As they work their way through the recption center they get lots of briefings, shots, hair cuts, dental exams, eye exams, and of course they get their uniforms - after which they get their picture taken. There's probably even more that goes on that I'm not aware of. Oh, and of course they do get yelled at - a lot.
They all seem very scared of their drill sargeants. Their drill sargeants seem scared of the officers (although they aren't sacred of offiers, it just looks that way becuase they respect us). So...when the young Privates see their drill sargeants stand up a little straigher when I walk by, multiply that by 10 and that's how the Privates react.
Anyway, enough about that. It is fun though being the one nice person they get to talk to. I can tell they really appricieat it.
So, for all those eye doctors that may read this (and their actually may be 2 or 3) I'll describe a little bit of what we do in the recpetion center.
From 6:00-8:00am we have sick call. Anybody that is already in training here or even permenently stationed here can come in without an appointment and have us look at them. Most of them just need glasses for whatever reason. We do get a few red eyes (usually contact lens related, which they're not allowed to wear during training), and your usual randome crazy stuff, but like I said, mostly they just need glasses.
From 8:00-11:30 we see the new recruits. They are bought in in groups of 15 or so and a group history is done. Something like, "Does anybody here have a history of eye surgery or eye injury?" etc... All of them are screened by one of our techs. If they can see 20/20 with each unaided, they're done. If they can't, or already know they need/use glasses (or contacts) they move on to see either myself or the other eye doctor. They are only there for a refraction. We use one of those automated phoroptors and as long as they don't have any complaints (which they never do) they spend about 1-2 mintues with us. If they've been wearing contacts we'll take a look at them with the slit lamp as many of them will have some pretty serious CL related corneal issues. And of course we'll take a more indepth look if we can't get them to 20/20 and there's no indication of refractive or strabismic amplyopia.
Lunch is from 11:30 to 12:30. I ride my bike home and eat there.
From 12:30 to 2:00 we have another walk-in clinic time. Most of these patients need to be "updated in Medpros". That just means they've been told that it's been a year since their last eye exam and so they need to stop by and see us. Most of these patients are not dilated unless they have a compaint or condition that warents it. Like the morning patients, most are just refractions.
From 2:00 to 3:00 there are no more patiens. This time is used to go through and electronically sign all the records that the techs put into the computer for the day. It's nice because for each paitent I hardly have to record anything. The biggest thing I would have to record is the glasses prescription and the automated phoroptor I use just prints it out for me. So all I have to right down (on the average patient) is their vision through the manifest, their refractive state, and if I want them to wear them full time or not.
It would be really monotonous over time but for now I really enjoy it. After Thanksgiving I'll be over at the clinic in the hospital. The patients (and eye exams) there are more like your classic full eye exam. At the hospital the hours are 7:30-4:30 with patients scheduled every 40 mintues for full exams and 20 minutes for short exams. At the recpetion center we see between 60 and 400 patients a day.
Here is a picture of an automated phorotpor like the one we use:











