Residency in Ocular Disease / Primary Eye Care

VA Hudson Valley Health Care System, NY

Optometry Service (620-123)
2094 Albany Post Road
Montrose NY 10548

Program Supervisor
Dr. Nancy Wong
Phone: (914) 737-4400 ext. 2014
Fax: (914) 788-4373
Email: nancy.wong@va.gov

Additional Faculty
Felicia Fodera, OD
Shelly Hay, OD
Jean Jung, OD
Nicole Minutolo, OD
Miriam Rolf, OD
Ronald Texley, COMS
Kelly Thomann, OD
Dawn Tomasini, OD
Steward Wang, OD

Program Description
This is a primary care optometric program with heavy emphasis on the diagnostic assessment and therapeutic management of ocular disease. This program seeks to provide the resident with advanced didactic knowledge and concentrated clinical experience in a hospital setting. Individuals who complete the program are expected to attain a high level of proficiency in the diagnosis and management of ocular disease including those conditions associated with systemic diseases.

Program Length

12 months

Start Date

July 1

Positions

4 paid, 1 without compensation

Compensation

$36,042

Hours Per Week

 (Plus On-call: WHEN (Weekends, Holidays, Evenings,  Nights) rotating on a monthly basis with other residents)

Accreditation

Fully accredited by ACOE

Application Deadline

February 15

ORMatch

Yes


Educational Opportunities
The resident will follow a curriculum which includes seminars and lectures in topics related to optometric medicine as well as demonstrate proficiency in clinics such as internal medicine, neurology, infectious disease and vascular. The resident will assist in the provision of care in external satellite clinics run by the VA.

Teaching Responsibilities
The resident participates in the clinical education of fourth-year externs from SUNY, Indiana University, NEWENCO and Illinois Colleges of Optometry.

Research Responsibilities
The resident may participate in ongoing researchprojects. The resident Is responsible for the preparation of 1 major lecture and 1 paper of publishable quality.

Benefits
Eligible to participate in the Federal Employees Health Benefits Program and Federal Employees Group Life Insurance. The resident's portion of the health and life insurance premium depends on the plan and coverage selected. Residents earn 13 days sick leave and 13 days annual leave.

Mission Statement

The residency at the VA Hudson Valley Health Care System (VA HVHCS) seeks to attract the best-qualified optometric graduates for advanced optometric training in primary care and ocular disease. The residency strives to provide advanced didactic knowledge and concentrated clinical experience in a multidisciplinary setting. Individuals who complete the program are expected to attain a high level of proficiency in the diagnosis and management of ocular diseases; in particular, ocular conditions associated with systemic diseases. Trainees completing the program develop advanced competence in medical optometry. Residents will pursue scholarly activities, develop student mentoring and academic skills and strive toward lifelong learning.

Goal 1: To attract a qualified applicant pool.
Objectives:

  1. To maintain at least 1 faculty contact in most U.S. schools or colleges of optometry and to communicate with the individual at least once during each recruitment cycle.

  2. To maintain updated residency program narratives on VA- and optometry-relevant internet websites.

  3. To advertise the program in at least 1 optometric publication per year.

  4. To provide representation in at least 1 optometric conference annually, in order to disseminate information regarding residency program.

Goal 2: To select the best-qualified candidates from the pool of applicants.
Objectives:

  1. Every candidate applying to the residency must participate in ORMatch and fulfill all ORMatch requirements. 

  2. Every candidate must be a U.S. citizen.

  3. Every candidate must be graduated from and have fulfilled all requirements of an U.S. college of optometry.

  4. Every candidate who is eventually accepted must have completed an interview.
     

Goal 3: To provide postgraduate education in the form of supervised direct patient care with an emphasis on primary eyecare, and the diagnosis and treatment of ocular diseases/ocular manifestations of systematic conditions.
Objectives:

  1. The resident should have the following minimum number of patient encounters and demonstrate profi­ciency in the diagnosis and treatment of patients in each of the following categories:

    a) ocular conditions associated with systemic disease processes (300)
    b) glaucoma (300)
    c) segment disease (100)
    d) optic nerve disease (100)
    e) macula disease (100)
    f) retinal vascular disease (100)
    g) peripheral retinal disease (100)

     

  2. The resident, under the guidance of the clinical faculty, will demonstrate proficiency in the fol­lowing diagnostic procedures:

    a) scleral indentation fundoscopy
    b) advanced gonioscopy (e.g., role of gonioscopy in angle closure, and gonioscopic assessment of a trabeculectomy fistula);
    c) fundus photography
    d) advanced visual field analysis
    e) contact lens fundoscopy
    f) optical coherence tomography
    g) indications, protocols for ordering and inter­preta­tion of the following:
           - imaging studies (i.e., CT, MRI, X-ray)
           - laboratory studies (i.e., hematology, serology, microbi­ology)
           - vascular studies (i.e., carotid duplex, cardio­vascular consultation)
           - neurologic studies (i.e., cranial nerve evalua­tion, neurologic consultation)

  3. The resident, under the guidance of the clinical faculty, will demonstrate, by direct patient en­counter or in a clinical laboratory setting, profi­ciency in the following ambulatory surgical tech­niques:

    a) foreign body removal
    b) dilation and irrigation of the lacrimal puncta
    c) lash epilation
    d) venipuncture/phlebotomy
    e) fundus fluorescein angiography

  4. The resident, under the guidance of the clinical faculty will demonstrate proficiency in the inter­pretation of ocular fluorescein angiography studies. 

  5. The resident, under the guidance of the clinical faculty will demonstrate proficiency in performing low vision examinations and prescribing appropriate low vision devices.

Goal 4: To provide postgraduate education in the form of multidisciplinary clinical rotations related to optometric medicine.
Objectives:

  1. The resident will be expected to successfully compl­ete rotations in the following clinics:

    a) general medicine
    b) neurology
    c) infectious disease
    d) vascular laboratory
    e) optional rotations may include pharmacy and mental health.

  2. Successful completion of a clinic rotation will be consistent with the behavioral objectives for that clinic and will be jointly assessed by both the optometric clinical faculty and the director of each clinic.

Goal 5: To provide postgraduate education in the form of seminars/lectures on topics related to optometric medicine.
Objectives:  

  1. The resident is expected to complete a minimum of 20 hours of discipline-specific continuing medical education during the course of the residency year.

  2. The resident is expected to attend at least 50 hours of in-service lectures by the clinical faculty.

  3. The resident will participate in the SUNY Resi­dents' Friday program seminar series.

  4. The resident will attend Grand Rounds Didactic and Clinical Programs offered at the VA. Moreover, the resident will participate/lecture in at least 1 grand rounds program at the facility. 

Goal 6: To provide facilities and equipment commensurate with needs of the program.
Objectives:

  1. A fully equipped examination lane with computer access will be provided for the resident's exclusive use at the main campuses and CBOC locations at which residents are providing eye care.

  2. An office with computer access will be provided for the resident’s exclusive use.

  3. The resident will be provided with access to the library / informational resources of the VA. Information resources will include archived medical journals and reference texts available through the VA Hudson Valley intranet website.

  4. The resident will be provided with access to the library / informational resources at SUNY.

  5. The resident will be provided with access to media services via both SUNY College of Optometry and the VA.

Goal 7:  To provide education in postgraduate scholarly activities.
Objectives:

  1. Under the guidance of the clinical staff, the resident must participate in a minimum of 2 presentations (lecture, poster or paper) at a major optometric conference.

  2. The resident must prepare a minimum of 2 in-service optometric presentations at the VA Hudson Valley Healthcare System weekly conference.

  3. The resident must submit a publishable manuscript. The manuscript must conform with the instructions to authors of an optometric/ophthalmological journal. The manuscript will be reviewed by the residency supervisor. Upon successful completion, the manuscript will be submitted to the academic affiliate in order to fulfill the residency curriculum.

Goal 8: To provide training in student mentoring/precepting.
Objectives:

  1. The resident, under the guidance of a clinical staff member, will precept and mentor optometric student externs.

  2. The resident will guide student externs toward the development of proficiency in optometric procedures.

a) behavior objectives for hospital rotations
b) internal medicine clinic
c) neurology clinic
d) vascular clinic
e) infectious disease clinic
f)  in-service Tuesday conference lecture schedule
g) SUNY College of Optometry Resi­dents' Friday program seminar series
h) VA HVHCS Grand Rounds Programs
i)  VA HVHCS online medical journals and reference texts

Hudson Valley Residency Curriculum