UTAH 36 Annual Ophthalmic Technical

GENERAL INFORMATION
36th Annual
Friday, February 20, 2015
FEATURED GUEST SPEAKER – SHARON ALAMALHODAEI, COMT
UTAH
Sharon Alamalhodaei has been JCAHPO-certified since 1994. She has worked as a COMT, a Clinic Manager/Practice Manager, in medical &
surgical assisting, among other positions; however, her passion lies in educating others and motivating them to become THEIR personal
best. Sharon started her own business four years ago, Eye Tech Training, and travels weekly all across the country conducting staff trainings,
technical skills assessments, hosting certification exam courses, and providing one-on-one follow up training. In her “free time,” Sharon
is also an author & designer! Her two books, How to be The Tech Your Doctor Can’t Live Without and 10 Steps to a Phenomenal Patient
Experience - Customer Service Secrets for the Eye Care Team, have been popular sellers and her exclusive design of a unique, clear pupil
gauge has quickly become a hit.
Location
Meeting Room
Sheraton Salt Lake City Hotel
150 West 500 South, Salt Lake City, UT 84101
Canyons Ballroom
Ophthalmic Technical
Staff Education Program
February 20, 2015
Registration
Participants must submit a completed registration form and payment by February 11, 2015. Registration by fax to (651) 731-0410 or online
at www.jcahpo.org/registration/ is accepted if fees are charged to a credit card. No onsite registration is available.
Program Director:
Annette Mahler, Executive Director,
Utah Ophthalmology Society
Special Needs
If you have a disability and require special classroom accommodations, please append a statement regarding your disability-related needs.
We cannot ensure the availability of appropriate accommodations without prior notification of need.
Program Chairs: Sandra Staker, COT
and Dana Dillon, COT, OSA
Cancellations/Refunds
Telephone cancellations will not be accepted. A written notice must be received no later than two weeks prior to the meeting for a refund minus a
$50 administrative fee. No refunds will be made after February 11, 2015. Participant substitutions can be made up to 2 weeks prior to the meeting.
Handouts/Online Evaluations
A link to course handouts will be emailed to registrants one week prior to the meeting date, as they are not provided onsite. Handouts are
available for two weeks. A link to the online program evaluation will be given to you at the meeting. Attendees are required to complete the
online evaluation within two weeks in order to receive CE Credit for the meeting.
Continuing EducationCredits
This program has been awarded 8 JCAHPO Credits. AOC and OPS credits have been approved. JCAHPO continuing education credits earned
will be posted on your account at www.jcahpo.org approximately 6-8 weeks after the program, for participants who complete evaluation
forms. NOTE: Attendance is monitored for each hour of instruction. Participants absent for more than 15 minutes of any given hour will not
receive credit for that hour.
From Park City (East): Take Interstate 80 West to Interstate 15 North. Exit onto 600 South. Proceed to West Temple and turn left. Continue
north on West Temple to 500 South, and turn left. The hotel is located on the right
From Provo (South): Take I-15 and exit onto 600 South. Proceed to West Temple and turn left. Continue north on West Temple to 500 South
and turn left. The hotel is located on the right.
Parking
Free Parking is available on the west or east side of the hotel.
REGISTRATION DEADLINE: February 11, 2015
Featuring
Guest Speaker
From Salt Lake City International Airport (West): Take I-80 East to I-15 South. Exit onto 600 South. Proceed to West Temple and turn left.
Continue north on West Temple to 500 South, and turn left. The hotel is located on the right.
February 20, 2015
From Ogden (North): Take Interstate 15 and exit onto 400 South. Proceed east to West Temple and turn right. Continue to 500 South and
turn right. The hotel is located on the right.
36th Annual Utah Ophthalmology
Society Ophthalmic Technician
Program Registration
Driving Directions
Joint Commission on Allied Health
Personnel in Ophthalmology (JCAHPO®)
2025 Woodlane Drive
St. Paul, MN 55125
A room block has been reserved at the Sheraton Salt Lake City Hotel at a discounted rate. To reserve a room, please call (801) 401-2000
and be sure to mention the Utah Ophthalmology Society meeting group rate. The discounted rate is $108/night and is available
until January 23, 2015 or until space is filled. You can also book online at https://www.starwoodmeeting.com/StarGroupsWeb/
res?id=1409173980&key=135661EE
Sharon Alamalhodaei, COMT
Hotel Reservations
Sheraton Salt Lake City Hotel
150 West 500 South, Salt Lake City, Utah
UTAH EDUCATION PROGRAM for Ophthalmic Technical Staff, Friday, February 20, 2015
7:30 - 8:00 a.m.
Registration and Continental Breakfast - Canyons Ballroom
8:00 - 8:50 a.m.
How to be the Tech Your Doctor Can’t Live Without • Sharon C. Alamalhodaei, COMT
This course reveals responses to a survey taken of thousands of Ophthalmologists and Practice
Administrators asking two questions: 1. What do you value in a tech? 2. What makes a tech indispensable
to you? This course explains how to increase your value and effectiveness in the workplace ultimately
benefitting your employer, patients, and career.
REGISTRATION FORM
Registration and payment must be received by February 11, 2015. A processing fee of $50.00 will be deducted from each
cancelled registration. All cancellations must be received in writing no later than February 11, 2015.
NO ONSITE REGISTRATION IS AVAILABLE.
• Register Online: http://www.jcahpo.org/registration/
• Mail form and payment to: JCAHPO, 2025 Woodlane Drive, Saint Paul, MN 55125-2998
• Fax completed form to: (651) 731-0410 (Credit card payments only)
Program Registration Fee - C
ourse fees include: JCAHPO CE Credits, continental breakfast, lunch, and
8:50 - 9:40 a.m. Electro-oculograms (EOG) and Multifocal Electroretinograms (ERG) • Donnell J. Creel, PhD
This course will discuss the history, technology, basis, and clinical application for retinal dystrophies,
ocular trauma, and retinal drug toxicities that can be assessed using electro-oculograms and multifocal
electroretinograms.
9:40 - 10:00 a.m.
Break
10:00 - 10:50 a.m.
Minor Procedures: Can You Hand Me That? • Alison V. Crum, MD, and Emily Peterson, COT
This course will provide a lecture and demonstration on how to set up, assist, and clean up minor
ophthalmic procedures. Discussions will also include setting up and assisting in a sterile field as well
as identifying the instruments used in the procedures.
10:50 - 11:40 a.m.
Overview of Vitreoretinal Pathology Requiring Surgical Management • Ryan F. Isom, MD
This course will provide an overview of vitreoretinal pathology that requires surgical intervention.
Discussions will also include distinguishing between urgent vs. non-urgent pathology. Surgical videos
will be shown.
11:40 a.m. - 12:45 p.m. Lunch
12:45 - 1:35 p.m. Ocular Motility: The Straight Story • Sharon C. Alamalhodaei, COMT, with Jacqueline Pullos, COT & AJ Ormond, COMT
The functions of the extraocular muscles and the cranial nerves will be explained with helpful
mnemonics given to retain important anatomy and physiology. Cover-Uncover Testing and Alternate
Cover Testing will be explained and demonstrated. Krimsky and Hirshberg Tests and Convergence
Testing will be described and explained. Participants will have the opportunity to practice Cover -Uncover
Testing with fellow course participants.
1:35 - 2:25 p.m.
Women’s Eye Health • Mary Elizabeth Hartnett, MD
This course will discuss vision and goals of women’s eye health followed by some examples of
conditions specific or more common to the female sex, common in women because women tend to live
longer than men. We will also discuss international concerns secondary to access.
Registration Deadline: February 11, 2015
❏ UOS Member: $175
refreshments during breaks.
❏ JCAHPO Certified/ATPO Member: $185
❏ Non-member: $210
Please PRINT clearly using blue or black ink.
Name __________________________________________________ Professional Credentials_______________________
JCAHPO ID#_______________________________________________ Date of Birth (mm/dd/yy) _______/_______/_______
Practice/Business______________________________________
Home Address___________________________________________
Address___________________________________________
City_________________________State________Zip____________
City________________________State__________Zip_________
Home Telephone (________)_________________________________
Telephone (________)__________________________________
Fax (_______)_________________________________________
Fax (_______)______________________________________
E-mail (required to receive handouts and evaluation link)
PAYMENT INFORMATION
❏ Check enclosed
❏ VISA ❏ MasterCard ❏ American Express ❏ Discover
The following information is required to process credit card orders:
_____________-_____________-_____________-_____________ _____________ ________/_______ ________________
Credit Card Number Security Code
Expiration Date
Cardholder’s Zip Code
(3 or 4-digits on front or
back of credit card)
2:25 - 2:35 p.m.
Break
2:35 - 3:25 p.m.
Oculoplastic Surgery for the Ophthalmic Technician • Conley B. Call, MD
Cardholder’s Address _______________________________________________________________________________
This course will discuss oculoplastic issues commonly seen in a general oculoplastic practice. It will also
review how the ophthalmic tech can be an active part of the eye care team.
Name as it appears on credit card (please print) _______________________________________________________________
Refractive Cataract Surgery: IOLs and Beyond • Charles H. Weber, MD
Cardholder’s Signature X_____________________________________________________________________________
This course will serve as a review of current refractive cataract surgery, including surgical technique,
intraocular lenses, and emerging technologies. It will also review steps to maximize surgical outcomes,
both before and after surgery.
IN CASE OF EMERGENCY, PLEASE NOTIFY:
3:25 - 4:15 p.m.
4:15 p.m.
Adjourn
This program has been awarded 8 JCAHPO credits. AOC and OPS credits have been approved.
Name ____________________________________________________ Telephone Number (__________)_______________________
REGISTRATION DEADLINE: February 11, 2015