There is a heavy emphasis on refraction during the training period.
Residents perform refractions at the time of most patient visits.
Only a small number of refractions are performed by technicians and usually only on emergency patients. Three-month contact lens rotations are scheduled during both the second and third years. The low vision aids specialist, Alfred Rosenbloom, OD, is available with his staff one-half day every other week. By the end of the training period, residents are competent at refraction, having performed over 6,000 refractions and are competent at modern contact lens fitting. The resident experience with low vision is invaluable.