Ophthalmologists, like everyone else, need to be aware of what is being discussed in the media and in their own profession.
The Australian Medical Association is the main body of ophthalmic practice in Australia.
In an article published on the AMA website, Dr Peter McQuillan said that the AAP has published a statement on the topic of what constitutes acceptable patient care, but the guidelines are based on a checklist which is only intended to be a guideline.
He said that a doctor should be able to provide reasonable patient care.
“There are lots of different areas of expertise in ophthalmoscope, and different areas are going to need to work together,” he said.
“You’re not going to be able [to] just sit down and say ‘Oh, we’re not a specialist in that area, you know, so that’s out’.” In this example, a doctor would be required to refer a patient to a specialist for an eye examination.
Dr McQuinnan said he was not aware of any case where the AAP had issued a statement.
Dr McNamara said there were a number of issues with the checklist, including the requirement that a patient undergo a physical examination and to give a urine sample.
He also criticised the use of a checklist that would only have been useful for a small number of cases.
“I think the checklist should have been updated,” he told the ABC.
It’s important that the guidelines aren’t overly specific, and don’t go beyond what is recommended for your particular case.” “
It’s not as comprehensive as a professional checklist, it’s not going out to doctors all the time, it is only for certain cases.”
It’s important that the guidelines aren’t overly specific, and don’t go beyond what is recommended for your particular case.
Dr Stephen Grosjean from the Australian Society of Ophthalmology also expressed concern about the checklist. “
In terms of how the doctors are going be able actually to provide safe, competent care, I’m not sure they’re going to get there from a checklist,” he explained.
Dr Stephen Grosjean from the Australian Society of Ophthalmology also expressed concern about the checklist.
He suggested the AAMMA should include a requirement that doctors are required to make a report to the Health Department and the National Ophthalmic Care Council on any complaint about patient care within six months.
“We are not seeing an overall increase in complaints about quality of care in opht, we are seeing a general increase in problems,” he added.
Dr Grosjamene said the need for a doctor to make this report was not an unreasonable requirement.
“For example, if a patient is in urgent care, or has a serious eye injury and needs immediate medical attention, then they might want a doctor who can see that immediately,” he argued.
He acknowledged that there were other ways of making sure a doctor is doing the right thing.
“Sometimes a doctor will be in a safe position to make sure they have a safe patient, but they need to ensure they have that knowledge when they are actually delivering the care,” he noted.
Dr Grusman said the AAMI did not currently provide a list of standards to be met when treating children.
However, the American Academy of Pediatrics and the Australian Ophthalmoscience Association have issued guidelines on how to treat children with eye injuries, which are often referred to as corneal dystrophies.
The guidelines, which were published in the American Journal of Osteopathy, recommend that corneas should be removed to prevent further damage to the underlying tissue.
Dr Anthony Grusmann from the American Ophthalmolgic Society, a division of the American College of Otorhinolaryngology and Head and Neck Surgery, said the Ophthalmia guideline would help prevent corneals from being damaged.
“The most important thing to remember is to use appropriate methods of care for a corneocyte-containing patient,” he wrote in an email to the ABC, referring to a patient with corneitis or a cornea tear.
Dr McGrath said the guidelines were a good start, but he urged the AAMA to take more action.
“When we’re talking about protecting the eye, we need to take a much more holistic approach, and that includes not just looking at the cornea but also looking at other areas,” he advised.
“What we need is a more comprehensive approach to ophthalmia, not just the cornea.”
Dr McGraths suggestion is that the AAMS should issue a more formal document to the AAP and the American Medical Association.
“To me, that would be really helpful to all ophthalic practitioners, including surgeons and optometrists,” he suggested.
“Just a little bit of a roadmap to where we’re going as a profession and what we need from the AHA and AAP.”