Residency Supervision Guidelines - Tuscaloosa VA Medical Center
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Tuscaloosa VA Medical Center


Residency Supervision Guidelines

Commensurate with The Department of Veterans Affairs Residency Supervision Guidelines, all residents who are trained in the VA system must be supervised by an attending staff doctor who is physically present in their respective clinics.  Residents are responsible for performing examinations, completing the electronic records, and collaborating with their attending clinic staff for each patient.  Graduated levels of supervision are granted during the course of the residency year as staff doctors become more familiar with and confident in a resident's clinical and case management skills.  In each instance, the attending with whom the resident worked will co-sign each patient note.

The TVAMC has developed three levels of supervision.  The clinic staff will make a final determination on the level of supervision based on the individual competency of each resident. 

Level 1 

This level represents the entry level for all residents.  At this level, residents will perform a complete ocular examination of their patient and formulate differential diagnoses and management strategies.  The attending doctor will verify the resident's findings to ensure the accuracy of the diagnosis and treatment plan.  It is anticipated that each resident will be prepared to progress to the 2nd level of supervision after one month of interaction with patients and the attending doctors.

Level 2 

This level of supervision permits residents to discuss routine cases without the physical examination of every patient by the attending staff.  More complex cases will require the staff to physically examine the patient.  Procedures such as foreign body removal will be performed with the attending present.  This level of supervision also permits residents to rotate outside into external sites. It is anticipated that each resident will be prepared to progress to the 3rd level of supervision by the time of the 1st quarter resident review. 

Level 3  

This level of supervision permits residents to supervise 4th year students.  All cases will continue to be reviewed and cosigned by the staff attending.  Advanced procedures will continue to be conducted with the attending present.

Program Information





UAB School of
Optometry *


Optometric Residency Matching Service*

  VA Optometry Service 


View Residency

Contact Information

Lisa L. Schifanella, OD, MS
Residency Supervisor
Tuscaloosa VAMC Optometry Clinic
3701 Loop Road East
Tuscaloosa, AL 35404
Phone:  (205) 554-2847
Fax:      (205) 554-4628


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