Minute of the Fourth CMOC meeting Venue: Shantai Hotel (5th December); YMCA (6th December) Date: 5th and 6th December 2008 Timing: 9.40 am – 8 pm (5th); 8.00 am – 4.30 pm (6th) Participants:1) Dr R. Krishna Kumar, Principal, Elite School of Optometry, Chennai 2) Mr. Aditya Goyal, Principal, Jayendra Institute of Medical Sciences, Chennai 3) Ms. Prema Chande, Principal, Lotus College of Optometry, Mumbai 4) Prof Dipti Gogate, Faculty, Bharati Vidyapeeth University, Pune 5) Mr. Yeshwant Saoji, Educational Representative, Indian optometric Association 6) Mr. Vivek Mendonsa, President, Association of Schools and Colleges of Optometry Note: Due to unavoidable reasons cannot make it: Prof Coen de Jong, Principal, Bausch & Lomb School of Optometry, Hyderabad Mrs. Kunda Ganatra, President, Indian Optometric Association . Salient Points of the meeting: 1) Mr. Vivek welcomed the members and shared the inspiring film on Life of visually challenged children. 2) Dr KK shared the total number of courses in each year. Totally around 29 courses over a period of 3 years and last 1 year is the internship. Ms. Dipti asked the team to add occupational optometry, have two courses for Binocular Vision and separate course for Paediatric optometry. All the members accepted the same. The total number increased to 31. 3) Dr L S Varadharajan: Presented the course curriculum of Geometrical optics I II. and Physical optics The following points were raised during the discussion: a. Instructor in charge can be even Optometrist with experience in Optics. Can be Undergraduate too. b. Requested to delete Nature of light, EMR chapters and shift the same in Physical optics. Prepared by Dr R Krishna Kumar – 101208 – 4th CMOC meeting at Pune – 5th and 6th December 2008 c. Ms Prema Chande recommended going from thin to thick lenses. However Dr LSV felt thick to thin will be ideal. He also told that such points can be given as the teaching tips and faculty can decide the best. d. Dr LSV insisted that Magnification should be dealt well during this course. The same as well can be given as the recommendation at the end of the course material. e. Field stops & Aperture, entrance and exit pupil, aperture and defocus blur, receiver and detector diameter, depth of focus, depth of field can be covered within 1 hour. f. Third order aberrations chapter can be increased to 2 hr. g. Higher order aberrations, Gulstrand schematic eye & related aberration, refractive error; accommodation can be removed from the course curriculum. h. In Physical optics: Relationship between amplitude & intensity chapter can be reduced to 1 hr. Remove types of laser and their application i. All the members felt the practical exercises are fine. The list of instruments can be enumerated by Dr LSV along with the cost involved and can be send to Mr. Vivek. 4) Mr. Yeshwant Saoji : Presented Optometry optics and Dispensing Optics course curriculum a. Members decided that the theory course of Dispensing Optics will be called as Optometric optics and the practical will be called Dispensing Optics. b. Mr. Yeshwant will rework on the same with the inputs given by the members and come back with the revised version 15 days from now. c. All the members felt the Dispensing optics course should deal with the time the glass prescription received to the time the complete spectacle is delivered. The knowledge on surfacing and edging can be covered through theory classes. 5) Dr R Krishna Kumar: Presented Nutrition, Ocular Disease I II, Pharmacology, Pathology, Public Health and Community Optometry, and Systemic Disease a. The Course curriculum on Nutrition was accepted without any modification b. Ocular Disease curriculum can be reworked by specific mentioning of the common eye diseases with the number of hours for each eye condition. There was discussion on the objective of the course. It was finally accepted that the objective is to make sure that the students undergoing the course will be prepared on the knowledge on the etiology, epidemiology, symptoms, signs, course sequlae of ocular disease and diagnosis and management. Some of the courses like Thyroid eye disease, and Myasthenia Gravis etc. are suggested to shift to the Systemic disease course. To increase two more hours for conjunctiva disease chapter and decrease 2 hrs from lacrimal disease. To add Allergic conjunctivitis, Trachoma, nutritional deficiency and ocular conditions. To include Prepared by Dr R Krishna Kumar – 101208 – 4th CMOC meeting at Pune – 5th and 6th December 2008 c. d. e. f. g. Glaucoma and Nystagmus as separate chapter in Ocular Disease II. To see whether DR and HR can be shifted to systemic disease course. Microbiology course: Prerequisite can be Higher secondary Biology or remedial Biology. To increase one more hour on Ocular Bacteriology. Pathology: Prerequisites can be higher secondary Biology. Suggested to look for alternative textbook. To include the number of hours per chapter. Pharmacology: Ms Prema Chande told that she will recommend another book for the course .Dr LSV insisted that everyone should give full detail of the textbook/reference books- Title, Author, Publisher, and Year of Publication. Prerequisites for the course include: general Physiology, Biochemistry, Pathology, and Microbiology. Mr. Aditya insisted that the Cornea and Conjunctiva in OD should be taught before Phamacology subject. To include Flourescien, Rosebengal, Lesamine green and ICG dye information and also anti-inflammatory drugs. Systemic Disease: Alternative textbook can be thought. To add Herpes, HIV, Hepatitis. To increase one hour for connective tissue disease. Public health and Community Optometry: Members suggested revising the objective. To remove Basics of Epidemiology. 6) Mrs. Prema Chande: Presented on Visual optics, CEVS and Instruments a. Visual optics especially can be relooked for the completion. Visual optics II course should be on complete clinical refraction. There was a debate on the need for visual acuity basics to be taught in visual optics. b. Instrument course: Inputs are given to the coordinator. She will look into it. All the members felt that the instruments very commonly used by the optometrists should be dealt with and a chapter on newer technology can cover other rarely used but essential instruments in eye care practice ( for example OCT,HRT, etc.) c. CEVS: It was suggested that the scope of this course to inculcate the procedural skill rather than the knowledge. So structuring the each procedure in specific format like PURPOSE, SETUP, EQUIPMENTS, STEP BY STEP PROCEDURE, RECORDINGS, and INTERPRETATION. List of procedure to be included : History taking, VA , EOM,CT, ACT, HT, Modified Krimsky, Pupila Examination, Maddox Rod, van Herick, External examination of the eye, Lid Eversion, Schirmer’s, TBUT, tear meniscus level, NITBUT (keratometer), Clor Vision, Stereopsisi, Confrontation test, Photostress test, Slitlamp biomicroscopy, Direct Ophthalmoscopy, ST, AT, FT, Gonioscopy, ROPLAS, Amsler test, Corneal Sensitivity, HVID, Saccades and Pursuits. 7) Mrs. Dipti Gogate : Presented on Binocular Vision, Pediatric Optometry a. All the members accepted that BV course to be given in two semesters. Pediatric Optometry should be separate course. A lot of inputs were given by the members to the author and relevant modification needs to be done and revised version to be send to all. Dr RKK insisted that the goal of such Prepared by Dr R Krishna Kumar – 101208 – 4th CMOC meeting at Pune – 5th and 6th December 2008 courses should be realistic that we can only introduce the student to Binocular vision and can’t make them expert in this area. b. Pediatric Optometry course was presented by Mr. Vishal Nair of BVP. It was decided that the course required revision. Members felt that the course can have broad classification as: Developmental Milestones, Developmental Anomalies, Pediatric clinical step by step approach, (History to treatment), Special situations – Dispensing, Contact lens, Low Vision. c. Contact lens, Geriatric optometry and Low Vision Aids subjects were not discussed for want of time. It was decided that Mr. Yeshwant will prepare on Contact lens course and send to us. Meanwhile Geriatric optometry and LVA (single course) will be relooked and will be sending by Mrs. Dipti Gogate. Occupational optometry course curriculum can be prepared. 8) What is Next? : a. All the members will send the revised version of their courses 15 days from now to Dr RKK. ( Target date: 22nd December 2008) b. Dr RKK will relook into all the courses and put in specific format. Randomly picked Five subjects will be sending to each member. ( Target Date: 6th January 2009) c. Members will go through the same and also have in-person interaction with their local corresponding faculty and take their inputs on the curriculum. The consolidated inputs (without any edition) need to be send to Dr RKK. ( Target Date : 6th February 2009) d. Dr RKK will consolidate all the points and call for the next CMOC meeting to discuss and freeze on the inputs and to discuss on the Internship planning. The basic planning on Internship will be prepared by Mr. Aditya and Dr RKK and will be circulated to the members before 30th January 2009 e. Venue of the next meeting : Elite School of Optometry f. Tentative date of the next meeting: 30th March 2009 9) Other Points : a. CMOC members visited BVP College, Pune. Met Mr. Amit J. Shinde, Incharge, School of Optometry and Dr Vivek A Saoji, Dean, BVP Medical College. Apprised about the initiatives of the CMOC. Dr Saoji appreciated the effort and suggested that it is very important to structure the course contents properly. Objective of courses should be well thought and planned with visionary approach. He also suggested some good books to refer (name of which he told he will share to CMOC through Mr. Amit) and told that he will share sample course he developed for PG students. All the members thanked the dean for his useful inputs. Dr RKK also thanked Mr. Amod Gogate, Mrs. Dipti Gogate, Mr. Vivek and Mr.Yeshwant Saoji for arranging for the visit. Prepared by Dr R Krishna Kumar – 101208 – 4th CMOC meeting at Pune – 5th and 6th December 2008 b. All the members felt that ASCO can receive the materials developed by ICEE and share with all the members. The material can be used like anyother such materials available and nothing more than that. c. Developing lecture notes can be done after developing specific guidelines. Mr. Vivek will give the list of priority courses that required urgent need to develop lecture notes. The time line can be worked out after getting the inputs from Mr. Vivek. d. Mr. Vivek accepted to put the minutes of CMOC meetings in the ASCO website. It is also accepted by all the members that henceforth CMOC will be part of the ASCO activity officially. However the responsibility of the members will remain same. Prepared by Dr R Krishna Kumar – 101208 – 4th CMOC meeting at Pune – 5th and 6th December 2008