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Examinations

The Royal College of Ophthalmologists Examinations form an important part of the assessment of trainees during OST. The old three-part MRCOphth and final fellowship assessment has been replaced by a two-part FRCOphth examination. There is also a stand-alone examination in Practical Refraction.

The OST Assessment Blueprint shows which Learning Outcomes are assessed by these examinations but in summary:

Part 1 FRCOphth

This examination is blueprinted on Year 1 and Year 2 Learning Outcomes. Trainees must pass this examination in order to progress from Year 2 OST to Year 3 OST. The examination assesses the following LO:

For details of the syllabus and assessments used in this examination please visit the Examinations section of the main College website.

Refraction Certificate

This examination must be passed by an OST trainee before the end of Year 3. The examination assesses the following LO:

  • Practical skills PS2 (refraction)
  • Basic and clinical sciences BCS6 (optics)
  • Communication C1, 2, 12

The assessment consists of a 12 station Objective Structured Clinical Examination (OSCE). Six of these stations are retinoscopy stations during which candidates will examine three patients, performing retinoscopy on each eye.

The examination will include:

  • Retinoscopy
  • Subjective refraction
  • Measurement of BVD
  • Muscle balance tests
  • Accommodative power
  • Prescription of distance glasses
  • Prescription of reading glasses
  • Measurement of IPD

And will require an understanding of

  • Decentration of lenses and prismatic effect
  • Best form lens
  • Prescribing multifocal lenses

For details of the syllabus and assessments used in this examination please visit the Examinations section of the main College website.

Part 2 FRCOphth

This examination is blueprinted on the entire OST Curriculum.

OST trainees must pass the examination by the end of Year 7 – even if all other assessments are passed, a Certificate of Completion of Training (CCT) cannot be awarded without successful completion of this exam.

For details of the syllabus and assessments used in this examination please visit the Examinations section of the main College website.