Program Goals
- To expand the resident’s skills, experience and knowledge base in primary eye care and ocular disease detection, diagnosis, and management.
- To provide a didactic education to enhance the resident’s clinical decision-making skills, to develop the resident’s appreciation for scholarly activities and commitment to lifelong learning.
- Provide the resident with a practical understanding of their role as an integral member of a multidisciplinary health care team and to recognize the importance of an integrated coordinated approach to health care delivery.
- To provide the resident with leadership fundamentals that will prepare them to lead and work collaboratively within teams.
- Provide the resident with the opportunity to develop cultural competency by learning how to meet the needs of the diverse cultural and socioeconomic groups that make up our metro Los Angeles service area.
Program Objectives
- The resident will have at least approximately 1,200 direct patient care encounters consisting of primary and secondary eye care. These encounters will consist of regularly scheduled patients and non-scheduled urgent care patients.
- Ensure the resident's skills in primary eye care, including contact lenses, binocular vision, ocular disease detection, diagnosis and management is strengthened and expanded. The resident will develop and demonstrate the ability to form appropriate ocular differential diagnoses.
- The resident will acquire hands-on experience with advanced techniques and ophthalmic skills. Advanced techniques may include cranial nerve testing, epilation, exophthalmometry, foreign body removal, fundus contact lens examination, gonioscopy, imaging orders, laboratory orders, OCT interpretation, pachymetry, punctal dilation and irrigation, punctal plug insertion, retinal photography, visual field interpretation, vitals.
- The resident will interact with ophthalmological and non-ophthalmological healthcare providers via phone consults, virtual consults, and non-urgent consultations and referrals.
- The resident will attend continuing education conferences and/or workshops on ocular disease and advanced clinical techniques.
- The resident will participate as a member of the health care team by adding diagnoses and other information useful to the multidisciplinary health care team into the HealthConnect electronic medical record system.
- The resident will interact with non-ophthalmic health care providers from a variety of disciplines, which may include family practice, internal medicine, pediatric, dermatology, neurology, rheumatology, radiology, social work, and speech/language/learning services.
- The resident will prepare and deliver lecture presentations and/or clinical information to audiences comprised of Optometrists and possibly non-ophthalmic health care providers (MAs, OAs, non-Optometric residents, and physicians).
- The resident will prepare a manuscript of publishable quality.
- The resident will attend and actively participate in Friday conference/rounds, optometric medical education, and case reviews in person or virtually.
- The resident is strongly encouraged to attend the annual meeting of the American Academy of Optometry, and/or other major regional optometry meetings.
- The resident will participate in Kaiser Permanente LAMCs unique Optometry Leadership Program (OLP) and learn leadership fundamentals that will prepare them to lead and work collaboratively within teams.
- The resident will experience and learn how to deliver high quality optometric care to the diverse population of our Los Angeles service area.
Schedule
Example of a Typical Daily or Weekly Schedule in Clinic**
Hours: 40 hours/week; May work 1-2 Saturday’s/month*
Monday: 7:55am-4:25pm-Full Day Patient Care
Tuesday: 7:55am-4:25pm-Full Day Patient Care
Wednesday: 7:55am-4:25pm-(Full Day Patient Care or Half Day Patient Care/Academic Time***)
Thursday: 9-5:30pm-Full Day Patient Care
Friday: 7:30-4pm- Academic Time (Friday Conference)/Half Day Patient Care****
Saturday: 7:30-4pm -Full Day Patient Care
*Any Saturday resident staffing is solely based on furthering the resident’s academic development.
**Clinic start and end times may vary.
***Day to day schedule may vary
Duration of Program
12 months: Approximately August 1 to July 31
Approximation due to Kaiser Permanente onboarding protocols
Type and Number of Patients
Minimum of 1,200 direct patient encounters in Primary Eye Care including
- Geriatric
- Pediatric
- Contact Lens
- Ocular Disease
- Binocular Vision
- Same day urgent/red eye
Clinical Teaching Opportunities / Lecturing Activities
- Lectures/in service training in ophthalmic disease and examination techniques presented to groups which may include Optometrists, eye care staff, ophthalmic professionals, and non-ophthalmic health care providers
- Case discussions, reviews, and lectures with mentors and or residency preceptors
Scholarly / Didactic Activities
- Leadership and management workshops/meetings
- Attend continuing optometric and medical education conferences/workshops/meetings on primary eye care, ocular disease, systemic conditions that affect ocular health, and advanced clinical techniques
- Participate in Friday conference held at KP LAMC including, “image of the week” discussion, case discussions and presentations, journal club, grand rounds presentations and frequent quizzes.
- Case report or research paper of publishable quality is required (resident is encouraged to submit a poster presentation and attend the annual meeting of the American Academy of Optometry).
- Research Project with residency program faculty
- (2) Case report or research papers of publishable quality are required
- (1) case report/or research paper will be required to submit for publication before the program end
- Resident will submit a poster presentation and is encouraged to attend both the American Academy of Optometry (AAO) & Southern Council of Optometrists (SECO) annual meeting.
Facilities:
- The residents will be expected to rotate through all Los Angeles Medical Center locations which currently includes the following:
- “Sunset” 1515 N Vermont Ave 6th Floor Los Angeles, CA 90027
- Pasadena Optometry/Vision Essentials 1055 E Colorado Blvd #100, Pasadena CA 91101
- East Los Angeles 5119 Pomona Blvd, Los Angeles CA 90022
- The residents will also occasionally be expected to travel to locations out of the Los Angeles Service Area including San Bernardino and the San Fernando Valley.
Equipment:
- All of our exam rooms are outfitted with Marco RT 5100/6100 phoroptors, Haag Streit BQ or BM Slit lamps, Wireless LED BIOs and assorted condensing lenses. We have an assortment of TonoPen XL, Tonopen AVIA, iCare Tonometers as well as pachymate 2 and Pachette 4 pachymeters. We have a Heidelberg Spectalis OCT with anterior-segment capabilities as well as Zeiss/Humphrey HFA3-860 Visual Field Machines. We have fundus cameras and a slit lamp imaging system.
Staffing
- We have 12+ clinic assistants which consist of LVNs (Licensed Vocational Nurses), MAs (Medical Assistants) and OAs (Optometric Assistants). Our assistants run our OCT/VF and Retinal cameras as well as work up patients for the Staff ODs. LVNs also administer flu vaccinations and draw blood for HbA1c testing.
Information Resources
Kaiser Permanente has an extensive medical library with many specialty and optometry/ophthalmology journals available online or by print. MBKU also grants remote access to residents to their library services.
Compensation and Benefits
The resident will be compensated as an employee of the Kaiser Permanente
Stipend: Total stipend of approximately $64,377, less any federal/state required payroll deductions, will be paid by Kaiser Permanente. Not contingent upon productivity.
Health Insurance: Kaiser Permanente
Holidays: There are 7 paid holidays which are currently: New Year’s Day, Memorial Day, Independence Day, Labor Day, MLK Day, Thanksgiving Day, and Christmas Day
Educational Travel: The residents will be granted time off to travel to approved conferences.
Paid Time Off: 15 days per year
Liability Insurance: Kaiser Permanente
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Hours:
- The resident can work up to two Saturdays* a month with a corresponding day off during the week, depending on academic needs, resident preference, and exam room availability.
- Scheduled start time will not be before 6am and scheduled end time will not be after 7pm**.
- The residents will be scheduled for clinic time of approximately 40 hours a week**.
- Currently 2023/2024 no after-hours on call duties.
- Residents are expected to remain in clinic until all patients are seen.
Duty hours:
- All clinical and academic activities related to the training program, including direct patient care, administrative duties related to patient care, on-call, scheduled academic activities, or moonlighting activities, are limited to 80 hours a week, averaged over a 4-week period.
*Any Saturday resident staffing is solely based on furthering the resident’s academic development.
**Clinic start and end times may vary and day to day schedule may vary
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Requirements for Residency Completion and Awarding of Certificate
- Be present for complete academic year from approximately August 1 through July 31 for the entire term of duty except when on approved vacation, sick, or authorized absence day
- The resident will be expected to perform in a professional manner in the delivery of patient care services and to observe those proprieties of conduct and courtesies that are consistent with the rules and regulations governing KP and SCCO at MBKU.
- The resident is required to provide quality, compassionate, and ethical care to all KP patients and all the while deliver clinical services at a level that is satisfactory to the Residency Coordinator and the Assistant Dean of Residencies.
- The resident is required to complete the requirements set forth in the curriculum and keep a detailed log of all required program aspects which will be reviewed at least quarterly by the Residency Coordinator and the SCCO at MBKU Assistant Dean of Residencies. These documents include:
- Quarterly encounter activity
- Quarterly patient encounter log
- Quarterly faculty evaluations
- Quarterly program evaluations
- Quarterly resident referral log
- Quarterly resident activity log
- Quarterly resident reading log
- End of year evaluation of program
- Certification of completion of residency requirements
- Resident contact address after completion
- The resident will be required to write a publishable quality paper based on original research, literature review, or a clinical case.
- The resident is highly encouraged to participate and present at the Southern California College of Optometry at MBKU Annual Residency Forum.
- The resident is highly encouraged to attend and participation at the Annual American Academy Meeting, California Optometric Association Symposium, or any pre-approved educationally rich meeting.
- The resident is required to return any property that belongs to Kaiser Permanente at the end of the residency year.
- Upon successful completion of the Residency Program, the Residency Coordinator and the Assistant Dean of Residencies will recommend the granting of certification to the Dean at the Southern California College of Optometry.
- Any resident accepted for training can be dismissed, without receiving a certificate of completion, for infractions of the rules and regulations of Kaiser Foundation Health and/or Southern California College of Optometry at MBKU, or for any action that jeopardizes the safety of patients, personnel, or physical facilities.
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