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Spring 1992, Volume 17, Number 3 - Association of Schools and ...

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Optometric Externships<br />

At Southern College <strong>of</strong><br />

Optometry:<br />

A Director's<br />

Bernard I. Sparks, III, M.S., O.D.<br />

Perceptions<br />

ulum at Southern College <strong>of</strong> Optometry.<br />

Currently, fourth-year students<br />

are required to successfully complete<br />

two quarters <strong>of</strong> externship prior to<br />

graduation. 2 As with other institutions,<br />

35 these requirements are fulfilled<br />

in settings such as military<br />

bases, VA <strong>and</strong> Public Health Service<br />

hospitals, inner-city health clinics,<br />

optometric referral centers, <strong>and</strong> private<br />

practices.<br />

The actual education <strong>of</strong> the students<br />

takes place with the direct<br />

supervision <strong>and</strong> instruction <strong>of</strong> licensed,<br />

highly trained optometrists<br />

<strong>and</strong>/or ophthalmologists. These practitioners,<br />

referred to as preceptors, are<br />

also responsible for the performance<br />

evaluation <strong>of</strong> the student clinicians.<br />

As such, the preceptors represent the<br />

vital link in fulfilling the institution's<br />

educational objectives. 6<br />

The success <strong>of</strong> the College's program<br />

has required a considerable<br />

amount <strong>of</strong> time, thought, planning,<br />

on-going evaluation, <strong>and</strong> commitment<br />

<strong>of</strong> resources. Beginning in 1985,<br />

a restructuring <strong>of</strong> the externship program<br />

was undertaken to address perceived<br />

weaknesses <strong>of</strong> inconsistency<br />

in its educational effectiveness. The<br />

focus <strong>of</strong> this article will be upon five<br />

guidelines (Table 1) which evolved<br />

from this reorganization <strong>and</strong> which<br />

have proven beneficial in the author's<br />

administration <strong>of</strong> the program at<br />

Southern College <strong>of</strong> Optometry.<br />

Abstract<br />

In recent year*, optometric externships<br />

lunv become an important<br />

component <strong>of</strong> clinical education.Thh<br />

article nviezvs a variety <strong>of</strong> guidelines<br />

which have pnnvn successful in the<br />

administration <strong>of</strong> the externship program<br />

at Southern College <strong>of</strong> Optometry.<br />

Key words: optometric externships,<br />

preceptor, adjunct faculty<br />

Introduction<br />

Since their inception in the 1970s, 1<br />

optometric externships have become<br />

an integral component <strong>of</strong> the curric-<br />

Dr. Sparks is director <strong>of</strong> externships at the Southern<br />

College <strong>of</strong> Optometry.<br />

<strong>Volume</strong> <strong>17</strong>, <strong>Number</strong> 3 / <strong>Spring</strong> <strong>1992</strong><br />

a<br />

\,<br />

Guideline #1: Aims, Goals,<br />

<strong>and</strong> Objectives<br />

The aim <strong>of</strong> the College's externship<br />

program is to assist the students in<br />

developing greater clinical competency<br />

by the provision <strong>of</strong> different<br />

<strong>and</strong> diverse learning environments.<br />

This is a broad declaration <strong>of</strong> purpose<br />

<strong>and</strong> one which the College chose to<br />

state in terms <strong>of</strong> process (i.e., to improve<br />

clinical skills) rather than input<br />

(i.e., to complete an externship). 78<br />

The goals <strong>of</strong> the externship program<br />

were more specific <strong>and</strong> represented<br />

the College's global expectations<br />

for the students. Care was taken<br />

not to confuse educational goals with<br />

behavioral objectives. The former<br />

expresses the expectations for the<br />

students while the latter details the<br />

expectations <strong>of</strong> the students.<br />

Behavioral objectives represented<br />

the final phase at this level <strong>of</strong> development.<br />

Unlike the aim, behavioral<br />

objectives should always be expressed<br />

in terms <strong>of</strong> output 8 or out-<br />

87

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