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The VPA™: Assessment & Clinical Reasoning: facilitator notes

Presenter cues, worked examples, and answer keys for the case slides and discussion prompts · Module 3.

Presenter-side material. Not part of the learner module body and not counted toward contact hours. Model answers are teaching examples. Adapt to your state practice act, payer rules, and district policy.

Module 3

Age Bands, Stimuli, and Setup

~20 min · 8 slides

Presenter cues

Run the setup list as a physical rehearsal — have participants set a 40 cm distance at their table.
Explain why distance-specific cards exist: substituting a near card at 60 cm invalidates the acuity measure.
Note the band boundaries out loud: 5–7, 8–11, 12–16, 17+; ages 3–4 use the Pre-K Quick Screen.

Answer key

A 4-year-old is referred. What do you run?: The Pre-K Quick Screen, not a compressed 5–7 protocol. Document functional observations, provide simple activities or accommodations, refer if any ocular trigger is present, and set a re-check date. Forcing the school-age battery produces data that will not hold.
The student left glasses at home. Do you proceed?: You may proceed only if you record it as a validity threat and treat every result as provisional; otherwise reschedule. Never write present levels from an uncorrected session without stating the condition explicitly.

Watch-outs

Chronological age selects the band, not grade placement or perceived ability. Deviating from that is a fidelity break.