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1 Joseph Oakley Head of ExaminationsLead/Senior Assessor

2 Objective By the end of this presentation, you will have a broad understanding of the structure and content of the Scheme for Registration

3 The professional membership body for optometry in the UK Provides targeted support, guidance and development opportunities to all members Supports optometrists throughout their career – from undergraduate, through the Scheme for Registration to the highest professional levels. WHO ARE WE?

4 Final Assessment Stage 1 Assessment Stage 2 Assessment YOUR JOURNEY Supervised Practice – 2 years 3 months (max) or 4 attempts at the OSCE



7 Final Assessment Supervised Practice Stage 1 Assessment Stage 2 Assessment WHO ARE WE?


9 Reasonable adjustments If you feel that you may need reasonable adjustments making to your exam e.g. 25% extra time due to dyslexia: –Complete the Reasonable Adjustments form on the College website FAIR ASSESSMENT

10 Be prepared Meet your supervisor Familiarise yourself with the practice Read the handbook Get a record card / plan your routine Local referral and shared care Product knowledge Get your books out / practical skills Pre-reg Buddy BEFORE YOU START IN PRACTICE


12 STAGE 1 - What does the assessment involve? How can I effectively prepare for the assessment? - How do I go about providing evidence against a competency? - What is the dispensing/refraction logbook? - What does the hospital experience involve?

13 Final Assessment Stage 1 Assessment Stage 2 Assessment STAGE 1 Supervised Practice

14 6 – 8 month flexible process 3-5 visits Formative Receive constructive feedback 75 elements of competence (GOC) Provide evidence or demonstrate competence against each competency Each assessment lasts around 3 hours Same assessor Patients from own practice/hospital STAGE 1 – WHAT DOES IT INVOLVE?

15 BEFORE THE ASSESSMENT Check Assessment plan and Assessment framework in the trainee handbook or on websitewebsite Reflect on the evidence you are going to present for each element Go through the patient records you want to submit and pre-empt possible discussion topics Ask your supervisor or colleagues to observe you performing the direct observation tasks and to discuss the records with you STAGE 1 – PLANNING FOR VISIT 1

16 STAGE 1 – PLANNING FOR VISIT 1 How did you prepare for Stage 1 assessments? Results from online survey of 46 respondents

17 STAGE 1 – TWO OTHER THINGS TO CONSIDER 1. Logbook 2. Hospital placement logbook

18 Plan for assessments carefully and thoroughly using the Trainee handbook and College website Be organised – get your records prepared and practise excellent record keeping Rehearse performing procedures and discussing your records with your supervisor and colleagues Don’t shy away from more challenging cases – be proactive to gain the breadth of experience required (e.g. RGP lenses) Continue revising theory using university notes/textbooks Set up a productive working relationship with your supervisor and assessor Be reflective about your practice – heed and act on constructive feedback Refract and dispense little and often Organise your HES or community practice experience early on STAGE 1 – TOP TIPS TO SUCCESS

19 PLENARY 2 Ways to prepare for your first Stage 1 assessment Characteristics of Stage 1 assessments e.g. how long an assessment lasts New things you have learnt so far

20 Final Assessment Supervised Practice Stage 1 Assessment Stage 2 Assessment STAGE 2

21 STAGE 2 - What does the assessment involve and how does it differ from Stage 1? - How can I effectively prepare for the assessment?

22 STAGE 2 – WHAT DOES IT INVOLVE? Single assessment Summative Assesses the overarching groups of competence e.g. BV as a group, Dispensing as a group. Routine and Soft CL fitting/aftercare / Case-based discussion Lasts between 3 – 4 hours New assessor (each time) Mystery patients Can resit (if required) Receive constructive feedback (if unsuccessful)

23 STAGE 2 – TOP TIPS TO SUCCESS Plan for assessments carefully and thoroughly using the Trainee Handbook and College website Rehearse your routine with your supervisor and colleagues observing you in timed conditions Rehearse contact lens fitting and aftercare with your supervisor and colleagues observing you in timed conditions Be reflective about your records and practice and act on advice from your supervisor and colleagues Keep your reading and theory up to scratch


25 PLENARY 3 – TRUE OR FALSE? 1.Stage 2 assessments are done by the same assessor as Stage 1 2.You can resit Stage 2 if you fail 3.The assessment lasts about 2 hours 4.You will know the patient in your Stage 2 assessment 5.You have to do a routine eye test and an RGP contact lens fitting and aftercare at Stage 2

26 Final Assessment Supervised Practice Stage 1 Assessment Stage 2 Assessment OSCE – WHAT DOES IT INVOLVE?

27 OSCE - What does OSCE mean? - Why do we use the OSCE format? - How does the OSCE fit in to the SfR? - What does the OSCE test? - What does an OSCE circuit look like? - How can I prepare for the OSCE?

28 OSCE?OSCE? Objective Structured Clinical Examination The Organisation for Security and Co-operation in Europe? Office Scan Corporate Edition? Office of Strategic CrimE? OSCE – WHAT DOES IT MEAN?

29 Objective Structured Clinical Examination Minimises examiner bias Same assessment experience for everyone Tests important practical/clinical skills Performed in test conditions - Allows us to test a range of practical skills in an objective and fair way - Allows 16 different pairs of eyes to assess you – the more eyes, the better the assessment - Allows us to perform a final sample of competencies from across the WBA - Recognised as an effective and reliable assessment method especially when used in conjunction with other forms of assessment (i.e. WBA) OSCE – WHY USE THIS FORMAT?

30 History Taking, including diagnosis Communication Skills Data Interpretation Clinical Examination and Practical Skills OSCE – WHAT DOES IT TEST?

31 Skill Communication Elements of Competence 6.1.2. Interprets and investigates the presenting symptoms of the patient. 6.1.5. Recognises common ocular abnormalities and refers when appropriate. 1.1 The ability to communicate effectively with a diverse group of patients with a range of optometric conditions and needs 1.2 The ability to impart information in a manner which is appropriate to the recipient Condition Posterior vitreous detachment OSCE – EXAMPLE STATION


33 What does an OSCE look like? Candidate Entrance 8 9 10 11 12 1314151617 123 4 5 6 7 OSCE – THE CIRCUIT


35 It’s a long way off, so don’t worry about this now! - Keep calm - Be confident - Be organised - Read through notes (uni, Stage 1, Stage 2, webiste, handbook) - Interpret pictures - Practise those everyday practical skills little and often - Practise communicating different conditions - Practise communicating and performing tasks in 5 minute windows - Imagine possible scenarios using the elements of competence OSCE – HOW CAN I PREPARE?

36 MCOptom



39 IT IS CHALLENGING BUT YOU CAN DO IT! Find a pre-reg buddy locally to talk to about the Scheme Maintain a healthy work-life balance Study little and often to avoid cramming Budget well Seek advice and support when needed Stay organised Keep calm Don’t panic! HOW DO I SURVIVE?

40 Joseph Oakley – Head of Examinations E: T: 020 7766 4367 Lee Rolls – Trainee Services Co-ordinator E: T: 020 7766 4365 Ruth Brough – Lead Assessor E: T: 020 7766 4382 Visit the website! PS... If you are currently on a Tier 4 visa and would like to do your pre- reg in the UK, stay behind at the end totalk to us! MCOptom

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