No No Yes No 163 Instruments for Evaluation of Didactic Courses 1. Quizzes and Final Exam A final percentage score for most lecture courses will be determined as follows: Homework: 10% of final grade Quizzes: 20% of final grade Midterm examination:30% of final grade Final examination: 40% of final grade Grading scale: 90% 80% 70% 60% < 60% 100% 89% 79% 69% = = = = = A B C D F Some lecture courses vary slightly from the evaluation formula shown above. Instruments for Evaluation of Laboratory Courses 1. Quizzes and Final Exam Lab assignments: Quizzes: Final examination: 20% of final grade 35% of final grade 45% of final grade The same grading scale shown above is used for final grade determination. Instruments for Evaluation of Supervised Clinical Practice Courses Skill (competency) examinations are required for completing the supervised clinical practice portion of the OMT program. These are based on JCAHPO guidelines described in the 2010 Criteria for Certification & Recertification (pages 39; Skill Areas for the COT Skill Evaluation and Skill Areas for the COMT Performance Test), and skills required for our clinic rotation sites as listed below: 1. Tonometry 2. Retinoscopy and Refinement 3. Keratometry 4. Lensometry 5. Ocular motility I (distinguish and measure phorias and tropias) 6. Ocular motility II (positions of gaze; evaluate versions and ductions) 7. Ophthalmic photography 8. Pupil assessment 9. Axial length measurement by biometry 10. Visual fields (Tangent screen, Goldmann Visual Field, automated visual field) ________________________________________________________________________ 164 Examples of skill (competency) examination protocols are shown below SKILL EXAMINATION PROTOCOL Objective: Students have to submit completed Skill Evaluations along with a Log (see Protocol below) in order to be graded for OMT Clinical Rotation (Practicum) courses. Each course will require completion of specific skills, and evaluations must be submitted for each of the skills. Required skills will be listed based on JCAHPO guidelines described in the Criteria for Certification & Recertification (2010), p.39 (Performance Areas). Completion of Skill Evaluation will ensure that students have addressed the basic requirements for the COMT Performance Test. Assignment: Complete the Skill Evaluation for EACH COMT Performance Area, by using the protocol described below. Resources: Fundamentals for Ophthalmic Technical Personnel (Cassin). Deadlines: Skill Evaluations for each Clinical Rotation (Practicum) course should be submitted during finals week for the semester. Students will be informed of an exact date and time. Protocol: Practice on 10 unique patients or volunteers & submit a LOG w/ names and dates. When ready, request an ophthalmologist, COMT, OMT, or COT to evaluate you. Show this protocol to the evaluator. No teaching or correcting should occur during this evaluation. During the evaluation the student will start with 10 points for an Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be an average of the Performance Areas allotted for the course. ************************************* 165 JCAHPO PERFORMANCE AREA Clinical Optics I – Basic Retinoscopy Objective: Measure spherical refractive error with a retinoscope. Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be an average of the Performance Areas allotted for the course. Evaluator: An evaluator must be an ophthalmologist, COMT, OMT, or COT Tasks to be Completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Working distance trial lens chosen? ………………………………………………………. 2. Student uses OD for Pt OD and OS for Pt OS? …………………………………………… 3. Retinoscope sleeve positioned for maximally diffuse beam? ……………………………... 4. Retinoscope rests on brow? ………………………………………………………………… 5. Working distance trial lens held at arm’s length? ………………………………………….. 6. Pt instructed to look at eye chart? …………………………………………………………. 7. Sleeve turned to rotate the reflex? …………………………………………………………. 8. With- or against-motion detected? ………………………………………………………… 9. With- or against-motion neutralized? ……………………………………………………… 10. Objective Rx achieved? ……………………………………………………………………. (Evaluator: Please check OD and OS Rx obtained by student. You might need a different working distance trial lens.) A. Number of UNFILLED circles………._____ B. Multiply “A” by 0.5 …………………______ C. Performance Score (10.0 minus “B”)..______ Signed: ________________________________ Evaluator name & degree/certification Date: _________________ 166 JCAHPO PERFORMANCE AREA Clinical Optics I – Advanced Retinoscopy Objective: Measure astigmatic refractive error with a retinoscope. Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be an average of the Performance Areas allotted for the course. Evaluator: An evaluator must be an ophthalmologist, COMT, OMT, or COT Tasks to be Completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Working distance lens chosen?………………………………………………………………. 2. Retinoscope sleeve positioned for maximally diffuse beam?……………………………….. 3. Student uses index finger to rotate sleeve without looking at scope?……………………….. 4. Student KNOWS about the concept of “far point?”…………………………………………. 5. Student can identify reflexes for simple myopic astigmatism?……………………………… 6. Student can identify reflexes for simple hyperopic astigmatism?…………………………… 7. Student can identify reflexes for compound myopic astigmatism?…………………………. 8. Student can identify reflexes for compound hyperopic astigmatism?………………………. 9. Student can identify reflexes for mixed astigmatism?………………………………………. 10. Student KNOWS that the sleeve can be used to enhance the reflex?………………………… (Evaluator: Please check OD and OS Rx obtained by student. You might need a different working distance trial lens.) A. Number of UNFILLED circles………._____ B. Multiply “A” by 0.5 …………………______ C. Performance Score (10.0 minus “B”)..______ Signed: ________________________________ Evaluator name & degree/certification Date: _________________ 167 Example of a didactic (competency) examination is shown below October 5, 2011 Fall 1 OMT I Student Name:___________ QUIZ # 2 OPHTHALMIC MEDICAL TECHNOLOGY OPH 3203 - OCULAR ANATOMY AND PHYSIOLOGY _________________________________________________________________________________________________ Topic Reference 3. Conjunctiva, cornea, & tear physiology S (p. 6-7, 25); C (p. 5-6) 4. Tenon’s, episclera, and sclera S (p. 7-8); C (p. 7; 25); Handout 5. Angle structures and uvea S (p. 8-9, 24-25, 426-429); C (p. 8-10; 14-16) _________________________________________________________________________________________________ (Test questions are based on assigned references as well as on all materials handed out for those lectures and discussed I in class. One point will be awarded for each single-answer question, and one point for each answer in multiple-answer questions.) Conjunctiva, cornea, & tear physiology 1. Name the 3 layers of the tear film and the function for each? (1 point for each correct layer and for each correct function) 2. Fill in the blanks: (1 point for each correct answer) Baseline tearing is produced by __________________________________ gland(s). 3. Describe the complete sequence structures tears pass through in order to exit the eye. (5 points 4. Circle all the glands from the list below that are responsible for oil production. (1 point for each correct answer) Wolfring Meibomian Krause Lacrimal Zeiss 5. Name and describe the purpose of one tear secretion test that could be performed in the clinic? 6. Match the following terms related to the conjunctiva to the best description: 1. bulbar conjunctiva _____ a. posterior layer of the tear film 2. palpebral conjunctiva _____ b. middle layer of the tear film 3. fornix ____ c. Fleshy mound, modified skin with sebaceous and sweat glands 4. mucus _____ d. Fold of conj containing goblet cells 168 5. aqueous _____ e. Created by junction of the two conjunctivas 6. plica semilunaris _____ f. Conj covering the sclera 7. caruncle _____ g. Conj covering the eyelids 7. Match the following terms related to the cornea to the best description: 1. limbus ____ a. optimal state of dehydration maintained by corneal endothelium 2. center thickness of cornea _____ b. cornea > 13 mm in diameter 3. thickness of cornea on periphery _____ c. cornea < 10 mm in diameter d. 0.500 mm 4. microcornea _____ e. 1.00 mm 5. megalocornea or macrocornea _____ conjunctiva f. tissue at the junction of the cornea and g. tissue that cover the globe 6. deturgescence _____ h. age 2 years 7. age cornea achieves _____ adult proportions i. age 7 years 8. Explain the purpose of the cornea, ( including appropriate dioptric value): 9. List the layers of the cornea from anterior to posterior sequence. 10. Explain how the cornea heals, and when this healing does and does not produce scars: Tenon’s, episclera, and sclera 11. Match the following terms related to Tenon’s: 1. fascia bulbi _____ a. hammock-like structure formed by the fasci of IR, IO, and Tenon’s b. another name for Tenon’s 2. check ligaments _____ c. structure located above the globe 3. Lockwood’s ligament _____ d. Tenon’s and muscle fasci fuse and send attachments to the orbit that act to check the range of muscle movement 169 12. What is the episclera and what is its purpose? 13. What is the sclera, what is its purpose, and what type of tissue is it made of? 14. Explain the following conditions and structures regarding the sclera: Blue sclera in infants: Lamina cribrosa: Angle structures and uvea 15. Why are the angle structures not visible in a slit lamp examination of NL eyes? 16. Describe where aqueous is produced and what route is taken by the aqueous to exit the eye: 17. What structural quality of the trabecular meshwork makes an effective filtration system? 18. Define synechiae. 19. What structures comprise the uvea? 20. Draw a diagram of the iris and label the two muscles involved with changing pupil size: 21. True or False: Eyes with blue irises have more pigment. 22. What is the purpose of the ciliary body? 23. Explain the sequence of events that occur in order for the eye to accommodate: 24. What is the primary role of the choroid? ________________________________________________________________________________________ Bonus: 1. Explain the similarity in histological structure between the cornea and the sclera, as well as differences between them. 2. What is the/are the purpose(s) of the conjunctiva? 170 3. Circle the ocular tissues that comprise the angle structures (circle all that apply): Iris root Optic nerve Anterior portion of ciliary body Schwalbe’s line Scleral Spur Corneal endothelium Central retinal artery Palpebral conjunctiva Canal of Schlemm Lens Trabecular meshwork Bowman’s membrane ________________________________________________________________________________________ 171 Appendix 7d: STUDENT ACADEMIC POLICIES Copy of student work policy, if applicable. Page 22 of the Ophthalmic Medical Technology Handbook lists the student work policy related to the program. A copy of the student work policy is found below. ________________________________________________________________________ University of Arkansas for Medical Sciences Department of Ophthalmic Technologies Harvey & Bernice Jones Eye Institute & College of Health Related Professions POLICY ON WORKING The following policy, on compensation for ophthalmic work in the clinic, will be observed by students: 1. Monetary Compensation When Fulfilling OMT Supervised Clinical Practicum Requirements The Committee on Accreditation for Ophthalmic Medical Personnel (CoA-OMP) has established the following guidelines for monetary compensation to students fulfilling supervised clinical practicum requirements: 1. 2. 3. 2. Students may not receive monetary compensation when fulfilling program requirements for supervised clinical practicum Students may not be substituted for paid regular staff when fulfilling program requirements for supervised clinical practicum Students may not be assigned the responsibility of paid regular staff when fulfilling program requirements for supervised clinical practicum Monetary Compensation When Not Fulfilling OMT Supervised Clinical Practicum Requirements The Committee on Accreditation for Ophthalmic Medical Personnel (CoA-OMP) has established the following guidelines for monetary compensation to students not fulfilling supervised clinical practicum requirements: 1. 2. 3. 4. Students may receive monetary compensation for ophthalmic work performed when not fulfilling program requirements for supervised clinical practicum Students may not be coerced or forced into performing such ophthalmic work Students must be subject to standard employee policies when performing such ophthalmic work Performing ophthalmic work outside of program requirements must not interfere with, or negatively, impact, program-related work and assignments The decision of the Department Chairman will be final in all matters relating to this departmental policy. A student challenging the application of this policy must follow the CHRP Grievance Procedure described in the CHRP Catalog and the CHRP Student Handbook. College policies and rules will apply for all procedures. OMT Work Policy submitted to CoA-OMP June 30, 2004 January 2006 Addendum to the Ophthalmic Medical Technology Program Handbook 172 Appendix 8: COURSE SUMMARIES 1. Course Descriptions and Specific Course Objectives Defined by the CHRP Curriculum Committee. The CHRP Curriculum Committee approved the following courses for the OMT program. Course descriptions and specific course objectives have been excerpted and listed below. A sample course syllabus is also attached. Fall (1) OPH 3101—Clinical Skills Lab I Focus on ophthalmic exam protocol; subsequent clinical skills lab courses are aimed at developing ophthalmic clinical skills in a logical progression with increasing levels of complexity. After completing this course a student should be able to perform the following tasks: • obtain and record thorough patient history • identify various ophthalmic equipment • explain the basic sequence of the ophthalmic exam OPH 3201—General Medical Knowledge & Terminology Provides the student instruction in basic medical terminology, a general overview of human anatomy and physiology, and systemic illnesses. After completing this course the OMT student should be able to: • understand prefixes, suffixes, roots, and combining forms of medical terms • understand the structure and function of various organ systems in the human body • understand the utility of various procedures and laboratory tests OPH 3202—Introduction to Ophthalmic Technology, Medical Law, and Ethics Introduces the student to ophthalmic technology, including the role of the ophthalmic technologist, duties and responsibilities of the technologist, basic ocular examination techniques, measurement of visual acuities, basic lensometry, identification and usage of ophthalmic equipment, maintenance of ophthalmic examination lanes and special testing areas, and ethics: medical-legal aspects of ophthalmology. After completing this course a student should be able to: • provide basic understanding of medical ethics, responsibilities and duties. • establish the concept of the eye care professional • provide exposure to the working environment of the ophthalmic technologist OPH 3203—Ocular Anatomy & Physiology Provides the student a detailed knowledge of the normal anatomy and physiology of the eye and orbit. After completing this course the OMT student should be able to: • identify and describe ocular structures and functions • apply appropriate ophthalmic medical terminology • identify major abnormalities in the functioning of ocular structures 173 OPH 3204—Optics I Introduces the human eye as an optical system by discussing physiology of image formation, optical relationships of eye structures, accommodation and effects of aging, refractive errors, astigmatism, prisms and Prentice’s Rule, magnification, and basics of refractometry. After completing this course the OMT student should be able to: • analyze the application of physical and geometric optics of the human eye • describe the fundamental optics governing the production of images on the retina • describe binocular vision and refractive errors and their correction • identify the principles of basic manifest refraction OPH 3510—Clinical Practicum I Introduction to procedures for care of ophthalmology patients. Students observe techniques in various specialty clinics performed by a faculty member. Many procedures will be observed, but emphasis will be on basic skills needed to begin patient examination. When possible, clinical applications will coincide with the classroom portions of the course. Students will be introduced to appropriate equipment and instruments for patient examination, assigned examination rooms to maintain, taught basic procedures for information gathering in an examination, and become contributing members of the health care team. After completing this course the OMT student should be able to: • demonstrate the basic protocol for examining patients • gather information for an ophthalmic examination • identify various ophthalmic instruments and demonstrate how to use them • demonstrate basic skills needed to begin patient examination • maintain examination rooms Spring(2) OPH 3105—Clinical Skills Lab II This course will familiarize students with various ophthalmic equipment and testing protocols emphasizing concept underlying construction of equipment, proper usage of the equipment, focus on lensmeter, tonometry, retinoscopy, and refractometry concepts and skills. After completing this course the OMT student should be able to: • analyze the concept underlying construction of equipment, proper usage of equipment including positioning the patient and giving instructions and disinfection, troubleshooting procedures, and minor repair if applicable • perform and properly record results for the following clinical skills: lensmeter, basic retinoscopy, basic refractometry, basic tonometry, and confrontation visual fields OPH 3206—Optics II Introduces principles of physical optics in which light is treated as a form of energy and part of the electromagnetic spectrum. Examines wave and particle theory, polarization, interference, fluorescence, and lasers. Students use ray tracing to examine refraction, reflection, diffraction, dispersion, vergence lenses and mirrors. The object-image relationships, magnification, and graphical analysis of simple and thick lens systems will also be discussed. 174 After completing this course the OMT student should be able to: • analyze the nature of light as a wave form or as a particle • describe the electromagnetic spectrum, polarization, interference, fluorescence, and lasers • evaluate Snell’s Law, refraction, graphical analysis, and reflection • examine lenses, vergence, magnification, and object-image relationships OPH 3207—Contact Lenses/Opticianry Familiarizes the student with contact lenses including types, fitting procedures, care and storage procedures, indications for use, complications and patient instruction, spectacle dispensing, ordering, and verification. After completing this course an OMT student should be able to: • describe the principle concepts of contact and spectacle lenses • select the appropriate base curves for fitting contact and spectacle lenses • evaluate the fit of contact and spectacle lenses • address problems associated with improper contact and spectacle lenses OPH 3208—Ophthalmic Pharmacology Detailed exploration of the various ophthalmic pharmaceuticals, indications for their use, sites of action, side effects, proper instillation of agents, and various abbreviations used for medications and their schedules. After completing this course an OMT student should be able to: • describe the organization of the nervous system as it relates to drug effects • identify principal types of ophthalmic drugs, their administration and effects • properly record drug identities and dosages • administer various types of drugs as directed by the physician OPH 3209—Ocular Motility I Acquaints the student with normal and abnormal binocular vision, including evaluation of motor and sensory status. After completing this course an OMT student should be able to: • identify and describe structures and functions of extraocular muscles (EOM) • describe fundamental concepts of EOM balance and binocular vision • perform duction and version tests, as well as tests to evaluate binocular vision and imbalances in children and adults OPH 3611—Clinical Practicum II Continuation of Clinical Rotation I, with further instruction in patient care and examination techniques. The course will build on the newly acquired basic skills as well as introduce new skills to be learned. More specific examination techniques will be observed, discussed, and return demonstrations given for these more advanced tasks. Students will begin to greet patients and start examinations. Clinical applications will reflect, where possible, the classroom portions of the course. After completing this course the student should be able to perform the following tasks: • qualitatively determine visual field defects using confrontation techniques • determine spherical refractive errors using the retinoscope • refine spherical refractive errors using the phoropter (refractometry) 175 • • obtain intraocular pressure using the Goldmann applanation tonometer neutralize distance and reading portions of spectacle lenses using a lensmeter Summer (3) OPH 3106—Clinical Skills Lab III Continuation of previous clinical laboratory course in order to develop and enhance clinical skills focusing on the areas of advanced refractometry techniques, advanced retinoscopy techniques and basic Goldmann perimetry. After completing this course, the OMT student should be able to: • properly operate and maintain the following ophthalmic clinical equipment: retinoscope for advanced retinoscopy, phoropter for advanced refractometry, and Goldmann perimeter for basic perimetry • demonstrate proper usage of the equipment including positioning the patient and giving instructions • obtain proper and usable results • maintain ophthalmic equipment, disinfection, trouble-shooting procedures, and minor repair, if applicable. OPH 3412—Clinical Practicum III Continues to develop clinical skills and build on previous clinical courses. The student will begin to gain more specialized skills. New skills will be demonstrated and supervised by one or more members of the faculty. Clinical applications and classroom portions of the course will coincide where possible. Return demonstrations will be required at various times during this course. After completing this course an OMT student should be able to: • determine refractive errors, including astigmatism, using the retinoscope • refine astigmatic refractive errors using the phoropter • detect visual field defects by plotting peripheral and central isopters using a Goldmann perimeter • search standard references for ophthalmic information Fall (4) OPH 4101—Clinical Skills Laboratory IV Continues to develop clinical skills including familiarizing the student with advanced protocols required for performing the following ophthalmic tests and procedures: advanced tonometry, ophthalmic photography and angiography, advanced Goldmann perimetry. After completing this course a student should be able to perform the following tasks: • calibrate the Goldmann tonometer, and adjust the biprism axis when corneal astigmatism is significant • obtain appropriate and clinically useful ophthalmic photographs of the external and internal ocular structures; identify errors in technique in photographs that are not clinically useful; and identify phases in a fluorescein angiogram • calibrate the Goldmann perimeter 176 OPH 4201—Ocular Motility II: Abnormalities of Binocular Vision Continuation of Motility I, and acquaints the student with advanced motility problems. The diagnosis and treatment of amblyopia are also studied. After taking this course the student should be able to perform the following tasks: • describe pediatric problems due to ocular motility • describe adult problems due to ocular motility • assist with treatment for ocular motility problems OPH 4202—Survey of Eye Diseases Familiarizes the student with pathophysiological conditions of the globe and orbital region, encompassing both the more common conditions as well as some of the more unusual diseases. After completing this course the OMT student should be able to: • identify and describe ocular structures and functions • apply appropriate ophthalmic medical terminology • identify major abnormalities in the functioning of ocular structures OPH 4204—Ophthalmic Photography & Angiography Familiarizes the student with the more common forms of ophthalmic photography, and includes lectures and hands-on training in fluorescein angiography, fundus and external photography, and slitlamp biomicrography. After completing this course the OMT student should be able to: • demonstrate proper usage of photographic equipment • properly prepare the equipment for photographic procedures • properly perform external and anterior segment photography • properly perform fundus photography • properly perform fluorescein angiography OPH 4207—Advanced Concepts in Ophthalmology This course will use journals and ophthalmic literature to introduce students to current research in clinical and surgical ophthalmology, and re-introduce important ophthalmic concepts to enable the student to become more effective in assisting ophthalmologists deliver eye care to patients. After completing this course the OMT student should be able to: • Describe advanced concepts of microbiology, glaucoma and tonometry, visual fields, color vision, clinical optics, ocular motility, photography, pharmacology, special instruments and techniques, and general medical knowledge. • Review and analyze journals and literature covering ophthalmic research. OPH 4303—Special Testing Familiarizes the student with special testing procedures not normally accomplished during routine ophthalmic examinations. After taking this course the student should be able to: • prepare the patient for appropriate procedures, as directed by the physician • understand the principles governing various techniques • standardize equipment and obtain appropriate test results 177 • recognize normal and abnormal patterns and assess patient compliance OPH 4510—Clinical Practicum IV Continuation of previous clinical experiences completed in the junior year. Students will begin to develop autonomy in patient care, and basic skills will become more advanced. New tasks will be demonstrated first by a member of the faculty, followed by student performance. When possible, classroom portions will coincide with clinical experiences in this course. After completing this course the student should be able to perform the following tasks: • Calibrate a slit-lamp mounted applanation tonometer (advanced tonometry) • Adjust axis of prism (advanced tonometry) • Describe significance of mires that may be too thick or too thin (advanced tonometry) • Calibrate the Goldmann perimeter (advanced perimetry) • Demonstrate Armaly-Drance techniques for glaucoma and neurological defects (advanced perimetry) • Prepare a lecture on an assigned topic using a standard format, and deliver the lecture within a specified duration on a scheduled date. Spring (5) OPH 4108—CPR Teaches student cardiopulmonary resuscitation for certification by the American Red Cross. After completing this course an OMT student should be able to: • perform cardio-pulmonary resuscitation • perform First Aid • describe the use of the crash cart OPH 4205—Ocular Emergencies & Oculoplastics Familiarizes students with varying degrees of ocular emergencies, triage of patients, immediate interventions, long-term complications, and preventative measures. Familiarizes the student with various aspects of oculoplastics including surgical interventions. After completing this course an OMT student should be able to: • identify ocular emergencies and non-emergencies • describe types of orbital disorders requiring oculoplastic evaluation • examine oculoplastic surgical protocols and specialized testing protocols such as Schirmer’s, nasolacrimal irrigation, Hertel’s exophthalmometry, and neuro-imaging OPH 4306—Special Topics Introduces student to concepts of billing and coding, and management and supervision of allied health personnel. Additional topics may be added as new techniques, protocols, and treatments emerge. After completing this course the OMT student should be able to: • describe latest treatments for various ocular conditions • properly document patient charts for diagnostic and procedure codes, and insurance • describe standard policies guiding privacy and confidentiality of medical records • describe the supervision and management of eye care paraprofessionals 178 OPH 4309—Ophthalmic Surgical Assisting Prepares the student to serve as a sterile scrub assistant, sterile first assistant, and circulator for the more common ophthalmic surgical procedures. Students will also learn about various ophthalmic procedures. After completing this course the OMT student should be able to: • describe, prepare, and maintain a sterile field for ophthalmic surgery • describe and maintain protocols for asepsis, infection control, and sterilization • assist the ophthalmologist with surgical procedures, as directed OPH 4511—Clinical Practicum V Continuation of previous clinical experiences in patient care. The student will be required to perform at a high level of competence in all phases of ophthalmic technology. Classroom instruction will decrease, as most of this material will already have been presented. Emphasis will be placed on advanced supervision techniques, specialized testing techniques, and autonomy. After completing this course the student should be able to perform the following tasks: • obtain and record corneal curvatures using the manual Keratometry. • obtain and record axial length measurements using a manual Biometer. • plot the blind spot and any visual field abnormalities using Tangent Screen. Summer (6) OPH 4412—Clinical Practicum VI The final course in patient care experiences. Students are expected to act as full members of the health care team in all clinical areas. Students will use this semester to advance their skills across the discipline. After completing this course the OMT student should be able to: • describe the normal and abnormal functioning of the pupil • measure the pupils in photopic, mesopic, and scotopic light conditions • detect, describe, and measure eye deviations • describe and demonstrate basic procedures for pediatric eye tests 2. Sample course syllabi for an OMT didactic course and clinical practicum course are included on the following pages. 179 OPH 3203 Ocular Anatomy and Physiology University of Arkansas for Medical Sciences College of Health Related Professions Department of Ophthalmic Technologies 2 Hours Semester Credit 30 Lecture Hours Romona Davis, MD Jones Eye Institute, 2nd floor, J237 (501)686-5150 RLDavis@uams.edu And Suzanne Hansen, M.Ed., COMT Jones Eye Institute,9th floor, J932 (501)526-5880 HansenSuzanneJ@uams.edu Fall 2011 180 1.0 General Information 1.1 Catalog Description: OPH 3203- Ocular Anatomy & Physiology Provides the student a detailed knowledge of the normal anatomy and physiology of the eye and orbit. 1.2 Course Rationale: This course will provide a basic understanding of ocular anatomy and physiology. The student will apply concepts learned in this course throughout the two year program. This course is structured in accordance with Standards and Guidelines established by the Commission on Accreditation for Ophthalmic Medical Programs (CoA-OMP). 1.3 General Course Objectives: After completing this course the OMT student should be able to: • identify and describe ocular structures and functions • apply appropriate ophthalmic medical terminology • identify major abnormalities in the functioning of ocular structures 2.0 Instructional Methodology: 2.1 General Techniques: The following general techniques will be used during the course: • Lectures and discussions • Directed observation, as needed, in the JEI ophthalmology clinic 2.2 Resource-Based Techniques: The following resource-based techniques will be used during the course: • Audiovisuals • The JEI Ophthalmology Clinic 3.0 Instructional Materials / Supplies: 3.1 References – Print Materials The following print materials relate to this course. Note that the items marked with an asterisk (*) are required for use during the course. ∗ Cassin, B. (1995). Fundamentals for Ophthalmic Technical Personnel (1st ed.) New York: Elsevier Health Sciences. ISBN 9780721649313 ∗ Stein, H., Stein, R., & Freeman, M. (2006). The Ophthalmic Assistant: A Text for Allied and Associated Ophthalmic Personnel (8th ed.) New York: Elsevier Health Sciences. ISBN 9780323033305 • Other references may be added as needed. 3.2 References – Audiovisual Materials There are no audiovisuals required for purchase by the student for this course. 3.3 References – Computer Requirements All students are required to obtain a UAMS provided email account for class correspondence. 181 4.0 General Evaluation Procedures: 4.1 The final course grade will be determined as shown below. Average % of all homework assignment scores………………………………….. A 10% of A …………………………………………………………………………. B Average % of all quiz scores …………………………………………………….. C 20% of C …………………………………………………………………………. D Midterm examination score ……………………………………………………… E 30% of E …………………………………………………………………………. F Final examination score ………………………………………………………….. G 40% of G ………………………………………………………………………… H B + D + F + H…………………………………………………………………….. I Final course grade will be determined by converting the final point score to a letter according to the following scheme: Final Point Score Final course grade 90 – 100 A 80 – 89 B 70 – 79 C 60 – 69 D < 60 F _________________________________________________________________________________ Example: Average % of all homework assignment scores………………………………….. A = 10% of A ………………………………………………………………………….B = Average % of all quiz scores …………………………………………………….. C = 20% of C …………………………………………………………………………. D = Midterm examination score ……………………………………………………… E = 30% of E …………………………………………………………………………. F = Final examination score …………………………………………………………..G = 40% of G ………………………………………………………………………… H = B + D + F + H…………………………………………………………………….. I = I ……………………………………………………………………………………………. = Final course grade ……………………………………………………………………….. = 95 9.5 95 19 98 28.5 95 38 (9.5 + 19 + 28.5 + 38) 95 A A final point score of 70 or greater, in this course, is required in order to continue in the OMT program. _________________________________________________________________________________ 4.2 Instructor Evaluation Procedures: Comments regarding the course and instruction are welcomed by the course director at any time. Students are required to complete course and instructor evaluations, as directed, in order to meet course requirements. Your participation in this evaluation is appreciated. 4.3 Performance, Lab, Clinic, and Project Evaluation: N/A 4.4 Makeup and Retake Examinations: Examinations will be scheduled at the instructor’s convenience. Students are required to contact the instructor for the exact time and date. Failure to appear for makeup exam will result in a grade of 0. 182 5.0 General Procedures: According to CHRP guidelines the required contact time for this 2 hours semester credit lecture course is 30 hours. Therefore the course will consist of 15 sessions each of approximately one hour and thirty minutes duration, including lectures, and a review. A final examination will occur at the conclusion of the course. The class schedule is attached. Fulfillment of all objectives is the student’s responsibility. 6.0 Class Attendance / Conduct / Dress Policy: 6.1 General Remarks: Attendance at all sessions is expected. In case of emergency absence, the student MUST NOTIFY the office of the Department of Ophthalmic Technologies within 24 hours of the day of absence. The following list of applicable telephone numbers is provided to all students. OMT Department Contacts: JEI Message Line: OMT Program Director: OMT Medical Director: Clinic Manager at JEI: Charge Nurse at JEI: Clinic Supervisor at JEI: OMT Clinic Coordinators at JEI: (296-1297) Suzanne Hansen, M.Ed., COMT (526-5880) Michael Wiggins, MD (526-6000 Ext 1205 or 686-5150) Pam Whitlock (526-6000 Ext 2711) Mary Rinke, RN (526-6000 Ext 1107) Kim Glaze, COMT (526-6000 Ext 2764) Joy Banks, M.Ed., COMT (686-5882); Leora Bibbs, OMT (686-5882) Kim Glaze, COMT (686-5882); Stacia Grimes, COMT (686-5882) ACH Message Line: OMT Supervisors at ACH: (364-1781) Nancy Stotts, RN (364-6929) Courtney Herring, OMT (364-6929) Kathy Fray, CO (364-4841) Shawn Brown, COMT, CO (364-4426) _________________________________________________________________________________________________ 6.2 Session Absence Grading Effects: Unexcused absences will not be permitted. An unexcused absence is defined as an absence from class and clinic for which no request was made, no permission was granted, and no notification was provided by the end of the next work day. Unexcused absence(s) may result in grade reduction as determined by the course director. The student will be responsible for making up missed course work and should contact the course director. 6.3 Session Tardiness Grading Effects: Tardiness is not acceptable. Tardy is defined as being late to class or clinic after instruction for the day has started. Students should be in the appointed place at the appropriate time, disregard for this is unacceptable and is considered unprofessional. Excessive tardiness may result in grade reduction as determined by the course director. The student will be responsible for making up missed course work and should contact the course director. 6.4 Conduct/Dress: Professional conduct is expected. Disruptive behavior or conversation may result in disciplinary action. Ophthalmic Technologies students will wear a designated uniform and student ID badge to class. No eating, drinking, or smoking is permitted in the classroom or clinic. 183 7.0 Due Dates / Deadlines: See attached course schedule for examination dates. 8.0 Session Schedules: 8.1 General Remarks: The attached schedule lists the topics that will be covered. Students will be provided with a list of SPECIFIC topics, names of lecturers, dates, times, venue, and references with reading assignments. Dates and times may be subject to change. 8.2 Tentative Sessions Schedule: A class schedule of topics and reading assignments is provided after section 11.0. 8.3 9.0 Tentative Media Schedule: N/A Instructional Staff: 9.1 Course Director: Romona Davis, MD Office: J237 – Office hours: Please schedule with Dr. Davis Ext: 1220 or 686-5150 Suzanne Hansen, M.Ed., COMT Office: J932 – Office hours: Please schedule with Ms. Hansen Ext: 2932 or 526-5880 9.2 Other Staff Assisted by JEI faculty and staff 10.0 CHRP Copyright Policy & Disability Policy: COPYRIGHT POLICY - The materials used in this course may include copyright protected materials for the personal educational use of the enrolled students and may not be further redistributed. INTELLECTUAL PROPERTY POLICY - Lecture, lab and other presentations are the intellectual property of the faculty and faculty must give their written permission for their lecture, lab, and other presentations to be recorded. Recorded lectures/labs/presentations may only be posted on websites or other locations approved by the College of Health Related Professions and are provided for the personal educational use of students enrolled in the course. Students are prohibited from providing or distributing any course materials in any manner – print, electronic, or any other media – or providing links to any course materials to anyone outside of their UAMS classes. Failure to abide by this policy may result in disciplinary action including dismissal. Failure to abide by this policy may constitute a copyright infringement which may have the following legal consequences: Summary of Civil and Criminal Penalties for Violating Federal Copyright Laws 184 Copyright infringement is the act of exercising, without permission or legal authority, one or more of the exclusive rights granted to the copyright owner under section 106 of the Copyright Act (Title 17 of the United States Code). These rights include the right to reproduce or distribute a copyrighted work. In the file-sharing context, downloading or uploading substantial parts of a copyrighted work without authority constitutes an infringement. Penalties for copyright infringement include civil and criminal penalties. In general, anyone found liable for civil copyright infringement may be ordered to pay either actual damages or "statutory" damages affixed at not less than $750 and not more than $30,000 per work infringed. For "willful" infringement, a court may award up to $150,000 per work infringed. A court can, in its discretion, also assess costs and attorneys' fees. For details, see Title 17, United States Code, Sections 504, 505. Willful copyright infringement can also result in criminal penalties, including imprisonment of up to five years and fines of up to $250,000 per offense. For more information, see the web site of the U.S. Copyright Office at www.copyright.gov, and especially their FAQs at www.copyright.gov/help/faq. DISABILITY POLICY – The CHRP disability policy is available in the college handbook. 11.0 Academic Integrity & Plagiarism: Academic Integrity: The College of Health Related Professions has established guidelines for academic integrity, which are published in the CHRP Handbook. Academic misconduct, including plagiarism, giving or receiving any form of aid on quizzes or examinations that is not expressly permitted by the instructor, or falsification of any report, experimental results, or research data, is subject to disciplinary action, including probation, suspension, or dismissal from the College. The College of Health Related Professions subscribes to a Web-based plagiarism detection and prevention system that is used by colleges and universities nationwide. The system works by scanning the submitted document and matching the document against databases of texts, journals, and Web and other electronic sources including Web sites that sell or distribute pre-written essays and/or term papers. As your course instructor, I am informing you via this syllabus that I reserve the right, at my discretion, to use this plagiarism detection system for this course by submitting students’ written work to the system for the purpose of determining if a document has been plagiarized. Note: All work submitted for this course is required to be original work developed for class assignments and should not have been submitted for assignments made as part of previous and/or concurrent courses without the instructors’ prior knowledge and approval; to do otherwise constitutes academic dishonesty and will be addressed as such in this course. 12.0 Patient Privacy and Confidentiality UAMS is committed to protecting the privacy of our patients’ information. While privacy and confidentiality have always been a priority for health care providers, it has heightened importance in this era of electronic information due to the increased speed of information flow and the risks associated with protecting this information. The standards for protecting patient health information are described in the federal law known as the Health Insurance Portability and Accountability Act (HIPAA). HIPAA limits access to medical records to authorized individuals and for specific purposes. It is not possible to summarize HIPAA here; however, you will have received HIPAA training prior to being granted access to patient 185 information. Additional information and training on HIPAA, including UAMS HIPAA policies, are available on the HIPAA Office web page HIPAA.uams.edu. Please keep in mind that there are sanctions for inappropriate access to patient records. These include criminal penalties of up to one (1) year imprisonment and a $50,000 fine; as well as, disciplinary action up to and including dismissal from your program. If you have any questions pertaining to HIPAA, you may direct them to the UAMS HIPAA office at 501-603-1379. _________________________________________________________________________________________________ 186 Course schedule example FALL 1 OMT I FALL 2011 updated 08/02/11 OPHTHALMIC MEDICAL TECHNOLOGY OPH 3203 – Ocular Anatomy and Physiology Course Director: Romona Davis, MD _________________________________________________________________________________________________________________________ Day/Date 1 Time/Location1 Topic W, Aug. 31 08:00-09:30 Intro to ocular A & P Lecturer Reference2 Hansen S (chp.1); C (chp.1) ------M, Sept. 5----HOLIDAY---------Labor Day------------------------------------No Class Scheduled---------------------------2 Tu, Sept. 6 3 07:15-08:45 Eyelid and Orbit Pemberton S (p.3-7); C (p.3-4, chp.2) W, Sept. 14 07:30-09:00 Lacrimal System & Tear Physiology QUIZ 1: Topics 1 – 2 Davis S (p.6-7, 25); C (p.5-6) 4 M, Sept. 19 11:30-13:00 Conjunctiva and Cornea Warner S (p.6-7); C (p.5-6) 5 W, Sept. 21 08:00-09:30 Tenon’s, Episclera and Sclera Hansen S (p.7-8); C (p.7, 25); Handout(s) 6 W, Sept 28 07:30-09:00 Angle Structures and Uvea Dersu S (p.8-9, 24-25,426-429) C (p.8-10, 14-16) 7 W, Oct. 5 08:15-09:45 Pupil QUIZ 2: Topics 3 – 6 Chacko S (p.22, 130-133); C (p.169-175) 8 W, Oct. 12 07:30-09:00 Lens & Vitreous Davis S (p.9-10); C (p.15, 406-410) 9 M, Oct. 17 14:30-16:00 Retina Uwaydat S (p. 11-12); C (p. 11-13) -----W, Oct. 19th----------------------------City of Little Rock Health Fair AM ------------------------------------------------------10 W, Oct. 19 13:30-15:00 Midterm Exam: Topics 1 – 8 Hansen all of the above 11 W, Oct. 26 08:15-09:45 Optic Nerve & Visual Pathway Chacko S (p.10-11); C (p.14, chp.7) 12 F, Nov. 4 14:30-16:00 Ocular Motility QUIZ 3: Topics 9-11 Brown, S. Hansen S (p.11-20); C (chp.21) 13 F, Nov. 4 10:00-11:30 Color Vision Chacko S (p.25-26, 31); C (chp.5) Electrophysiology Staples S (p.166, 203-204, 458-459); C (p.13-14) 14 W, Nov. 16 13:00-15:30 ------Nov. 24th & 25th-------------------Thanksgiving--------------------------------No Class/Clinic Scheduled--------------------15 W, Nov. 30 07:30-09:00 Review All Topics QUIZ 4: Topics 13 & 14 Hansen 16 W, Dec. 7 Final Examination Hansen 08:00-09:30 comprehensive; closed book _______________________________________________________________________________________ 1 2 All lectures will be held in the OMT classrooms (JEI, 9th floor). Alternate locations will be specified. C = (Fundamentals for Ophthalmic Technical Personnel, by B. Cassin, 1995) S = (The Ophthalmic Assistant by H. Stein, B. Slatt, & R. Stein, 8th Ed., 2006) Other references may be added as needed. 187 OPH 4510 Clinical Practicum IV University of Arkansas for Medical Sciences College of Health Related Professions Department of Ophthalmic Technologies 5 Hours Semester Credit 312.5 Hours Clinical Instruction Jones Eye Institute (501)686-5150 Primary Faculty Contact: Suzanne Hansen, M.Ed., COMT Jones Eye Institute,9th floor, J932 (501)526-5880 HansenSuzanneJ@uams.edu Fall 2010 188 1.0 General Information 1.1 Catalog Description: OPH 4510—Clinical Practicum IV Continuation of previous clinical experiences completed in the junior year. Students will begin to develop autonomy in patient care, and basic skills will become more advanced. New tasks will be demonstrated first by a member of the faculty, followed by student performance. When possible, classroom portions will coincide with clinical experiences in this course. 1.2 Course Rationale: This course will provide exposure to the clinic setting. The student will apply concepts and skills learned throughout the two year program. This course is structured in accordance with Standards and Guidelines established by the Commission on Accreditation for Ophthalmic Medical Programs (CoA-OMP). 1.3 General Course Objectives: After completing this course the student should be able to perform the following tasks as measured by a minimum passing grade of 70 and proper notation of results for each skill required for the course: • Calibrate a slit-lamp mounted applanation tonometer (advanced tonometry) • Adjust axis of prism (advanced tonometry) • Describe significance of mires that may be too thick or too thin (advanced tonometry) • Calibrate the Goldmann perimeter (advanced perimetry) • Demonstrate Armaly-Drance techniques for glaucoma and neurological defects (advanced perimetry) • Prepare a lecture on an assigned topic using a standard format, and deliver the lecture within a specified duration on a scheduled date. 2.0 Instructional Methodology: 2.1 General Techniques: The following general techniques will be used during the course: • Clinical Observation • Discussion • Direct patient care experience • Project (student presentation) 2.2 Resource-Based Techniques: The following resource-based techniques will be used during the course: • The Ophthalmology Clinic 3.0 Instructional Materials / Supplies: 3.1 References – Print Materials The following print materials relate to this course: • P. Riordan-Eva, T. Asbury, J.P. Whitcher, et al. (2011) Vaughan & Ashbury’s General Ophthalmology (18th ed.) McGraw & Hill, ISBN 9780071443142 • Cassin, B. (1995). Fundamentals for Ophthalmic Technical Personnel (1st ed.) New York: Elsevier Health Sciences. ISBN 978007634205 189 • • Stein, H., Stein, R., & Freeman, M. (2006). The Ophthalmic Assistant: A Text for Allied and Associated Ophthalmic Personnel (8th ed.) New York: Elsevier Health Sciences. ISBN 9780323033305 Other references may be added as needed. 3.2 References – Audiovisual Materials There are no audiovisuals required for purchase by the student for this course. 3.3 References – Computer Requirements All students are required to obtain a UAMS provided email account for class correspondence. 4.0 General Evaluation Procedures: In this course students will fulfill the following requirements: (1) Attend clinic equivalent to 20.8 - 24 hours per week, working with patients under the direct supervision of technical personnel in The Harvey & Bernice Jones Eye Clinic, Arkansas Children’s Hospital, and the North Little Rock Veterans Hospital. Students will be assigned on a daily basis to specific technical staff members based on clinic dynamics evaluated by the Clinic Supervisor. By the end of the course each student will submit a log of clinic attendance (attested daily by clinic staff) patients seen and procedures completed on each patient. When these logs are received, and reviewed for appropriateness, authenticity, and accuracy, the grades obtained for each skill (see below) will be averaged and included in the procedure for calculating the course grade. Students will also be required to submit 6 Problem Case Conference reports to be calculated as part of the overall grade. (2) Students will be provided skill sheets for each of the instrumental technique or non-instrumental procedure required for this portion of the clinical training (see Section 8 for a list). The skill sheets will describe specific protocols to be followed for practicing and acquiring competencies necessary for effective participation in the clinic, and for passing the national performance test for certification. Every student will be required to have each competency evaluated and graded by a M.D., D.O., COMT or OMT who will follow prescribed steps listed in the skill sheet. Completed skill sheets should be submitted by the end of the semester for admittance to the Semester Skill Exam on Monday, November 28, 2011, in order to obtain a grade for the course. (3) Students will present a lecture on an assigned topic, using Microsoft PowerPoint, and will be evaluated as described below (see section 4.3). 4.1 The final grade will be determined as shown below. The final course grade will be determined as shown below. Average % (if > 1 skill is tested) of skill scores = Percent score from evaluations by OMT Site Supervisors/Coordinators = Percent score from the assigned lecture = Percent score from Skill/Performance Exam = Percent score from Problem Case Conference Reports = Average of A + B + C + D + E = Final point score for course = A B1 C2 D E F F Final course grade will be determined by converting the final point score to a letter according to the following scheme: Final Point Score 90 – 100 80 – 89 Final course grade A B 190 70 – 79 60 – 69 < 60 C D F __________________________________________________________________________ 1 OMT Site Supervisors/Coordinators will evaluate Students in the following areas: Punctuality Professionalism Interaction with pediatric patients Interaction with adult patients Interaction with clinic administrative staff Interaction with clinic technical staff Knowledge of subject matter relevant to level of student Familiarity with the exam room Familiarity with ophthalmic equipment Familiarity with testing protocols Familiarity with signs and symptoms of diseases __________________________________________________________________________ 2 Student-lectures will be evaluated in the areas indicated on the Lecture Evaluation form (see below) Example: Skill score in % = 9 = A = Percent score from OMT Clinical Coordinators evaluations = B = Percent score from assigned lecture = C = Percent score from Performance/Skill Exam = D = Percent score from Problem Case Conference Reports = E = Average of A + B + C + D + E Final point score for course = Final course grade = 90 92 85 70 100 87 87 “B” Failure to successfully complete this course with a letter grade of “C” or better may result in the student being placed on academic probation, suspended, or dismissed from the program. 4.2 Instructor Evaluation Procedures While comments regarding the course and instruction are welcomed by the instructor at any time, students will be given the opportunity to complete CHRP course and instructor evaluations. Your participation in this evaluation is appreciated. 4.3 Performance, Lab, Clinic, and Project Evaluation: Please see section 5.0. 4.4 Makeup and Retake Examinations: Please refer to OMT Handbook for make-up exam policy. 5.0 General Procedures: According to CHRP guidelines the required contact time for this 5 hour semester credit clinical instruction course is 312.5 hours. Therefore, the course will consist of 15 sessions each of approximately 20.8 hours per week. To fulfill this requirement, students will attend clinic approximately 2.5 days a week and will follow a schedule determined by the program director and clinical rotation sites. Student will be responsible for following the procedures described below. Clinic Attendance This course consists of 20.8 – 24 hours per week of supervised clinical practice for 13-15 weeks, for a total of 312 hours. Direct patient-care experience in the clinic with 191 documentation of attendance, except when attending lectures, completing associated work, reading, research or other related assignments. Skill Evaluations Completion of the following SKILLS must be documented properly using prescribed skill sheets for each task. • Advanced tonometry • Ophthalmic photography & angiography • Advanced Goldmann visual fields Student Presentations Students will follow guidelines described below in order to prepare their presentations. ____________________________________________________________________ Objective, Topics, Guidelines and Schedules for Student Presentations Objective: Prepare a 15-minute lecture using Microsoft PowerPoint on one of the five topics listed below. Topics: The five topics, chosen for their prevalence and importance for providing proper patient care and for passing the COMT certification test, include: 1. Lens and cataract 2. Diabetic retinopathy 3. Glaucoma 4. Age-related macular degeneration 5. Refractive surgery * Other topics of interest may be presented if approved by Clinical Supervisor. **Document references used in presentation, and include on final slide of presentation Guidelines: Students will prepare their lectures using the following guidelines: 1. Prevalence of disease or condition requiring intervention: 2. Signs and symptoms of disease or condition requiring intervention: 3. Normal anatomy and physiology of the ocular structure(s) involved: 4. General sequence of start and progression of disease or condition requiring intervention: 5. Details of the disease stages, or intervention strategies: 6. Treatment: 7. Post-treatment management and effects: 8. Conclusion: _______________________________________________________________________ 6.0 Class Attendance/Conduct/Dress Code Policy: 6.1 General Remarks Attendance at all sessions is expected. In case of emergency absence, the student MUST NOTIFY the Clinical Director at 296-1297 (JEI) or 364-1781 (ACH). Notification of absence should be reported thirty minutes before the start of your rotation by leaving a message at the above number. Effort should be made to call back again after the start of your rotation to personally speak with the Clinical Director or Coordinator. 192 OMT Department Contacts: JEI Message Line: OMT Program Director: OMT Medical Director: Clinic Manager at JEI: Charge Nurse at JEI: Clinic Supervisor at JEI: OMT Clinic Coordinators at JEI: (296-1297) Suzanne Hansen, COMT (526-5880) Michael Wiggins, MD (526-6000 Ext 1205 or 686-5150) Pam Whitlock, COA (526-6000 Ext 2711) Mary Rinke, RN (526-6000 Ext 1107) Kim Glaze, COMT (526-6000 Ext 2764) Joy Banks, COMT (686-5882); Kim Glaze, COMT (686-5882) Stacia Grimes, COMT (686-5882); Leora Bibbs, OMT (686-5882) ACH Message Line: OMT Supervisors at ACH: (364-1781) Nancy Stotts, RN (364-6929) Courtney Herring, OMT (364-6929) Kathy Fray, CO (364-4841) Shawn Brown, COMT, CO (364-4426) LR VA Eye Clinic: Ron Ford, CRA - Clinic Mgr (257-4548) NLR VA Eye Clinic: Frederick Hammond, O.D. (257-2277) Ophthalmology Associates of Benton: Phillip Suffridge, M.D. (778-1113) Baptist Eye Center: Magie-Mabrey Eye Clinic Retina Associates Little Rock Eye Clinic Cheryl Peters, Mgr (223-8400) Carrie Waggoner, Mgr (219-0900) Debbie Brown, Mgr (224-5658) 6.2 Session Absence Grading Effects: Attendance at all sessions is expected. In case of any absence, the student must notify the following OMT personnel by phone prior to the start of class/clinic: clinical site supervisor, clinical site coordinator(s), and department chairman. In case of an emergency absence this notification must be provided within the first work day after the absence. Excessive absence may be subject to grade reduction, and in some cases subject to administrative withdrawal from the course and/or program. The student will be responsible for notifying clinic course director of absence and will also be responsible for making up missed course work. 6.3 Session Tardiness Grading Effects: In case of tardiness a student must notify OMT personnel by telephone prior to the start of class/clinic. Excessive tardiness may be subject to grade reduction, and in some cases subject to administrative withdrawal from the course and/or program. The student will be responsible for notifying clinic course director of absence and will also be responsible for making up missed course work. 6.4 Conduct/Dress: The OMT students must observe the following standards, in addition to policies established by the CHRP and described in the CHRP Handbook provided to every student at registration. • All Policies and Procedures of UAMS will be followed by the Ophthalmic Medical Technology students, please review below website for policies and procedures: http://www.uams.edu/uh/policy/pp-toc.htm 193 • • • • Ophthalmic Technology students will wear a designated uniform to class with appropriate student I.D. Scrubs are to be ceil blue with the OMT emblem embroidered on the scrub top. NO jackets, sweatshirts, tee-shirts, or other garments may be worn in place of or over your scrub top. Only designated lab coats are permitted. Uniforms should be neat, clean, well-fitting, not wrinkled or stained, and professional in appearance. Professional conduct is expected. Disruptive behavior or conversation may result in disciplinary action. No eating, drinking, or smoking is permitted in the classroom or clinic. 7.0 Due Dates / Deadlines Clinic Attendance Log Up-to-date clinic logs must remain in the clinic. Skill Evaluations Skill Evaluations must be completed at the designated date of the clinical coordinators. Student Presentations Students will observe the following schedule, and a log will be maintained for noting compliance: Topic Student Outline Approval Deadline October 3, 2011 (12 noon) PowerPoint Slide Approval Deadline November 16, 2011 ( 12 Noon) Presentation Schedule December 6, 2011 (Mock presentation TBA ) Lens and Cataract Diabetic Retinopathy Glaucoma Age-Related Macular Degeneration Refractive Surgery Clinic Direct patient-care experience in the clinic with documentation of attendance, except when attending lectures, completing associated work, reading, research or other related assignments. Skill Evaluation Completion of the following SKILLS must be documented properly using prescribed skill sheets for each task (see attached following section 12.0). • Advanced Tonometry • Ophthalmic Photography & Angiography • Advanced Goldmann Visual Fields 194 Students will be provided ample time to practice the required skills by following a prescribed protocol. An example of a Skill Evaluation is located in the Clinical Skills Practicum Protocol provided at orientation at the end of this document. 8.0 Session Schedules: This course consists of 20.8 – 24 hours per week of supervised clinical practice for 13-15 weeks, for a total of 312 hours. Weekly clinic assignments will be posted in the student study room at least 1 week in advance. 9.0 Instructional Staff Course Instructors • Main Faculty Contact: Suzanne Hansen, J932, 526-5880 • Course Directors: Joy Banks, COMT; Kim Glaze, COMT; Stacia Grimes, COMT; Leora Hansberry, OMT • Assisted by JEI faculty & staff 10.0 CHRP Copyright Policy & Disability Policy COPYRIGHT POLICY - The materials used in this course may include copyright protected materials for the personal educational use of the enrolled students and may not be further redistributed. INTELLECTUAL PROPERTY POLICY - Lecture, lab and other presentations are the intellectual property of the faculty and faculty must give their written permission for their lecture, lab, and other presentations to be recorded. Recorded lectures/labs/presentations may only be posted on websites or other locations approved by the College of Health Related Professions and are provided for the personal educational use of students enrolled in the course. Students are prohibited from providing or distributing any course materials in any manner – print, electronic, or any other media – or providing links to any course materials to anyone outside of their UAMS classes. Failure to abide by this policy may result in disciplinary action including dismissal. Failure to abide by this policy may constitute a copyright infringement which may have the following legal consequences: Summary of Civil and Criminal Penalties for Violating Federal Copyright Laws Copyright infringement is the act of exercising, without permission or legal authority, one or more of the exclusive rights granted to the copyright owner under section 106 of the Copyright Act (Title 17 of the United States Code). These rights include the right to reproduce or distribute a copyrighted work. In the file-sharing context, downloading or uploading substantial parts of a copyrighted work without authority constitutes an infringement. Penalties for copyright infringement include civil and criminal penalties. In general, anyone found liable for civil copyright infringement may be ordered to pay either actual damages or "statutory" 195 damages affixed at not less than $750 and not more than $30,000 per work infringed. For "willful" infringement, a court may award up to $150,000 per work infringed. A court can, in its discretion, also assess costs and attorneys' fees. For details, see Title 17, United States Code, Sections 504, 505. Willful copyright infringement can also result in criminal penalties, including imprisonment of up to five years and fines of up to $250,000 per offense. For more information, see the web site of the U.S. Copyright Office at www.copyright.gov, and especially their FAQs at www.copyright.gov/help/faq. DISABILITY POLICY – The CHRP disability policy is available in the college handbook. 12.0 Academic Integrity & Plagiarism: Academic Integrity: The College of Health Related Professions has established guidelines for academic integrity, which are published in the CHRP Handbook. Academic misconduct, including plagiarism, giving or receiving any form of aid on quizzes or examinations that is not expressly permitted by the instructor, or falsification of any report, experimental results, or research data, is subject to disciplinary action, including probation, suspension, or dismissal from the College. The College of Health Related Professions subscribes to a Web-based plagiarism detection and prevention system that is used by colleges and universities nationwide. The system works by scanning the submitted document and matching the document against databases of texts, journals, and Web and other electronic sources including Web sites that sell or distribute pre-written essays and/or term papers. As your course instructor, I am informing you via this syllabus that I reserve the right, at my discretion, to use this plagiarism detection system for this course by submitting students’ written work to the system for the purpose of determining if a document has been plagiarized. Note: All work submitted for this course is required to be original work developed for class assignments and should not have been submitted for assignments made as part of previous and/or concurrent courses without the instructors’ prior knowledge and approval; to do otherwise constitutes academic dishonesty and will be addressed as such in this course. 12.0 Patient Privacy and Confidentiality UAMS is committed to protecting the privacy of our patients’ information. While privacy and confidentiality have always been a priority for health care providers, it has heightened importance in this era of electronic information due to the increased speed of information flow and the risks associated with protecting this information. The standards for protecting patient health information are described in the federal law known as the Health Insurance Portability and Accountability Act (HIPAA). HIPAA limits access to medical records to authorized individuals and for specific purposes. It is not possible to summarize HIPAA here; however, you will have received HIPAA training prior to being granted access to patient information. Additional information and training on HIPAA, including UAMS HIPAA policies, are available on the HIPAA Office web page HIPAA.uams.edu. Please keep in mind that there are sanctions for inappropriate access to patient records. These include criminal penalties of up to one (1) year imprisonment and a $50,000 fine; as well as, disciplinary action up to and including dismissal from your program. 196 If you have any questions pertaining to HIPAA, you may direct them to the UAMS HIPAA office at 501-603-1379. _________________________________________________________________________________________________ Fall 4 OMT II Student – Lecture Evaluation Form Objective: Prepare a lecture using Microsoft PowerPoint on an assigned topic Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be determined as described in Section 6 (EVALUATION PROCEDURES) of the course description. Evaluator: OMT Clinic Coordinators Tasks to be completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Student described prevalence of disease or condition requiring intervention?..…................ 2. Student described signs and symptoms of disease or condition requiring intervention?....... 3. Student described normal anatomy and physiology of the ocular structure(s) involved?….. 4. Student described general sequence of disease or condition requiring intervention?............ 5. Student described details of the disease stages, or intervention strategies?........................... 6. Student described treatment?..............................…………..………….………….…............ 7. Student described post-treatment management and effects?....……………………….......... 8. Student described conclusions?..………………………………………..…………….......... 9. Student spoke audibly and was easy to understand?......….……………………………....... 10. Student invited questions and provided adequate answers? ... …..……………………........ A. Number of UNFILLED circles……….______ B. Multiply “A” by 0.5 …………….……______ C. Performance Score (10.0 minus “B”)...______ 197 Signed: _____________________________________ Date: _____________ Evaluator name & degree/certification 198 Fall 4 OMT II JCAHPO PERFORMANCE AREA Advanced Goldmann Perimetry Objective: Calibrate the Goldmann perimeter Demonstrate Armaly-Drance technique for glaucoma defects Demonstrate Armaly-Drance technique for neurological defects Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be determined as described in Section 6 (EVALUATION PROCEDURES) of the course description. Evaluator: An evaluator must be an ophthalmologist, COMT, OMT, or COT. Tasks to be completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Student dimmed room lights?……………………….…………………………………........ 2. Student placed VF chart in slot and locked stylus @ 70˚?……………………………......... 3. Stimulus size and illumination intensity set at V4e?……………………..…….………....... 4. Barrier removed, or flag pushed upwards on the Lt side of perimeter?…..…..…………..... 5. Student held light meter at opening and set stimulus intensity to 1000asb (1400 Lux)?....... 6. Student reduced stimulus intensity to V1e, and replaced barrier or pushed flag down?........ 7. Student adjusted background illumination to match the stimulus illumination?…...……..... 8. Student demonstrated Armaly-Drance for glaucoma defects?....................................…....... 9. Student demonstrated Armaly-Drance for neurological defects?…..……………………..... 10. Student able to convert 4mm2 and 100 asb to Goldmann notation?….…………….…........ A. Number of UNFILLED circles……….______ B. Multiply “A” by 0.5 …………….……______ C. Performance Score (10.0 minus “B”)...______ Signed: _____________________________________ Date: _____________ Evaluator name & degree/certification 199 Fall 4 OMT II JCAHPO PERFORMANCE AREA Advanced Tonometry Objective: Calibrate a slit-lamp mounted applanation tonometer Adjust axis of prism Know the meaning of mires that might be too thick or too thin Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be determined as described in Section 6 (EVALUATION PROCEDURES) of the course description. Evaluator: An evaluator must be an ophthalmologist, COMT, OMT, or COT. Tasks to be completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Student knows how to load the calibration balance rod on the tonometer?……………....... 2. Student knows how many concentric rings are on the rod?……………………………....... 3. Student knows which ring is the “0” ring?…………………………………….…….…....... 4. At what pressure does the applanator rock back and forth for the “0” ring?…..…..….......... 5. Student knows which ring is the “2” ring?………………………………………………..... 6. At what pressure does the applanator rock back and forth for the “2” ring?………….......... 7. Student knows which ring is the “6” ring?………………….…………………..………...... 8. At what pressure does the applanator rock back and forth for the “6” ring?.......................... 9. Student knows how to adjust prism axis if cylinder > 3.0?……………………………........ 10. Student knows how the IOP will vary if the mires are too thick or too thin?…….……........ A. Number of UNFILLED circles……….______ B. Multiply “A” by 0.5 …………….……______ C. Performance Score (10.0 minus “B”)...______ Signed: _____________________________________ Date: _____________ Evaluator name & degree/certification 200 Fall 4 OMT II JCAHPO PERFORMANCE AREA Photography and Fluorescein Angiography Objective: Obtain appropriate and clinically useful ophthalmic photographs of the external and internal ocular structures. Identify errors in technique in photographs that are not clinically useful. Identify phases in a fluorescein angiogram Score: A student will start with 10 points for each Performance Area. Half a point will be deducted for each task not completed. Scoring scheme for the Performance Area will be: A=10, 9; B=8; C=7. A score of 6 or less will require more practice and a re-evaluation. Final grade for the course will be determined as described in Section 6 (EVALUATION PROCEDURES) of the course description. Evaluator: An evaluator must be an ophthalmologist, COMT, OMT, or COT. Tasks to be completed: An evaluator must ensure that the following tasks have been evaluated. Please fill in the circle for each task COMPLETED 1. Student explained procedure to patient …………………………………………………….. 2. Student adjusted eyepiece ………………………………………………………………….. 3. Student able to take a proper fundus photograph …………………………………………... 4. Student able to take proper optic disc photograph . ………………………………………... 5. Student able to identify common errors in technique ……………………………………… 6. Student able to explain how to correct errors in technique …...…………………………… 7. Student able to explain process of fluorescein angiogram …...……………………………. 8. Student able to identify phases of fluorescein angiogram …...…………………………….. 9. Student able to explain common adverse reactions to fluorescein angiogram …………….. 10. Student able to load and unload film from camera ……………...…………………………. A. Number of UNFILLED circles……….______ B. Multiply “A” by 0.5 …………….……______ C. Performance Score (10.0 minus “B”)...______ Signed: _____________________________________ Date: _____________ Evaluator name & degree/certification 201 SCHEDULE FOR DEVELOPMENT OF CLINICAL SKILLS During the two-year Ophthalmic Medical Technology (OMT) program OMT II & I students will observe the following schedule for developing clinical skills specified by the Joint Commission on Allied Health Personnel in Ophthalmology. Semester and course in which clinical skills will be developed Clinical skills to be developed Fall 1: Clinical Skills Lab I Ophthalmic exam protocol (Pt VA and Hx) Spring 2: Clinical Skills Lab II Lensmeter Basic Retinoscopy Basic Refractometry Basic Tonometry Confrontation Visual Field Summer 3: Clinical Skills Lab III Advanced Retinoscopy Advanced Refractometry Basic Goldmann Perimetry Fall 4: Clinical Skills Lab IV Advanced tonometry Ophthalmic photography & angiography Advanced Goldmann Perimetry Spring 5: Clinical Practicum V Keratometry Biometry Tangent screen visual fields Summer 6: Clinical Practicum VI Ocular motility Pupil function 202 Problem Case Conference Report Form Please retain this original form and use photocopies for submitting Problem Case Conference (PCC) reports. In case multiple problems are presented, any TWO may be chosen for preparing the PCC report. Deadline: 12 noon of the following working Thursday Please submit at least a total of 6 PCC reports for Fall 4 semester. Students should obtain a notebook for P.C.C. and observe the following protocol in order to enhance educational experiences: • • • • • • Note salient signs and symptoms Note principal differential diagnoses Note Dx and Tx Consult course references, BCSC, and Vaughan (available in program director’s office) for signs, symptoms, differential Dx, Dx, and Tx Briefly compile results in this report form. If >1 case is presented for a Dx then combine those cases for this report. It will be a good idea to maintain your P.C.C. notes in a separate notebook that can serve as an ongoing record of your attendance P.C.C. Date: P.C.C. Location: Principal Symptoms P.C.C. Topic & Presenter(s): JEI ACH VA Principal Signs (circle the choice) Differential Diagnosis Diagnosis Comments 203 Problem Case Conference Schedule & Report Log1 Date of PCC Topic of PCC Location of PCC Presenters (Faculty – Resident) August 25, 2011 PEDS JEI LOWERY/PHILLIPS/THOMAS September 1, 2011 PLASTICS JEI PEMBERTON/WESTFALL September 8, 2010 GLAUCOMA JEI DERSU September 15, 2011 PATHOLOGY SHOREY H. BROWN September 29, 2011 COMPREHENSIVE JEI R. DAVIS October 6, 2011 VAH VAH ANDERSON/CANNON/THAYI October 13, 2011 GLAUCOMA JEI DERSU October 20, 2011 NEURO-OP JEI H. BROWN October 27, 2011 RETINA JEI November 3, 2011 PLASTICS JEI November 10, 2011 PEDS JEI DIMICELI/LOWERY/PHILLIPS/ THOMAS November 17, 2011 CORNEA JEI WARNER OMT I Students Who Submitted Reports Within the Deadline UWAYDAT/PETROVIC PEMBERTON/WESTFALL THANKSGIVING DAY November 24, 2011 December 1, 2011 NEURO-OP JEI CHACKO/NAZARIAN/PHILLIPS December 8, 2011 PATHOLOGY SHOREY H. BROWN END OF SEMESTER (Dec. 16, 2011) 1 Please note that PCC topics, dates and locations may change based on dynamics of clinical teaching. 204 Fall 4 - OMT II OPH 4510 Clinical Practicum IV – CLINIC LOG Clinic Assignment: AM: PM: All OMT students must maintain a log of attendance and specific procedures observed, participated in, or performed each day by completing the table below. Guidelines: OMT II students must obtain: VA, CC, PMH, lensometry, MR (after retinoscopy), CVF, MB, EOM, IOP, SLE, pupil eval. at least t.i.d. OMT II students should perform advanced tonometry, advanced Goldmann perimetry, and ophthalmic photography at least weekly to prepare for end-of-semester skill exam OMT II students should use downtime to continue to review previously acquired skills and/or work on research topic (must be approved by clinic coordinators) Please note your results and include comments if necessary. Please obtain appropriate signatures for clinic credit each day. Time TIME TIME Spent Procedures Performed Findings (Rx, SLE, IOP) DATE Pt I.D. # IN OUT with Pt Assignment: Dx Comments/Notes: 151 Comments Example weekly clinic assignments OMT II Clinical Assignments Week 1 08/23-08/27 Ariel Bailey Meagan Chastain Amy Hischier Mon 08/29/11 0800-1630 JEI Dersu - AM Med Stu Lab – PM then Photos NLR VA – AM + PM ACH (Phillips) – AM + PM Tue 08/30/11 1230-1630 JEI Res - PM NLR VA - PM ACH (Westfall) - PM Wed 08/31/11 0900-1200 Tour/Clinic Intro w/ Ashley & Chris (OMT I Students) Tour/Clinic Intro w/ Teresa (OMT I Student) Tour/Clinic Intro w/ Summar & Melissa (OMT I Students) Thu 09/1/11 1230-1630 JEI Photos - PM NLR VA - PM JEI Phillips- PM PCC/Grand Rounds PCC/Grand Rounds PCC/Grand Rounds JEI OR - AM Student Mtg - PM NLR VA - AM Student Mtg - PM JEI (Phillips) - AM Student Mtg - PM 1630-1800 Fri 09/2/11 0800-1200 1400-1500 OMT II Clinical Assignments Week 6 10/3-10/7 Ariel Bailey Mon 10.3.11 1230-1600 Tues 10.4.11 0800-1630 Wed 10.5.11 Class AM + PM Thurs 10.6.11 0800-1400 1400-1600 1630-1830 Meagan Chastain Amy Hischier Independent Research/Skill Independent Research/Skill Independent Research/Skill JEI OR AM JEI Photos PM NLR VA – AM + PM ACH - AM + PM Class am + pm Class am + pm Class am + pm JEI OR AM GVF @ Noon Photography Practice – Part III PCC/Ground Rnds NLR VA – AM + PM Photography Practice – Part III JEI Dimiceli AM JEI OR (Lowery) PM – check in advance Photography Practice – Part III PCC/Ground Rnds PCC/Ground Rnds Fri JEI Kim AM JEI OR AM – check in 10.7.11 0800-1200 advance (or MOR @ 9 AM) Reminder: Semester Project Outlines are due Monday, Oct. 3rd - noon JEI Photo AM 151
