OCT Program Guide
Contents
1. Ent 21 REQUIREMENTS FOR OCT C 22 RESPONSIBILITY AND VERIFICATIONS ssssssssssss 22 RECERTIFICATION a eoe ea ea Serre Ya VER Va oa PR AEn 23 RECERTIFICATION EXTENSIONS AND APPEALS sscesssscesssccesssecesssecesseeccssseecssrsecssneecseneecsnsecssneecsseeeecsaeeecses 23 RECERTIFICATION APPLICATIONS AND INFORMATION sssccesssesscessccesscecstecsacessccessccencecseecsacessccesneecaeeesacesaes 23 OCT C CERTIFICATION PROCESS CHECK LIST 24 OCT C Program Guide V 7 1 2014 Page ii Notes OCT C Program Guide V 2 0 2014 Page 0 OPHTHALMIC PHOTOGRAPHERS SOCIETY EYE IMAGING EXPERTS Introduction Welcome Thank you for your interest in the Optical Coherence Tomographer Certified OCT C Program This Program Guide details the process and procedures involved in becoming OCT C Certified It contains the program application details the eligibility and portfolio requirements and includes the examination content outline The OCT C Program is administered by the Ophthalmic Photographers Society Board of Certification OPS BOC http www opsweb org Certif Certif html The Ophthalmic Photographers Society is2. time during the examination may candidates give or receive help to one another or communicate in any way Examination proctors have the authority to remove a candidate suspected of cheating from the examination room at which time scores will be cancelled and disciplinary action will be taken e Candidates are expected to follow all instructions from examination proctors printed in test booklets and answer sheets and or displayed in the computer testing program Candidates will be provided with the opportunity to ask questions prior to beginning the examination The computer delivered examinations include a detailed five minute tutorial program designed to give candidates confidence in the use of the program as well as familiarity with the system prior to beginning the examination The tutorial questions are for demonstration purposes only and do not impact examination scores Candidates are encouraged to take the time to complete the tutorial as it explains features of the computerized testing system The candidate name and the name of the examination will be shown at the upper left corner of the screen If either of these is incorrect candidates are asked to inform the proctor A navigation grid is posted on the upper right of the screen depicting the number of questions on the examination and the status of those questions answered bookmarked for review or skipped A digital clock is also posted indicating a countdown of available time Re
3. serves as the formal body responsible for the certification of retinal angiographers and ophthalmic photographers Optical Coherence Tomographer Certification requires submission of work examples that meet established standards and successful completion of a written examination Membership in the OPS while encouraged is not a requirement for Certification OCT C Program Guide V 2 0 2014 Page 1 Communications Please direct all communications to Mailing Address Ophthalmic Photographers Society 1887 W Ranch Rd Nixa MO 65714 perce Phones 417 725 0181 1 800 403 1677 Office Fa 417 724 8450 WE BA www opsweb org Email Address oct opsweb org Certification Policies The Ophthalmic Photographers Society Board of Certification OPS BOC is responsible for certification of retinal angiographers and ophthalmic photographers Certification designates an individual who has met the OPS BOC s standards of competence The OPS BOC is responsible for the administration of the certification examination ISO Quality Testing a professional examination administration contractor performs the test center administration of the OCT C examinations Statement of Proprietary Interest The Board of Certification has no commercial or proprietary interest in any products used or mentioned in the certification program The use of brand names in this program guide or on any examination is only for illustration and do
4. EYE IMAGING EXPERTS BOARD OF CERTIFICATION OCI C Optical Coherence Tomographer Certified Program Guide Version 2 0 2014 Effective Date August 8 2014 If the date on this Program Guide is more than six months old please check the OPS website opsweb org to make sure you have the most current version Copyright 2014 The Ophthalmic Photographers Society Inc All rights reserved Table of Contents 1 COMMUNICATIONS 2 CERTIFICATION POLICIES sswssmsnnuanuannza nusanusa aana tette ttt 2 STATEMENT OF PROPRIETARY 1 tete ta tassa tans 2 STATEMENT OF NONDISCRIMINATION secet tete tette tete tette tet tate tete testante tesa 3 APPLICATION PROCESS 1 doter cot Chat Pe Devo aU e uS 3 PROGRAM FEES out ve POR DD e a 4 REFUNDS wA AA ob 4 SPECIAL TESTING 4 PRIVACY CONFIDENTIALITY 4 RECORDS AND DATA RETENTION 5 REQUIREMENTS FOR 5 EXAMINATION ELIGIBILITY REQUIREMENTS e
5. A Practical Operation Guide Carl Zeiss Meditech 1 800 342 9821 11 Bressler N and Ahmed I The Stratus OCT Primer Essential OCT Carl Zeiss Meditech 1 800 342 9821 12 Stratus Owner s Manual Carl Zeiss Meditech 1 800 342 9821 13 Quillen D and Blodi B Clinical Retina American Medical Association Press 2002 14 Newell F Ophthalmology Principles and Concepts Mosby 1996 15 Lumbroso B Rispoli M Guide to Interpreting Spectral Domain Optical Coherence Tomography I N C 2009 16 Strong J Optical Coherence Tomography http www opsweb org page RetinalOCT 17 Moyer S Anterior Segment Optical Coherence Tomography AS OCT http www opsweb org page ASOCT 18 Making the Most of Anterior Segment OCT Review of Ophthalmology online 4 12 11 19 Smith A Correlation of Ocular Ultrasound amp Spectralis EDI of Ocular Lesions Journal of Ophthalmic Photography 2011 Vol 35 64 67 20 Clinical Assessment of Mirror Artifacts in SD OCT IOVS 2010 Vol 51 21 Cosas G Optical Coherence Tomography in Age Related Macular Degeneration Springer Medizin Verlag Heidelberg 2009 22 Walsh A Spectral Domain OCT An A Z Guide Journal of Ophthalmic Photography 2008 Vol 30 23 Li Y Meisler DM et al Keratoconus diagnosis w OCT Ophth 2008 Vol115 2159 2166 24 Instrument Manuals http www opsweb org default asp page Instrument_Manuals Additional Opportunities for Study The OPS offers OCT relate
6. 1 peripheral scanning 2 freescanning dynamic scanning 3 using anatomical landmarks H Uses OCT hardware and software by understanding the function and properties of the OCT equipment including 1 2 3 4 positioning the optical head patient module enhance polarization auto enhance polarization manual resolution V Data and Image Management A Storage utilization OCT C Program Guide Page 12 3 V 2 0 2014 Organizes archival retrieval system Organizes backup retrieval disaster recovery systems Coordinates network file transfers for archiving patient data base systems peru em Exports images and data to 1 CD DVD Ram 2 external USB devices 3 external users off device image sharing transfer F Networks the OCT to the server VI Analysis Interpretation of OCT 2096 A Performs analysis interpretation of retinal images including 1 false color scale pseudo color gray scale macular center thickness measurement total macular volume retinal map measurement tools shadowing analysis artifacts plotting errors failures signal strength 90 T9 center deviation 10 signal to noise ratio B Performs Analysis of Optic Nerve glaucoma images including 1 false color scale pseudo color gray scale 2 discreference points 3 cup disc ratio 4 RNFL analysis 5 analysis artifacts plotting errors failures 6 asymmetry i e posterior pole thickness C Performs Analysi
7. 8 EXAMINATION DESIGN SCORING AND REPORTING eee eee ee nennen nnn ses sss sess sess se 8 EXAMINATION CONTENT 10 OCT C Program Guide V 7 1 2014 SUGGESTED REFERENCES PREPARING FOR THE OCT C 15 ADDITIONAL OPPORTUNITIES FOR STUDY eese enne enhn enne nnne enint ense enun 15 ACRONYMS AND TERMINOLOGY USED ON THE OCT C 16 EXAMINATION REGISTRATION eese it eet en inne senes senes nene nn 17 RESCHEDULING AN EXAMINATION REGISTRATION eere eene ennt 17 EXAMINATION ADMINISTRATION RULES AND 5 17 CANDIDATE COMMENT 18 EXAMINATION SCORING AND REPORT ING ssseessseeeeeseeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee 19 AWARD OF CERTIFICATION sssssscecssssesecrecsscessecscscsecsssessecsecssscsssssscsssesscssessccsscsssesssssssessseess 19 RETESTING FOR FAILING ne tenen neni 19 APPEALS 2 22 2 KA ia 19 DISCIPLINARY POLICY 22 5 66 C
8. a non profit organization dedicated to a highly specialized form of medical photography The main objectives of the Society are to provide primary and continuing education in the field of ophthalmic imaging to set and maintain standards for the profession through certification programs and to promote scientific advancement in the technology The Society provides for the sharing of information sponsors meetings to promote the exchange of information and serves as a professional organization for its members sponsoring educational meetings and promoting the field nationwide The OPS holds its Annual Educational Meeting in conjunction with the annual meeting of the American Academy of Ophthalmology The OPS meeting program includes presentations of papers on advances in scientific photography and instrumentation as well as an extensive educational program OPS membership includes ophthalmologists optometrists veterinarians pathologists medical and ophthalmic photographers nurses ophthalmic assistants technicians technologists researchers and engineers Active members promote the objectives of the Society Sustaining members are organizations and individuals actively involved with ophthalmology or ophthalmic photography for commercial or charitable purposes Anyone involved in ophthalmic photography is encouraged to apply to the OPS Membership Office opseopsweb org The Society created the Board of Certification in 1979 The OPS
9. afforded 12 months in which to take and pass the examination After the fourth failure there is a six month waiting period after which candidates may schedule another retest Appeals Examination candidates have the right to appeal examination results within the following specified criteria established by the OPS BOC Section 1 Grounds for Appeal 1 01 Appellants may appeal examination results in situations restricted to extraordinary circumstances that e Arise coincidentally with the examination administration Are outside the control of the appellant e appellant s experience different from other candidate s related to the examination administration and or affected the candidate s ability to receive credit for a test question related to the examination content e Were severe enough to account for examination failure and Were properly reported to the Examination Administrator and the OPS BOC Unless all of the above circumstances are met no circumstance will be considered grounds for appeal OCT C Program Guide V 2 0 2014 Page 19 1 02 If written documentation of the extraordinary circumstances is not received by the OPS BOC within seventy two 72 hours of a computer administered examination an appellant will forfeit the right to appeal Section 2 Method of Appeal Appeals shall e Be set out in writing e Detail the nature of the appeal and all particulars necessary for the appeal to be adjudicated e ma
10. and empirical judgments Angoff Design V New forms and versions of the examination are systematically implemented to protect the integrity and security of the examination program and to conform to testing industry standards Each new examination form contains a significant percentage of new questions that are unique to the new form Psychometric procedures are used to score the examinations in compliance with relevant technical guidelines The OCT C examination reports scores using a scaled score model where raw scores are placed on a 0 100 scale with 70 reported as the passing score on all examinations Score scaling is a common psychometric practice used on many examinations including the SAT ACT and OPS CRA examinations Ongoing question writing question review and examination and question analyses are conducted to ensure that the validity reliability and other psychometric characteristics of the examinations conform to standards New questions written by OCT C SMEs are reviewed multiple times verified to an approved reference and linked to the examination content outline All questions undergo statistical review to ensure that they operate properly Professional test development and psychometric staff contracted by the OPS BOC oversee all of these activities The Board is highly confident that the validity of the exam content the reliability of the test instruments and the measurement processes employed to analyze score and establish reportin
11. central serous retinopathy subretinal fluid cystoid macular edema diffuse macular edema retinal holes pseudo lamellar full thickness glaucoma papilledema optic pit epiretinal membrane vitreomacular traction posterior vitreous detachment weiss ring pigment epithelial detachment retinal detachment retinoschisis drusen hard and soft exudates drusen ONH pathologic myopia retinal nerve fiber layer defects venous arterial occlusions tumors nevi asteroid hyalosis vitreous hemorrhage OCT C Program Guide Page 10 1596 2596 V 2 0 2014 III Patient Management A Informs patient of procedures to be performed m gos 1 2 3 Answers patient questions concerning the procedure Establishes fixation Elicits cooperation from uncooperative or physically disabled patients Assesses pupil size dilation Establishes reviews patient records including medical surgical history ocular history photographic history IV OCT Hardware and Software A Applies the basic concepts of OCT equipment technology as it relates to 1 B Understands the function and components of the OCT machine including 1 2 3 4 C Performs routine maintenance and equipment troubleshooting including 1 2 D Understands and applies scanning protocols related to time domain and spectral domain devices 1 2 2 3 4 5 6 time of flight delay interferometry spectrometer Fourier transf
12. first refer to the device specific user manual and if needed please contact the OCT C Section Chair and they will direct you to someone that can help with you question The portfolio submission form must be completed and submitted along with the portfolio By signing the portfolio submission form the applicant attests to the authenticity of the work submitted Submission of work completed by anyone other than the applicant constitutes fraud Fraud or misrepresentation of the portfolio may result in disqualification of the applicant Label all files with your last name as a prefix to the item 4 For example the submission set for item 7 should be labeled your last name 7a SMITH 7a Complete naming and labeling conventions can be found on page 6 of the OCT C Program Guide Normal eye can be used when pathology is not specified in the item description If applicable the same eye may be imaged for multiple items 1 Submit a serial set of two macular map analyses of one eye without macular pathology and a normal foveal contour The scans must be performed on the same day of the same eye with a minimum of 5 minutes and a maximum of 8 hours between scans make a note of the time The central foveal thickness value for each map must be within 1076 of each other a Submit the map analyses for both scans i Label first map 1A ii Label second map 1B length of time between scans EX 185 for 5 minutes or 1B1HR for 1 hour 2 Submi
13. foveal pathology Scan should illustrate compromised scan quality signal blocking or shadowing from the opacity a Analysis Align i Label 5A On the same eye used for Item 5 acquire a high resolution 512 A scans Line scan around media opacity i e cataract vitreous hemorrhage or debris Scan angle or positioning within pupil should be adjusted to minimize signal blocking or shadowing from the opacity and illustrate improved visibility of pathology a Analysis Align i Label 6A Acquire one high resolution 512 a scans line scan at 6mm vertical at 90 degrees a Analysis Align or Proportional i Label 7A Acquire one high resolution 512 a scans line scan at 10mm horizontal at 0 degrees a Analysis Proportional i Label 8A Acquire a 7mm scan centered on the fovea in the right eye with a 5 incline from temporal to nasal a Analysis Align or Proportional i Label 9A Using any line scan provide a Retinal Thickness single eye Analysis using the calipers to measure retinal pathology Caliper placement and measurement must be displayed on print file a Analysis Retinal Thickness single eye i Label 10A OCT C Program Guide V 2 0 2014 Page 3 Appendix B Appendix B Spectral Domain OCT Portfolio Requirements The portfolio must be produced entirely by the applicant These requirements are broad based and can be applied to any SD OCT device If you have questions about your particular device please
14. giving or receiving answers from another applicant attempting to remove test materials or information from any examination room or impersonating another applicant Unauthorized possession distribution or disclosure of examination materials or content Misrepresentation of certification or certification status Gross or repeated negligence in providing ophthalmic imaging services Substance abuse to a degree which impairs professional performance Physical or mental condition which impairs competent professional performance Physical or sexual abuse of a patient The conviction of plea of guilty or plea of nolo contendere to a crime which is directly related to public health safety or professional performance providing ophthalmic photography services Failure to cooperate reasonably with any OPS investigation of a disciplinary matter Sanctions for violation of standards of conduct or examination procedures may include Denial or suspension of eligibility Re examination Revocation Censure Reprimand Suspension Probation Other corrective action as the OPS BOC deems appropriate Sanctions may be appealed to the OPS BOC OCT C Program Guide V 2 0 2014 Page 21 Reguirements for OCT C Recertification OCT C recertification is reguired at three year intervals following initial certification Certificants may achieve recertification by retesting or accrual of continuing education credit It is the responsibility of the O
15. ii From the same capture submit the individual line scans for 0 degree and 90 degree i Label 3A2 and 3A3 b Macular Hole Macular Traction 1 SCAN Line Scan ANALYSIS Normalize 1 Label3B1 ii SCAN Cross Hairs ANALYSIS Align 1 Label 3B2a and 3B2b c Glaucoma i SCAN Fast RNFL Thickness 3 4 ANALYSIS RNFL Thickness Avg 1 Label 1 ii SCAN Fast Optic Disc ANALYSIS Optic Nerve Head 1 Label 3 2 Provide first scan 90 degree d Retinal Pigment Epithelial Detachment i SCAN Line ANALYSIS Proportional 1 Label 3D1 SCAN Fast Macular Thickness Map ANALYSIS Retinal Map 1 Label 3D2 e Age Related Macular Degeneration i SCAN Fast Macular Thickness Map ANALYSIS Retinal Map 1 Label 3E1 ii SCAN Macular Thickness Map or Radial Lines ANALYSIS Retinal Map 1 Label 3E2 The central thickness measurement of 3E1 map must be within 10 percent of 3E2map 4 Acquire a Fast Macula Thickness and a Fast RNFL scan through an un dilated or minimally dilated pupil Pupil size should be less than 4mm Both scans must be acquired on the same eye Signal strength must be five or better on all scans a Provide ONLY a Retinal Map and RNFL Thickness Average i Label Retinal Map 4A ii Label RNFL Thickness Average 4B OCT C Program Guide V 2 0 2014 Page 2 Appendir A 10 Acguire a high resolution 512 A scans Line scan through a media opacity i e cataract vitreous hemorrhage or debris of a patient with macular or
16. instructions on how to proceed The application and employment verification letter a minimum of one 1 year s experience must be completed and returned via email to oct opsweb org The examination fee may be paid online at the OPS store or mailed to the OPS Central Office Checks made payable to OPS BOC OCT C eligibility requirements for the OCT C Program are explained in greater detail on page 5 OCT C Program Guide V 2 0 2014 Page 3 Program Fees The OCT C examination fee for current OPS members is 270 and 355 for non OPS members payment of the non OPS member fee includes an optional one year OPS membership There is no time limit for completion of the examination once an individual has submitted payment The examination fee includes a 50 non refundable application fee and one administration of the OCT C examination at an OPS BOC approved testing center OCT C Examination Fees OPS member Fee 270 00 Non OPS Member Fee 355 00 includes optional 1 year OPS membership Retesting Fee 175 00 All fees must be remitted in U S dollars Payment by credit card on the OPS Website Store opsweb org or by calling the OPS Membership Office 1 800 403 1677 Refunds Examination fees will be fully refunded minus the 50 application fee if an applicant submits notification at least two weeks before a scheduled examination Refunds for cancellations received fewer than two weeks before the scheduled examination are subject to a cancella
17. of each candidate to a standardized testing experience In addition to the attestation on the OCT C Application as a prerequisite to distribution of examination materials candidates are required to sign a Security Affidavit agreeing to abide by all rules and regulations including the following e During the registration procedures at the test site candidates must sign the test roster and provide one form of valid government issued photo identification such as a driver s license or passport OCT C Program Guide V 2 0 2014 Page 17 e No books papers texts references or personal calculators are allowed into the examination room Scratch paper and a pencil will be provided and then collected by the test proctor after testing No electronic devices of any kind are permitted in the testing room e g cell phones smart phones If any are found the candidate will be disqualified e If at all possible personal belongings should not be brought to the testing site If they are they will be placed in a secure location and will be unavailable to the candidate during the examination e food or drink is allowed in the examination site Candidates with a specific medical condition e g hypoglycemia pregnancy diabetes requiring the consumption of water or food during the examination period must submit a written request to the OPS BOC for a special accommodation prior to the examination e Visitors are not permitted in the examination room
18. 2 Failing candidates receive a numeric scaled score and a report indicating content areas of weakness The report is designed to provide a tool for study and preparation for retaking the examination 3 At the testing site candidates receive a preliminary printed score report upon completion of the examination at certain times within the test development process scores may be withheld pending test question statistical review In either case official scores are sent via USPS from the OPS BOC representatives of from OPS headquarters 4 Examination report will be provided only to the candidate and will NOT be provided over the phone fax or internet Award of Certification Once the OPS BOC notifies applicants that they have completed all requirements for certification they may use the title Optical Coherence Tomographer Certified as long as the certificant maintains his or her certification see recertification guidelines below This designation may be used as part of a signature and on letterheads and business cards etc The OPS BOC mails official certificates to successful applicants Retesting for Failing Candidates Failing candidates are allowed to reapply to retake the examination upon payment of a 175 re examination fee The first retake may take place as soon as the re examination fee is received and processed Candidates may retest four times An additional 175 re examination fee must be paid for any subsequent retest Candidates are
19. ation are assured The OPS BOC working with experts in the field of certification programming mandates that the examination development administration scoring and reporting adhere to international professional standards and guidelines establishing assessment and certification best practices The most important of these standards are promulgated by such key organizations as the National Commission for Certifying Agencies NCCA ISO American National Standards Institute ANSI 17024 Standards the American Psychological Association APA and the Council on Licensure Enforcement and Regulation CLEAR This body of standards provides a means for ensuring that the assessment and credentialing process is a fair measure of competence and is legally defensible The examination content outline is based upon the 2014 Job Analysis Study also called a Role Delineation that will be revalidated periodically The most recent study findings were implemented in the summer of 2014 and utilized a full scale survey methodology inviting all known OCT professionals to participate This research was performed under the direction of a panel of Subject Matter Experts SMEs representing the full complement of diversity in the field providing a documented link between the content of the examination and practice on the job as an OCT C The passing standard cut score for the OCT C examination was determined using methodologies involving a representative panel of OCT C SMEs
20. d above or may request an application from the OPS Membership Office 1 800 403 1677 or OPS opsweb org To ensure evaluators have adequate time to review your portfolio the application and portfolio should be submitted a minimum of eight weeks in advance of a desired examination date Portfolio requirements are detailed on page 6 and in the appendices Submission of the Program Application establishes a relationship between the Ophthalmic Photographers Society Board of Certification and the individual applicant All correspondence are electronic and certificates are mailed directly to the applicant s home address Applicants are responsible for notifying the Board of Certification directly of any change of name email address or mailing address This will enable all confidential correspondence concerning certification and recertification to reach the applicant By applying for the OCT C examination the applicant agrees to the terms set forth in this program guide regarding certification requirements and examination Applicants attest that all information they submit is true and complete to the best of their knowledge Any misrepresentation or misconduct in the application or examination process may result in disqualification or revocation of certification See Appeals and Disciplinary Policy on pages 19 21 Once the portfolio committee approves the portfolio the OCT C Section Chair will email the applicant an Examination Application along with further
21. d courses workshops and publications independent of the 5 The OPS provides no training nor educational materials and it is important to note that OCT C candidates are not required to purchase training or education materials from the OPS in order to pass the examination Attendance at OPS courses and workshops is not a prerequisite to sitting for the OCT C examination the courses are not designed to serve as examination preparation classes nor do they serve any ancillary examination related purposes The course curriculums are designed specifically to review broad concepts and offer high level overviews of OPS relevant topics and sub topics More information about educational opportunities may be found at the OPS Web Site at http www opsweb org OCT C Program Guide V 2 0 2014 Page 15 Acronyms and Terminology used on the OCT C Examination The list that follows includes acronyms that are used on the OCT C Examination as well as terminology in addition to terminology found in the content outline which candidates are expected to be familiar Candidates are expected to recognize the meaning of these acronyms and this terminology Acronym Expansion ART Automatic Real Time CDC Centers for Disease Control DICOM Digital Imaging and Communications in Medicine EDI Enhanced Depth Imaging EHR Electronic Health Record EMR Electronic Medical Record ILM Inner Limiting Membrane IS OS Inner Segment Outer Segment OCT Optical C
22. e eese eene eene enun nennen nennen nnt h ness nth etus 5 VERIFICATION OF ELIGIBILITY INFORMATION eese eene eene enne that hast 5 AWARD OFTHEOCT C CREDENTIAL eevee ee es eve ex eu sene ro ee 5 PORTFOLIO 6 NAMING CONVENTION FOR OCT SCAN PORTFOLIO SUBMISSIONS sess sess sonus 6 NAMING YOURO CT FILES 6 PORTFOLIO RATING STANDARDS 55 e e eran ona ono aoo EE BERE PRAE NEAR YE RESO rbaa SERRA SEE IRE a PE SERM ERPEREaS Ea 6 PORTFOLIO ASSEMBLY 55 55 2 ere ie oo eer oer eoe eae De eoo coe oso re SE oye ae eor Due eese Secedcalveidestelececdsdecusecstderessessecdess 7 ACCEPTABLE METHOD OF IMAGE SUBMISSION s s sse aeeeeeenannaens eesema 7 PORTFOLIO SUBMISSION 7 THE OCT C EXAMINATION eee tt tnt tt tn tn te t te tn te tn te te tn t t tete eee esee esee esee eene 8 EXAMINATION PHILOSOPHY lt lt 352 55 eoe Si eo no oe co ro con AKAWA a aa 8 EXAMINATION DEVELOPMENT 7 25 22 inadi no oe ino Ho
23. e unable to send your portfolio digitally please contact the OCT C Portfolio Committee to see if special arrangements can be made The Ophthalmic Photographers Society Board of Certification assumes no liability for any materials lost or damaged in shipping transfer The Board of Certification recommends that applicants maintain a copy of the portfolio for their personal records The Portfolio Committee will notify the OCT C Section Chair of the applicant s examination eligibility The Section Chair will send the applicant an Examination Application and guidelines on submitting your employment verification letter and exam fees Upon verification of your paperwork and your exam fee is paid the candidate will receive an e mail from the testing center with directions on arranging your OCT C exam at the date and location of your choice OCT C Program Guide V 2 0 2014 Page 7 The OCT C Examination Examination Philosophy The designation of OCT C is meant to assure the stakeholders patients employers regulators the public that the certificant has demonstrated an established level of competency in performing OCT imaging Certification requires a thorough knowledge of the subject matter The examination is designed to recognize applicants who display a level of knowledge and ability that demonstrates competence as an optical coherence tomographer Examination Philosophy The content validity relevance fairness and accuracy of the OCT C examin
24. ect responses that represent competency Scores are unrelated to the performance of other candidates taking the examination At times during the examination development cycle candidate scores may be withheld pending further psychometric analysis Withheld scores will be released within approximately 60 days of the test administration date OCT C Program Guide V 2 0 2014 Page 9 Examination Content As described the examination content outline is based upon Job Analysis research of the role of the OCT The examination construction is based upon the importance rating of the seven main content areas A complete content outline follows I Applies the Principles of the Anatomy of the Eye A Demonstrates an understanding of anterior and posterior segment structures B Demonstrates an understanding of the layers of the retina C Demonstrates an understanding of optic nerve anatomy D Demonstrates an understanding of anatomical landmarks and terminology IL Applies the Concepts of Pathology of the Eye to OCT findings A Recognize and identify the ocular manifestations of 1 2 3 4 B Recognize and identify the clinical posterior segment OCT findings of 1 ND go oe YS cm EX Eo dex dex Rx CRX ds o ON oO oO oO retinal diseases optic nerve disorders anterior segment disorders systemic diseases diabetic retinopathy macular edema macular degeneration choroidal neovascular membrane
25. ee recognition by any other individual group agency or institution the liability of the OPS BOC or its representatives is limited strictly to this recognition by the OPS BOC Statement of Nondiscrimination The Ophthalmic Photographers Society Board of Certification shall admit applicants of any age sex or sexual orientation race religion color national origin disability or marital status to all rights privileges programs and examinations generally made available through its association It shall not discriminate on the basis of age sex or sexual orientation race religion color national origin disability or marital status in the administration of its certification policies Application Process An OCT C candidate must complete the following tasks in order to qualify to sit for the OCT C examination 1 Submita completed OCT C Program Application 2 Upon acceptance of the Application candidate may then submit a Portfolio 3 Upon acceptance of the Portfolio the candidate may complete the Examination Application 4 Upon receipt of Exam Application employment verification and exam fee the candidate will receive information on how to schedule the OCT C examination The Program Application can be submitted online It can be found at www opsweb org gt Certification gt Forms amp Guides The portfolio MUST BE submitted at www opsweb org gt Certification gt Portfolio Submission OCT C applicants may apply online as describe
26. es The information tested on the examination pertains to the common body of knowledge which is delineated in the OCT C Examination Content Outline The 5 does not endorse any particular text or author This list is not intended to be inclusive but reflects references used to support the test development process Use of the references during study for the OCT C exam does not guarantee successful performance on the examination 1 Coscas G Atlas of Indocyanine Green Angiography Fluorescein Angiography ICG Angiography and OCT Correlations Elsevier 2006 Gupta V Gupta A Dogra M Atlas of Optical Coherence Tomography of Macular Diseases Taylor amp Francis 2004 Tasman W and Jaeger E Eds Duanes Clinical Ophthalmology Lippincott Williams and Wilkins 2006 Schuman J Puliafito and C Fujimoto J Everyday OCT A Handbook for Clinicians and Technicians Slack Inc 2005 Brancato R and Lumbroso B Guide to Optical Coherence Tomography Interpretation Rome Innovation News Communication 2004 6 Bouma B and Tearne G Eds Handbook of Optical Coherence Tomography Marcel Dekker 2002 7 http www eyetec net TZV Publishing 2007 8 9 Qu aS Martidis A Optical Coherence Tomography and Retinal Diseases Lippincott Williams amp Wilkin 2006 Schuman J Puliafito C and Fujimoto J Ocular Coherence Tomography of Ocular Diseases Slack Inc 2004 10 Emerson J Stratus OCT
27. es not imply OPS BOC endorsement OCT C Designation The Optical Coherence Tomographer Certified designates an individual who has met the OPS BOC standards of competence in optical coherence tomography The OPS BOC standards are meant to assure delivery of competent professional optical coherence tomography services OCT Cs demonstrate competence by Applying the Principles of the Anatomy of the Eye Applying the Concepts of Pathology of the Eye to OCT findings Managing OCT patients Demonstrating an Understanding of OCT Hardware and Software Managing OCT Data and Images Analyzing and Interpreting OCT Images Demonstrating Patient Operator Safety OCT C examinations are offered year round at approved testing centers throughout the United States in addition to selected locations around the world Examinations may be scheduled only after the applicant has fulfilled the certification eligibility requirements set forth in this Program Guide Once eligible the date and location of the exam may be chosen by the applicant OCT C Program Guide V 2 0 2014 Page 2 The OPS BOC is the only agency authorized to designate an individual as an Optical Coherence Tomographer Certified The OPS BOC developed its program to facilitate voluntary certification of ophthalmic photographers and technicians Its sole purpose is recognition of attainment of a standard level of knowledge and skill in optical coherence tomography Certification does not guarant
28. etric professional staff member concerning the exam process relative to the appeal 3 Examiner reports and comments submitted by the appellant at the time of the examination The Appeals and Discipline Committee decision is mailed to the appellant within fifteen 15 business days of the hearing Section 4 Appeals and Discipline Committee Decisions 4 01 The Appeal and Discipline Committee may put forth the following decisions based upon evidence presented by the appellant and by the OPS BOC e Grant the appeal Deny the appeal e Deny the appeal and grant the appellant an attempt at the next examination administration without cost to the appellant 4 02 All decisions of the Appeals and Discipline Committee are final Should certification be denied applicants have 30 days to appeal the decision in writing to the OPS BOC Chairman Any charge or complaint will be investigated reviewed and reported to all parties concerned The Chairman of the OPS BOC may appoint a special committee to conduct an impartial review The members of the committee shall be outside the sphere of OPS BOC influence The committee will make recommendations to the OPS BOC The OPS BOC which will deliberate and vote as a whole shall render the final decision regarding the recommendation of the committee The OPS BOC s decision is final and binding Section 5 Revocation Fraud or misrepresentation on the application portfolio or in the examination can result in de
29. g scores are of the highest caliber Examination Design Scoring and Reporting The OCT C examination is comprised of 100 four option multiple choice questions administered using computer based examinations Candidates are allotted two hours in which to complete the exam Each multiple choice question has four answer choices only one answer choice is correct It is a closed book examination Candidates will be provided with scratch paper and a pencil both will be collected after the test administration Candidates are encouraged to read the questions carefully choosing the single best response OCT C Program Guide V 2 0 2014 Page 8 first answering the questions that they are sure of returning to the more difficult questions as time allows Credit is given only for questions that have responses questions left blank will be scored as incorrect therefore there is no penalty for guessing At the end of the testing session a computer generated score report will be issued This score is provisional pending statistical verification that will take place within 72 hours If candidates do not hear from the OPS BOC or its agent within that time period they may assume the score stands as reported Candidates passing the examination will not receive a scaled score Failing candidates will receive a scaled score along with a diagnostic report indicating examination content areas of weakness The examination score is based upon the total number of corr
30. gistered candidates may take a sample test content is not OCT related before going to the test site by accessing the testing contractor s website using the following URL link https www igttesting com Default aspx Function SampleExam amp Exam 8 Candidates may leave the testing room only after receipt of express permission from the proctor Candidates must sign out and sign in from the room and must surrender all testing materials when they exit Exit from the testing room is permitted for washroom and drinking fountain visits only Candidates may not access cell phones or leave the building during breaks Test timing is not paused for these breaks Disqualifying behaviors include but not limited to e Creating a disturbance e Aiding or asking for aid from another candidate e attempt to remove copy buy sell or reproduce testing materials e Unauthorized possession of test materials Impersonation of another candidate e Use of contraband materials or equipment in the testing site e Any falsification or misrepresentation of information provided during the OCT C application process Candidate Comments During the examination candidates have the opportunity to post comments simply by clicking on the icon entitled Comment on this Question Once the examination is completed candidates may provide additional feedback and comments on the examination exit survey Examination proctors may not discuss or comment on the examination contents A
31. he OCT C credential including the secure handling and storage of application materials examinations scores and candidate and certificant records OPS BOC staff and volunteers are required to complete a non disclosure document agreeing to protect the privacy of OCT C certificants and candidates It is the policy of the OPS BOC that non disclosure protected information may NOT be released to or shared with 1 Any member of the public without an applicable statutory exception or written release from the OCT C candidate certificant 2 Any member of the OPS BOC unless the recipient has a legitimate interest for the use of that protected information to perform a service or carry out a responsibility within that person s scope of employment or engagement as an OPS BOC agent OCT C Program Guide V 2 0 2014 Page 4 The OPS BOC procedure is that protected information may only be released or shared in accordance with this policy OPS staff and OPS BOC agents with access to protected information are expected to safeguard that information from unauthorized disclosure This includes as appropriate e Computer Systems and Applications Security Central processing units peripherals portable storage devices operating system applications software and data e Physical Security The premises occupied by OPS and or the OPS personnel agents or contractors using computer e Operational Security Environmental control power equipment operational activities related t
32. ication Section notifies certificants with an expiration date of December 31 of the concurrent year regarding the upcoming recertification deadline at the beginning of the expiration year Recertification instructions and applications are available for download on the OPS web site OCT C Recertification page at www opsweb org gt Certification gt Recertification Certificants who have not downloaded their applications by March 1 of their third year of certification or who are having difficulties navigating the website should contact Recertification Chair Recert opsweb org Certificants having difficulty completing their requirements or who expect to be unable to meet the December 31st deadline should contact the Recertification Section Chair as soon as possible The Recertification Section Chair may be able to provide assistance or a course of action for completing the requirements Certificants should contact the Section Chair by e mail phone or fax for current answers to any questions or concerns about recertification requirements or accrual of continuing education credits OCT C Program Guide V 2 0 2014 Page 23 OCT C Certification Process Check List 1 Submit a completed online Program Application 2 Compile OCT C Portfolio When finished 3 Upload your portfolio 4 AFTER your portfolio is accepted complete the Examination Application sent to you by OCT C Section Chair Submit this form along with your employer OCT ve
33. ii Perform and submit one individual high resolution vertical line scan 1 Label 10B2 c Glaucoma RNFL scan with report analysis 1 Label 10C1 ii Perform and submit one individual high resolution horizontal line scan of the optic nerve head Scan should section the nerve at 3 00 and 9 00 1 Label 10C2 d Retinal Pigment Epithelial Detachment i Macular thickness map centered on the macula Pathology must be within the scanned area i e macula 1 Label 10D1 ii Perform and submit one individual high resolution horizontal or vertical line scan sectioned through the pathology 2 Label 10D2 e Age Related Macular Degeneration i Macular thickness map centered on the fovea 1 Label 10E1 ii Macular thickness map centered on the fovea 1 Label 10E2 The central thickness measurement must be within 1090 of each other OCT C Program Guide V 2 0 2014 Page 3
34. iled must be postmarked within 72 hours of the examination administration faxed or couriered to the OPS Include a non refundable fee of 50 Section 3 Appeal Procedures 3 01 Level One OPS Appeals and Discipline Committee Appeal Consideration a An appeal shall be submitted to the Appeals and Discipline Committee within fourteen 14 days of the receipt of examination scores All communication from the Appeals and Discipline Committee will be mailed to the address stated on the submitted appeal b Two representatives of the Appeals and Discipline Committee shall determine the validity of the appeal based upon the submitted documentation as to the existence of extraordinary circumstances described in Section 1 01 c An Appeal and Discipline Committee representative shall notify the appellant by mail within ten 10 business days of receipt of the appeal regarding whether the appeal has been accepted or denied Accepted appeals will be brought to the consideration of the Appeal and Discipline Committee 3 02 Level Two Appeals and Discipline Committee Action a Only appeals brought forth for consideration by the Appeals and Discipline Committee representatives will be reviewed Review will take place within sixty 60 days of receipt of the appeal from the representatives b The Appeals and Discipline Committee shall review the following 1 The appellant s statement of appeal 2 statement from IQT representative or psychom
35. judgment and patient management skills necessary for competent performance as an optical coherence tomographer A competent optical coherence tomographer must be able to elicit cooperation from a non cooperative or challenging patient for acceptable performance of OCT imaging Internships or practicum are considered part of a formal education program These clinical experiences do not qualify as work experience Verification of Eligibility Information The Board of Certification reserves the right to verify the experience attested to by the applicant by calling the employer s listed on the application form or requesting written documentation of the submitted information either prior to or after the examination Applicants will be declared ineligible for examinations if any of their eligibility requirements are found to be unsatisfactory Award of the OCT C Credential The following requirements are necessary to achieve the OCT C designation by the Ophthalmic Photographers Society Board of Certification Satisfactory completion of all eligibility requirements A passing score on the written examination OCT C Program Guide V 2 0 2014 Page 5 Portfolio Reguirements The portfolio must be produced entirely by the applicant You can find printable reguirement lists for both Time Domain TD OCT and Spectral Domain SD OCT devices by following the links below The portfolio submission form page must be completed and submitted with the po
36. kness measurement The scans must be performed on the same day of the same eye with a minimum of five minutes and a maximum of eight hours between scans make a note of time The center point thickness measurement of each map must be within 10 percent of each other a Submit the Retinal Map Analyses of both scans i Label first map 1A ii Label second map 1B the length of time between scans for example 1B5 for 45 minutes or 1B1HR for 1 hour 2 Submit a serial set of two Fast Macular Thickness Maps of one eye with central foveal thickness greater than 350 microns as measured using the central subfield thickness measurement The scans must be performed on the same day of the same eye with a minimum of five minutes and a maximum of eight hours between scans make a note of time The center point thickness measurement of each scan must be within 10 percent of each other a Submit a retinal thickness analysis of each of the six scans of the FIRST Fast Macular Scan i Label set 2A1 2A2 2A3 2A4 2A5 2A6 b Submit the Retinal Map Analyses i Label first map 2B ii Label second map 2C length of time between scans for example 2C5 for 5 minutes or 2C1HR for 1 hour OCT C Program Guide V 2 0 2014 Page 1 Appendir A 3 Submit the specified scan and analyses sets for one eye for four of the five conditions below a Cystoid Macular Edema i SCAN Macular Thickness Map or Radial Lines ANALYSIS Retinal Map 1 Label3A1
37. lidation letter from the Recertification Section Chair CECs submitted for CRA recertification may also be submitted for OCT C recertification OCT C Program Guide V 2 0 2014 Page 22 Payment of the prevailing recertification fee payable in US dollars to the OPS BOC is submitted with the recertification application Certificants that choose to retest will pay the prevailing examination fee and will not be required to pay a recertification fee Payment by credit card can be made on the OPS Website Store opsweb org or by calling the OPS Membership Office 1 800 403 1677 Recertification Fees Non member Fee 160 00 OPS Member Fee 80 00 Please call the OPS Membership Office 1 800 403 1677 to verify your membership status Recertification Extensions and Appeals Recertification extensions may be issued on an individual basis due to extreme hardship The Recertification Section Chair Recert opsweb org is authorized to give a one time 6 week extension Letters of revocation are sent after the 6 week period Should recertification be denied the applicant may appeal within thirty 30 days to the Chair of the Board of Certification BOC opsweb org Appeal instructions are provided with the letter of revocation The Board of Certification decision regarding all appeals will be final and binding Refer to appeals and grievances policy on page 19 for details Recertification Applications and Information The Chair of the Recertif
38. ll comments and questions are reviewed and considered by the OPS BOC however security procedures preclude discussion with candidates concerning individual test questions or comments Candidates should not expect a response to a comment unless it relates to a problem with the examination administration Candidate comments or lack thereof may be taken into consideration as evidence during the appeals process details of examination appeal procedures follow OCT C Program Guide V 2 0 2014 Page 18 Examination Scoring and Reporting The OPS BOC works with its testing consultant and contractors in the development administration scoring and reporting of the OCT C examination and facilitates research studies with a committee of OCT Cs to establish passing scores for each examination Using Modified Angoff V standard setting procedures the OCT Cs are asked to review every question on the examination and provide empirical judgments of the likelihood of competent OCT Cs answering the question correctly Through this process a raw score representing competency is established The raw passing score is translated onto a scaled reporting score Passing the examination requires a scaled score of 70 1 Candidates passing the examination receive notice of successful performance The OCT C examination is a minimum competency examination and is not intended to distinguish scores above the passing point Numeric scores are not reported above the passing point
39. nge Artifacts Is the image free of undesirable artifacts Labeling Is the image de identified of private health information and labeled properly All criteria for each required image must be met for the portfolio to be found satisfactory Item specific criteria are identified in the Portfolio Guidelines in the appendices of this guide OCT C Program Guide V 2 0 2014 Page 6 Portfolio Assembly The reguired image files must not contain any patient information and must be labeled as described Acceptable Method of Image Submission Images are to be submitted digitally in either in pdf or jpeg format All images must be de identified anonymized no patient information can be visible on the submitted images The portfolio will be deemed unsatisfactory if it contains extra examples of the requested images or contains any patient information Portfolio Submission Upload the portfolio at www opsweb org gt Certification gt Portfolio Submission The OCT C Portfolio Committee will review the portfolio within 30 days Candidates with portfolios meeting the requirements will receive an email confirming acceptance Candidates with portfolios not meeting the requirements will receive a critique of the unacceptable segments The applicant can correct any deficiencies and resubmit the required component s if the portfolio committee returns the entire portfolio correct the required components and resubmit the entire portfolio If you ar
40. nial or revocation of Certification The OPS BOC reserves the right to void examination results bar participation in the certification program and revoke certification or other sanctions in accordance with the Disciplinary Policy The OPS BOC will consider such actions if members have reason to question the validity of an applicant s examination results suspects misconduct at a test center or suspects an applicant has reported fraudulent information Denial or revocation of certification may be appealed in writing to the Chairman of the OPS BOC OCT C Program Guide V 2 0 2014 Page 20 Disciplinary Policy The OPS BOC may impose sanctions against applicants or individuals already awarded certification for failure to meet OPS BOC rules and standards of initial certification or recertification The OCT C program is a voluntary process not reguired by law for employment in the field Monitoring and evaluating actual job performance is beyond the scope of the OPS BOC Grounds for Action The Board of Certification reserves the right to deny certification void examination results bar participation in the certification program or to revoke certification The following are grounds for action Obtaining or attempting to obtain certification or recertification for oneself or another through fraud or misrepresentation on any certification application document portfolio or examination Improper conduct during the examination including but not limited to
41. o operations e Procedural Security Established and documented security processes for information technology staff vendors management and individual users of protected information e Network Security Communications equipment transmission paths switches terminals and adjacent areas The OPS and the OPS BOC reserve the right to change this policy at any time by notifying users of the adoption of a new privacy statement Records and Data Retention Policy All applications correspondence supporting documentation and materials generated in the testing process will be held for one year following attainment of the OCT C credential Computer records of applicant demographics and test scores are kept indefinitely Requirements for Certification Examination Eligibility Requirements Eligibility for the written examination is contingent upon fulfilling these requirements 1 Submission and acceptance of a satisfactory portfolio See Portfolio Requirements 2 Provision of a letter from the employing physician s or institution s verifying the applicant s employment history with Optical Coherence Tomography as part of responsibilities for a minimum of one year This one year work experience requirement is meant to allow time for an applicant to acquire through hands on experience the knowledge and skills necessary to perform optical coherence tomography It should include enough patient interaction to allow an applicant to develop the clinical
42. oherence Tomography RNFL Retinal Nerve Fiber Layer RPE Retinal Pigment Epithelium SD Spectral Domain SLD Superluminescent diode SLO Scanning Laser Ophthalmoscope TD Time Domain Terminology Listing Acquisition Algorithm Anterior Archiving Artifact A scan Averaging Axial resolution Axis Backscattering Blocking B scan Caliper Coherence Confocal Coronal scan Defragmentation Detector arm Distal En face Fixation Fourier transform Hyper reflectance Hypo reflectance Interface Interference Interferometry Interpolation IS OS junction Lateral Noise Normative database Optimizing Oversampling Pixel Pixelation Polarizing Posterior Raster Reference arm Reference mirror Reflectivity Repeatability Resolution Segmentation Serous Shadowing Signal Slice Spectrometer Tomographic Topographic Traction Transmission Transverse resolution Volumetric analysis Watszke Allen sign Temporal Nasal Lateral Superior Inferior OCT C Program Guide V 2 0 2014 Page 16 Examination Registration Once the OCT C portfolio and examination application have been approved candidates will receive official notification of their right to register to take the examination and instructions on how to do so The examination is offered via computer administration at OPS BOC approved testing centers The OCT C Examination is offered at over 250 test sites in the U S and Puerto Rico U S Territories Canada and
43. on fee if an applicant submits notification at least two weeks before a scheduled examination Refunds for cancellations received fewer than two weeks before the scheduled examination are subject to a cancellation fee Refunds are made payable and mailed to the party that originated the application fee payment No refunds or credits will be issued to those who fail examinations or to those who do not appear for the examinations Failure to appear at any scheduled examination site without contacting IOT or failure to reschedule an examination date within a one year window will cause the forfeiture of all application fees Candidates may reapply for the OCT C Program by paying the full application fee It is the candidate s responsibility to contact the OPS Board of Certification or its computer testing administrator ISO Quality Testing to reschedule a test administration Examination Administration Rules and Regulations The Examination Administrator or proctor is the OPS BOC s designated agent for maintaining secure and valid examination administration Any individual found by the Board or its agent to have engaged in conduct that compromises or attempts to compromise the integrity of the examination process will be subject to disciplinary action as sanctioned by the OPS BOC The Code of Ethics and the OPS BOC policies and procedures Examinations are administered according to a strict protocol to ensure the examination security and to protect the right
44. orm sampling arm reference arm reference mirror wavelength of light limitations of machine resolution algorithm differences across instruments cleaning eguipment software maintenance gualitative guantitative retina including a b c d e f qualitative quantitative optic nerve glaucoma including high resolution line scan raster line scan radial lines thickness volume map cube thickness volume map repeat follow up custom scan OCT C Program Guide Page 11 5 28 V 2 0 2014 a high resolution line scan b raster line scan c RNFL d optic nerve head disc e repeat follow up f custom scan E Understands the function and properties of the OCT equipment including the use of the following controls including 1 A 11 chin forehead rest table height internal fixation device external fixation device focus knob image averaging sampling image brightness image contrast OCT image noise line length line angle F Understands the function and properties of the OCT equipment including the use of the following image placement in the acquisition window as it relates to 1 2 3 optimal placement Time Domain optimal placement Spectral Domain enhanced depth imaging EDI G Understands the function and properties of the OCT equipment including the use of the following scan pattern placement including
45. ptical Coherence Tomographer Certified to provide proof of compliance with the recertification reguirements prior to the end of the third year of each interval of certification The three year recertification cycle begins on January 1st of the year after certification is earned Therefore any education credits earned prior to December 31st of the year of your OCT C certification will not count towards recertification Failure to recertify will result in the revocation of OPS certification Once certification is revoked a candidate can regain certification by applying for and fulfilling the current requirements for OCT C certification The requirements for recertification are as follows 1 Recertification requires retesting prior to the end of the third year of each interval of certification OR 2 Recertification requires the accrual of 8 hours of continuing education credit 8 CECs during each three year interval following initial certification may be earned in the following manner a Ofthe eight required hours a minimum of 4 4 CECs MUST be earned by attending official OPS courses or OPS BOC pre approved courses and workshops Each hour of lecture or workshop equals one credit hour 1 CEC b Of the eight required hours a maximum of 6 6 CECs MAY be earned by teaching official OPS or OPS approved courses or workshops Each hour of lecture or workshop equals one credit hour 1 CEC c Ofthe eight required hours a ma
46. rification letter and exam fees as directed payable in US dollars to the OPS BOC or by credit card via the OPS website store or the OPS Central Office at 1 800 403 1677 5 Once all paperwork and fees are received the OCT C Section Chair will contact you with final instructions on selecting the place and time of your exam OCT C Program Guide V 2 0 2014 Page 24 Appendices Appendix A Time Domain OCT Portfolio Requirements Stratus Appendix B Spectral Domain OCT Portfolio Requirements OCT C Program Guide V 2 0 2014 Page 25 Appendir A Appendix A Time Domain OCT Stratus Portfolio Requirements The portfolio must be produced entirely by the applicant The portfolio submission form must be completed and submitted along with the portfolio By signing the portfolio submission form the applicant attests to the authenticity of the work submitted Submission of work completed by anyone other than the applicant constitutes fraud Fraud or misrepresentation of the portfolio may result in disqualification of the applicant Label all files with your last name as a prefix to the item 4 For example the submission set for item 7 should be labeled your last name 7a SMITH 7a Complete naming and labeling conventions can be found on page 6 of the OCT C Program Guide 1 Submit a serial set of two Fast Macular Thickness Maps of one eye with normal foveal thickness less than 200 microns as measured using the central subfield thic
47. rtfolio By signing the portfolio submission form the applicant attests to the authenticity of the work submitted Submission of work completed by anyone other than the applicant constitutes fraud Fraud or misrepresentation of the portfolio may result in disgualification of the applicant You can find both the Time Domain OCT and Spectral Domain OCT Portfolio reguirements in the OCT C Program Guide appendices Naming Convention for OCT Scan Portfolio Submissions Last Name OCT Certification First Name Candidate Name Your Name Birth date 1 1 1900 Patient ID Item Example Item 1A or 3C Naming Your OCT Files Label all files with your last name as a prefix to the Item For example the submission set for 7 should be labeled your last name 7a SMITH7a Normal eyes can be used when pathology is not specified in the item description If applicable the same eye may be imaged for multiple items Portfolio Rating Standards The Portfolio Committee uses standards established and approved by the Board to perform ratings of OCT C portfolios Two members of the Portfolio Committee independently rate each portfolio and when required the Committee Chair arbitrates scores OCT C portfolios are rated based on conformance of the following matrix of standards Intent Is the required image present Protocol Does the image show the specified scan and analysis protocol Scan Quality Are the scan parameters within an acceptable ra
48. s of Anterior Segment OCT images including 1 pachymetry 2 analysis artifacts plotting errors failures 3 measurement tools D Scanning artifacts in OCT imaging relating to 1 movement 2 inversion 3 sampling errors OCT C Program Guide V 2 0 2014 Page 13 4 vibration 5 patient tear film 6 media opacities shadowing 7 dirty lens VII Patient Operator Safety 4 Adheres to Universal Precautions as defined by the Centers for Disease Control and Prevention B Observes precautions set forth by equipment manufacturers C Observes Occupational Safety and Health Administration OSHA and The National Institute for Occupational Safety and Health NIOSH regulations relating to OCT D Understands HIPAA confidentially and privacy regulations relating to OCT OCT C Program Guide V 2 0 2014 Page 14 Suggested References Preparing for the OCT C Examination The OCT C examination tests the applicant s knowledge of optical coherence tomography imaging The Examination Content Outline and Weightings page 10 identify the areas in which to concentrate for the examination The OPS BOC provides a suggested reference list as a resource that may be useful to supplement the training and experience related to competent performance as an OCT C Candidates are encouraged to review resources and information in content areas where skills or knowledge may be weak The OPS BOC does not recommend that candidates memorize all recommended referenc
49. strate improved visibility of pathology and retinal layers a Submit one individual scan for portfolio i Label 5A 6 Acquire one high resolution line scan at 90 degrees a Submit one individual scan for portfolio i Label 6A 7 Acquire one high resolution line scan horizontally at the default scan length setting possible for your device a Submit one individual scan for portfolio i Label 7A 8 Acquire one high resolution line scan centered on the fovea in the right eye at the longest scan length setting for your device Change the axis of the scan by 5 degrees and scan the eye from temporal to nasal a Submit one individual scan for portfolio i Label 8A 9 Using any line scan provide a measurement of any retinal pathology using the caliper or measurement function provided by your specific device Caliper or measured value must be displayed on the submitted scan or image a Submit one individual scan for portfolio i Label 9A 10 Submit the specified scan and analysis for four out of the five conditions below You only need submissions for one eye for each condition a Cystoid Macular Edema i Macular thickness analysis or map 1 Label 10A1 ii Perform and submit one individual high resolution horizontal line scan 1 Label 10A2 b Macular Hole Macular Traction Epi Retinal Membrane i Perform and submit one individual high resolution horizontal line scan OCT C Program Guide V 2 0 2014 Page 2 Appendix B 1 Label 10B1
50. t a serial set of two macular map analyses of one eye with a central foveal thickness of 350 microns or more The scans must be performed on the same day of the same eye with a minimum of 5 minutes and a maximum of 8 hours between scans make note of the time The central foveal thickness value for each map must be within 1090 of each other a Submit the map analyses for both scans i Label first map 2A ii Label second map 2B length of time between scans 285 for 5 minutes or 2B1HR for 1 hour OCT C Program Guide V 2 0 2014 Page 1 Appendix B 3 Acquire one macula and one RNFL mapping scan group through an un dilated or minimally dilated pupil Pupil size should be less than 4 mm Both scans must be acquired on the same eye Signal strength needs to be 5076 or greater as displayed by your device s scan quality value a Submit one retinal map and one RNFL analysis map for each scan i Labelretinal map 3A ii Label RNFL map 3B 4 Acquire one high resolution line scan through some type of media opacity i e cataract vitreous hemorrhage etc of an eye with macular or foveal pathology Scan should illustrate the compromised scan quality from the opacity a Submit one individual scan for portfolio i Label 4A 5 On same eye used in item 4 acquire a high resolution line scan around the media opacity Scan angle or positioning within the pupil should be adjusted to minimize scan degradation and be able to illu
51. tion fee Refunds are made payable and mailed to the party that originated the application fee payment No refunds or credits will be issued to those who fail examinations or to those who do not appear for the examinations Special Testing Arrangements The OPS grants reasonable accommodations for candidates with documented disabilities in compliance with the Americans with Disabilities Act If special assistance or arrangements are required the following protocol must be followed 1 The candidate must request accommodations in writing and submit the request with the OCT C application This request must include a complete description of the requested accommodation 2 Documentation of the disability as diagnosed by a qualified health care professional must accompany the request The OPS BOC may contact candidates requesting accommodations to discuss the disability and requested accommodation In conference with a psychometrician with consideration of examination security and examination administration guidelines a reasonable accommodation will be made Candidates will be notified of the accommodations to be offered which will be offered without charge Privacy Confidentiality Policy The OPS BOC abides by the OPS strict privacy confidentiality policy demonstrating its firm commitment to OCT C candidates and certificant privacy available at www opsweb org gt Certification gt Forms amp Guides The policy applies to all aspects of t
52. various sites outside of North America Test sites operate in all 50 states and most are open from Monday Saturday from 9 00 a m 9 00 p m and Sundays from 1 00 p m 6 00 p m excluding holidays These sites are operated by the OCT C administration contractor ISO Quality Testing Information concerning testing center locations and hours of operation may be found at www isoqualitytesting com by clicking the Take a Test Tab and then the Locate a Testing Center hyperlink Note candidates may not register for a testing site until registration information is provided by the OCT C Certification Board upon approval of the application Once approved to sit for the OCT C examination candidates will receive correspondence directing them to 1 Navigate to the testing contractor examination registration page www IQTTesting com 2 Use the option Examination Registration and select the organization OPS 3 Select the exam OCT C 4 Enter the provided Username and Password to login Username Your e mail address Password Unique OCT C applicant number provided by IOT correspondence After logging in please follow the on screen instructions to schedule an appointment Note candidates must test within 12 months of receipt of application approval For assistance call toll free in USA and Canada 866 773 1114 or other countries 1 727 733 1110 Rescheduling an Examination Registration Examination fees will be fully refunded minus the 50 applicati
53. ximum of 4 4 CECs MAY be earned by attending NON OPS APPROVED courses or workshops These include courses or workshops approved by the Joint Commission of Allied Health Personnel in Ophthalmology JCAHPO or courses approved by the American Medical Association AMA for Category I Continuing Ophthalmic Medical Education Each hour of these courses or workshops equals one half credit hour 1 2 CEC d Ofthe eight required hours a maximum of 3 2 CECs MAY be earned by first authorship or co authorship in the OPS Journal ophthalmic or photographic journals or text books and other scientific publications submissions must be of merit and well recognized The total value for any submission shall not exceed three 3 Submission of publications for CEC review must be made by separate application See CECs for Publication on OPS website for details Responsibility and Verifications It is the responsibility of certificants to keep track of their CECs and submit their application with supporting documentation verifying course teaching course or workshop attendance or publication credits Credits for teaching must be supported by a copy of the printed program reflecting the type and degree of involvement certificate of attendance or statement of attendance on official letterhead from the director of the course or workshop is required A paid receipt is not acceptable as evidence of attendance Credits for publications require a va
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