To describe the optics of the soft contact lens and hard contact lens (e.g., rigid gas permeable CL); base curve changes, the lacrimal lens, and the optic zone.
To describe conversion of a spectacle prescription (Rx) to a CL Rx, including method of converting from plus to minus cylinder.
To describe basic CL design, using appropriate terminology.
To describe techniques for and perform basic CL fitting.
To describe selection of CL candidates with non-complex needs.
To describe contraindications for contact lens use.
To describe fundamentals of ophthalmic optics in CL management (e.g., CL choices, techniques for fitting individuals).
To list indications for contact lenses in non-complex cases.
To describe CL choices and techniques for fitting individuals with non-complex CL needs.
Patient Care
To perform a basic contact lens (CL) history and examination, and to be aware of additional basic tests and questions that are required for CL patients with more complex needs.
To perform the techniques of retinoscopy, refraction, and over-refraction in the routine CL patient.
To perform advanced retinoscopy techniques in a CL patient.
To perform advanced refraction techniques in a CL patient, including diagnostic fitting.
To perform techniques to verify and inspect contact lenses.
To use auxiliary CL instruments and tests (e.g., trial set, fluorescein testing).
To perform CL verification for vision correction, fit, and comfort.
To utilize appropriate teaching skills to instruct patients in the safe insertion, removal, and care of contact lenses.
PGY-3 Level Goals (in addition to PGY-2 Level Goals)
Medical Knowledge
To describe more advanced concepts of ophthalmic optics in CL.
To describe indications for more advanced CL (e.g., therapeutic lenses).
To describe the more advanced optics of the soft contact lens (SCL) and hard contact lens (e.g., rigid gas permeable CL); base curve changes, the lacrimal lens, and the optic zone.
To describe more advanced CL design (e.g., special lenses and special CL shapes or materials).
To describe and perform more advanced CL fitting (e.g., post-keratoplasty).
To describe selection of CL candidates with more complex needs (e.g., post-surgical).
To describe the more advanced CL complications. (e.g. microbial keratitis, sterile corneal infiltrates, preservative toxicity)
Patient Care
To perform a more advanced CL history and examination, employing additional tests and questions appropriate for patients with more complex CL needs (e.g., keratoconus, difficult CL fittings).
To perfom retinoscopy and refraction in the CL patient with more complex needs (e.g., keratoconus, post-keratoplasty).
To perform more advanced retinoscopy techniques in a CL patient.
To perform more advanced refraction techniques in CL patient, including diagnostic fitting.
To perform advanced techniques to verify and inspect contact lenses in patients with complex CL needs.
To perform more advanced CL fitting in patients with complex needs (e.g., keratoconus, CL in children, active corneal disease).
To describe and use the CL instruments in more complex cases.
To perform appropriate CL selection (e.g., material selection, CL modification).
To perform corneal topography to fit contact lenses.
To use auxiliary CL instruments in patients with more complex needs (e.g., post-surgical topography).
To perform CL verification for vision, fit, and comfort in therapeutic CL care.
Goals at all levels of Training
Professionalism
To treat patients with respect and compassion at all times
To treat clinical and administrative staff with respect
To treat medical students with respect and strive to create an atmosphere conducive to education
To arrive on-time for clinical experiences
To prepare in advance for surgical experiences
To work to become part of the clinical team
To work with the faculty, staff, fellow and other residents on the service to determine your responsibilities
To remain flexible and offer to help out with the responsibilities of others when you can
To remain visible and available to participate in clinical care throughout the clinical session. If you leave the clinical care area make sure that other members of the service know where you are and why
answer your pager within 10 minutes of being paged.
Interpersonal and communication skills
To communicate your name and role on the service to patients and their families.
"Hello, I'm Dr. Resident, I'm a resident working with Dr. Attending today."
To present patients to the attending in a succinct but complete way
To maintain timely and legible medical records
To talk when you should be talking, listen when you should be listening
Practice-based learning and improvement
To learn to recognize feedback from faculty, fellows, fellow residents, patients and students
To accept that feedback constructively and work to improve based on it
To accept your role as a teacher as well as a learner. Work to educate students, fellow residents, faculty, staff and patients
Systems based practice
To work for the benefit of your patients to communicate with other health care provider
To act as an advocate for your patient within the health care system
To become aware of the costs of diagnostic and therapeutic interventions. Consider these costs as you recommend and prescribe these interventions.
