Competency Based Goals and Objectives
The goal of this rotation is to understand how to distinguish whether a child is normal or has a pathological eye condition. Understand the pediatrician’s role in preventing ophthalmic injury or disorders in children. Understand how to recognize, manage and refer ophthalmic problems that generally require referral, and those generally do not require referral.
COMPETENCY 1. Patient Care. Provide family centered patient care that is
developmentally and age appropriate, compassionate, and effective for the treatment of health problems and the promotion of health.
; Explain to parents the normal development of visual acuity and visual tracking in
; Distinguish normal or clinically insignificant eye findings from potentially serious
; Demonstrate ability to do a good funduscopic examination on children, using
mydriatics if needed.
; Request or perform and interpret the following clinical studies useful in
evaluating eye conditions: conjunctival swab for culture and chlamydia FA,
fluorescein eye exam, radiologic studies of head and orbit, including plain film,
CT and MRI.
; Evaluate and appropriately treat or refer commonly presenting ophthalmologic
signs and symptoms.
; Diagnose and manage patients with common ophthalmologic conditions that
generally do not require referral.
Conjunctivitis, Corneal abrasion, Periorbital cellulitis, Hordeolum,
Blocked lacrimal duct, Simple foreign bodies
; Recognize, provide initial management, and refer appropriately conditions that
usually require ophthalmologic referral.
Amblyopia, Cataract, Chemical burns, Complicated and intraocular
foreign bodies, Decreased visual acuity, Esotropia, exotropia, ptosis,
Glaucoma, Herpetic keratitis,Orbital cellulitis, Retinopathy of prematurity,
Significant eye trauma manifested by hyphema, extraocular muscle palsy,
globe penetration, or orbital fracture, White pupillary reflex
; Recognize various signs of ophthalmologic pathology that may be manifestations
of systemic disorders.
; Perform diagnostic and screening procedures associated with pediatric
COMPETENCY 2. Medical Knowledge. Understand the scope of established and
evolving biomedical, clinical, epidemiological and social-behavioral knowledge needed by a pediatrician; demonstrate the ability to acquire, critically interpret and apply this knowledge in patient care.
; Understand the pediatrician’s role in preventing ophthalmic disease, injury and
dysfunction through counseling, screening and early intervention.
; Differentiate normal from pathologic eye conditions.
COMPETENCY 3. Communication Skills. Demonstrate interpersonal and
communication skills that result in information exchange and partnering with patients, their families and professional associates.
; Talk to family members about sensitive issues that relate to a patient’s illness, e.g.,
coping with the child’s altered needs in his/her home setting.
; Communicate effectively with physicians, other health professionals, and health
related agencies to create and sustain information exchange and team work for
; Work effectively as a member or a leader of a health care team, and collaborate
productively with professional organizations.
; Maintain comprehensive, timely and legible medical records.
COMPETENCY 4. Practice-based Learning and Improvement. Demonstrate
knowledge, skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one’s patient care practice.
; Describe the epidemiology of common pediatric eye injuries and evidence-based
strategies to prevent injury and improve outcome.
; Identify standardized guidelines for diagnosis and treatment of complex eye
diseases and learn the rationale for adaptations that optimize treatment.
; Identify personal learning needs, systematically organize relevant information
resources for future reference, and plan for continuing data acquisition if
; Throughout a specialty rotation, take the initiative to evaluate your performance
from the perspective of patients, staff, and colleagues; ask for input as needed to
complete your self-audit.
COMPETENCY 5. Professionalism. Demonstrate a commitment to carrying out
professional responsibilities, adherence to ethical principles, and sensitivity to diversity.
; Function as a pediatric consultant to ophthalmologic colleagues in the diagnosis
and management of pediatric patients.
; Be honest and use integrity in your professional duties.
; Reflect on your own biases toward particular illnesses or patient groups, and take
steps to assure that these biases don’t interfere with the care you deliver.
; Be sensitive to the ethical and legal dilemmas faced by providers working with
ophthalmology patients. Strive to understand how these specialists and the care
team deals with these dilemmas and use such experiences to enhance your own
COMPETENCY 6. Systems-Based Practice. Understand how to practice quality
health care and advocate for patients within the context of the health care system.
; Describe the role of emergency response teams, emergency rooms, and medical
professionals in reducing the extent of injury and counseling families about future
; Describe the role of case management in the care of children with complex
surgical conditions and evidence that this can improve outcome.
; Describe the role of pediatricians as advocates for legislation of proven benefit for
reducing injury (Importance of protective eye wear for sports, , ultraviolet light
exposure and other activities which warrant eye protection.)
; Clarify how documentation and billing/charges differ for consultations vs.
referrals vs. on-going management of children treated by surgical subspecialists. ; Demonstrate sensitivity to the costs of clinical care in this setting, and take steps
to minimize costs without compromising quality.
; Routine screening for visual acuity and eye disorders in the newborn nursery,
office and school setting.