CLINICAL DISPENSING PRACTICE AND COMMUNICATION

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B521620
Module Leader Peter Rafferty
School School of Health and Life Sciences
Subject Vision Sciences
Trimester
  • A (September start)-B (January start)

Summary of Content

This module will develop an understanding of the role and functions of the Dispensing Optician in clinical practice. It will combine teaching undertaken in a clinical or clinical laboratory environment with lectures and role-plays, which will explore and develop clinical communication. The module will provide clinical experience necessary in the preparation for working in commercial practice as a Dispensing Optician. It represents the clinical application of the areas of the other level 1 and 2 modules relevant to everyday dispensing practice.

Syllabus

Clinical Practice Dispensing spectacles in context The finished ophthalmic device The types of spectacle lens currently available and their role in Dispensing practice The practical application of: Prismatic effect calculations Monochromatic and chromatic aberration Frame and facial measurements BS, EN and ISO standards relating to ophthalmic devices and eye protection spectacle frame materials Construction and problems in use Focimetry, identification, replication and verification of all types of spectacle lenses and finished spectacles High near addition and spectacles for special purposes Prescription writing, analysis and error recognition Acceptable power corrections Referral for further refraction or examination Lens types to specific prescriptions and patient requirements Frame manipulation techniques Frame materials, design and construction Ophthalmic lens materials and lens faults Lens mounting Communication Skills Problems with communication in Healthcare, Models of Communication Verbal and Non Verbal Communication, Health Behaviour Theory Initiating the consultation, Gathering information, Explaining and Planning, Closing the Consultation Cultural competence Consideration of Specific Patient groups: Infants and Children; Elderly patients; Patients with disabilities;

Learning Outcomes

On completion of this module, students should be able to: Show appropriate professional conduct. In fulfilling his/her duty of care a Dispensing Optician must have an understanding and working knowledge of the relevant legislation and civil laws, as well as codes of conduct and professional guidance to be able to care for, respect and protect the rights (in the context of the clinical areas of dispensing practice)Interpret the results of refractive examinationUnderstand likely management options including: vision training, refractive correction, modified refractive correction and prismatic correction, related to the prescribing of the appliance.Understand the investigation and management of patients presenting with incomitant deviations, including the recognition of symptoms and referral advice.Be aware of the special examination needs of patients with learning and other disabilities.Demonstrate the ability to interpret and dispense a prescription using appropriate lenses and facial and frame measurements.Demonstrate the ability to advise on and dispense appropriate spectacle frame types and materials and lens forms and materials.Demonstrate the ability to dispense optical low vision aids (in spectacle form only)Demonstrate the ability to relate the development of a child's facial anatomy to the fitting of optical appliances.Demonstrate the ability to identify anomalies in a prescription and implement the appropriate course of action.Demonstrate the ability to measure and verify optical appliances including the replication of existing spectacles, taking into account relevant standards where applicable.Demonstrate the ability to match the form, type and positioning of lenses to meet all the patient's needs and requirements.Demonstrate knowledge of personal eye protection regulations and relevant standards, and the ability to advise patients on occupational visual requirements appropriately.Demonstrate knowledge of the construction of spectacle frames.Demonstrate the ability to identify current and obsolete frame materials and consider their properties when handling, adjusting, repairing and dispensing.Demonstrate knowledge of criteria for referral for new prescription.Demonstrate a thorough understanding of the theoretical concepts relating to communication and interactive skills and an ability to apply that knowledge in clinical situations.Demonstrate the ability to take a relevant history and gather information relating to general health, medication, family history, work, lifestyle and personal requirements.To extract the detail and understand the relevance of any significant symptoms.Demonstrate an awareness of, and the ability to identify and respond appropriately to, patient' fears, anxieties and concerns about their visual welfare.Understand importance of respecting and eliciting the patient beliefs and expectations and manage situations where expectations cannot be met.To apply strategies to facilitate communication with patients with communication impairments and/or learning disabilities and other patient groups.To communicate effectively with parents, carers, support workers and other appropriate people involved in the care of the patient.Be aware of the clinical procedures undertaken in specialised ophthalmic clinics at GCU.

Teaching / Learning Strategy

This module will comprise of clinical placements at GCU and in commercial practice in addition to lectures, practical / tutorial tuition and student-led seminars. The keeping of a personal clinical log book and personal development plan will form an essential part of the module, with case analysis and presentations based upon this. Students will be required to reflect on their communication with patients within their log-book. Many areas are on-going from level 1, but at a higher level or in the context of the final dispensing process. Summative practical assessments will mirror the final professional examinations but a level 2 standard.

Indicative Reading

Cubbidge R (2010 et seq) Ophthalmic Lens Data, SC Hardy & Co Drew R (1990) Ophthalmic Dispensing, Butterworth Fowler C, Latham- Petre K (2001) Spectacle Lenses, Theory and Practice, Butterworth-Heinemann Gerrard, B. A. (1980) Interpersonal Skills for Health Professionals. Prentice Hall, Reston. Griffiths, A I (2000) Practical Dispensing, 3rd Ed, ABDO Levene, J R (1977) Clinical Refractive & Visual Sciences, Butterworth Jalie M (1983) Practical Ophthalmic Lenses, Butterworth Jalie M (1972-2010) Principles of Ophthalmic Lenses, All Editions ABDO Jalie M (1998-2009) Ophthalmic Lenses and Dispensing, All Editions, Butterworth-Heinemann Brooks C F, Borish, I M (2007) System for Ophthalmic Dispensing 3rd ed. Butterworth-Heinemann Fowler C & Latham-Petrie K (2001) Spectacle lenses: theory and practice. Butterworth-Heineman Griffiths, A I (2000) Practical Dispensing 3rd ed, ABDO Harsant R (undated) A revision guide to ABDO part 1 practical examinations. ABDO Jalie, M. (2001) Ophthalmic Lenses and Dispensing, Butterworth-Heinemann Jalie, M. (1984), Principles of Ophthalmic Lenses, ABDO Janney GD & Tunnacliffe AH (1997) Worked problems in ophthalmic lenses. ABDO Robbins SP et al (2010) Organisational Behaviour. Prentice Hall, Reston Stoner E, Perkins P, Ferguson R. (2005) Optical Formulas Tutorial 2nd edition, Butterworth-Heinemann Wakefield K (2000) Bennett's Ophthalmic Prescription Work. Butterworth Heinemann Walsh G (2010 et seq). Programme specific document "Spectacles" Westwood, F. (2001) Achieving Best Practice: Shaping Professionals for Success, London, McGraw Hill.

Transferrable Skills

Applied numeracy; independent study; manual dexterity; understanding of accuracy and tolerance; knowledge of properties of materials; social, verbal and non-verbal communication skills and interview techniques; interactive communication development. High order skills in information transfer, liaison, analysis, evaluation and clinical decision making; marketing and entrepreneurial skills.; critical interpretation of clinical significance of symptomatology: diagnostic and referral criteria

Module Structure

Activity Total Hours
Lectures (FT) 12.00
Practicals (FT) 96.00
Assessment (FT) 14.00
Independent Learning (FT) 78.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 50.00 35% Practical tests, written report, reflective case reports, clinic log book
Course Work 02 n/a 50.00 35% OSCE December/May