Download Course-outline-South-Africa-Diabetes-Module

Course Title: Diabetes – Comprehensive Patient Care for The Primary Care Optometrist
Instructors: Anthony Cavallerano OD
Joan Hill, RN, CDE
Bina Patel OD
David Shein MD
Course Format: ~25 Hours lecture/seminar
8 Hours laboratory (2 labs of 3 hours each)
Course description: Diabetes has emerged as a world-wide challenge across all populations
and ethnicities. The World health Organization estimates that by the year 20/20, there will be
more than 350 million people world-wide with diabetes mellitus. Additionally, diabetic
retinopathy is the leading cause of new worldwide blindness in working age populations.
Appropriate diagnosis of level of retinopathy is crucial for clinical management and patient
education and self management is crucial to appropriate management of the disease.
This comprehensive, multidisciplinary course considers the diagnosis and primary and specialty
care management of the person with diabetes mellitus. Emphasis is placed on a practical
approach to diagnosis of level of diabetic retinopathy, identification of co-morbidities and
systemic risk factors for the onset and progression of diabetic retinopathy. A comprehensive
overview of systemic micro and macrovascular complications is directed towards the clinical
needs of the comprehensive eye care practice.
Part 1 will presents an overview of systemic considerations of diabetes mellitus, including
patient self-management and treatment options. This will also include other systemic diseases
that are linked with diabetes such as atherosclerosis, hypertension, hyperlipidemia, including
pharmacology, cerebrovascular/stroke. This will also include epidemiology of diabetes and of
the co-morbidities associated with diabetes
Part 2 is devoted to overview of vascular findings including retinal and non-retinal ocular
complications of diabetes.
Part 3 consists of intensive, workshops designed to prepare and certify the eye care
professional in all aspects of digital image acquisition, interpretation and diagnosing level of
diabetic retinopathy. Module 3 allows the attendee to review the lesions and clinical levels of
diabetic retinopathy and diabetic macular edema to determine clinical management. This portion
of the program prepares the primary care optometrist to make appropriate diagnostic decisions
to manage various levels of diabetic retinopathy and diabetic macular edema. Case studies are
used to illustrate principles of medical intervention and increased optometric participation in comanaged patient care.
Diabetes course outline – South Africa 2014
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Part 4 consists of intensive experience in patient education, including self monitoring of blood
glucose, insulin injection, carb-counting, diet and exercise.
Behavioral Objectives: At the conclusion of this lecture the participant will:
 know fundamental systemic manifestations of diabetes mellitus
 describe micro- and macrovascular complications of diabetes
 know the significance of the lesions of diabetic retinopathy as presented in a
digital format.
 know evidence based outcomes for contemporary treatment and management of
diabetic eye disease
 describe clinical decision algorithms for managing diabetic retinopathy
 describe the methodology for providing patient education in the area of diabetes
and diabetic eye disease.
Diabetes course outline – South Africa 2014
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