I would have to second this and say that it is frightening to imagine what some MDs are diagnosing and treating patients from!! Lisa Kuhn, COMT, CRA, OCT-C Assistant Manager Patient Services Hauser-Ross Eye Institute 2240 Gateway Drive Sycamore, IL 60178 (815)756-8571 ________________________________ From: optimal-bounce@xxxxxxxxxxxxx on behalf of Ray Gardner Sent: Mon 5/23/2011 8:20 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Ophthalmic Technician training & certification I have worked with 7 different retinal specialists over the years and all have wanted their staff to be cross trained. They, including myself started as a tech and then moved up to photography. I have always trained new staff as a tech first so they get a basic understanding of the anatomy and physiology of the eye. We usually have someone work as a tech for about 6 months to a year, before training them as a photographer depending on their eagerness to learn. I have coworkers that are working on their CRA and others who just don't care. The quality of their work shows in the doctors frustration and the anger of the patients. They ether don't get what is needed, don't know how to, and really don't care. Anyone can be a monkey and push buttons. A CRA is an artist how cares about their work at the highest level and cares about the people they serve. G. Ray Gardner, CRA, OCT-C, COA, OSA Southwest Retina Specialists 7411 Wallace Blvd. Amarillo, Texas 79106 office (806)351-1870 fax (806)351-1690 cell (806)676-9793 email: raygardner99@xxxxxxxxx ________________________________ From: Beth Koch <bethkoch@xxxxxxxxxxxxxx> To: optimal@xxxxxxxxxxxxx Sent: Mon, May 23, 2011 5:31:59 AM Subject: [optimal] Re: Ophthalmic Technician training & certification VERY TRUE, I HEVE TECHS IN MY OFFICE THE SHOOT AND DO JUST THAT (THEY SHOOT) UT AS FAR AS RECOGNIZING WHY AND WHAT THEY AE SHOOTING (FA,FUNDUS, ICG OR AF) OR EVEN GETTING AN OCT IMAGE OF IS A WHOLE OTHER STORY. I DO POST SEG SONOGRAPHY AND HAVE SEEN SOME HORRIFIC SCANS (ESPECIALLY OF NEVI ( OR WHAT THEY THINK ARE NEVI). I AM A COT ROUB AND ALSO DO IMAGING AND IT SEEMS IN THESE TIMES OF SPEED, QUALITY CAN BE SHOVED TO THE WAYSIDE AT TIMES BUT THERE ARE STILL SOME DOCS OUT THERE WHO DO VALUE GOOD QUALITY IMAGES IN ALL MODALITIES SO THERE IS HOPE. Beth Koch COT, ROUB Retina Consultants of WNY bethkoch@xxxxxxxxxxxxxx bkoch@xxxxxxxxxxxxx <mailto:bkoch@xxxxxxxxxxxxx> (716)908-4105 What we have done for ourselves, alone dies with us, What we do for others and the world remains and is immortal.... ~Albert Pike ________________________________ From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Lori Guerette Sent: Sunday, May 22, 2011 9:39 PM To: < optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: Ophthalmic Technician training & certification It seems that offices are asking photographers to do more than just taking pictures. Being COA helps. But offices are also 'training' some techs to cover photography tasks - 'just get an image.' Learning to recognize pathology is not as appreciated. Some just want a photo, some want detail. Not enough of the latter. Frustrating. May you find your marbles - And the joy you remember with them ; ) Sent via Iphone On May 22, 2011, at 8:19 PM, "Stuart Alfred, B.S., C.R.A., OCT-C" <stuart.alfred@xxxxxxxxx> wrote: Alexis, I would tend to lean toward Jennifer's view. I don't want to get into a long diatribe about it but with one vendor of SD-OCT posting videos stating that the new instruments are easily operated by the front office staff, and seeing that some of these instruments are simple to get an image with, it seems that skilled and experienced ophthalmic imagers are not valued like they were just a few years ago. Note: getting an image is a far cry from documenting the accurate pathology. I've personally taken on more technician skills to secure future employment opportunities. In fact, while reimbursements for some special tests may have gone down fractionally, the increasing volume of patients should warrant valued demand for skilled clinicians - but I'm not seeing that in the offices I've visited over recent years. Salaries are being squeezed to the point wiser folks are heading into other certification areas; Registered Nurse etc. Only my two cents, hope I'm wrong. stuart On Sun, May 22, 2011 at 4:51 PM, Alexis Smith < <mailto:alexis@xxxxxxxx> alexis@xxxxxxxx> wrote: Hi Jennifer, Those prior years can be used for your work requirement to sit for the Certified Retinal Angiographer (CRA) exam. You would just need a letter from you past employer on official letterhead stating that you worked as a retinal angiographer for at least two years. You would still need to complete the portfolio component in order to qualify to sit for the exam. You could always call a few local clinics or hospitals to see if they would let you intern or shadow so that you could complete your portfolio. Details for the CRA exam can be found here: <http://opsweb.org/Certif/CRACertif.html> http://opsweb.org/Certif/CRACertif.html Please feel free to contact me directly with any other questions regarding certification with the Ophthalmic Photographers' Society. But, I'm curious why you would say that just being a photographer is no longer a viable option without also being a technician? There are LOTS of out out there that only perform ophthalmic photography as our job. Any one else on Optimal with thoughts on this? Sincerely, Alexis Smith OPS Board of Certification On Sat, May 21, 2011 at 12:06 PM, JH < <mailto:jennyhartigan@xxxxxxxxx> jennyhartigan@xxxxxxxxx> wrote: Hello I have a few questions regarding acquiring ophthalmic technician certification. I have worked in the Ophthalmology field as a photographer for nearly 8 years. However I have been out of the field for almost 5 years now. I did some investigating online to find out how I can get trained and certified. However, I am finding several different options but most of them say that I have to have worked in the field a year prior to apply for COA or COT. Is this true? Does my prior experience count at all? I realize that just being a photographer is no longer a viable option without also being a technician. I really want to get back into the field. I appreciate any advice or direction that you all could provide. Thank you Sincerely, Jennifer L. Hartigan <mailto:jennyhartigan@xxxxxxxxx> jennyhartigan@xxxxxxxxx West Palm Beach, Florida -- Stuart Alfred, CRA, OCT-C <http://stuartalfred.com/> http://stuartalfred.com <http://stuartalfred.com/> 317 517-9455 528 N. Bauman St . Indianapolis , IN 46214-3618 This e-mail message is intended for the exclusive use of the recipient(s) named above. 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