GLAUCOMA SUBSPECIALTY CURRICULUM - Revision history

Coecsa: /* INTRODUCTION/RATIONALE */

2021-03-23T07:00:30Z

INTRODUCTION/RATIONALE

Coecsa: /* INTRODUCTION/RATIONALE */

2021-03-23T06:59:10Z

INTRODUCTION/RATIONALE

Coecsa: /* PREAMBLE */

2021-03-23T06:58:05Z

PREAMBLE

Coecsa: /* APPLICATION FORM */

2020-11-30T09:00:23Z

APPLICATION FORM

41.215.129.38 at 08:16, 27 November 2020

2020-11-27T08:16:19Z

Show changes

Coecsa at 20:19, 26 November 2020

2020-11-26T20:19:15Z

Show changes

Coecsa: /* Exit Criteria */

2020-11-26T20:15:20Z

Exit Criteria

Show changes

Coecsa: /* Selection Process */

2020-11-18T09:19:41Z

Selection Process

Coecsa: /* Fellow Research Activities */

2020-11-18T04:54:01Z

Fellow Research Activities

Coecsa: /* COURSE DESCRIPTION (SYLLABUS/MINIMUM REQUIREMENTS FOR QUALIFICATION) */

2020-11-18T04:47:33Z

COURSE DESCRIPTION (SYLLABUS/MINIMUM REQUIREMENTS FOR QUALIFICATION)

@@ Line 131: / Line 131: @@
 * 2 Glaucoma Specialists, and
 * COECSA Education and Training Officer (ex -officio).
   NOTE: If the 2 specialists agree, the applicant is admitted into the program; if the 2 specialists do not agree, the applicant is not admitted into the program; if one of the specialists agrees and the other specialist does not agree, the panel will discuss the admission of that applicant.
 ==== Delivery Methods ====
@@ Line 138: / Line 140: @@
 * the admitting     institutions assumes full responsibility for the candidates training. This     will include, but not limited to verification and documentation of such     training undertaken at the partner institution.
 * If during the     course of the training, any of the two institutions involved in the     training decides to be accredited as a standalone training centre, a     consideration will be made at the end of the training cycle.
+<blockquote>The program director/trainer is responsible for the structure and content of the educational program. He/she must provide a statement of objectives, methods of implementation, and procedures for assessment of the program by the faculty and the fellows, as per course description and assessments in this curriculum.</blockquote>
 ==== Assessment ====

← Older revision		Revision as of 06:59, 23 March 2021
Line 51:		Line 51:
	* Systems-based Practice		* Systems-based Practice

−	===== INTRODUCTION/RATIONALE =====	+	==== INTRODUCTION/RATIONALE ====

@@ Line 44: / Line 44: @@
 Core competencies include:
-·        Patient Care
+* Patient Care
-·        Medical Knowledge
+===== INTRODUCTION/RATIONALE =====

← Older revision		Revision as of 09:00, 30 November 2020
Line 1,856:		Line 1,856:

	==== '''B. APPLICATION FORM''' ====		==== '''B. APPLICATION FORM''' ====
		+	'''APPLICATION FORM'''

−	~~===== '''APPLICATION FORM''' =====~~
	'''Accreditation as COECSA Subspecialty Training Institution'''		'''Accreditation as COECSA Subspecialty Training Institution'''

@@ Line 125: / Line 125: @@
    ix.           NOTE: Institutions with some candidates already in training at the time of accreditation, will be handled on a case by case basis as follows:
-a.      At the accreditation stage, the training institution will submit names of candidates in training.
+* At the accreditation stage, the training institution will submit names of candidates in training.
+* The candidates will then be assessed against COECSA’s admission and exit criteria to ascertain if they meet the minimum requirements for a COECSA fellowship/specialist qualification.
 ==== Selection Process ====
@@ Line 135: / Line 134: @@
 * 2 Glaucoma Specialists, and
 * COECSA Education and Training Officer (ex -officio).
+ NOTE: If the 2 specialists agree, the applicant is admitted into the program; if the 2 specialists do not agree, the applicant is not admitted into the program; if one of the specialists agrees and the other specialist does not agree, the panel will discuss the admission of that applicant.
 ==== Delivery Methods ====
@@ Line 146: / Line 141: @@
 * the admitting     institutions assumes full responsibility for the candidates training. This     will include, but not limited to verification and documentation of such     training undertaken at the partner institution.
 * If during the     course of the training, any of the two institutions involved in the     training decides to be accredited as a standalone training centre, a     consideration will be made at the end of the training cycle.
 The program director/trainer is responsible for the structure and content of the educational program. He/she must provide a statement of objectives, methods of implementation, and procedures for assessment of the program by the faculty and the fellows, as per course description and assessments in this curriculum.
@@ Line 152: / Line 146: @@
 ==== Assessment ====
 Training evaluation forms have been developed for training assessment purposes (see appendix B: Training Evaluation Forms). The valuation will be on four levels, as follows;
@@ Line 164: / Line 159: @@
 The program director, with the participation of members of the faculty, shall:
-a.      At least semi-annually evaluate the knowledge, skills, professional growth, and curriculum development for each fellow using appropriate criteria and procedures.
+# At least semi-annually evaluate the knowledge, skills, professional growth, and curriculum development for each fellow using appropriate criteria and procedures.
-b.     Communicate each evaluation to the fellow in a timely manner.
+'''c)    '''The program director must provide '''a written, final evaluation for each fellow''' who completes the program.
 The evaluation must include a review of the fellow’s performance during the period of training and should verify that the fellow has demonstrated sufficient professional ability to practice competently and independently. This final evaluation should be part of the fellow’s permanent record maintained by the institution.
@@ Line 190: / Line 179: @@
 - 2 Glaucoma Specialists, and
 * '''Stage 3''': Validation and Approval by the College Senate

@@ Line 181: / Line 181: @@
 ==== Exit Criteria ====
-o  '''Stage 2''': Evaluation by the COECSA subspecialty selection panel, who will make recommendation to the College Senate. The panel will consist of:
+* '''Stage 1''': Final Training Evaluation by the Training Institution/programme director, who will make recommendation to the COECSA subspecialty panel
--         The COECSA Education &Accreditation Committee,
+* '''Stage 2''': Evaluation by the COECSA subspecialty selection panel, who will make recommendation to the College Senate. The panel will consist of:
--         2 Glaucoma Specialists, and
+- The COECSA Education &Accreditation Committee,
--         COECSA Education and Training Officer (ex-officio).
+- 2 Glaucoma Specialists, and
--         NOTE: The glaucoma specialists in the panel conducting the evaluation shall not be from the training institution.
+-  COECSA Education and Training Officer (ex-officio).<blockquote>NOTE: The glaucoma specialists in the panel conducting the evaluation shall not be from the training institution.</blockquote>
-o  '''Stage 3''': Validation and Approval by the College Senate
+* '''Stage 3''': Validation and Approval by the College Senate
 ==== Fellowship Award ====
@@ Line 223: / Line 222: @@
 b)    Required to have at least 3 years of clinical experience in glaucoma followinghis/her fellowship training.
-·        In rare circumstances, in regions where there may not be a fellowship-trained program director, a senior ophthalmologist may have 10 or more years experience in substantial (greater than 50%) glaucoma practice, including contribution to the literature in the way of clinical or basic research. Such a clinician should be considered an appropriate primary supervisor.
+In rare circumstances, in regions where there may not be a fellowship-trained program director, a senior ophthalmologist may have 10 or more years experience in substantial (greater than 50%) glaucoma practice, including contribution to the literature in the way of clinical or basic research. Such a clinician should be considered an appropriate primary supervisor.
 c)     Should be engaged in ongoing basic and/or clinical science research in the area of glaucoma, as demonstrated by regular publications in peer-reviewed journals and/or presentation of research material at national and international meetings. ''' '''
@@ Line 244: / Line 243: @@
 ==== '''Clinical Components''' ====
-    i.        '''History Taking''' - The fellow must have in-depth knowledge to inquire about common and rare clinical conditions that may be associated with worsening disease, covering glaucomatous and non-glaucomatous causes of vision loss.
+i.  '''History Taking''' - The fellow must have in-depth knowledge to inquire about common and rare clinical conditions that may be associated with worsening disease, covering glaucomatous and non-glaucomatous causes of vision loss.
-''' '''   ii.        '''Clinical Examination Skills''' - The fellowship must be organized to provide training that will equip the fellows to regularly perform evaluations and consultations, including history and examination, which involve the techniques of ophthalmology specific to glaucoma and related ocular and systemic conditions.
+ii. '''Clinical Examination Skills''' - The fellowship must be organized to provide training that will equip the fellows to regularly perform evaluations and consultations, including history and examination, which involve the techniques of ophthalmology specific to glaucoma and related ocular and systemic conditions.
- iii.        '''Technical Clinical Examinations'''- The fellow should become proficient in the indications for and interpretation of results of specialized diagnostic testing appropriate to the subspecialty of glaucoma, including but not limited to the following:
+iii. '''Technical Clinical Examinations'''- The fellow should become proficient in the indications for and interpretation of results of specialized diagnostic testing appropriate to the subspecialty of glaucoma, including but not limited to the following:
-a)        Tests of visual function, including evaluation of visual disability using standard automated perimetry and Goldmann perimetry. ''' '''
+* Tests of visual function, including evaluation of visual disability using standard automated perimetry and Goldmann perimetry. ''' '''
-b)        Tests of optic nerve and retinal nerve fiber layer structure, including examination of the optic nerve, disc photography, and familiarity with optical imaging techniques, such as optical coherence tomography (OCT) and Heidelberg retinal tomography (HRT). ''' '''
+ iv.  '''Therapeutics'''- The fellow must become familiar with the indications for and limitations of pharmacological, laser, and surgical therapies that may be recommended for patients with glaucoma and related conditions.
-c)        Assessment of intraocular pressure. ''' '''
+ v.  '''Clinical Experience'''- The fellow should become proficient in the diagnosis and management of glaucoma. This should be based on differential diagnostic skills development, knowledge of test indications and interpretations, in addition to individualized care based on indications and limitations of pharmacological, laser, and surgical therapies in any patient.
 ==== Didactic Components ====

@@ Line 265: / Line 265: @@
 ==== Didactic Components ====
-ü  Fellows are required to make use of the available resources for learning such as the list of books including eBooks, journals and  relevant literature on glaucoma.
+Fellows are required to make use of the available resources for learning such as the list of books including eBooks, journals and  relevant literature on glaucoma.
-ü  Fellows should participate in clinical conferences and didactic lectures in glaucoma and related topics that are separate from patient-care activities within the parent institution, including presenting cases and lectures, and participating in grand rounds and other departmental conferences.
+Fellows should participate in clinical conferences and didactic lectures in glaucoma and related topics that are separate from patient-care activities within the parent institution, including presenting cases and lectures, and participating in grand rounds and other departmental conferences.
-ü  Fellows are expected to participate in '''30''' hours of such time per year. ''' '''Fellows should have basic knowledge of statistics for interpretation of published literature and conducting their own research.
+Fellowship preceptors must emphasize the principles of ethical and humane treatment of patients in accordance with the Code of Ethics. Preceptors and faculty should communicate these principles in both didactic and clinical aspects of the fellowship training.
 ==== Supervision ====
-ü  Fellows must be appropriately supervised in patient care services by qualified faculty. The program director must ensure, direct, and document appropriate supervision of fellows. Attending physicians who supervise fellows must be available to the fellows and have sufficient experience with the severity and complexity of patient conditions. Fellows who supervise residents that treat glaucoma patients should have an attending physician readily available.
+Fellows must be appropriately supervised in patient care services by qualified faculty. The program director must ensure, direct, and document appropriate supervision of fellows. Attending physicians who supervise fellows must be available to the fellows and have sufficient experience with the severity and complexity of patient conditions. Fellows who supervise residents that treat glaucoma patients should have an attending physician readily available.
 Patient interactions may be later reviewed with the fellow for appropriateness of care, including review of prepared consultation letters.
 ==== Duty Hours and Conditions of Work ====
-ü  Duty hours and night and weekend call for fellows must reflect the concept of responsibility for patients and provide for adequate patient care. Fellows must not be required to regularly perform excessively difficult or prolonged duties.
+Duty hours and night and weekend call for fellows must reflect the concept of responsibility for patients and provide for adequate patient care. Fellows must not be required to regularly perform excessively difficult or prolonged duties.
 ==== Scholarly Activity ====
 The fellowship must take place in a scholarly atmosphere where resources are available that allow the fellows to participate in scholarly activities, such as research. Fellows should participate in the development of new knowledge and evaluate research findings. The responsibility for establishing and maintaining an environment of inquiry and scholarship rests with the faculty. While not all members of the faculty must be investigators, the staff as a whole must demonstrate broad involvement in scholarly activity. Faculty activity should include:
-i. Active participation in clinical discussions, rounds, and conferences in a manner that promotes a spirit of inquiry and scholarship. Scholarship implies an in-depth understanding of basic mechanisms of normal and abnormal states and the application of current knowledge to practice.
+# Active participation in clinical discussions, rounds, and conferences in a manner that promotes a spirit of inquiry and scholarship. Scholarship implies an in-depth understanding of basic mechanisms of normal and abnormal states and the application of current knowledge to practice.
+# Participation in journal clubs and research conferences.
-ii.           Participation in journal clubs and research conferences.
+# Active participation in regional, national, or international professional and scientific societies, particularly through presentations at meetings and publications in peer-reviewed journals.
+#  Participation in research, particularly in projects that are funded following peer review and/or result in publications or presentations at regional, national, or international scientific meetings.
-iii.           Active participation in regional, national, or international professional and scientific societies, particularly through presentations at meetings and publications in peer-reviewed journals.
+# Offering of guidance and technical support (eg, research design, statistical analysis) for fellows involved in research.
+# Provision of support for fellows participation in scholarly activities.
- iv.           Participation in research, particularly in projects that are funded following peer review and/or result in publications or presentations at regional, national, or international scientific meetings.
+# Adherence to the Declaration of Helsinki on the Rights of Research Human Subjects and to the Association for Research in Vision and Ophthalmology’s Guidelines for Use of Research Animals.
-==== 5.6.          Fellow Research Activities ====
+==== Fellow Research Activities ====
 Fellows should be exposed to opportunities to develop research skills by planning and executing at least 1 research project with set milestones. A