The literature indicates that the prevalence of oculovisual problems increases with age and that it is higher in older individuals residing in long-term care facilities (LTCF) compared to those living in the community. It further indicates that eye care services in LTCF are sub-optimal. The objective of this article is to describe the university-based educational program we have developed and implemented to train optometry students in the eye care of older individuals, including those among the most vulnerable, i.e. those residing in LTCF. Our two university-based institutions, the Institut universitaire de gériatrie de Montréal and the école d’Optométrie de l’Université de Montréal, collaborated to implement this program. The program has three main components: formal didactic courses, clinical rotations and in situ clinical research. It allows the students to learn how to adapt their clinical interventions to a variety of older patients, taking into account their specific needs, potential complex health conditions, behavior, socio-economic and socio-cultural context, as well as their capacity to understand and collaborate to the oculovisual exam. The program further follows recommendations by leaders in public health, geriatrics and optometry in offering a discipline-specific program in geriatrics.
Armstrong, R. A., & Kergoat, H. (2015). Oculo-Visual Changes and Clinical Considerations Affecting Older Patients with Dementia—Invited Review. Ophthalmic and Physiological Optics, 35, 352-376. http://dx.doi.org/10.1111/opo.12220
Blair Irvine, A., Billow, M. B., Eberhage, M. G., Seeley, J. R., McMahon, E., & Bourgeois, M. (2012). Mental Illness Training for Licensed Staff in Long-Term Care. Issues in Mental Health Nursing, 33, 181-194.
Carcenac, G., Hérard, M. è., Kergoat, M-J., Lajeunesse, Y., Champoux, N., Barsauskas, A., & Kergoat, H. (2009). Assessment of Visual Function in Institutionalized Elderly Patients. Journal of the American Medical Directors Association, 10, 45-49. http://dx.doi.org/10.1016/j.jamda.2008.07.005
Chriqui, E., Kergoat, M.-J., Champoux, N., Leclerc, B. S., & Kergoat, H. (2013). Visual Acuity in Institutionalized Seniors with Moderate to Severe Dementia. Journal of the American Medical Directors Association, 14, 275-279.
Crocker Houde, S., & Devereaux Melillo, K. (2009). Caring for an Aging Population. Review of Policy Initiatives. Journal of Gerontological Nursing, 35, 8-13. http://dx.doi.org/10.3928/00989134-20091103-04
Goldberg, L. R., Koontz, J. S., Rogers, N., & Brickell, J. (2012). Considering Accreditation in Gerontology: The Importance of Interprofessional Collaborative Competencies to Ensure Quality Health Care for Older Adults. Gerontology & Geriatrics Education, 33, 95-110. http://dx.doi.org/10.1080/02701960.2012.639101
Gray, S. L., Elliott, D., & Semla, T. (2009). Implications for Pharmacy from the Institute of Medicine’s Report on Health Care Workforce and an Aging America. Annals Pharmacotherapy, 43, 1133-1138. http://dx.doi.org/10.1345/aph.1L589
Horowitz, A. (1997). The Relationship between Vision Impairment and the Assessment of Disruptive Behaviors among Nursing Home Residents. The Gerontologist, 37, 620-628. http://dx.doi.org/10.1093/geront/37.5.620
Kergoat, H., Boisjoly, H., Freeman, E. E., Monette, J., Roy, S., & Kergoat, M.-J. (2014). The Perceived Needs and Availability of Eye Care Services for Older Adults in Long-Term Care Facilities. Canadian Geriatric Journal, 17, 108-113.
Kergoat, M.-J. (2009). La personne agée admise en centre hospitalier de soins généraux et spécialisés, est-elle victime d’agisme [Is the Older Person Admitted to General and Specialized Care Hospitals, Victim of Ageism]? Vie et Vieillissement, 7, 41-48.
Khaw, K. T., Wareham, N., Bingham, S., Welch, A., Luben, R., & Day, N. (2008). Combined Impact of Health Behaviours and Mortality in Men and Women: The EPIC-Norfolk Prospective Population Study. PLoS Medicine, 5, e12.
Mankin LaMascus, A., Bernard, M. A., Barry, P., Salerno, J., & Weiss, J. (2005). Bridging the Workforce Gap for Our Aging Society: How to Increase and Improve Knowledge and Training. Report of an Expert Panel. Journal of the American Geriatrics Society, 53, 343-347. http://dx.doi.org/10.1111/j.1532-5415.2005.53137.x
Morhardt, D. (2006). Educating Medical Students on Alzheimer’s Disease and Related Disorders: An Overview of the Northwestern University Buddy Program. Dementia, 5, 448-456. http://dx.doi.org/10.1177/147130120600500311
Morley, J. E., Caplan, G., Cesari, M., Dong, B., Flaherty, J. H., Grossberg, G. T., Holmerova, I., & Vellas, B. (2014). International Survey of Nursing Home Research Priorities. Journal of the American Medical Directors Association, 15, 309-312. http://dx.doi.org/10.1016/j.jamda.2014.03.003
Nagle, B. J., Usita, P. M., & Edland, S. D. (2013). United States Medical Students’ Knowledge of Alzheimer Disease. Journal of Educational Evaluation for Health Professions, 10, 4. http://dx.doi.org/10.3352/jeehp.2013.10.4
Rolland, Y., Resnick, B., Katz, P. R., Little, M. O., Ouslander, J. G., Bonner, A., Geray, C. R., & Morley, J. E. (2014). Nursing Home Research: The First International Association of Gerontology and Geriatrics (IAGG) Research Conference. Journal of the American Medical Directors Association, 15, 313-325. http://dx.doi.org/10.1016/j.jamda.2014.03.004
Rolland, Y., Tolson, D., Morley, J. E., & Vellas, B. (2014). The International Association of Gerontology and Geriatrics (IAGG) Nursing Home Initiative. Journal of the American Medical Directors Association, 15, 307-308.
Rumsey, K. E. (1993). Increasing Knowledge about the Older Population: The Role of Geriatric Curriculum in Optometry. Optometry & Vision Science, 70, 684-688. http://dx.doi.org/10.1097/00006324-199308000-00018
Scherer, Y. K., Bruce, S. A., Montgomery, C. A., & Ball, L. S. (2008). A Challenge in Academia: Meeting the Healthcare Needs of the Growing Number of Older Adults. Journal of the American Academy of Nurse Practitioners, 20, 471-476.
Struck, B. D., Bernard, M. A., & Teasdale, T. A. (2005). Oklahoma University Geriatric Education Group. Effect of a Mandatory Geriatric Medicine Clerkship on Third-Year Students. Journal of the American Geriatrics Society, 53, 2007-2011.
The Chief Public Health Officer’s Report on the State of Public Health in Canada 2010. Growing Older—Adding Life to Years. Canada. http://www.phac-aspc.gc.ca/cphorsphc-respcacsp/2010/fr-rc/index-eng.php