Institutional Federal Compliance Report 2021

AVAILABILITY OF EDUCATIONAL RESOURCES

Visual science or medical library in facility [ ]Yes [ ]No Reference materials available within the eye care facility [ ]Yes [ ]No Online/Electronic resources [ ]Yes [ ]No Seminars conducted: Optometry staff [ ]

Ophthalmology [ ]

General medical education with other staff [ ] Other disciplines [ ] List disciplines: __________

Rounds

[ ]

OTHER TOPICS

Describe any interdisciplinary relationship, including medicine, ophthalmology, etc, within the facility/office:

Describe the patient population, types of exams done, and the type and level of involvement the resident will have:

Discuss why you feel the program will benefit the profession, your site, and the college:

What is the most important outcome you envision for a resident completing the proposed program?

Please Attach:

-Propose program Mission, Goals, and Objectives -Letter of intent -Needs Assessment of Residency -Curriculum Vitae

Add additional sheets if necessary.

Form completed by: _______________________________________________________________________________ Name Title

Date

Signature: ______________________________

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