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Basic Information

Category Title: Ocular Disease
Program Area of Emphasis: Primary Care Optometry
Program Site: Albuquerque Indian Health Center
Program Location: Other Federal Facility
Program Address: 801 Vassar Dr. NE

Albuquerque, New Mexico 87106
Phone Number:
Fax Number:
Email: christopher.cordes@ihs.gov
Affiliation: Southern California College of Optometry at Marshall B. Ketchum University
Director of Residency Education:

Judy Tong, OD, FAAO


Program Application Deadline: Concurrent with ORMS Deadlines
Program URL:

Program Description

Date Program Established: 08/2019
Accreditation Status: First Year Program

Click here for more information about accreditation of optometric residency programs.

Combined Residency/Graduate Program: No
Program Mission Statement:

The mission of the residency program is to provide a comprehensive primary care optometry experience in a multi-disciplinary health center setting for postdoctoral optometric practitioners to continue to cultivate their clinical and educational growth with strong emphasis on ocular disease management and advanced optometric compentencies.  Residents in this program will provide high level primary and ocular disease eye care to Native Americans of all ages in an educational-clinical setting that utilizes a multidisciplinary team of professionals to direct and carry out patient care. The resident will be immersed in fostering an appreciation for the culture of the Native American people and ensuring  the resident becomes a caring and compassionate provider for all patients with diverse cultures. This will produce advanced optometric skills and compentencies during the year long training program due to the advanced systemic and ocular conditions of the residency's unique population base.


Program Description:

Goal 1: Strengthen the resident's primary care skills.



     Objective 1: Provide the resident with an extensive primary care patient base.



            Outcome: The resident will experience a recommended patient count of 1200 primary eye care encounters during the course of the residency year.



            Measure: Meditrek Patient Encounter Log



     Objective 2: Provide the resident with a variety of diverse, challenging, and complex cases.



            Outcome:  Due to the very nature of the service population of Albuquerque Indian Health Center (AIHC),  diverse clinical presentations in age, sex, and ocular conditions are ensured. Patients will range from neonate to geriatric, male and female, and from all walks of Native American society.



            Measure: Meditrek Patient Encounter and Referral Logs



 



Goal 2: Provide the resident with a practical understanding of the patient care components of an Indian Health Service health care system which may be representative of other health care systems which the resident will encounter in their future.



     Objective 1: The resident will work within and develop an understanding of the interdisciplinary concept of health care.



            Outcome: The resident will serve as a source of complete optometric primary eye care for the medical staff  and health care team of AIHC, which is composed of other optometrists, physicians,  and mid-level providers.



            Measure: The resident will consult with the referring providers verbally and/or by written report. Conversely,  the resident will verbally or by written request refer patients to the appropriate provider as



                               needed.  Meditrek Activity Log and Referral Log. EHR notes displaying communication can be provided at site visit.



     Objective 2: The resident will develop an understanding of the support services that are available within a medical health care system.



            Outcome: The resident will learn to properly order imaging studies, laboratory studies and medications through the electronic health record (EHR) system.



            Measure: Program faculty will supervise the initial orders for accuracy and completeness. Communication between provider and pharmacy, laboratory or radiology departments occur regarding appropriateness of the orders and results of the findings.  Meditrek Referral Log



 



Goal 3: Expand and enhance the resident’s ocular disease, advanced optometric compentencies and systemic health care knowledge base.



     Objective 1: The resident will participate in the quarterly resident journal club meetings.



            Outcome: The resident will be able to critique clinical studies, scientific literature and possess a knowledge of basic statistics and epidemiology.



            Measure: Meditrek Activity Log and Reading Log



     Objective 2: The resident will develop an understanding of other health care disciplines.



            Outcome: The resident will rotate through other departments within the health center and with ophthmalmic provides/specialists within the commmunty.   



            Measure: Meditrek Activity Log and Patient Encounter Log, Case Reports



      Objective 3: The resident will participate in virtual case reports/presentations weekly with the other Indian Health Service Resisdents.



           Outcome: The resident will engage in diadiatic discussion and case presenations with other Indian Health Service Optometry Residents on ocular and systemic disease based cases.



             Measure:  Meditrek Activity Log



 



Goal 4: Provide a forum for the development of the resident’s interest in scholarly activity.



     Objective 1: The resident will meet the SCCO at MBKU mandated deadlines for scholarly activitiy.



            Outcome: As part of the requirement for the completion of the residency program, the resident must prepare  a manuscript of publishable quality, meeting designated deadlines.     



            Measure: The proctor will monitor progress and review the Meditrek Activity Log.



     Objective 2: The proctor will instruct and advise the resident in the preparation of clinical presentations.



            Outcome: As part of the requirement for the completion of the residency program the resident must prepare and present at least one continuing education type lecture for the medical staff at AIHC and at least one presentation the Biennial Indian Health Service Eye Care Meeting or Navajo Area Biennial Eye Care meeting (or equivalent, i.e. virtual). The resident is required to present brief lectures quarterly for the optometry staff/externs on a variety of different clinical topics. This may include  case presentations, clinical reviews, journal article reviews, or a trainings for technicians/support staff.



            Measure: Meditrek Activity Log



     Objective 3: The resident will develop an understanding of and experience the responsibilities of an optometric educator and teaching/learning advanced optometric compentencies.



            Outcome: The resident will be given the opportunity to serve as clinical preceptor for the optometry interns rotating through AIHC. Providing the interns with instruction of advanced optometric compentencies.  



            Measure: Meditrek Activity Log, Meditrek Patient Encounter Log



Objective 4: The resident will complete three case reports during their residency.  They will be due in a orderly manner approximately 31-January, 30-April, 31-July of each year appropiately.  The 31-July case report can be/qualify for the same case report/manuscript listed in objective 1.



            Outcome: The resident will have completed the requirements to apply for Fellowship in the American Academy of Optometry.  



            Measure: Submitted Case Reports to Residency Coordinator



 



The AIHC residency program is designed to educate and train the resident in advanced optometric competencies through an appropriate mix of clinical care, didactic instruction, and scholarly activities.  The primary focus of the curriculum is clinical activity maintained through an adequate and diverse number of direct patient encounters; involving the resident in the full spectrum of primary eye/ocular disease in a multidisciplinary, health center based environment. The foundations of the curriculum are the guidelines prepared by Indian Health Service (IHS), AIHC, and SCCO at MBKU.



 



Typical Weekly Schedule– An 80 hr/ 2 weeks-  alternate work schedule is required of  the resident.  Resident follows the Federal requirements for work hours and hours in excess of 80 hrs require supervisor/CEO approval.



Clinical Activities:



-Direct patient care in a health center based clinical setting is the primary clinical activity.



-Clinical interaction with various health center departments is required, such as face to face consulations in house, and also via electronic health record communication. 



-Sub-specialty ophthalmology rotations are required and may include: general, glaucoma, retina, oculoplastics, and cornea. If additional rotations are desired by the resident they can be arranged.



- Precepting the student interns at AIHC after obtaining clinicial and diadatic training/comfortablility.  This will produce the advanced compentency of staffing 4th year interns. 



-All clinical activities are recorded in the Meditrek Activity and Patient Encounter Logs.   



 



Didactic Activities



-Didactic activities are typically scheduled on Thursday mornings during facility adminstrative time. The activities can vary from discussions of care/cases with staff optometrist(s), techicians to medical staff members at AIHC.



-The resident may attend continuing education lectures presented at the Biennial Indian Health Service meeting(s), various IHS facilities, local ophthalmic provider presentations in community, national meetings (AAO, AFOS, AOA, State Optometric Associations) or via online resources,  which may pertain to a broad range of health care topics.



-The resident will participate in regular clinical case discussions with program faculty, medical staff, and optometric enterns.



 



Scholarly Activities



-The resident is provided time per week to engage in scholarly pursuits, didactic educational activities, and other residency activities. The resident is required to prepare a manuscript of publishable quality that may consist of original research, literature review, case report, or a combination of each.



-The resident will participate in the resident journal club which meets approximately four times during the program year. The resident must be prepared to discuss at length each of the articles to be presented and will present in detail one journal article his/herself at each meeting.



-Formal discussions of patient cases, recent articles, or assigned topics will be conducted on Thursday mornings with other Indian Health Service Optometry Residents,  as the schedule allows. The resident will share in the responsibility of the discussions by presenting a topic and leading a discussion or lecturing on an assigned topic.



-Teaching responsibilities serve as a mechanism to reinforce problem-solving skills and to provide the resident with the opportunity to develop teaching skills for potential future use. The resident will share with the staff in the opportunity to precept fourth year optometry externs on a regular basis,  but not at the exclusion of an independent patient schedule.



-The resident will prepare three (3) case reports during their residency as outlined.



 



Direct patient care is the focus of the AIHC residency program and throughout the year, the resident experiences a desired minimum of 1200 patient care encounters.  These encounters include scheduled patients, referrals from other providers/departments, and urgent care walk-in exams.  Exams range from full comprehensive exams to problem focused/disease based exams.  Continuity of care is emphasized and the resident is responsible for the management of his/her patients, both acute and chronic, which allows for ongoing feedback and learning opportunities.  The clinic sees a high incidence of ocular and systemic disease and the resident is encouraged to take on complex and challenging cases with the support of the residency faculty.  This is to ensure residents obtain advanced competencies in the management of systemic and ocular disease.  Case discussions and reviews take place on a daily basis with residency faculty regarding these complicated cases.



 



The resident diagnoses, manages, and co-manages a wide variety of ocular conditions including anterior and posterior segment disease, trauma, and glaucoma.  The resident routinely prescribes topical and oral therapeutic medications to treat ocular conditions and orders lab work and imaging studies to aid in the diagnosis and management of ocular conditions.  The resident also consults and co-manages with other medical providers in house and with outside facility providers, including ophthalmology, family medicine, pediatrics, neurology, etc. when necessary. This management at all levels allows for competent management of advanced stages of ocular diseases. 



 



Approximately 90-95% of the resident's non-administrative (clinical, which is 85% of the total time) time is spent in direct patient care while about 5-10% is spent observing patient care with ophthalmology subspecialists and other health care professionals.  Flexibility is allowed according to resident interest and availability of providers.  The remaining time is reserved for administrative, didactic, and academic tasks, which supplement the direct and observation patient care involvement.  Thus, 85% of the resident's time is spent in direct patient care. See Program Curriculum sample two-week schedule for further clarification. 



 



The quantity and quality of direct patient care encounters, as well as observational encounters with other health care providers, fulfill the mission, goals, and objectives of the residency program.


Program Length: 1 year
Number of Positions Available in Program: 1
Program Starting Date: ~August 1st-July 31st (dependent on US Gov't pay periods) (not to exceed 13 months)
Typical Weekly Hours and After-Hours Responsibilities:

Workload and Schedule



Resident will spend the majority of their schedule in clinical care.  Emphasis is placed on clinical care. 



FIRST WEEK Resident Schedule












































Time



MONDAY



TUESDAY



WEDNESDAY



THURSDAY



FRIDAY



7:30-7:45



Didactic Activity



Didactic Activity



Didactic Activity



Meetings



(Rounds, Medical Staff, Eye Staff, training, etc.)



Didactic Activity



07:45-11:45



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



 



12:45-16:30



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



Clinic



(Glaucoma / Fields)



Clinic



(High Risk Patients)



16:30-17:00



Administrative Time/ Didactic Activity



Administrative Time/ Didactic Activity



Administrative Time/ Didactic Activity



Administrative Time/ Didactic Activity




SECOND WEEK Resident Schedule










































Time



MONDAY



TUESDAY



WEDNESDAY



THURSDAY



FRIDAY



7:30-7:45



Didactic Activity



Didactic Activity



Didactic Activity



Scholarly Activity



OFF- Alternate Work Schedule



07:45-11:45



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



12:45-16:30



Clinic



(High Risk Patients)



Clinic



(High Risk Patients)



Clinic



(Glaucoma / Fields)



Clinic



(High Risk Patients)



16:30-17:00



Administrative Time/ Didactic Activity



Administrative Time/ Didactic Activity



Administrative Time/ Didactic Activity



Off at 16:00- Alternate work schedule




 


Clinical experience includes diagnosis and treatment of a wide variety of conditions including the following:




  • Ammetropia including common moderate and severe astigmatism 

  • Strabismus and binocularity anomalies 

  • Glaucoma 

  • Iritis 

  • Trauma 

  • Retinal detachment 

  • Keratoconjunctivitis, infectious  and other keratoconjunctivitis 

  • Diabetic eye disease 

  • Cataract 

  • Age-Related Macular Degeneration 

  • Lid conditions, i.e., inflammations, ptosis, etc. 

  • Central nervous system anomalies 



Patient demographics: 45% Pueblo, 45% Navajo, 10% other, randomly including all ages, male and female



Rotation length: ~12 months, August 1 – July 31 (dependent on US Government Pay Periods)



Work Schedule;




  • The schedule is based on 2-week pay periods of 80 hours consisting of 8 - 9 hour work days, 1- 8 hour work day and every other Friday off.

  • Residents also participate in after-hours activities (journal club, case discussions) as designated by the Residency Coordinator, if necessary.

  • Resident regular time each 2-week period is generally allotted as follows.



Administrative/Meetings/Didactic Activity-------------- 9.25 hours--------- 11.6%



Scholarly Activity-------------------------------------------------- 4.0 hours-------------- 5%



Clinical Practice------------------------------------------------ 66.75 hours--------- 83.4%


Requirements for Completion:

Requirements for Residency Completion and Awarding of Certificate




  • Appointment to the Health center Medical Staff including possession of an unrestricted license in a state, territory, commonwealth or the District of Columbia of the United States and all other designate requirement of privileging and appointment.

  • Completion and submission as designated in the SCCO Administrative Guide for Residents of all specified logs, i.e., patient visit with diagnosis, etc. along with designated evaluations of program and faculty.




  • Deliver competent patient care services during a recommended minimum of 1,200 clinical visits in a professional manner observing those proprieties of conduct and courtesy that are consistent with the rules and regulations governing SCCO and the IHS as observed by patients and staff.

  • Participate in all IHS Resident Literature Review meetings.

  • Submit and present at a meeting of peers a paper based upon original research, literature review, and/or clinical case suitable for publication in a peer reviewed journal by deadline(s) designated in the SCCO Administrative Guide for Residents.


Program Salary/Stipend: See below
Program Benefits and Liability Coverage: Professional Liability Insurance

Vacation

Paid Sick Leave

Other: GS11-Step 1 Salary of Optometry 638 Pay Scale
Completion Certificate: Yes
VA Hospital Affiliation: No

Key Contacts

Program Coordinator, Coordinator Title: Christopher Cordes, Residency Coordinator
Telephone: 505-248-4036
Fax: 505-248-7721
E-mail Address: Christopher.Cordes@ihs.gov
Program Co-Coordinator, Co-Coordinator Title:
Telephone:
Fax:
E-mail Address:

Application Information

Application Materials and Procedures:

CV, 3 Letters of Recommendation, Interview (in-person strongly preferred), MUST BE A US CITIZEN


Selection Procedure and Admission Criteria:

Application Process



Applications are processed through the Optometric Residency Matching Service (ORMS) http://orms.org. The following are required to be eligible for consideration.




  • Citizens of the United States of America are given preference. A non-citizen may be eligible if there are no qualified US citizen applicants and they present to the Coordinator the appropriate documents that will allow them to work continuously as a resident for the designated time period in the United States.

  • OD degree conferred by an accredited school or college of optometry, the school or college of optometry conferring the degree must be accredited by the Accreditation Council on Optometric Education. Applicants must furnish to the Coordinator a copy of diploma and official complete transcripts of all optometric education.

  • Documentation of successful completion of all NBEO sections must be submitted to the Coordinator, unless extenuating circumstances exist.

  • Letter of intent including statement explaining why the applicant is pursuing residency training and what goals they hope to achieve during the program, submitted the Coordinator.

  • Applicants must be eligible to obtain a currently active and unrestricted license to practice optometry in a state, territory, commonwealth or the District of Columbia of the United States, which includes the use of therapeutic drugs by the beginning of the residency cycle. Documentation of this must be provided to the Coordinator and a copy of the license when obtained. Residents must meet all requirements necessary for appointment to the Medical Staff and privileging.

  • Completion of an interview with the Coordinator is mandatory, preferably in person.



All applicants will be evaluated for selection without regard to sex, race, color, creed, age, national origin, or non-disqualifying physical disabilities, except for applicants who are members of a federally recognized Native American or Alaska Native group whom are given preference under the Indian Preference Act.



Selection Procedure




  • The Residency Coordinator assembles all required documents and information; and with other appropriate Health center staff evaluates all completed applications prior to ORMS match day.

  • Department staff members rank each year’s applicants on specific factors, such as the following, using a scoring elements matrix. The Coordinator consolidates these scores into a final ranking of applicants used in the ORMS matching process.



Appearance, Attitude & General Demeanor, Communication Skills, GPA & Academic Performance, Professional Memberships & Activities, References (character, dependability, clinical performance & knowledge, etc.), Residency and Professional Goals, IHS Career Potential



. Application: A completed application must be submitted to the National Matching Services, Inc. (ORMatch), with supporting documents provided to the Residency Coordinator, no later than February 1st of the year during which the residency program is being applied for.



    c. Selection: All completed applications will be evaluated by the program coordinator and other on-site faculty prior to ORMatch match day.  Candidates are ranked according the following categories:



              -GPA



              -NBEO Scores



              -Letters of Recommendation



              -Letter of Intent



              -Interview



              -Special qualities/characteristics: including personality, motivation, professionalism, communication skills, willingness to learn, attitude,  ability to work as part of a team, etc.



      A consensus ranking order will be identified and provided to ORMatch. The name of the matching applicant will  be provided to the SCCO at MBKU Assistant Dean of Residencies, who will then make a recommendation for appointment of the selectee to the Dean of Optometry. The matched applicant must then begin the application  process for federal civil service employment with AIHC as an optometric resident. He/she must apply for and obtain an optometric license promptly.  Once the license is obtained, the human resources department canproceed with the selection and hiring process. Once hired the resident must obtain health center privileges and  a  NPI/DEA  number with the assistance and guidance of the Residency Coordinator.


Program Application Deadline: Concurrent with ORMS Deadlines

Additional Comments

Certificate of Completion via SCCO