Aravind Eye Care System MLOP Training Programme aimed at Effective Performance

Analysing your application forms Your Training Needs

Which of the following are you currently using in your training program? we have! List of subject Learner objectives List of competencies Textbook Knowledge assessments Skill evaluation checklist we need to develop! Skill videos Log Books Observation Guidelines Question banks for each lesson Tutor guidelines Instructional PPTs Lesson plans Other technology resources some departments / hospitals have log books, some need to prepare MDU has ppts but lacking in rest of the hospitals Instructional videos are not available for all skills

What curriculum resources do you expect to develop begin/improve your program? For learners Standard schedule – Theory & Skills Trainee profile progress report External examiner for final Work instructions and rubrics For Trainers Updation of clinical knowledge DOA/ DoT as separate mentors Good instructors with English knowledge to help university courses Feedback checklist

What are your key challenges in running this programme? For Trainers Inadequate time for tutoring Classrooms not adequate Difficult handling new transferred MLOPs Resource unavailable No facilitators/mentors Abstenteeism For learners Language barriers Unequal postings-OP, OT, Ward Difficult to attend class on peak days

What are 3 things you expect to learn / be able to do after attending (TOT)? Standardized theory & skill schedule Standard skill assessment Practical lab with all necessary equipments for learning Prepare question banks with answers (university courses) Method of preparing teaching module New teaching methods Separate lab with all the necessary equipment facilities Refresher course for MLOP employees Role / skill clarity based on the years of experience

What is Effective Performance? Correct Procedure/ Accurate Patient Safety Patient Centered Expected Variation

Designing Training for Effective Performance Overall Outcome: Trainee is able perform her role effectively Identify the skills she is expected to perform What are the prerequisite “knowledge” components? Ensure LEARNING takes place within TRAINING period Competencies Learning Modules

What is Competency-based Training? A course of study characterized by: Focus on the learner. Direct relationship to real-world practice. Based on desired outcomes, with clearly defined objectives. Learners are shown application; know what they need to learn and do. Learners receive frequent feedback on progress. Put all these terms together and you get is CBTC (you have all this information in your handout on Definitions

Example: I can competently measure a patient’s visual acuity

Which of these is better example of a COMPETENCY? Describes the importance of tonometry The ability to correctly use a Perkins tonometer Ability to describe the anatomy of human eye

Refraction Department Skill sets Knowledge sets Skill sets - 19 Measuring Visual Acuity Anatomy of the eye Measuring visual acuity Optics & Refraction Objective Refraction Testing procedure & recording Subjective refraction - Myopia Types of charts (Adult & children) Subjective refraction - Hypermetropia Subjective refraction - Astigmatism Streak Retinoscopy Subjective refraction - Presbyopia Refractive errors Auto refractivemetry Lensometry Types of Refraction Glass power checking Reflex movement Far point concept Types & handling of instruments Types of lenses Prescription writing Neutrilization procedure Cubical arrangement Spectacle Counseling Contact lenses A Scan biometry K Reading Retinoscopy calculation Low vision AIDS Balancing test Squint Evalaution Duechrome test Muscle Balance Amblyopia Anisometopia Knowledge sets -71 Squint Accomodation Binocular Single Vision Refraction instruments Aphakia

Learning Module - Components Learning goals Classroom Content Formative assessment Reinforcement + Follow up Lab Practicals Observation Live Practicals Summative assessment Certification Evaluation

Competency-Based Training Content should be task-based Tasks learned  job requirements

Evaluation / Test Orientation Basics Year 1 exam Year 2 exam Theory & Skill Assessment Year 2 exam Duct Check Camp Schiotz Case segrg. NCT BP Vision Escorting

Skill Certification Certified for Escorting Class Theory Practicals Skilll Assessment Certified for Vision Taking Certified for BP Certified for NCT Certified for Case sheet Segregation Certified for Duct Checking Duct Check Camp Schiotz Case segrg. NCT BP Vision Escorting

By the end of this TOT workshop we would like to end with: List of competencies Certification process Plan for implementing competency based training

Group work: What are the required COMPETENCIES? Outpatient Services Inpatient Services Operating Room Refraction