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PubMed1987

Residency training at the Kansas City Veterans Administration Medical Center: the first 10 years.

Hospital residency training is relatively new to optometry. At the present time, 48 residents are in training at 30 VA Medical Centers and approximately 17 residents are in training elsewhere. This paper reviews the initial 10 years (1975-1985) of the first Council on Optometric Education accredited VA residency program at Kansas City, and describes the program and future plans.

Hospitals, Veterans↗
PubMed1987

OSHA(Occupational Safety and Health Act) and the optometrist.

The purpose of this article is to describe the Occupational Safety and Health Act (OSHA) and how this law affects optometry. The mandate, coverage, and administration of OSHA will be highlighted. A brief perspective on developments since the beginning of OSHA will be presented. Caution is advised in view of the uncertainties in a political process that involves labor, business, and government in the complex subject of occupational safety and health.

Humans↗
PubMed1985

A current analysis of optometric residency programs.

Optometric residency programs were introduced into the profession in the 1970's and have proliferated markedly since that time. The philosophy of residency programs in general is included as well as a summary of currently offered residencies in optometry. Additional information including areas of program emphasis, the "typical" residency program and compensation levels are provided. An assessment of the advantages for the continuance of current programs and future expansion of optometric residency opportunities is discussed.

Accreditation↗
PubMed1985

Economic and professional aspects of disease prevention and health promotion.

The prevention of disease and the promotion of health, along with cost containment, have become major priorities in the planning for and the delivery of health care services. As the second most prevalent chronic health problem in the United States, vision disorders create a serious health and economic threat to society and, therefore, they should be considered as a prime target for inclusion in programs of disease prevention and health promotion. In recognition of the role and scope of the third largest independent health care profession and in consideration of its cost efficient delivery of eye and vision care services, optometry must become a more active participant in the development and implementation of strategies and programs for improving, maintaining and protecting the visual health of society.

Health Promotion↗
PubMed1979

Vision health education: an idea whose time has come.

Health education has been a cornerstone of public health activities for over one hundred years, but recently it has received renewed interest as a method of promoting preventive health care and individual responsibility for one's own health status. While vision health education has not received the attention that other areas of health education have, the need for such information is apparent, and its anticipated effect upon the visual welfare of the population should be obvious. This paper accentuates some of the common objectives of doctors of optometry and health education specialists.

Delivery of Health Care↗
PubMed1979

Diagnostic outcomes of optometric referrals in a VA medical center.

408 conditions affecting the visual system of patients presenting in the optometry clinic of the Birmingham Veterans Administration Medical Center (BVAMC) were referred to other providers within the medical center for care outside the scope of optometric responsibility. Rates of compliance and confirmation are given for nine major categories of eye problems, and the data is analyzed on the basis of age, visual acuity, type of consultation and disposition. Pertinent literature citations are provided.

Alabama↗
PubMed1984

Carel C. Koch memorial lecture: joining hands--educators and clinicians.

This paper was presented as the Carel C. Koch Memorial Award Lecture at the American Academy of Optometry meeting in Houston on December 11, 1983. Dr. Koch's commitment to interprofessional affairs is recognized and examples of interaction between optometrists and medical, educational, and psychological personnel are highlighted. A challenge is presented to enhance interprofessional cooperation for the future.

Child↗
PubMed1984

A combination for success: the optometric partnership.

Mode of practice may be a critical factor in the success or failure of professional optometry. The advantages of partnerships competing with the corporate approach are numerous and hopefully clear to see. As optometric care becomes more complex and specialized, the maintenance or improvements in individual skills become more difficult. To attempt to maintain expertise in all areas has become nearly impossible and the group or partnership practice addresses this situation very well. Many methods of partnership formation have been described over the years, but the gradual buy-in, using earned profits, eases the financial burden, while reimbursing the seller in a very adequate manner. The methods as described make partnership affordable and practical, but the main ingredient of compatibility has to be present before any other consideration.

Income↗
PubMed1983

Optometric preventive health care.

As a primary provider of health care services, optometry must assume a leadership role in the provision of optometric preventive health care services. The ultimate goal of a visual prevention strategy is to enable each person to live free of visual maladaptation, injury or disease.

Humans↗
PubMed1983

Cost and quality implications of changes in tonometry use by optometrists.

Tonometry, as a test for glaucoma, traditionally was performed routinely only on patients over age 40. In 1974 in the Helling v. Carey case the Supreme Court of Washington (state) held that an ophthalmologist was negligent in failing to administer a glaucoma test to a patient under age 40, and thus failing to diagnose primary open angle glaucoma. In a study performed at the Pennsylvania College of Optometry and the Optometric Center of Maryland an increase of utilization of tonometry on patients under the age of 40 was measured. Available literature indicates that this change occurred nationwide for optometrists in private practice. This change may result in an additional cost for eye care, without a strong indication of an improvement in quality of care.

Adolescent↗
PubMed1978

Interdisciplinary health care: part I.

The development of the Health Care delivery system has been unorganized and fragmented. A need to integrate the various health care components is essential and a discussion of interdisciplinary health teams is presented as one model to alleviate these problems. Part I will discuss the historical parameters and the philosophical components of health care. Part II will present the problems and inherent possibilities of health teams. Part III will include a review of the Interdisciplinary Health Teams course at the University of Houston, College of Optometry.

Delivery of Health Care↗
PubMed1978

Optometric residency programs.

Residency programs are very new to the optometric profession. In order for optometry to continue its growth, Residency programs must attain its appropriate role in the development of the profession. A committee has been established to support the concept of specialized residency programs in many aspects of optometric care. Initial goals and objections of the committee as well as future endeavors are discussed.

Internship, Nonmedical↗
PubMed1982

Sensory deprivation training for your office staff.

A combined interprofessional effort of optometry and psychology/gerontology results in a valuable practice management program for eye care offices. Through this program, staffs can use sensory deprivation training to improve their handling of patients in the optometric environment.

Aged↗
PubMed1982

The optometrist's role in public health.

The scope of the optometric profession, and its relationship to the total health care system, is in a state of constant change; many of the changes are influenced by or impact upon that area of health care that is referred to as public health. Very basically, public health is "people's health" --a concern for the health and well-being of groups of people. It emphasizes the role of health care practitioners in the delivery of health care to the aggregate, as opposed to the individualized or private system of health care delivery. Fundamental to the overall philosophy of public health is the necessity to make comprehensive health care readily available and accessible to all segments of the population. Optometry must expand its efforts to recognize, evaluate and assume its role in the maintenance of the health and well-being of the public, both domestically and internationally.

Adult↗
PubMed1982

Report of the Graduate Medical Education National Advisory Committee to the secretary.

The Graduate Medical Education National Advisory Committee (GMENAC) was charged with the task of advising the Secretary of the Department of Health and Human Services on overall strategies on the present and future supply and requirements of physicians by specialty and geographic location. In September of 1980, GMENAC submitted its final report to the Secretary. Included in this report are policy directives that were issued in the form of recommendations; several of these recommendations are directed specifically at the independent non-physician health care professions. The potential impact of these recommendations upon the profession of optometry is monumental; and, the authority of GMENAC to issue directives regarding the supply of optometrists and the future requirements of optometric manpower must be challenged.

Allied Health Personnel↗
PubMed1981

Paraoptometric personnel: selection and utilization.

The duties paraoptometric personnel perform in an optometric office have increased along with technological developments in optometry. This paper will review some of the procedures performed by these personnel and how they may develop into a vision care team.

Allied Health Personnel↗
PubMed1981

New standards procedures for measuring visual acuity.

Portions of the Committee on Vision Working Group 39 report relevant to optometry practice are reproduced here along with supplementary comments. The report presents standards for test conditions, procedures, and criteria that will enable different examiners to obtain the same results when measuring visual acuity. The Landolt C ring is recommended as the primary standard optotype; other optotypes may be used if they are shown to yield comparable results. Adoption of metric measurements is suggested for both distance and near acuity.

Humans↗