Residency Profile: Sierra Vista Community-Based Outpatient Clinic (CBOC)

Sierra Vista Community-Based Outpatient Clinic (CBOC), Sierra Vista, AZ
Southern Arizona VA Health Care System

Sierra Vista Community-Based Outpatient ClinicBuilding

Program Type: Ocular Disease / Primary Care
Established: 2013
Positions: 1

Sierra Vista CBOC
101 N. Coronado Drive, Suite A
Sierra Vista, AZ 85635

Program Faculty

Mark McKenzie, OD

Mission Statement

The fundamental mission of this training program is to offer a post-doctoral optometric residency in ocular disease that enables practitioners to attain the advanced competencies and specialty skills needed to effectively manage the eye, vision and related health care of patients in a Community-Based Outpatient Clinic (CBOC) within the Southern Arizona VA Health Care System (SAVAHCS).

Exam Room Exam Room Exam Room

Technician Office

Program Description

The residency is a one year post-graduate training program from July 1 – June 30. Patient care occurs at a multidisciplinary facility located 75 miles from the affiliated VA medical center and serves the rural population surrounding Sierra Vista and Fort Huachuca. Many of the veterans served by the clinic are either unable or unwilling to travel to the affiliated VA medical center. Therefore, the resident is exposed to a large patient base in need of complex care. The Sierra Vista CBOC is a close-knit environment of approximately 40 employees where the resident is part of the multidisciplinary team.

Program Goals

  1. Ensure that the resident develops advanced eye/vision/health care management skills
  2. Educate resident to optometry’s role as a contributing member of each patient’s health care team
  3. Educate resident on his/her potential and means to serve/advance the profession
  4. Instill in resident an appreciation for the importance of ongoing professional development

Program Objectives

  1. Demonstrate proficiency in advanced eye/vision care procedures, provide care to at least 1200 patient encounters, and walk-in/urgent care cases and provide proper follow-up affording continuity of care, and communicate with other clinical services as indicated.
  2. Provide an orientation, serve as an entry point for eye care services, serve as a member of interdisciplinary team, and attend medicine-based education lectures.
  3. Introduce future career prospects, introduce opportunities for involvement at state and national professional societies and organizations, develop a case report or poster consistent with AAO fellowship requirements, prepare a manuscript of publishable quality, and present a continuing education lecture.
  4. Encourage attendance at a national optometric conference and participate in weekly didactic activities.

Typical Weekly Schedule

Normal duty hours are 7:30am – 4:00pm Monday through Friday although clinical patient care activities may conclude after 4:00pm on some days. There are no on-call, evening or weekend assignments.

  Monday Tuesday Wednesday Thursday Friday
AM  Patient Care Patient Care

CME Lecture

Patient Care

Patient Care Patient Care
           
PM Patient Care Patient Care Patient Care Education Patient Care

Resident Activities

90% Direct Patient Care

  • Gatekeeper for all eye clinic consultations, including walk-in and urgent care cases
  • Daily review of urgent consultations to determine appropriate action
  • Large number of diabetics, macular degeneration, and glaucoma patients
  • Refer for ophthalmological subspecialty care
    • Optometry manages the majority of glaucoma patients and refers to ophthalmology for surgical intervention
    • Ophthalmology is located at SAVAHCS Medical Center in Tucson (75 mile trip)
  • Perform and interpret auxiliary testing: visual fields, optical coherence tomography, fundus photography
  • Order systemic work-up as indicated by patient presentation
  • Refer to other health disciplines as indicated by patient presentation
  • Prescribe with a wide array of oral & topical therapeutic agents

10% Didactic Activities

  • Weekly In-House Optometry Education Meeting
    • Ophthalmic Lecture Series
    • Monthly Journal Club
    • Quarterly Case Presentations
  • Weekly Medicine-based Education Lectures via video-teleconferencing
  • Attendance at a national optometric meeting (encouraged but not required)

Scholarly Activities

  • Thesis Paper: The resident will develop a case report or research paper of publishable quality
  • Submit abstract of case report to AAO’s Residents Day (encouraged, but not required)
  • Present a continuing education lecture

Teaching Responsibilities

There are no teaching responsibilities.

Lecturing Opportunities

The resident will present a continuing education lecture in the Spring.

Completion Requirements

  • Completion and submission of all SCCO at MBKU required paperwork to the Residency Coordinator (Dr. McKenzie) and SCCO at MBKU (Kate Garcia/Dr. Tong)
    • Quarterly Patient Encounter Log
    • Quarterly Faculty Evaluations
    • Quarterly Program Evaluations
    • Quarterly Resident Referral Log
    • Quarterly Resident Activity Log
    • Quarterly Resident Reading Log
    • End of the Year Evaluation of Program
    • Certification of Completion of Residency Requirements
    • Resident Contact Address after Completion
  • Minimum of  approximately1200 patient encounters
  • Be present for Resident Orientation, which may occur the week prior to July 1 start date
  • Be present for complete academic year from July 1 through June 30 for the entire tour of duty except when on approved vacation, sick or authorized absence days
  • Provide quality, compassionate, ethical care to all veterans
  • Participate in the Optometry Education Meetings on Thursday afternoons
  • Attend Medicine-based Education Lectures
  • Develop a case report and/or poster consistent with fellowship requirements for the AAO
    • Highly encouraged to submit abstract for AAO Resident's Day or comparable venue
  • Prepare a manuscript (case report or research project) of publishable quality
  • Prepare and present a continuing education lecture
  • Highly encouraged to  attend a national optometric conference

Application Prerequisites

  • Candidates must currently possess an OD degree from an ACOE-accredited institution or will have attained an OD degree, from said institution, prior to matriculation.
  • Except under extenuating circumstances, only candidates with a cumulative grade point average of 2.50 or higher on a 4.00 scale for their optometric education will be eligible for consideration.
  • Candidates must have passed Part I and Part II of the National Board of Examiners in Optometry (NBEO) examination.
  • By congressional law, candidates must be citizens of the United States.
  • Candidates must be eligible for licensure as an optometrist in a state, territory, or commonwealth of the United States, or the District of Columbia and attain broad-scope licensure prior to commencement.

Selection Process

The ranking process is initiated with the Residency Coordinator receiving notification from ORMatch of a resident candidate’s application to the program. The Residency Coordinator must receive the following documentation for a candidate to be considered for a residency position: ORMatch application by January 31, Curriculum Vitae, transcripts of NBEO scores, transcripts of optometric education, three (3) letters of recommendation, and a brief statement regarding desire to complete this residency program (letter of intent). An interview will be granted based upon the quality of the credentials, supporting documents, and the quantity and quality of completing candidates. Following interviews and just prior to the deadline date for submission of a ranking list to ORMatch, the residency faculty ranks candidates in consideration of the combined relative quality of each applicant’s credentials, interview, and other intangible factors such as their professional characteristics.

Each candidate will be ranked based upon the following criteria:

Interview 50%
GPA 10%
NBEO scores 10%
Letter of Intent 10%
Letters of Recommendation 10%
Special qualities/characteristics(intangibles) 10%
  Maturity  
  Professionalism  
  Communication skills  
  Attitude  
  Ability to get along with others  

No candidate will be discriminated against based upon race, color, sex, sexual orientation, religion, creed, national origin, age, or non-disqualifying physical impairment.

Stipend

$32,063 – as determined by VA central office, not contingent upon productivity.

Benefits

Health The resident is offered health insurance and life insurance coverage (premiums vary depending on type of coverage selected by the employee).
Holidays There are 10 Federal holidays – New Year’s Day, MLK Day, President’s Day, Memorial Day, July 4th, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving, Christmas
Educational Travel The resident is provided authorized absence to attend one national meeting: American Academy of Optometry or American Optometric Association. No funding is provided.
Vacation The resident accrues annual leave at the rate of 4 hours per 2-week pay period for a total of 13 days per year. Unused annual leave is reimbursed at the conclusion of the year.
Liability Professional liability is covered by the VA under the Federal Tort System.
Continuing Education There are local, state, and national continuing education opportunities offered at a discounted rate to residents.
Information Resources There is a small library of books located within the eye clinic. The resident has online access to the VA Medical Library and SCCO at MBKU M.B. Ketchum Library.

Program Accreditation

The Accreditation Council on Optometric Education (ACOE) continued the status of “accredited” for the program in 2014. The next currently scheduled site visit is May, 2022.

Housing

There is no housing provided.

Local Activities and Attractions

  • Population: 46,000
  • Climate: temperate four seasons in the high desert
  • Historic Fort Huachuca, home of Army Military Intelligence
  • Outdoor activities: hiking, biking, fishing at Patagonia Lake or Parker Canyon Lake, bird watching, amateur star-gazing
  • Nearby wineries
  • Area attractions: Tombstone, Bisbee, Ghost Towns, Chiricahua National Monument, Kartchner Caverns
  • 75 miles southeast of Tucson: numerous top-rated resorts, spas & golf courses; Arizona-Sonora Desert Museum; Pima Air & Space Museum; Tucson Botanical Gardens; Arizona Opera & Theater Company; Biosphere; Saguaro National Park; Kitt Peak Observatory; Accenture Match Play World Golf Championship; Tucson Gem & Mineral Show
  • For more information: www.visitsierravista.com

Contact Information

Mark McKenzie, OD
Residency Coordinator
101 N. Coronado Drive, Suite A
Sierra Vista, AZ 85635
520.459.1529 x3489
Fax: 520.459.3654
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Judy W.H. Tong, OD, FAAO
Assistant Dean of Residencies
Southern California College of Optometry at
Marshall B. Ketchum University
2575 Yorba Linda Blvd.
Fullerton, CA 92831-1699
714.499.7429
Fax: 714.992.7811
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