Implication of the expanding scope of practice on the financial needs at the schools and colleges of optometry.
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The recruitment and retention of disadvantaged students represents a formidable challenge to optometric educators. Referrals by optometrists and counsellors, visits to minority campuses, and information through the news media can help the recruitment process. Academic achievement and retention rates can be enhanced by tutorial programs, development of learning centers, learning modules, self-paced materials, and computer software. The most important element is the sensitivity of faculty and administrators to the educational needs of the students and the health care needs of disenfranchised populations.
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A study was performed which attempted to assess the relative value of a military optometric practice and to provide epidemiological information on ocular pathologies typical in that practice setting. A mock billing system was employed which assessed fees against patient examinations and procedures using Current Procedural Terminology codes. The fees were determined from a survey of the fee structures of local optometrists. The study showed that the military optometric practice was cost effective in relation to the cost that would be incurred through civilian referral. It also demonstrated that military optometric practice is full in scope and encounters a wide variety of pathological entities above and beyond standard refractive modalities.
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Brain injury results from either head trauma or strokes and causes many visual and visually related disturbances. Rehabilitation is aimed at developing skills that allow the patient to optimally function as a viable and independent member of society. Often the resultant visual deficits remain undiagnosed and untreated, which hinder the patient's total rehabilitation. Optometric evaluation of brain injured patients should routinely be performed as part of the transdisciplinary team approach to rehabilitation. Optometrists are uniquely qualified to diagnose and treat visual and functional deficits of the visual system in the brain injured population. The purpose of this paper is to present a rationale for optometric participation in the rehabilitation of head trauma and stroke patients.
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