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‘Exit level’ outcome: Ocular disease certificate (ODC) Having successfully completed the certificate course, the participating optometrist will be enabled to: ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ Reflect on foundational knowledge of ocular anatomy and physiology and apply this knowledge in the understanding of general pathology principles utilized in clinical medicine and microbiology applicable to an eye-care practitioner. show competency in the application of scientific health care skills in the evaluation of pathologies of the eye and related systemic diseases competently perform diagnostic techniques required for the assessment of pathologies of the eye and related systemic diseases while interpreting these to aid in the differentiation. demonstrate competency in the recognition of pathologies of the eye and related systemic diseases show competency in the foundation knowledge of pharmacological principles demonstrate knowledge of commonly used ocular medications; their applications, side-effects, actions and precautions display basic knowledge of ocular side-effects of commonly used systemic drugs demonstrate knowledge of appropriate laws pertaining to the use of scheduled drugs and the presentation/packaging of drugs in their formulations. display the management or referral skills appropriate to specific disease states of the eye, and degrees there-of show ability to work within a health-care team and/or to interact consultatively with other health-care providers Competency criteria: Each module is assessed separately for competency. Modules 1 to 4 will be formally assessed in a written knowledge component taking the form of a 3 hour paper. Module 5 will include skills assessment of various techniques as well as case analysis and/or presentation. Each module must be successfully completed for an optometrist to be considered in the application for diagnostic privileges. Structure and description of modules: Module One: Overview of Ocular Anatomy, Physiology, Microbiology and General Pathology The purpose of this module is to review the concepts related to ocular disease and the processes involved, by providing the foundational knowledge required for the differentiation of normal and abnormal presentations. Particular reference is given to those disease processes related to the eye and annexe. An overview of related anatomy (with emphasis on the head and neck) is included as a basis for the general pathology. Clinical medicine reviews the pathophysiogical basis, clinical presentations and broad management options for the more commonly presenting systemic diseases that may implicate, or be implicated in, the ocular disease context. The basic microbiology component of this module relates to ocular disease that occurs with the invasion of micro-organisms and the diagnostic techniques utilized in the assessment of this process. Specific outcomes will be described in the course pack (hard copy) available at the site of registration, prior to commencement of each module. Module Two: Ocular Disease: Anterior Segment The objectives encompassed in this module are: ◊ To familiarize learners with anterior segment pathology and/or deviations from the normal, particularly systemic related ocular pathologies, that they may encounter in a patient care setting. ◊ To provide the learner with the competence to appropriately manage or refer patients with eye-health related problems, especially anterior segment related diseases. ◊ To provide the knowledge that will be consolidated with skills to be learned in module five of this course, so that optimal utilization of specialized diagnostic equipment and techniques may be made. This module is intended to provide learners with the knowledge and understanding of variations from the normal presentation of the eye and it’s functioning, and any associated clinical deviation which they may expect to encounter (observe, manage or comanage) in the patient care setting. It is designed to generate appropriate management due to the recognition and knowledge of pathologies, particularly those that may have ocular manifestations. Ocular Disease: Anterior Segment, is concerned mainly with the anterior segment of the eye and it assumed that the learner is competent in the foundational knowledge outlined in module one. Exit level outcome: Having successfully completed the module, the qualifying optometrist will be able to: ◊ show competency in the application of scientific health care skills in the evaluation of pathologies of the eye and related systemic diseases ◊ demonstrate competency in the recognition of pathologies of the eye and related systemic diseases ◊ display the management or referral skills appropriate to specific disease states of the eye, and degrees there-of ◊ show ability to work within a health-care team or interact consultatively with other health-care providers Specific outcomes will be described in the course pack (hard copy) available at the site of registration, prior to commencement of each module. Module Three: Ocular Disease: Posterior Segment and Neurology The objectives encompassed in this module are: ◊ ◊ ◊ To familiarize learners with posterior segment pathology and/or deviations from the normal, particularly systemic related ocular pathologies, that they may encounter in a patient care setting. To provide the learner with the competence to appropriately manage or refer patients with eye-health related problems, especially posterior segment related diseases and basic neurology problems . To provide the knowledge that will be consolidated with skills to be learned in module five of this course, so that optimal utilization of specialized diagnostic equipment and techniques may be made. This module is intended to provide learners with the knowledge and understanding of variations from the normal presentation of the eye and it’s functioning, and any associated clinical deviation which they may expect to encounter (observe, manage or comanage) in the patient care setting. It is designed to generate appropriate management due to the recognition and knowledge of pathologies, particularly those that may have ocular manifestations. Ocular Disease: Posterior Segment and Neurology, is concerned mainly with the posterior segment of the eye and it assumed that the learner is competent in the foundational knowledge outlined in module one. Exit level outcome: Having successfully completed the module, the qualifying optometrist will be able to: ◊ show competency in the application of scientific health care skills in the evaluation of pathologies of the eye and related systemic diseases ◊ demonstrate competency in the recognition of pathologies of the eye and related systemic diseases ◊ display the management or referral skills appropriate to specific disease states of the eye, and degrees there-of ◊ show ability to work within a health-care team or interact consultatively with other health-care providers Specific outcomes will be described in the course pack (hard copy) available at the site of registration, prior to commencement of each module. Module Four: Ocular and General Pharmacology The objectives encompassed in this module are: ◊ ◊ To familiarize learners with fundamental principles of general pharmacology and with important drugs used to treat non-ophthalmic disease, particularly those pharmaceutical agents which may interact with ophthalmic drugs and or cause significant ocular/visual side effects. To give learners an appreciation for pharmacokinetic, pharmacodynamic and clinical aspects of ocular pharmacology and to familiarize them with drugs used to diagnose and/or treat ophthalmic disease, especially anterior segment disease. The course is intended to provide learners with the knowledge and understanding of pharmaceutical agents that they may expect to employ clinically and/or otherwise encounter in the patient care setting. It is designed to generate awareness of potential interactions between ophthalmic and other medications and to familiarize students with ocular and visual side effects that sometimes result when ophthalmic medications are employed in the clinical setting or otherwise prescribed for patient use. Exit level outcome Having successfully completed the course, the qualifying optometrist will be able to: show competency in the foundation of pharmacological principles ◊ demonstrate knowledge of commonly used ocular medications; their applications, side-effects, actions and precautions ◊ display basic knowledge of ocular side-effects of commonly used systemic drugs ◊ demonstrate knowledge of appropriate laws pertaining to the use of scheduled drugs and the presentation/packaging of drugs in their formulations. Module Five: Ocular Diagnostic Techniques and Clinical Application The aim of this module with a hands on workshop, is to develop the capacity of the practitioner in the skills of diagnostic assessment relating to ocular disease, so that proficiency is achieved in specialized procedures and techniques. The clinical interpretation of results will be consolidated with the knowledge offered in the previous modules of this course so that the practitioner will better be able to assess and manage patients in their ocular health status, within health care. Specific techniques will be outlined in the manual given out to registered delegates on site.