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Otolaryngology Urology Ophthalmology Curriculum 8 Week Block

Otolaryngology Urology Ophthalmology Curriculum 8 Week Block






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    Otolaryngology Urology Ophthalmology Curriculum 8 Week Block Otolaryngology Urology Ophthalmology Curriculum 8 Week Block Document Transcript

    • UW Fox Valley Family Medicine Residency Program Sponsored by: St. Elizabeth Hospital and Appleton Medical Center Area of Curriculum/Rotation: ENT/URO/OPTH (8-9 wks) Revision date: March 7, 2007 UW Program Faculty: Mark Thompson e-mail: mark.thompson@fammed.wisc.edu Primary Rotation sites / Community Faculty: ENT URO OPTH Approximate hours per week (based on a 4 week schedule – see detail schedule for exact scheduled hours) Resident UW clinic Hospital / Non-hospital / Inpatient Call hours – Home Call Total ave Yr hours/week Inpatient outpatient see detail schedule hours hrs per hours/week hrs/wk week. R3 12-15 0 8-10 ENT 0 Participate in 45 + call 8-10 URO R3 clinic 8-10 OPTH call Resident Responsibilities: Rotation Prep: 1. Read curriculum Policy Manual at least 2 weeks prior to starting the rotation. 2. Contact Faculty at least 1 week prior to start of rotation to confirm reporting times. 3. Read Policy manual entitled “AMC Administrative Procedures and Protocols”, have familiarity with admission, discharge, daily notes, death summaries, pronouncements, and transfer procedures. Read Policy Manual entitled “St. Elizabeths Adiminsitrative Procedures and Protocols. 4. Assure that you have appropriate passwords to log into EPIC EMR, Meditech EMR, Digital Radiography, and Electronic Signature services Report Times: 1. The ENT/URO/OPTH curriculum is an 8 to 9 week block rotation in which rotation clinics are divided between these three specialties. A detailed schedule outlining clinics is available in New Innovations. Actual report times should be discussed with each of your faculty in regards to inpatient work and outpatient work.
    • Continuity Clinics: 1. R3 Continuity Clinic at Fox Valley Family Medicine is three to four half day sessions per week. Didactic Report Times 1. Tuesday Didactics—sessions from 12:00 PM to 5:00 PM. Supervising and Reporting Structure: 1) 3rd Year resident ---- General Responsibilities 1) Reports to assigned community physician in ENT/URO/OPHTH as scheduled per block schedule. Clinical Site Responsibilities: 1) Will admit patients from community physician’s office 2) Will see, examine, evaluate, and make recommendations for clinical care with direction and supervision from community faculty. Administrative Responsibilities for ENT/URO/OPHTH: 1. Medical records training, transcription training, EMR training, Lab Retrieval training, and passwords for EPIC and Meditech, Digital Radiography, and ESA (electronic signature) should all be completed prior to starting the ENT/URO/OPTH. 2. Complete all patient assessments a. Write or dictate office notes upon direction of supervisor b. Write and dictate consult notes upon direction of supervisor c. Dictate Admitting History and Physical d. Communicate verbally with attending physician immediately after or during patient encounters 3. Daily Rounds a. On inpatients per direction of Supervising physician. 4. Complete Electronic Signature of dictated notes a. Minimum standard is within 30 days, but should sign charts weekly b. Residents on the teaching service should be electronically signing all dictations on a weekly basis to assure prompt communication with primary care physicians.
    • 5. Complete daily administrative tasks for Continuity Practice. a. Call in at least twice a day, or provide daily coverage for you patient messages 6. Complete exposure check lists for all curriculum areas. Procedural Responsibilities 1. Attending is required to be present for all non-emergent procedures 2. Slit Lamp Examination 3. Foreign body removal from eye 4. Oto-scope examinmation 5. Foreign body removal from ear 6. Nasolaryngoscopy 7. Audiology testing http://www.aafp.org/afp/20000501/2749.html 8. Tympanograms http://www.aafp.org/afp/20041101/1713.html 9. Cerumen removal—with loop an or irrigation 10 Rinne and Weber tests http://www.aafp.org/afp/20000501/2749.html 11. Placement of ear wick 10. Urinary cathatertization 11. Urodynamic studies http://www.aafp.org/afp/980600ap/weiss.html 12. Vasectomy http://www.aafp.org/afp/20061215/2069.html Interpretive Responsibilities 1. Sinus Films/CT 2. Gluacoma indicators/pressure reading 3.Uro-dynamic Studies http://www.aafp.org/afp/980600ap/weiss.htm 4. Tympanogram http://www.aafp.org/afp/20041101/1713.html 5.Audiology results http://www.aafp.org/afp/20000501/2749.htm 6. Bladder Scans 7. PSA results 8 Semen analysis
    • http://www.aafp.org/afp/20020615/practice.html PATIENT CARE Specific Objective Measurement Tool Expected Outcome Gather essential and accurate information Gather essential and Passing Scores on Rotation Evals using the following clinical skills: medical accurate information interviewing, physical examination, diagnostic using the following studies and developmental assessments. clinical skills: medical interviewing, physical examination, diagnostic studies and developmental assessments. Make informed diagnostic and therapeutic *Direct observation Passing Scores on Rotation Evals decisions based on patient information, *Rotation Eval current scientific evidence and clinical judgment, using clinical problem-solving skills, recognizing the limits of one’s knowledge and expertise, gathering appropriate information and using colleagues and consultants appropriately. Develop and carry out patient care plans, *Direct observation Passing Scores on Rotation Evals using principles of evidence-based decision- *Rotation Eval Meeting Institutional Benchmarks making, appropriate prioritization, and taking * Patient Eval on Patient Evaluations into account the needs, beliefs and resources of patient and family. Effectively use common therapies within the *Direct observation *Direct observation scope of general adult and pediatric medicine *Rotation Eval * Passing Sore Rotation Eval practice, including a variety of prescription and non-prescription medications,. Be familiar with therapies commonly used by sub specialists and other professionals who care for adults.
    • Counsel patients and families in a supportive *Direct Observation Video Tape Review demonstrating manner so they can understand their illness or *Rotation Eval competency in counseling/decision injury and its treatment, share in decision- * Video taping making for level of training making, make informed consent and Passing scores on rotation evals participate actively in the care plan. Provide effective preventive health care and *Direct Observation Video Tape Review demonstrating health care risk factor reduction to patients *Chart Review competency in counseling/decision and their families. *Video Taping making for level of training Passing Scores on Rotation Evals End of Life Care. Planning for end of life *Direct Observation Satisfactory scores on Rotation decisions. Counseling patients and their *Rotation Eval Evals families in regards to DPOA, Hospice, and Comfort Care measures in a thoughtful and respectful manner. MEDICAL KNOWLEDGE Specific Objective Measurement Expected Tool Outcome Demonstrate that one knows or can efficiently access the knowledge base *In-Service TE >20% of In- needed for effective patient care. *USMLE service *Direct Training exam Observation Passing Scores *Rotation Eval on Rotation Evals Critically evaluate current medical information and scientific evidence and *Direct Satisfactory modify one’s knowledge base accordingly. Observation Evaluation for *Journal Club Grand Rounds eval and Journal * Grand Rounds Club eval Recognize the limits of one’s knowledge and expertise by seeking * Direct Cost –efficient information needed to answer clinical questions and using consultants and Observation use of referrals referrals appropriately. Use this process to guide life-long learning plans. * Referral Passing Scores Reviews on Rotation * Rotation Eval Evals *Direct Satisfactory Apply current medical information and scientific evidence effectively to Observation Evaluation for patient care (e.g., use an open-minded, analytical approach, sound clinical *Rotation Eval Journal Club judgment, and appropriate attention to priorities). *Journal Club Passing Scores Eval on Rotation *Peer Eval Evals Passing Scores on Peer Evals ACLS Protocols ACLS training Pass Course Course Active members of ACLS
    • response team ENT Specific Knowledge Based Competency Otitis externa diagnosis and management *Direct Satisfactory http://www.aafp.org/afp/20061101/1510.html Observation Course Evaluation Cerumen impacation management of *Direct Satisfactory Observation Course Evaluation AOM, Serous Otitis Media *Direct Satisfactory http://www.aafp.org/afp/20040601/practice.html Observation Course http://www.guideline.gov/algorithm/3727/NGC-3727.html Evaluation http://www.guideline.gov/algorithm/3727/NGC-3727_1.html http://www.aafp.org/afp/20000401/2051.html Satisfactory Chronic Otitis Media *Direct Course Observation Evaluation Acute Sinusitis/,management of *Direct Satisfactory http://www.aafp.org/afp/20041101/1685.html Observation Course http://www.aafp.org/afp/20041101/1697.html Evaluation Chronic Sinusitis management of *Direct Satisfactory http://www.aafp.org/afp/20041101/1685.html Observation Course http://www.aafp.org/afp/20041101/1697.html Evaluation Epistaxis management *Direct Satisfactory http://www.aafp.org/afp/20050115/305.html Observation Course Evaluation Chronic cough management and work-up *Direct Satisfactory http://www.aafp.org/afp/20040501/2159.html Observation Course http://www.aafp.org/afp/20030101/tips/10.html Evaluation Chronic hoarseness management and work up *Direct Satisfactory http://www.aafp.org/afp/980600ap/rosen.html Observation Course Evaluation Cholesteoma recognition and management Common Oral Lesions *Direct Satisfactory http://www.aafp.org/afp/20070215/501.html Observation Course http://www.aafp.org/afp/20070215/509.html Evaluation Oral Cancer recognition and work-up *Direct http://www.aafp.org/afp/20020401/1379.html Observation Otalgia Management Hearing loss diagnosis and management *Direct Satisfactory http://www.aafp.org/afp/20030915/1125.html Observation Course Evaluation Vertigo diagnosis and management (BP) *Direct Satisfactory http://www.aafp.org/afp/20060115/244.html Observation Course http://www.aafp.org/afp/20050315/1115.html Evaluation Acute Labrynthitis
    • Acoustic Neuroma/Schwannoma *Direct Satisfactory Observation Course Evaluation Tinnitus *Direct Satisfactory http://www.aafp.org/afp/20040101/120.html Observation Course Evaluation Eustachian tube dysfunction/diagnosis and management *Direct Satisfactory Observation Course Evaluation Allergic Rhinitis. Chronic and Seasonal diagnosis and management *Direct Satisfactory http://www.aafp.org/afp/20060501/1583.html Observation Course Evaluation Head and Neck Symptoms of GERD *Direct Satisfactory http://www.aafp.org/afp/990901ap/873.html Observation Course Evaluation Laryngitis *Direct Satisfactory Observation Course Evaluation URO Specific Knowledge Based Competency Understands growth and development of male anatomy Dysuria work up *Direct Satisfactory http://www.aafp.org/afp/20020415/1589.html Observation Course Evaluation Acute Scrotum *Direct Satisfactory http://www.aafp.org/afp/990215ap/817.html Observation Course Evaluation Diagnosis and treatment of STD’s *Direct Satisfactory http://www.cdc.gov/std/treatment/2006/rr5511.pdf Observation Course Evaluation Diagnosis and treatment of Urethritis Diagnosis and treatment of Epidiiymitis Diagnosis and treatment of Orchitis *Direct Satisfactory http://www.aafp.org/afp/980215ap/junnila.html Observation Course Evaluation Diagnosis and treatment of Prostatitis *Direct Satisfactory http://www.aafp.org/afp/20000515/3015.html Observation Course Evaluation Penile abnormalities *Direct Satisfactory Peyronies Observation Course http://www.aafp.org/afp/990800ap/549.html Evaluation Phimosis/paraphimosis http://www.aafp.org/afp/20001215/2623.html Epispadis/hypospadias
    • Scrotal abnormalities *Direct Satisfactory Undescended testicle Observation Course http://www.aafp.org/afp/20001101/2037.html Evaluation Hydroceles Spermatoceles http://www.aafp.org/afp/980215ap/junnila.html Varicoceles http://www.auanet.org/guidelines/main_reports/varicoceleinfertility.pdf Epidydymal cysts Urinary Obstruction *Direct Satisfactory BPH Observation Course http://www.auanet.org/guidelines/bph.cfm Evaluation Urethral. Stricture Cystitis/UTI *Direct Satisfactory http://www.aafp.org/afp/990301ap/1225.html Observation Course http://www.aafp.org/afp/990315ap/1472.html Evaluation http://www.aafp.org/afp/20000201/713.html http://www.aafp.org/afp/20020515/tips/3.html Bladder Dysfunction *Direct Satisfactory Enuresis Observation Course http://www.aafp.org/afp/20030401/1499.html Evaluation Incontinence http://www.aafp.org/afp/20001201/2433.html http://www.aafp.org/afp/20050115/315.html Diagnosis and treatment of hematuria *Direct Satisfactory http://www.aafp.org/afp/20010315/1145.html Observation Course Evaluation Diagnosis and treatment of Erectile Dysfunction *Direct Satisfactory http://www.aafp.org/afp/20000101/95.html Observation Course http://www.auanet.org/guidelines/edmgmt.cfm Evaluation Diagnosis and treatment of ejaculatory dysfunction *Direct Satisfactory http://www.auanet.org/guidelines/pe.cfm Observation Course Evaluation Prostate Cancer Screening Techniques and Standards *Direct Satisfactory http://www.cancernetwork.com/journals/oncology/o0002e.htm Observation Course http://www.aafp.org/afp/980800ap/lefevre.html Evaluation http://www.cancer.gov/cancertopics/pdq/screening/prostate/Patient/page3 http://www.ahrq.gov/clinic/uspstf/uspsprca.htm Testicular torsion *Direct Satisfactory http://www.aafp.org/afp/20061115/1739.html Observation Course Evaluation Male Infertility *Direct Satisfactory http://www.aafp.org/afp/20020615/practice.html Observation Course http://www.auanet.org/guidelines/main_reports/optimalevaluation.pdf Evaluation
    • Bladder Cancer *Direct Satisfactory http://www.auanet.org/guidelines/main_reports/bladdercancer.pdf Observation Course Evaluation Priapism *Direct Satisfactory http://www.auanet.org/guidelines/priapism.cfm Observation Course Evaluation Vesicouretral Reflux Management *Direct Satisfactory http://www.auanet.org/guidelines/main_reports/vesi_reflux.pdf Observation Course Evaluation Interstitial Cystitis *Direct Satisfactory http://www.aafp.org/afp/20011001/1199.html Observation Course Evaluation Groin Hernia *Direct Satisfactory http://www.aafp.org/afp/990101ap/143.html Observation Course Evaluation testicular Cancer http://www.aafp.org/afp/990501ap/2539.html *Direct Satisfactory Observation Course Evaluation OPHTH Specific Knowledge Based Competency Amblyopia *Direct Satisfactory http://www.aafp.org/afp/20070201/361.html Observation Course Evaluation Vision Screening Technique in children *Direct Satisfactory http://www.aafp.org/afp/980901ap/broderic.html Observation Course Evaluation Two Minute Eye Exam Video *Direct Satisfactory http://webeye.ophth.uiowa.edu/eyeforum/Two-Minute-Eye-exam.htm Observation Course Evaluation Strabismus Leukocoria The Red Eye *Direct Satisfactory http://taylorandfrancis.metapress.com/content/mdbwaxxjuyvn6e46/ Observation Course Evaluation Glaucoma *Direct Satisfactory Primary Open Angle Observation Course Secondary Open Angle Evaluation Primary Angle Closure Secondary Angle Closure http://www.aafp.org/afp/990401ap/1871.html Nystagmus *Direct Satisfactory Observation Course Evaluation Management of non-penetrating trauma of orbit and lid *Direct Satisfactory Observation Course Evaluation Management of chemical burns *Direct Satisfactory http://www.emedicinehealth.com/chemical_eye_burns/article_em.htm Observation Course Evaluation Diagnosis and management of mechanical corneal abrasion *Direct Satisfactory
    • http://www.aafp.org/afp/20040701/123.html Observation Course Evaluation Diagnosis and management of traumatic Hyphema *Direct Satisfactory Observation Course Evaluation Diagnosis and management of Bacterial and Viral Conjunctivitis *Direct Satisfactory http://www.aafp.org/afp/980215ap/morrow.html Observation Course Evaluation Diagnosis and management of Allergic Conjunctivitis *Direct Satisfactory http://www.aafp.org/afp/980215ap/morrow.html Observation Course Evaluation Diagnosis and management of Herpes Simplex and Zoster of the eye *Direct Satisfactory http://www.aafp.org/afp/20021101/1723.html Observation Course Evaluation Management of contact lens complications *Direct Satisfactory Contact Lens types Observation Course http://www.allaboutvision.com/contacts/ Evaluation Diagnosis and management of Pterygium and Pinguecula *Direct Satisfactory Observation Course Evaluation Diagnosis and Management of Hordeolum and Chalazion *Direct Satisfactory http://www.aafp.org/afp/980600ap/carter.html Observation Course Evaluation Diagnosis and Management o Dacryostenosis and Dacryocystitis *Direct Satisfactory http://pediatrics.aappublications.org/cgi/reprint/76/2/172? Observation Course maxtoshow=&HITS=10&hits&sortspec=relevance&resourcetype=HWCI Evaluation T Diagnosis and Management of Blepharitis *Direct Satisfactory http://www.aafp.org/afp/980600ap/carter.html Observation Course Evaluation Diagnosis and Management of Orbital Cellulitis and Peri orbital Cellulitis *Direct Satisfactory http://www.findarticles.com/p/articles/mi_m3225/is_6_67/ai_98626751 Observation Course Evaluation Diagnosis and Management of Acute Visual Loss *Direct Satisfactory Central Retinal Artery Occlusion Observation Course Central Retinal Vein Occlusion Evaluation Retinal Detachment Posterior Vitreous Detachment Vitreous Hemorrhage Macular Disorders Neuroophthalmologic Visual loss http://www.aafp.org/afp/20040401/1691.html Diagnosis and management of abnormal Extraoccular movements and *Direct Satisfactory pupil abnormality Observation Course http://cim.ucdavis.edu/EyeRelease/Interface/TopFrame.htm Evaluation *Direct Satisfactory
    • Cataracts Observation Course http://archopht.ama-assn.org/cgi/content/full/122/4/487 Evaluation Diabetic Retinopathy *Direct Satisfactory http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s84 Observation Course Evaluation Causes of visual impairment *Direct Satisfactory http://archopht.ama-assn.org/cgi/content/full/122/4/477 Observation Course Evaluation Iritis and ocular manifestations of Autoimmune Disease *Direct Satisfactory http://www.aafp.org/afp/20020915/991.html Observation Course Evaluation Eye disease video and web based tutorials *Direct Satisfactory http://webeye.ophth.uiowa.edu/eyeforum/tutorials.htm Observation Course Evaluation PRACTICE-BASED LEARNING AND IMPROVEMENT Specific Objective Measurement Tool Expected Outcome Use scientific methods and evidence to *Peer Eval Satisfactory Performance on CQI investigate, evaluate and improve one’s own *CQI Project project patient care practice; continually strive to Satisfactory Performance on Peer integrate best evidence into daily practice. Eval Systematically assess the health care needs of *Clinical Data Complete Mentor/ Mentee review one’s practice population, and use this Warehouse of CDW information to direct population-based Assessment Meeting goals or improving problem-solving, with special attention to *Grand Rounds Eval performance to meet benchmarks preventable morbidity and risk. * Chronic Disease for chronic disease management Management Satisfactory Performance on CQI Data project *CQI Project Satisfactory Evaluation for Grand Rounds Seek and incorporate feedback and self- *Mentor Sessions Competency for level of training assessment into a plan for professional growth * Sign off of all noted on Mentor/Mentee summary and practice improvement (e.g., use evaluations sheets evaluations provided by patients, peers, superiors and subordinates to improve patient care). Demonstrate willingness and capability to be *Attendance at 80% attendance for lecture series a life-long learner by pursuing answers to Tuesday Didactics that are required(those which clinical questions, using literature, texts, residents are not excused as noted information technology, patients, colleagues in the log) and formal teaching conferences. Be prepared to alter one’s practice of *Rotation Evals Satisfactory Performance on all medicine over time in response to new *Faculty Evals evals/Meeting competency for level
    • discoveries and advances in epidemiology and *360 deg Evals of training clinical care. * Chronic Disease Meeting goals or improving Management Data performance to meet benchmarks for chronic disease management for level of training Ability to make appropriate referrals to ENT, Direct Observation Satisfactory performance on OPTH, and URO specialists Referral Review rotation review INTERPERSONAL AND COMMUNICATION SKILLS Specific Objective Measurement Tool Expected Outcome Communicate effectively in a *Patient Satisfaction Satisfactory Performance on all developmentally appropriate manner with Surveys evals/ Meeting competency for patients and families to create and sustain a * Video Taping level of training therapeutic relationship across the broad range * Direct Observation Video Tape Review demonstrating of socioeconomic and cultural backgrounds. * Rotation Eval competency in counseling/decision * Nursing Eval making for level of training Communicates effectively with peers and *Peer Evals Satisfactory Performance on all health care team in a way that enhances *360 deg Evals evals/ Meeting competency for patient safety and work place satisfaction. level of training Communicates with health care team in a professional and respectful way. Develop effective approaches for teaching *Peer Evals Satisfactory Performance on all students, colleagues, other professionals and * 360 Deg Evals evals/ Meeting competency for lay groups. * Rotation Evals level of training Maintain comprehensive, timely and legible * Medical Records/ Dictations Completed within 24 medical records. Transcription hours Delinquency No more that two delinquent Reporting notices per year from inpatient *Chart Review medical records PROFESSIONALISM Specific Objective Measurement Tool Expected Outcome *Peer Eval Satisfactory Performance on all Demonstrate commitment, responsibility, *360 deg Evals evals/ Meeting competency for accountability for patient care, including *Patient Evals level of training continuity of care. *Rotation Evals *Peer Eval Satisfactory Performance on all Be honest and use integrity in one’s *Faculty Evals evals/ Meeting competency for professional duties. *360 deg Evals level of training *Rotation Evals Consistently use compassion and empathy in *Patient Evals Satisfactory Performance on all one’s role as a physician. *Peer Evals evals/ Meeting competency for *Faculty Evals level of training *Rotation Evals Maintain professional boundaries in one’s *Patient Evals Satisfactory Performance on all dealings with patients, family, staff, and *Faculty Evals evals/ Meeting competency for
    • professional colleagues *Rotation Evals level of training Place the needs of patients and society over *Rotation Evals Satisfactory Performance on all one’s own self-interest *Peer Evals evals/ Meeting competency for level of training Demonstrate sensitivity and responsiveness to *Video Taping Satisfactory Performance on all patients’ and colleagues’ gender, age, culture, *Chart Review evals/ Meeting competency for disabilities, ethnicity, and sexual orientation *Rotation Evals level of training *Direct Observation *Peer Evals Meet high standards of legal and ethical Satisfactory Performance on all *Rotation Evals behavior. evals/ Meeting competency for *Faculty Evals level of training *360 Deg Evals *Sign off on Professionalism contract Develop a healthy lifestyle, fostering *Mentor Sessions Signed and completed Mentor behaviors that help balance personal goals and *Curricular Planning Session documentation twice per professional responsibilities. Recognize and Documents year. Signed Curricular Planning respond to personal stress and fatigue that *Completion of the Documents once per year/ might interfere with professional duties. SAFER training Course Signed statement indicating SAFER training was completed SYSTEMS – BASED PRACTICE Overall Goal: Specific Objective Measurement Tool Expected Outcome Use scientific methods and evidence to *CQI Project Satisfactory Performance on all investigate, evaluate and improve one’s own *Journal Club evals/ Meeting competency for patient care practice; continually strive to Presentation/ level of training integrate best evidence into daily practice. Evals *Clinical Data Review of CDW indicating that Practice cost-effective health care and Warehouse resident is within the normative resource allocation that does not compromise * Meets ThedaCare range for peer group quality of care. quality measurement Review ThedaCare Quality standards standards that resident service is meeting quality standards within the hospital setting *360 Deg Evals Satisfactory Performance on all Advocate for patients in one’s practice, by evals/ Meeting competency for helping them with systems complexities and level of training identifying resources to meet their needs. 360 Deg Evals Satisfactory Performance on all Work with health care managers and evals/ Meeting competency for providers to assess, coordinate, and improve level of training patient care, consistently advocating for high quality Advocate for the promotion of health and the *Clinical Data Reaching quality goals prevention of disease and injury in Warehouse populations. * HEDIS reports
    • Acknowledge medical errors and develop *Direct Observation Peer Review for residents filed in practice systems to prevent them *Chart Review portfolio with statement from *CQI Process/Project resident showing plan for *360 Deg Evals improvement/lessons learned. *Peer Review Data Chart review notes placed in portfolio and reviewed at mentor session. Satisfactory Performance on all evals/ Meeting competency for level of training Resource List: (include names / e-mails / web sites / tools / etc……) Include internal as well as external 1. Eye Exam/Disease Web/Sites http://www.eyeatlas.com/ http://www.nyee.edu/digitalatlas.html?cat=primary_area 2. Eye Tutorials(Including exams) http://webeye.ophth.uiowa.edu/eyeforum/tutorials.htm 3. Eye Movement and Pupil Simulator http://cim.ucdavis.edu/EyeRelease/Interface/TopFrame.htm 4. Eye Emergency quiz and tutorial http://medweb.bham.ac.uk/easdec/emergencyeye2.html 5. Amblyopia http://www.aafp.org/afp/20070201/361.html 6. Prevention of Eye trauma in sports http://www.aafp.org/afp/20030401/1481.html 7. Childhood eye exam http://www.aafp.org/afp/990901ap/907.html 8. Macular degeneration http://www.aafp.org/afp/20000515/3035.html 9. Conjunctivitis http://www.aafp.org/afp/980215ap/morrow.html 10. Eyelid Disorders http://www.aafp.org/afp/980600ap/carter.html 11. Retinal Detachment http://www.aafp.org/afp/20040401/1691.html 12. Common Causes of Vision Loss in the Edlerly
    • http://www.aafp.org/afp/990700ap/99.html 13. Glaucoma treatment http://www.aafp.org/afp/990401ap/1871.html 14. Corneal Abrasions http://www.aafp.org/afp/20040701/123.html 15. Asymptomatic microscopic hematuria http://www.aafp.org/afp/20010315/1145.html 16. STD Treatment Guidelines CDC http://www.cdc.gov/std/treatment/2006/rr5511.pdf 17. Testicular torsion http://www.aafp.org/afp/20061115/1739.html 18. Prostatitis http://www.aafp.org/afp/20000515/3015.html 19. Prostate Cancer Screening http://www.aafp.org/afp/980800ap/lefevre.html http://www.ahrq.gov/clinic/uspstf/uspsprca.htm http://www.cancer.gov/cancertopics/pdq/screening/prostate/Patient/page3 20 . Erectile Dysfunction http://www.aafp.org/afp/20000101/95.html http://www.auanet.org/guidelines/edmgmt.cfm 21. Male Infertility http://www.aafp.org/afp/20020615/practice.html 23. Priapism http://www.auanet.org/guidelines/priapism.cfm 24. Varicoceles http://www.auanet.org/guidelines/main_reports/varicoceleinfertility.pdf 25. National Guideline Clearinghouse http://www.guideline.gov/ 26. Up-To-Date http://www.uptodate.com/ 27. Family Practice Inquiry Network http://www.fpin.org/CI/
    • 28. Inforetriever http://www.infopoems.com/ 29. The Cohcrane Library http://www.cochrane.org/ 30. Detailed Video Tutorial on Physical Exams Skills based on System http://www.conntutorials.com/video.html 31. Palm Programs available for Download Related to HealthCare: Many are Free http://www.palmsource.com/interests/medicine/#2 /home/pptfactory/temp/enturoophth-1233829770931881-1/enturoophth-1233829770931881-1.doc