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Patient Care 1: At the conclusion of this course, the student will be able to:

• Begin to demonstrate knowledge and compliance with legal and ethical aspects of practice, various practice management systems and procedures used in The Eye Institute and College policies that relate to intern behavior, such as attendance, dress code, etc.
• Begin to establish an effective provider/patient relationship, demonstrating warmth and compassion toward patients
• Begin to establish effective working relationships with professional, technical, and support staff, and fellow students, demonstrating interprofessional skills that reflect a team approach to patient care.
• Demonstrate familiarity with the TEI Manual and follow policies and procedures relative to student's participation in patient care activities within the clinic.

Patient Care 2: At the conclusion of this course, the student will be able to:

• Demonstrate knowledge of and compliance with legal and ethical aspects of practice, various practice management systems and procedures in TEI, and College policies related to intern behavior, such as attendance, dress code, etc.

• Establish an effective provider/patient relationship, demonstrating warmth and compassion toward patients

• Establish effective working relationships with professional, technical, and support staff, and fellow students, demonstrating interprofessional skills that reflect a team approach to patient care.

• Demonstrate familiarity with the TEI Manual and follow policies and procedures relative to student's participation in patient care activities within the clinic.

• Demonstrate competence in the performance of patient examination skills, at a level commensurate with completed didactic and laboratory training.

Patient Care 3: At the conclusion of this course, the student will be able to:

• Observe/participate in prescribing treatment recommendations

• Methodically address patient complaints

• Demonstrate knowledge of and competence with legal/ethical aspects of practice

• Establish and maintain an effective doctor/patient relationship, demonstrating compassion, sensitivity and professionalism

• Establish effective working relationships with the professional, technical, and support staff at the site

Patient Care 4: At the conclusion of this course, the student will be able to:

• Elicit basic care history information and utilize good interviewing and observation skills.

• Thoroughly, accurately, and efficiently conduct all routine tests and evaluations included in the Primary Care Comprehensive Examination database

• Recognize and identify visual dysfunctions, ocular and systemic diseases, and social/emotional problems of the patient.

• Analyze data collected, integrate basic sciences with clinical care, utilize diagnostic protocols and algorithms, and begin to formulate a tentative diagnosis of patient problems.

• Formulate a tentative management plan, which is consistent with examination results and with patient needs and expectations

• Make correct entries in patient records according to proper Problem Oriented Medical Records (POMR) protocol, with supervised entry of data into EHR.Ìý

• Demonstrate knowledge of and compliance with legal and ethical aspects of practice and practice management.

• Comply with policies of the Office of Clinical Affairs that relate to intern behavior.

• Demonstrate a familiarity with elements of providing eyecare within the healthcare system, including billing and coding procedures

• Demonstrate competence in the performance of certain patient examination skills, at a level commensurate with completed didactic and laboratory training.

Patient Care 5: At the end of this course, students will be able to achieve the following with preceptor supervision:

• Case History: Identify and explore the chief complaint with most appropriate elements. History of present illness, review of systems, and past medical/family/social history identified.

• Examination/Technical Skills: Perform and select entry-level ophthalmic procedures based upon the chief complaint and exam findings.

• Examination Time and Efficiency: Complete routine comprehensive examinations and follow-up examinations/specialty testing within a timeframe expected for case complexity and level of optometric program.

• Refractive/Prescribing Skills: Perform refraction and verify current prescription with proper sequence and testing. For contact lens examinations: successful insertion & removal instruction, handling, and evaluation of soft and rigid contact lenses

• Correlating Data/Knowledge Base: apply basic science foundational knowledge to patient care scenarios

• Assessing Data/Formulating Diagnosis. Begin to integrate exam findings while considering common diagnostic possibilities for the chief complaint and other identified problems with preceptor prompting.

• Formulating Management Plans: Begin to formulate a management plan with preceptor prompting.

• Formulating Medical Prescriptions: Formulates a partial medical prescription when indicated with preceptor prompting.

• Selecting and Interpreting Ancillary Testing. Appropriately selects and interprets ancillary testing with preceptor prompting.

• Interpersonal Communication/Relationship: Communicate in a relevant and clear manner with preceptors (utilizing medical terminology), patients (utilizing layman's terms) and others.

• Record Keeping/Compliance: Complete Meditrek and medical record entries including test interpretation, letters, orders with accuracy and within prescribed deadline of 24 hours. Adhere to record keeping policies, PHI data protection & HIPAA compliance.

• Professionalism/Ethics: Actively engages in patient care; takes initiative for self-directed learning and applies constructive criticism; adheres to clinical and disinfection protocols.

Patient Care 6: At the end of this course, students will be able to achieve the following with preceptor supervision:

• Elements 1-12 of Patient Care 5, with the addition of the following:

• Demonstrate professional behaviors that foster effective communication and collaborative relationships with an interprofessional team while respecting diverse perspectives and roles.

• Continue to develop and use the skills of self-directed learning.

Patient Care 7: At the end of this course, students will be able to achieve the following with preceptor supervision:

• Elements 1-12 of Patient Care 5, elements 13-14 of Patient Care 6, with the addition of the following:

• Apply key ethical and diversity, equity and inclusion principles to optometric patient care. Emphasis in regard to confidentiality and HIPAA compliance, the use of electronic medical records, and common clinical scenarios

Patient Care 8: At the end of this course, students will be able to achieve the following with preceptor supervision Care 7

• Elements 1-12 of Patient Care 5, elements 13-14 of Patient Care 6, Element 15 of Patient Care 7, with the addition of the following:

• Demonstrate communication skills, record keeping and professionalism that accommodate varying levels of health literacy and that facilitate relationship-building with patients, faculty, and staff.

Upon completion of the externship, the student will be able to:

• Case History: Identify and explore the chief compliant with most appropriate elements. Appropriately correlate relevant history of present illness, review of symptoms, and past family/social history to the chief complaint

• Examination/Technical Skills: Accurately perform routine clinical tests/skills based upon the chief complaint and exam findings

• Refractive/Prescribing Skills: Perform appropriate refractive sequence and binocular/accommodative testing to reach accurate endpoint. Demonstrate accurate skills in determining the refractive status, verification, prescribing and fitting of ophthalmic materials.

• Contact Lens Skills: Perform contact lens evaluation and prescribing skills

• Knowledge Base: Recognize problems utilizing logical clinical and basic science reasoning appropriate for the case presentation

• Selecting & Interpreting Ancillary Testing: Appropriately select and interpret ancillary testing.

• Formulating Clinical Assessment: Analyze and integrate exam findings with chief complaint utilizing clinical test findings to compose differential diagnosis

• Formulating Management Plans: Formulate a plan that is appropriate for the clinical assessment and ensured continuity of patient care

• Medical Prescriptions: Formulate an accurate and complete medical prescription based on the clinical assessment

• Examination Time and Efficiency: Efficiently perform all testing and clinical examination techniques

• Professionalism: Actively engage with patients and staff in a collegial manner consistent with the expectations of a healthcare provider and in compliance with the site's standards.

• Communication/Relationships: Demonstrate communication skills during interactions with others in a clear and respectful manner

• Compliance: Accurately and timely complete all paperwork and medical records. Adhere to all practice and legal standards of data collection and protection.

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• Develop a practice of learning through effective use of individualized, learner-centered techniques.

• Effectively convey information through writing in scientific and professional domains.

• Demonstrate an understanding of the basic sciences.

• Utilize knowledge of the scientific process to integrate and synthesize information, solve case-based problems and evaluate research questions and hypotheses.

• Apply logic and reasoning to identify the strengths and weaknesses of proposed solutions and conclusions for case-based problems.

• Apply knowledge of the self, others, and social systems to analyze problems related to psychological, cultural, and biological factors that influence health and well-being.

• Demonstrate knowledge of social and cultural factors of individuals that may affect interactions and behaviors of oneself and others.

• Demonstrate effective verbal communication with individuals.

• Demonstrate personal, professional and academic integrity.

• Develop a clear understanding of the elements that comprise a successful application to a health professions program.