Resident Clinic Guidelines

All clinics

• Recommend arriving 7:30-40 latest. Earliest patient is scheduled at 7:20 most days. On retina days, recommend arriving earlier to prepare the day's subconj.

• All imaging and procedures requires prior authorization. Use the correct order set when placing follow-up orders

• To complete the clinic visit, pend your note, DO NOT SIGN THE ENCOUNTER, then switch the attending to whoever you staffed with. This places the patient on that attending's schedule/inbox

• Cataracts get referred to the senior friday cataract preop clinic

General Clinic

• Tends to get overbooked very easily. Try to downbook fridays by making sure any patients are scheduled into appropriate clinic (we get a lot of neuro-ophtho patients scheduled in this clinic for example

Retina Clinic

• Prepare around 20 subconj injections in the morning for the clinic

• Make sure injections have prior auth before performing them

Neuro-Ophthalmology Clinic

• All patients need to be pre-charted with pre-visit planning so the techs know what testing needs done for that day

• Per neuro attendings, this clinic should not be overbooked as the patients are complex and take more time

Uveitis Clinic

• Nothing specific

Glaucoma Clinic

• Nothing specific

Pediatrics Clinic

• Dr Gore will usually have teaching at 7:30 AM before clinic

Oculoplastics Clinic

• When signing up for surgery use the tao risk benefits smart phrase in your clinic note

Miscellaneous tasks

• Forms in bin are to be filled out within 5-7 business days

• Answer all calls/refills by end of day

• Retina days: For injections, if MA is available to help you, give them a patient sticker (two if injecting both eyes) and let them know what injection to bring. They will put the sticker in the appropriate binder and fill out info. If not available, you will do this yourself;  bring sticker(s) to procedure room and put into sticker binder, fill out info, get injection from fridge

-Exam tab

• Update exam!! Measure K ulcer, infiltrate, hypopyon, hyphema,  new VH, NVI, whatever; don't just copy paste without updating if things have changed!!

-Imaging/procs tab

• Imaging (OCTm, OCTn, fundus photos, etc) needs a read; SAVE but do not sign

• Add intravitreal injections, PRP, punctal plugs. Can save macros for easier use next time

-Progress note

• Copy forward last note, be mindful of edits. If you're in retina clinic and the last note was glaucoma, bump the glaucoma info below the not directly addressed today line. Update anything relevant, delete anything that is no longer relevant. Notes are always a work in progress. Work with the senior and PGY3 on this.

• MAKE SURE FOLLOWUPS ARE SCHEDULED ESP IF PATIENT IS FOLLOWED BY MULTIPLE CLINICS

  • Can click into Encounters and uncheck "Hide Additional Visits" to see if they haved appts scheduled

-Plan tab (followup)

• Check "Mark as Reviewed" on problem list and "Visit Diagnoses" with relevant updates (don't spend too long on this)

• Scroll down to smartsets and order the appropriate followup orders

-End of visit: Bottom of page

• Add Order for any medications or imaginge

• Level of Service for everyone!

• Keeping track of whether you did everything in the encounter can be hard in the beginning (or it's just me idk). Here is a checklist with space for sticker and checkboxes for the basics of the encounter, for if you're going fast and don't remember if you did the imaging read, order followup, etc. 

• Click the link below to open in a new tab and print. I print 4 every Monday and stash it away throughout the week, and fold in half down the middle for two columns.