Erratum: Addendum: Outcomes of a Five-Year Formal Ophthalmology Residency Mentorship Program.

[This corrects the article DOI: 10.1055/s-0042-1756133.].

Outcomes of a Five-Year Formal Ophthalmology Residency Mentorship Program.

Objective: This article describes a formal ophthalmology residency mentorship program, identifies its strengths and weaknesses over 5 years of implementation, and proposes strategies to improve qualitative outcomes of the mentorship program.

Design: Cross-sectional anonymous online survey.

Subjects: All current and former mentees and mentors at the Casey Eye Institute (CEI) residency program from 2016 to 2021.

Analysis of Total Time Requirements of Electronic Health Record Use by Ophthalmologists Using Secondary EHR Data.

Electronic Health Records (EHRs) are widely used in the United States for clinical care and billing activities. Their widespread adoption has raised a variety of concerns about their effects on providers and medical care. As researchers address these concerns, they will need to understand how much time providers actually spend on the EHR.

Data-Driven Scheduling for Improving Patient Efficiency in Ophthalmology Clinics.

Purpose: To improve clinic efficiency through development of an ophthalmology scheduling template developed using simulation models and electronic health record (EHR) data.

Design: We created a computer simulation model of 1 pediatric ophthalmologist's clinic using EHR timestamp data, which was used to develop a scheduling template based on appointment length (short, medium, or long). We assessed its impact on clinic efficiency after implementation in the practices of 5 different pediatric ophthalmologists.

Evaluating and Improving an Outpatient Clinic Scheduling Template Using Secondary Electronic Health Record Data.

Improving the efficiency of outpatient clinics is challenging in the face of increased patient loads, decreased reimbursements and potential negative productivity impacts of using electronic health records (EHR). We modeled outpatient ophthalmology clinic workflow using discrete event simulation for testing new scheduling templates that decrease patient wait time and improve clinic efficiency. Despite challenges in implementing the new scheduling templates in one outpatient clinic, the new templates improved patient wait time and clinic session length when they were followed.

Ophthalmic imaging in children: current practice patterns and perceived barriers.

Pediatric ophthalmologists were surveyed to determine current practice patterns regarding ophthalmic imaging for children and to identify perceived barriers to the adoption of imaging technologies in their practices. Some form of imaging was available in the majority of practices (94%), but its use varied widely among different clinical scenarios. The two most frequently perceived barriers to performing imaging in children were cooperation and lack of sufficient data supporting ophthalmic imaging in clinical practice.

Time Requirements for Electronic Health Record Use in an Academic Ophthalmology Center.

Importance: Electronic health record (EHR) systems have transformed the practice of medicine. However, physicians have raised concerns that EHR time requirements have negatively affected their productivity. Meanwhile, evolving approaches toward physician reimbursement will require additional documentation to measure quality and cost of care.

Secondary use of electronic health record data for clinical workflow analysis.

Objective: Outpatient clinics lack guidance for tackling modern efficiency and productivity demands. Workflow studies require large amounts of timing data that are prohibitively expensive to collect through observation or tracking devices. Electronic health records (EHRs) contain a vast amount of timing data - timestamps collected during regular use - that can be mapped to workflow steps.

Clinic Workflow Simulations using Secondary EHR Data.

Clinicians today face increased patient loads, decreased reimbursements and potential negative productivity impacts of using electronic health records (EHR), but have little guidance on how to improve clinic efficiency. Discrete event simulation models are powerful tools for evaluating clinical workflow and improving efficiency, particularly when they are built from secondary EHR timing data. The purpose of this study is to demonstrate that these simulation models can be used for resource allocation decision making as well as for evaluating novel scheduling strategies in outpatient ophthalmology clinics.

Spectrum of ocular manifestations in cobalamin C and cobalamin A types of methylmalonic acidemia.

Background: Cobalamin C disease (cblC), which leads to methylmalonic acidemia with homocystinuria, is the most common inherited disorder of vitamin B12 metabolism. Reported ocular findings associated with cblC have been maculopathy, pigmentary retinopathy, and optic nerve atrophy. Cobalamin A disease (cblA) which causes an isolated methylmalonic acidemia without homocystinuria is rarer than cblC.

Retinal morphology of patients with achromatopsia during early childhood: implications for gene therapy.

Importance: While older children and adults with achromatopsia have been studied, less is known of young children with achromatopsia.

Objectives: To characterize the macular and foveal architecture of patients with achromatopsia during early childhood with handheld spectral-domain optical coherence tomographic imaging and to make phenotype-genotype correlations.

Design, Setting, And Participants: Comparative case series of 9 patients with achromatopsia and 9 age-matched control participants at a tertiary ophthalmology referral center.

Infantile aperiodic alternating nystagmus.

Background: This study identifies the clinical and ocular motility characteristics of the periodic and aperiodic forms of infantile alternating nystagmus (IAPAN) and establishes the range of electrophysiological and clinical characteristics while providing clues to its presence and pathophysiology.

Methods: Seventy-eight patients with ocular oscillations consistent with IAPAN were reported. Outcome variables were: age, follow-up in months, vision, strabismus, other eye and systemic abnormalities, head position, periodicity, cycle and null period duration, foveation time, waveforms, and cycle symmetry.