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Otolaryngology Urology Ophthalmology Curriculum 8 Week Block

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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: [email protected] 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) Reside nt Yr UW clinic hours/we ek Hospital / Inpatient hours/week Non- hospital / outpatient hrs/wk Inpatient Call hours – see detail schedule Home Call hours Total ave hrs per week. R3 12-15 0 8-10 ENT 8-10 URO 8-10 OPTH 0 Particip ate in R3 clinic call 45 + call Resident Responsibilities: Rotation Prep: 1. Read curriculum Policy Manual at least 2 weeks prior to starting the rotation.
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  • 1. UW Fox Valley Family Medicine Residency Program Sponsored by: St. Elizabeth Hospital and Appleton Medical CenterArea of Curriculum/Rotation: ENT/URO/OPTH (8-9 wks) Revision date: March 7, 2007UW Program Faculty: Mark Thompson e-mail: [email protected] Primary Rotation sites / Community Faculty:ENTUROOPTHApproximate hours per week (based on a 4 week schedule see detail schedule for exact scheduled hours) Resident UW clinicHospital / Non-hospital / Inpatient Call hours Home CallTotal ave Yr hours/week Inpatientoutpatient see detail schedulehourshrs per hours/week hrs/wk week. R3 12-1508-10 ENT 0Participate in 45 + call8-10 UROR3 clinic8-10 OPTH callResident 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.

2. Continuity Clinics:1. R3 Continuity Clinic at Fox Valley Family Medicine is three to four half day sessions per week.Didactic Report Times1. Tuesday Didacticssessions 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 perblock schedule.Clinical Site Responsibilities:1)Will admit patients from community physicians office2)Will see, examine, evaluate, and make recommendations for clinical care withdirection 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 encounters3. 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 aweekly basis to assure prompt communication with primary care physicians. 3. 5. Complete daily administrative tasks for Continuity Practice. a. Call in at least twice a day, or provide daily coverage for you patient messages6. Complete exposure check lists for all curriculum areas. Procedural Responsibilities1. 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 testinghttp://www.aafp.org/afp/20000501/2749.html 8. Tympanogramshttp://www.aafp.org/afp/20041101/1713.html 9. Cerumen removalwith loop an or irrigation 10 Rinne and Weber testshttp://www.aafp.org/afp/20000501/2749.html 11. Placement of ear wick 10. Urinary cathatertization 11. Urodynamic studieshttp://www.aafp.org/afp/980600ap/weiss.html 12. Vasectomyhttp://www.aafp.org/afp/20061215/2069.html Interpretive Responsibilities 1. Sinus Films/CT 2. Gluacoma indicators/pressure reading 3.Uro-dynamic Studieshttp://www.aafp.org/afp/980600ap/weiss.htm 4. Tympanogramhttp://www.aafp.org/afp/20041101/1713.html 5.Audiology resultshttp://www.aafp.org/afp/20000501/2749.htm 6. Bladder Scans 7. PSA results 8 Semen analysis 4. http://www.aafp.org/afp/20020615/practice.html PATIENT CARE Specific Objective Measurement Tool Expected Outcome Gather essential and accurate informationGather 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: medicalinterviewing, physicalexamination, diagnosticstudies anddevelopmentalassessments.Make informed diagnostic and therapeutic *Direct observationPassing 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 ones knowledge and expertise, gathering appropriate information and using colleagues and consultants appropriately. Develop and carry out patient care plans,*Direct observationPassing 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. 5. Counsel patients and families in a supportive *Direct ObservationVideo Tape Review demonstrating manner so they can understand their illness or *Rotation Evalcompetency in counseling/decision injury and its treatment, share in decision- * Video tapingmaking for level of training making, make informed consent andPassing 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 Tapingmaking for level of trainingPassing Scores on Rotation Evals End of Life Care. Planning for end of life*Direct ObservationSatisfactory 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 ObjectiveMeasurement Expected ToolOutcome Demonstrate that one knows or can efficiently access the knowledge base *In-Service TE>20% of In- needed for effective patient care.*USMLEservice *Direct Training exam Observation Passing Scores *Rotation Evalon Rotation Evals Critically evaluate current medical information and scientific evidence and *Direct Satisfactory modify ones knowledge base accordingly.Observation Evaluation for *Journal Club Grand Rounds evaland Journal * Grand Rounds Club eval Recognize the limits of ones knowledge and expertise by seeking* DirectCost 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.* ReferralPassing Scores Reviews on Rotation * Rotation Eval Evals *Direct Satisfactory Apply current medical information and scientific evidence effectively toObservation 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 ClubPassing Scores Evalon Rotation *Peer EvalEvals Passing Scores on Peer Evals ACLS ProtocolsACLS training Pass Course CourseActive members of ACLS 6. response teamENT Specific Knowledge Based Competency Otitis externa diagnosis and management *Direct Satisfactory http://www.aafp.org/afp/20061101/1510.htmlObservation Course Evaluation Cerumen impacation management of*Direct Satisfactory Observation Course Evaluation AOM, Serous Otitis Media*Direct Satisfactory http://www.aafp.org/afp/20040601/practice.htmlObservation 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.htmlObservation Course http://www.aafp.org/afp/20041101/1697.htmlEvaluation Chronic Sinusitis management of *Direct Satisfactory http://www.aafp.org/afp/20041101/1685.htmlObservation Course http://www.aafp.org/afp/20041101/1697.htmlEvaluation 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.htmlObservation 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 managementCommon 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.htmlObservation Otalgia ManagementHearing loss diagnosis and management *Direct Satisfactory http://www.aafp.org/afp/20030915/1125.htmlObservation 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.htmlEvaluation Acute Labrynthitis 7. Acoustic Neuroma/Schwannoma*DirectSatisfactoryObservationCourse Evaluation Tinnitus *DirectSatisfactory http://www.aafp.org/afp/20040101/120.htmlObservationCourse Evaluation Eustachian tube dysfunction/diagnosis and management *DirectSatisfactoryObservationCourse Evaluation Allergic Rhinitis. Chronic and Seasonal diagnosis and management *DirectSatisfactory http://www.aafp.org/afp/20060501/1583.html ObservationCourse Evaluation Head and Neck Symptoms of GERD *DirectSatisfactory http://www.aafp.org/afp/990901ap/873.htmlObservationCourse Evaluation Laryngitis *DirectSatisfactoryObservationCourse Evaluation URO Specific Knowledge Based CompetencyUnderstands growth and development of male anatomyDysuria work up *Direct Satisfactory http://www.aafp.org/afp/20020415/1589.htmlObservation Course Evaluation Acute Scrotum *Direct Satisfactory http://www.aafp.org/afp/990215ap/817.html Observation Course Evaluation Diagnosis and treatment of STDs*Direct Satisfactory http://www.cdc.gov/std/treatment/2006/rr5511.pdfObservation Course Evaluation Diagnosis and treatment of UrethritisDiagnosis and treatment of EpidiiymitisDiagnosis 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.htmlObservation Course Evaluation Penile abnormalities*Direct Satisfactory Peyronies Observation Course http://www.aafp.org/afp/990800ap/549.html EvaluationPhimosis/paraphimosis http://www.aafp.org/afp/20001215/2623.htmlEpispadis/hypospadias 8. Scrotal abnormalities *Direct Satisfactory Undescended testicleObservation Course http://www.aafp.org/afp/20001101/2037.htmlEvaluationHydroceles Spermatoceles http://www.aafp.org/afp/980215ap/junnila.htmlVaricoceles http://www.auanet.org/guidelines/main_reports/varicoceleinfertility.pdfEpidydymal cystsUrinary Obstruction *Direct SatisfactoryBPHObservation Course http://www.auanet.org/guidelines/bph.cfmEvaluation Urethral. Stricture Cystitis/UTI*Direct Satisfactory http://www.aafp.org/afp/990301ap/1225.htmlObservation Course http://www.aafp.org/afp/990315ap/1472.htmlEvaluation http://www.aafp.org/afp/20000201/713.html http://www.aafp.org/afp/20020515/tips/3.html Bladder Dysfunction *Direct Satisfactory EnuresisObservation Course http://www.aafp.org/afp/20030401/1499.htmlEvaluationIncontinence 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.htmlObservation Course Evaluation Diagnosis and treatment of Erectile Dysfunction *Direct Satisfactory http://www.aafp.org/afp/20000101/95.htmlObservation 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.htmlObservation Course Evaluation Male Infertility*Direct Satisfactory http://www.aafp.org/afp/20020615/practice.htmlObservation Course http://www.auanet.org/guidelines/main_reports/optimalevaluation.pdf Evaluation 9. Bladder Cancer *Direct Satisfactory http://www.auanet.org/guidelines/main_reports/bladdercancer.pdfObservation CourseEvaluation Priapism *Direct Satisfactory http://www.auanet.org/guidelines/priapism.cfmObservation CourseEvaluation Vesicouretral Reflux Management*Direct Satisfactory http://www.auanet.org/guidelines/main_reports/vesi_reflux.pdfObservation CourseEvaluation Interstitial Cystitis*Direct Satisfactory http://www.aafp.org/afp/20011001/1199.html Observation CourseEvaluation Groin Hernia *Direct Satisfactory http://www.aafp.org/afp/990101ap/143.htmlObservation CourseEvaluation testicular Cancer http://www.aafp.org/afp/990501ap/2539.html *Direct SatisfactoryObservation CourseEvaluationOPHTH Specific Knowledge Based Competency Amblyopia*Direct Satisfactory http://www.aafp.org/afp/20070201/361.htmlObservation CourseEvaluation Vision Screening Technique in children *Direct Satisfactory http://www.aafp.org/afp/980901ap/broderic.html Observation CourseEvaluation Two Minute Eye Exam Video*Direct Satisfactory http://webeye.ophth.uiowa.edu/eyeforum/Two-Minute-Eye-exam.htm Observation CourseEvaluation Strabismus Leukocoria The Red Eye*Direct Satisfactory http://taylorandfrancis.metapress.com/content/mdbwaxxjuyvn6e46/Observation CourseEvaluation 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 SatisfactoryObservation CourseEvaluation Management of non-penetrating trauma of orbit and lid*Direct SatisfactoryObservation CourseEvaluation Management of chemical burns *Direct Satisfactory http://www.emedicinehealth.com/chemical_eye_burns/article_em.htm Observation CourseEvaluation Diagnosis and management of mechanical corneal abrasion*Direct Satisfactory 10. http://www.aafp.org/afp/20040701/123.htmlObservation CourseEvaluation Diagnosis and management of traumatic Hyphema*Direct SatisfactoryObservation CourseEvaluation Diagnosis and management of Bacterial and Viral Conjunctivitis *Direct Satisfactory http://www.aafp.org/afp/980215ap/morrow.html Observation CourseEvaluation Diagnosis and management of Allergic Conjunctivitis*Direct Satisfactory http://www.aafp.org/afp/980215ap/morrow.html Observation CourseEvaluation Diagnosis and management of Herpes Simplex and Zoster of the eye *Direct Satisfactory http://www.aafp.org/afp/20021101/1723.html Observation CourseEvaluation Management of contact lens complications *Direct Satisfactory Contact Lens types Observation Course http://www.allaboutvision.com/contacts/EvaluationDiagnosis and management of Pterygium and Pinguecula *Direct SatisfactoryObservation CourseEvaluation Diagnosis and Management of Hordeolum and Chalazion*Direct Satisfactory http://www.aafp.org/afp/980600ap/carter.html Observation CourseEvaluation 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 TDiagnosis and Management of Blepharitis*Direct Satisfactory http://www.aafp.org/afp/980600ap/carter.html Observation CourseEvaluationDiagnosis and Management of Orbital Cellulitis and Peri orbital Cellulitis *Direct Satisfactory http://www.findarticles.com/p/articles/mi_m3225/is_6_67/ai_98626751Observation CourseEvaluation Diagnosis and Management of Acute Visual Loss*Direct SatisfactoryCentral Retinal Artery OcclusionObservation CourseCentral Retinal Vein OcclusionEvaluationRetinal DetachmentPosterior Vitreous DetachmentVitreous HemorrhageMacular DisordersNeuroophthalmologic Visual losshttp://www.aafp.org/afp/20040401/1691.html Diagnosis and management of abnormal Extraoccular movements and*Direct Satisfactory pupil abnormalityObservation Course http://cim.ucdavis.edu/EyeRelease/Interface/TopFrame.htm Evaluation*Direct Satisfactory 11. Cataracts ObservationCourse http://archopht.ama-assn.org/cgi/content/full/122/4/487Evaluation Diabetic Retinopathy*DirectSatisfactory http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s84ObservationCourseEvaluation Causes of visual impairment *DirectSatisfactory http://archopht.ama-assn.org/cgi/content/full/122/4/477 ObservationCourseEvaluation Iritis and ocular manifestations of Autoimmune Disease*DirectSatisfactory http://www.aafp.org/afp/20020915/991.html ObservationCourseEvaluation Eye disease video and web based tutorials *DirectSatisfactory http://webeye.ophth.uiowa.edu/eyeforum/tutorials.htmObservationCourseEvaluation PRACTICE-BASED LEARNING AND IMPROVEMENT Specific Objective Measurement ToolExpected Outcome Use scientific methods and evidence to *Peer EvalSatisfactory Performance on CQI investigate, evaluate and improve ones 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 DataComplete Mentor/ Mentee review ones practice population, and use this Warehouseof CDW information to direct population-based AssessmentMeeting goals or improving problem-solving, with special attention to*Grand Rounds Eval performance to meet benchmarks preventable morbidity and risk. * Chronic Diseasefor chronic disease management Management Satisfactory Performance on CQI Data project*CQI ProjectSatisfactory Evaluation for GrandRounds Seek and incorporate feedback and self-*Mentor SessionsCompetency 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., useevaluations sheets evaluations provided by patients, peers, superiors and subordinates to improve patient care). Demonstrate willingness and capability to be *Attendance at80% 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 ones practice of *Rotation Evals Satisfactory Performance on all medicine over time in response to new*Faculty Evalsevals/Meeting competency for level 12. discoveries and advances in epidemiology and *360 deg Evals of training clinical care. * Chronic DiseaseMeeting goals or improvingManagement Dataperformance to meet benchmarks for chronic disease management for level of training Ability to make appropriate referrals to ENT, Direct ObservationSatisfactory performance on OPTH, and URO specialists Referral Review rotation review INTERPERSONAL AND COMMUNICATION SKILLSSpecific ObjectiveMeasurement ToolExpected 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 Tapinglevel of training therapeutic relationship across the broad range * Direct ObservationVideo Tape Review demonstrating of socioeconomic and cultural backgrounds.* Rotation Eval competency in counseling/decision * Nursing Evalmaking 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 Evalsevals/ 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 Evalslevel of trainingMaintain 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 recordsPROFESSIONALISM Specific ObjectiveMeasurement ToolExpected Outcome *Peer EvalSatisfactory Performance on all Demonstrate commitment, responsibility, *360 deg Evalsevals/ Meeting competency for accountability for patient care, including*Patient Evalslevel of training continuity of care. *Rotation Evals *Peer EvalSatisfactory Performance on all Be honest and use integrity in ones*Faculty Evalsevals/ Meeting competency for professional duties.*360 deg Evalslevel of training *Rotation Evals Consistently use compassion and empathy in*Patient EvalsSatisfactory Performance on all ones role as a physician.*Peer Evals evals/ Meeting competency for *Faculty Evalslevel of training *Rotation Evals Maintain professional boundaries in ones *Patient EvalsSatisfactory Performance on all dealings with patients, family, staff, and*Faculty Evalsevals/ Meeting competency for 13. professional colleagues *Rotation Evalslevel of training Place the needs of patients and society over*Rotation EvalsSatisfactory Performance on all ones own self-interest *Peer Evalsevals/ Meeting competency forlevel of training Demonstrate sensitivity and responsiveness to *Video TapingSatisfactory Performance on all patients and colleagues gender, age, culture, *Chart Reviewevals/ Meeting competency for disabilities, ethnicity, and sexual orientation *Rotation Evalslevel 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 Evalslevel 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 CourseSigned statement indicatingSAFER training was completed SYSTEMS BASED PRACTICE Overall Goal: Specific ObjectiveMeasurement Tool Expected OutcomeUse scientific methods and evidence to*CQI Project Satisfactory Performance on all investigate, evaluate and improve ones own *Journal Clubevals/ 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 andWarehouse resident is within the normative resource allocation that does not compromise* Meets ThedaCarerange for peer group quality of care.quality measurementReview ThedaCare Quality standardsstandards that resident service ismeeting quality standards withinthe hospital setting *360 Deg Evals Satisfactory Performance on all Advocate for patients in ones practice, byevals/ Meeting competency for helping them with systems complexities and level of training identifying resources to meet their needs. 360 Deg EvalsSatisfactory 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 inWarehouse populations.* HEDIS reports 14. 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/Projectresident showing plan for *360 Deg Evalsimprovement/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 external1. Eye Exam/Disease Web/Siteshttp://www.eyeatlas.com/http://www.nyee.edu/digitalatlas.html?cat=primary_area2. Eye Tutorials(Including exams)http://webeye.ophth.uiowa.edu/eyeforum/tutorials.htm3. Eye Movement and Pupil Simulatorhttp://cim.ucdavis.edu/EyeRelease/Interface/TopFrame.htm4. Eye Emergency quiz and tutorialhttp://medweb.bham.ac.uk/easdec/emergencyeye2.html5. Amblyopia http://www.aafp.org/afp/20070201/361.html6. Prevention of Eye trauma in sports http://www.aafp.org/afp/20030401/1481.html 7. Childhood eye examhttp://www.aafp.org/afp/990901ap/907.html8. Macular degeneration http://www.aafp.org/afp/20000515/3035.html9. Conjunctivitishttp://www.aafp.org/afp/980215ap/morrow.html10. Eyelid Disorders http://www.aafp.org/afp/980600ap/carter.html11. Retinal Detachment http://www.aafp.org/afp/20040401/1691.html12. Common Causes of Vision Loss in the Edlerly 15. http://www.aafp.org/afp/990700ap/99.html13. Glaucoma treatmenthttp://www.aafp.org/afp/990401ap/1871.html14. Corneal Abrasions http://www.aafp.org/afp/20040701/123.html15. 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 torsionhttp://www.aafp.org/afp/20061115/1739.html18. Prostatitishttp://www.aafp.org/afp/20000515/3015.html19. 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/page320 . Erectile Dysfunctionhttp://www.aafp.org/afp/20000101/95.htmlhttp://www.auanet.org/guidelines/edmgmt.cfm21.Male Infertilityhttp://www.aafp.org/afp/20020615/practice.html23. Priapism http://www.auanet.org/guidelines/priapism.cfm24. Varicoceles http://www.auanet.org/guidelines/main_reports/varicoceleinfertility.pdf 25. National Guideline Clearinghousehttp://www.guideline.gov/26. Up-To-Date http://www.uptodate.com/27. Family Practice Inquiry Network http://www.fpin.org/CI/ 16. 28. Inforetriever http://www.infopoems.com/29. The Cohcrane Libraryhttp://www.cochrane.org/30. Detailed Video Tutorial on Physical Exams Skills based on Systemhttp://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


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