THEMES What the Ophthalmologist is able to do How the Ophthalmologist approaches their practice The Ophthalmologist as a professional
(Technical Intelligences) (Intellectual Intelligences) (Emotional Intelligences) (Analytical and Creative Intelligences) (Personal Intelligences)
DOMAINS OF CLINICAL PRACTICE 1) Clinical Assessment2) Patient Investigation3) Patient Management4) Practical Skills5) Surgical Skills6) Health Promotion/Disease Prevention7) Communication8) Information Handling9) Basic & Clinical Sciences10) Attitudes, Ethics & Responsibilities11) Decision Making, Clinical Reasoning & Judgment12) Role in Health Service13) Personal Development
LEARNING OUTCOMES CA1 Clinical history PI1 Orthoptic assessment PM1 Management planning PS1 Visual impairment SS1 Surgical skills HPDP1 Screening C1 Develop rapport IH1 Learning resources BCS1 Anatomy AER1 Compassion DMCRJ1 Evidence-based approach HS1 Health service provision CPD1 Reflects
CA2 Assess vision PI2 Corneal assessment PM2 Prioritising PS2 Refraction SS2 Operating microscope HPDP2 Infection control C2 Communicate effectively IH2 Records BCS2 Physiology AER2 Autonomy DMCRJ2 Quality improvement HS2 Clinical governance CPD2 Limits
CA3 Confrontation fields PI3 Retina/optic nerve imaging PM3 Use of drugs PS3 Drugs SS3 Aseptic technique HPDP3 Notification/contact tracing C3 Deliver information IH3 Guidelines BCS3 Biochemistry and cell biology AER3 Considerate approach DMCRJ3 Personal audit HS3 Good Medical Practice CPD3 Self-learning
CA4 Amsler PI4 Angiography PM4 Listing for surgery PS4 IV SS4 Cataract surgery HPDP4 Prevention of eye injury C4 Sources of Information IH4 Portfolio BCS4 Pathology AER4 Empathy DMCRJ4 Research HS4 Multidisciplinary teams CPD4 Uncertainty
CA5 External examination PI5 Ultrasonography PM5 Pre-assessment PS5 Local Anaesthesia SS5 Glaucoma surgery HPDP5 Disease risk reduction C5 Consent IH5 IT BCS5 Growth and senescence AER5 Confidentiality DMCRJ5 Management HS5 Leadership CPD5 CPD
CA6 Pupils PI6 Radiology/neuroimaging PM6 Monitoring progress PS6 Diathermy SS6 Repair trauma HPDP6 Contact lens care C6 Bad news IH6 Referrals BCS6 Optics AER6 Limits HS6 Safeguarding CPD6 Career development
CA7 Motility PI7 Electrophysiology PM7 Complications PS7 Cryotherapy SS7 Lid surgery HPDP7 Diagnostic contact lens care C7 Communication barriers IH7 Waiting lists BCS7 Clinical ophthalmology AER7 Help HS7 Community CPD7 Personal health
CA8 IOP measurement PI8 Biochemistry PM8 Emergencies/Basic Life Support PS8 Lacrimal function SS8 Ocular surface protection HPDP8 Avoidance of allergens C8 Non-verbal communication IH8 Databases BCS8 Therapeutics AER8 Multi-source feedback HS8 Research
CA9 Slit lamp PI9 Blood tests PM9 Anaphylaxis/resuscitation PS9 Paracentesis SS9 Lateral canthotomy/lysis HPDP9 Promote immunisation C9 Complaints IH9 Incident reporting BCS9 General AER9 Appraisal and revalidation HS9 Teaching
CA10 Fundus examination PI10 Histopathology PM10 Visual standards PS10 Corneal scrape SS10 Biopsy HPDP10 Tests/drugs in pregnancy C10 Inter-professional communication BCS10 Psychology AER10 Ethical approach HS10 Management
CA11 General medical PI11 Microbiology PM11 Support/certification PS11 Corneal foreign body SS11 Temporal artery biopsy HPDP11 Bone protection C11 Record keeping BCS11 Sociology AER11 Probity
CA12 Paediatric / developmental PI12 Biometry PM12 Referral PS12 Punctal occlusion SS12 Muscle surgery HPDP12 Prophylaxis C12 Write/dictate letters BCS12 Laser AER12 Duties of a Doctor
CA13 Neuro examination PI13 Visual fields PM13 Systemic implications PS13 Removal of sutures SS13 Eye removal C13 Operating list BCS13 Epidemiology/evidence-based medicine AER13 Data protection
CA14 Neck examination PI14 Immunology PM14 Spectacle lenses PS14 Bandage contact lens SS14 Lens capsule C14 Planning leave BCS14 Instruments AER14 Human tissue
CA15 Skin / joints examination PI15 Urinalysis PM15 Contact lenses PS15 Botulinum toxin SS15 Laser for raised IOP BCS15 Statistics AER15 Safeguarding
CA16 Differential diagnosis PI16 Bone scans PM16 Refractive surgery PS16 Corneal glue SS16 Retinal laser BCS16 Genetics AER16 Prioritisation
PM17 Laser treatment PS17 Ultrasonography BCS17 Economics
PM18 Diet and nutrition PS18 Lid hygiene
PS19 Aqueous/vitreous
PS20 Blood culture
PS21 Hand hygiene
PS22 Ocular irrigation
PS23 Prepare biopsy
PS24 Forced duction test
PS25 Biometry skills