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CA1 Conduct a Consultation • Apply the communication skills you acquired in • Take a comprehensive history, including risk factors • Take a focused history, capturing all the WBA template CRS CA1
your previous training to the ophthalmic patient and for disease. information necessary relating to areas of
their relatives/carers. • Check you have accurately identified the patient’s abnormality or concern.
• Utilise aids to history-taking, e.g. questionnaires, concerns and revisit history-taking as necessary. • Involve patients in the understanding of their
etc. • Make special considerations for individual patients, management or monitoring plan as appropriate,
• Establish good rapport and display sensitivity to taking into account the nature of the problem and its and know when to involve their carers.
the patient's concerns. potential management. • Apply skills in conflict resolution.
• Communicate in a caring and compassionate • Direct patients to other sources of information and
manner. support as appropriate.
• Make special considerations for individual patients
by modifying your communication technique.
Books & Journals Oxford Handbook of Ophthalmology (3rd edition). AKO Denniston, P Murray. Oxford University Press 2014
The Complete Guide to Ocular History Taking. Ledford JK. Slack Publishing 1999
Books & Journals Oxford Handbook of Ophthalmology (3rd edition). AKO Denniston, P Murray. Oxford University Press 2014
Books & Journals Oxford Handbook of Ophthalmology (3rd edition). AKO Denniston, P Murray. Oxford University Press 2014
American Academy of Ophthalmology. Basic and Clinical Science Course (2016-2017). Session 5: Neuro-
Ophthalmology
Ophthalmology: Investigation and Examination Techniques. James B, Benjamin L. Elsevier 2007. Chapter 7:
Testing the visual field
CA6 Pupils • Assess the pupil for abnormalities of size, shape • Understand abnormalities of pupil size, shape and WBA template CRS CA6
and reactions. reactions
• Test for a relative afferent pupillary defect. • Understand the reflexes upon which they are based,
including a relative afferent pupillary defect.
CA6 Pupils
Anisocoria https://portal.e-lfh.org.uk/Component/Details/506216
Books & Journals Oxford Handbook of Ophthalmology (3rd edition). AKO Denniston, P Murray. Oxford University Press 2014
Neuro-Ophthalmology Review Manual (7th Edition). LB Kline, R Foroozan. SLACK Incorporated 2012
Kanski
Walsh and Hoyt’s Clinical Neuro-ophthalmology: The Essentials (3rd edition). N Miller, PS Subramanian, VR
Patel. Lippincott Williams and Wilkins 2015
CA8 IOP • Measure and record the intraocular pressure (IOP) • Measure IOP using a slit lamp-mounted Goldmann WBA template CRS CA8
accurately using a variety of applanation techniques. applanation tonometer.
• Correctly check the calibration of the tonometer. • Understand the limits of each different technique,
and be able to avoid potential errors.
• Understand the results of intraocular pressure (IOP)
measurements.
CA8 IOP
Books & Journals Oxford Handbook of Ophthalmology (3rd edition). AKO Denniston, P Murray. Oxford University Press 2014
Kanski
CA9 Slit lamp • Perform slit lamp biomicroscopy of the eye and • Understand the signs identified whilst performing • Interpret the signs identified whilst performing slit WBA template CRS CA9
adjacent structures using appropriate illumination slit lamp biomicroscopy of the eye and adjacent lamp biomicroscopy of the eye and adjacent
techniques and stains. structures. structures.
• Elicit the common signs and record them. • Employ all of the functions of the slit lamp and use • Use relevant diagnostic contact lenses.
• Know how to care for the slit lamp and associated accessory equipment when indicated.
equipment including diagnostic contact lenses, and
prevent cross infection.
CA10 Fundus examination • Perform binocular fundus examination using a • Understand the signs identified whilst performing • Interpret the signs identified whilst performing WBA template CRS CA10
variety of lenses with the slit lamp. binocular fundus examination. binocular fundus examination.
• Elicit the common signs and record them. • Employ all the functions of the slit lamp and use • Know the alternative ways of performing
• Know how to care for the slit lmap and associated accessory equipment when indicated. fundoscopy and when they are indicated.
equipment including diagnostic contact lenses, and
prevent cross infection.
CA11 General medicine • Recognise an acutely unwell patient and escalate • Be aware of common medical conditions that may WBA template CRS CA11
appropriately. present with acute ophthalmic pathology.
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PI3 Retinal imaging • Know the investigations that can be used to image • Know the indications for the investigations that can WBA template DOPS PI3
the retina. be used to image the retina.
• Care for the equipment and know how to prevent • Explain the benefits and limitations of a variety of
cross infection. techniques.
• Calibrate the equipment and record the findings. • Select the most appropriate technique.
• Take consent for the investigation using an • Recognise when further investigations may be
appropriate method. required, and which to request or perform.
• Perform the investigation safely using a variety of
techniques and in a range of situations.
• Understand the various settings on the device and
select the appropriate ones to use.
• Recognise errors in the results, their sources, how
to correct them, and when the test needs to be
repeated.
• Record the results accurately.
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Books & Journals Duker JS, Waheed NK, Goldman DR. Handbook of Retinal OCT: Optical Coherence Tomography. Elsevier
2014
Anaemia https://portal.e-lfh.org.uk/Component/Details/506585
Haemophilia https://portal.e-lfh.org.uk/Component/Details/506597
PI12 Biometry knowledge • Know the investigations relevant for cataract • Know the indications for the investigations relevant • Understand the results of the investigations WBA template CRS PI12
surgery, including biometry, autorefraction, for cataract surgery, and how to select the most relevant for cataract surgery, including
focimetry, keratometry, topography and A-scan appropriate tests. measurements of corneal shape.
ultrasonography. • Understand the different types of refractive errors, • In patients who have had previous corneal disease
• Know how and when to request contact and non- their implications for vision including binocularity, or refractive surgery, perform the necessary
contact biometry. and options for optical correction. investigations, adjusting the techniques, settings
• Understand the medicolegal requirement for • Understand how different ocular pathologies and and formulae appropriately, in order to provide a
recording calibration of the instruments. situations can affect the results of the investigations, series of refractive options for the surgeon.
• Understand the role of gates and cursors. and how this can be addressed. • In patients undergoing surgery to the cornea or
• Recognise an error in the biometry result and • Recognise when further investigations may be other structures at the same time as cataract
identify when it may need to be repeated. required, and which to request. surgery or in the future, adjust calculations and
• Understand the value of the different formulae • Adjust calculations and formulae for complex formulae appropriately.
that can be used to calculate the power of the lens intraocular lens options or combinations, including • Understand the value of analysing personal, unit
to be implanted. those addressing astigmatism or presbyopia. and national outcome data following cataract
• Know how contact lens wear can affect the • Understand the importance of auditing biometry surgery, and performing research in associated
cornea and the accuracy of biometry outcomes in improving refractive results and patient fields.
satisfaction following cataract surgery. • Teach and supervise a less experienced eye care
worker to become competent in performing one
biometry technique.
Electronic resources
PI18 Focimetry & • Know the investigations that can be used to assess • Understand the types of refractive error and how • Interpret, explain and act on the results of WBA template DOPS PI18
autorefraction the refraction of an eye and the prescription of a these may be corrected by spherocylindrical spectacle autorefraction and focimetry, and be able to
patient's glasses. lenses. compare the results of both.
• Care for the equipment and know how to prevent • Know the indications for the assessment of the • Understand how the results may impact on or be
cross infection. refraction of an eye and the prescription of a patient's used with the results of other investigations,
• Calibrate the equipment and record the findings. glasses. including biometry and measurements of corneal
• Take consent for the investigation using an • Explain the benefits and limitations of a variety of shape.
appropriate method. techniques for assessing refraction. • Understand how results and patient satisfaction
• Perform the investigation safely using a variety of • Select the most appropriate technique. can be improved using methods such as feedback,
techniques and in a range of situations. • Use data from a patient's autorefraction to measure audit and research.
• Understand the various settings on the devices their corrected visual acuity with a trial frame and • Teach and supervise a less experienced eye care
and select the appropriate ones to use. lenses. worker to become competent in performing
• Recognise errors in the results, their sources, how • Recognise when further investigations may be techniques for both autorefraction and focimetry.
to correct them, and when the test needs to be required, and which to request or perform.
repeated.
• Record the results accurately.
Electronic resources
PI19 Disc & Optic Nerve • Know the investigations that can be used to image • Know the indications for the investigations that can WBA template DOPS PI19
imaging the optic disc and nerve. be used to image the disc and optic nerve.
• Care for the equipment and know how to prevent • Explain the benefits and limitations of a variety of
cross infection. techniques.
• Calibrate the equipment and record the findings. • Select the most appropriate technique.
• Take consent for the investigation using an • Recognise when further investigations may be
appropriate method. required, and which to request or perform.
• Perform the investigation safely using a variety of
techniques and in a range of situations.
• Understand the various settings on the device and
select the appropriate ones to use.
• Recognise errors in the results, their sources, how
to correct them, and when the test needs to be
repeated.
• Record the results accurately.
Electronic resources
PM1 Management Plan • Formulate a management plan following specific • Formulate a management plan based upon clinical EPA
protocols. assessment and, where appropriate, the results of
• Recognise when the management plan falls outside relevant investigations in accordance with relevant
the protocols. guidelines or protocols.
• Know how to obtain more experienced assistance. • Understand the risks and benefits of different
treatment options, and be able to discuss these
with the patient and their carers.
• Know the limitations and cost implications of each
investigation.
• Recognise when the management plan involves a
level of expertise that is beyond your own
competence and where more experienced
assistance is required.
• Demonstrate that you can manage a session (eg:
preassessment clinic, clinic assessing low risk
patients, emergency triage session) as the senior
clinician, being responsible for the safe and efficient
management of all patients and staff.
Electronic resources
PM3 Use of drugs • Know the medications used pre-operatively in the • Understand the indications for medications used • Recommend the use of appropriate medication WBA template DOPS PM3
preparation of patients for cataract surgery, pre-operatively in the preparation of patients for pre-operatively in the preparation of patients for
including topical anaesthetic agents and topical cataract surgery, including topical anaesthetic agents cataract surgery, including topical anaesthetic
mydriatic agents. and topical mydriatic agents. agents and topical mydriatic agents.
• Know the medications used intra-operatively • Understand the indications for using drugs intra- • Recommend the use of appropriate post-operative
during cataract surgery, including intracameral operatively during cataract surgery, including medications following cataract surgery, including
mydriatic agents, intracameral and subconjunctival intracameral mydriatic agents, intracameral and topical antibiotic therapy and topical steroid
antibiotic therapy, and intracameral and subconjunctival antibiotic therapy, and intracameral therapy.
subconjunctival steroid therapy. and subconjunctival steroid therapy. • Identify when additional medication is required to
• Know the medications used post-operatively • Understand the indications for medications used manage post-operative complications of cataract
following cataract surgery, including topical post-operatively following cataract surgery, including surgery, including the use of peri-ocular and intra-
antibiotic therapy, topical steroid therapy, and topical antibiotic therapy, topical steroid therapy, and ocular steroid injections, and topical and systemic
topical and systemic intra-ocular pressure control. topical and systemic intra-ocular pressure control. intra-ocular pressure control.
Drugs cannot be prescribed unless the Drugs cannot be prescribed unless the "Independent Drugs cannot be prescribed unless the
"Independent Prescriber" qualification is held. Prescriber" qualification is held. "Independent Prescriber" qualification is held.
Anticoagulants https://portal.e-lfh.org.uk/Component/Details/506801
Steroids https://portal.e-lfh.org.uk/Component/Details/506807
PM5 Pre-assessment • Know how to take and record past medical history, • Be able to identify features within past medical • Understand how past medical history, past ocular WBA template CbD
past ocular history and medication history. history, past ocular history and medication history history and medication history can influence
• Know how to measure blood pressure, capillary which may impact on cataract surgery and inform the cataract surgery and know how the care of a patient
blood sugar and perform ECG. operating team as appropriate. undergoing cataract surgery may vary as a result of
• Know how to obtain INR results where • Be able to identify abnormal blood pressure, this.
appropriate. capillary blood sugar and INR results which may • Be able to refer patients for further ophthalmic or
impact on cataract surgery and inform the operating anaesthetic review prior to listing for cataract
team as appropriate. surgery where appropriate.
Electronic resources
PM7 Complications • Know the common complications or side-effects of • Be able to manage common complications or side- • Recognise when complications occur and respond WBA template CbD
treatment and be able to identify these in an effects of treatment in accordance with published appropriately with the clinical team in accordance
appropriate and timely manner. protocols in an appropriate and timely manner. with the duty of candour.
• Know how and when to refer patients for further • Know how and when to refer patients for further • Be aware of local and national average
management of complications or side-effects of management of complications or side-effects of complications rates for relevant procedures and
treatment. treatment when this falls outside pre-agreed operations, and be alert to these rates being
• Inform the patient, and when appropriate their protocols. exceeded.
carer, partner or relatives, in an honest, open and • Understand the management of cluster of
sensitive manner in accordance with local and incidents such as infections.
national clinical governance arrangements. • Recognise when complications occur at a higher
• Comply with local and national arrangements for than expected frequency and how this can be
critical incident reporting. investigated.
• Participate in clinical audit and governance locally,
and at regional and national levels where
appropriate. Write up and submit such an audit
with a full cycle, in which you have been involved.
• Understand what constitutes a serious clinical
incident, and how it is reported and acted upon.
PM8 Emergencies & basic • Know the national and local Basic Life support Current BLS and mandatory
life support (BLS) guidelines and treatment algorithm. training certificate
• Be able to recognise and initiate management of
medical emergencies and offer first aid or Basic Life
Support until expert help arrives.
• Be able to recognise when the patient’s condition
requires further medical care or intervention and
ask for the appropriate assistance in an appropriate
timescale.
• Be able to recognise anaphylaxis and ask for
appropriate help where necessary.
Anaphylaxis https://portal.e-lfh.org.uk/Component/Details/506963
PM10 Visual standards • Know the DVLA visual requirements for holding a • Consider how vision may impact upon driving or • Understand the different techniques that are WBA template CRS PM10
class 1 driving license and be able to explain these other relevant occupational standards e.g. pilots, involved in assessing vision for comparison with
to a patient. police, forces, etc. standards, and how these may differ from common
• Be aware that there are additional requirements • Know your responsibilities and those of the patient clinical assessment methods, e.g. Goldmann and
for other licenses (e.g. HGV / pilot licenses) and when identifying that a patient’s vision is below a Esterman visual fields.
where to find further information about these. relevant standard. • Understand the limitations of visual assessments,
• Advise patients on the process of informing the and the practical difficulties in performing the tests
DVLA and/or occupational health department of their accurately.
employers about their visual status and the potential
outcomes.
Electronic resources Driver and Vehicle Licensing Agency: Visual disorders- https://www.gov.uk/guidance/visual-disorders-assessing-fitness-to-drive
Assessing Fitness to Drive Guidelines
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PM13 Systemic implications • Consider the patient holistically, rather than • Be able to recognise common systemic disorders • Make appropriate arrangements for further WBA template CbD
simply focussing on their ophthalmic problem associated with relevant ocualr conditions, eg: review and management of patients with systemic
alone. cardiovascular disease, metabolic disorders, disorders.
• Know the common systemic disorders associated neurological disorders, inflamatory disease.
with relevant ocular conditions, eg: cardiovascular
disease, metabolic disorders, neurological disorders,
inflamatory disease.
CREST https://portal.e-lfh.org.uk/Component/Details/506999
Electronic resources
PM15 Contact lenses • Know the advantages and disadvantages of the WBA template CbD
use of contact lenses.
PM17 Lens capsule • Know the natural history of posterior capsular • Understand the benefits and risks of laser posterior • Identify patients in whom YAG posterior WBA template DOPS PM17
opacification and be able to describe this to a capsulotomy and be able to take informed consent. capsulotomy might be appropriate.
patient. • Identify patients who might be at increased risk
• Know the symptoms of posterior capsular from laser capsulotomy.
opacification. • Demonstrate appropriate use of topical
medication pre- and post-procedure.
• Know how to identify complications of treatment
and understand management of these, including
seeking help urgently where necessary.
PS4 Intravenous access • Know the indications for venous blood sampling • Be able to recognise problems with intravenous WBA templates DOPS PS4
and venous cannulation, and be able to explain this access and suggest appropriate remedial action.
to a patient.
• Know the risks and potential complications of
intravenous access.
Electronic resources BMJ Learning: Basic practical skills: venepuncture and http://learning.bmj.com/learning/module-intro/venepuncture-phlebotomy.html?moduleId=10033877
phlebotomy (subscription required)
PS18 Lid hygiene • Explain and demonstrate the use of lid hygiene to WBA templates DOPS PS18
a patient with lid margin disease.
PS18 Lid hygiene
PS21 Hand hygiene • Reduce the risk of cross infection by adopting the Incorporated in all DOPS
correct technique of hand cleaning and maintaining
hand hygiene.
• Understand and apply local and national hand
hygiene policies.
HPDP5 Disease risk reduction • Always take opportunities to educate patients to WBA template CbD/ e-Portfolio
enable them to maintain health and reduce risks of
ophthalmic and systemic diseases.
• Understand systemic risk factors associated with
ophthalmic diseases.
• Give advice on risk reduction strategies pursued in
general practice e.g. hypertension, cholesterol,
weight control, exercise, etc.
• Be aware of smoking cessation services in hospital
and in community and how to access these
programmes.
HPDP7 Diagnostic contact lens • Understand the use of diagnostic contact lenses WBA template CbD/ e-Portfolio
care (B2) and how they should be cleaned and cared for.
HPDP10 Tests & drugs in • Be aware of how pregnancy can alter the eye WBA template CbD/ e-Portfolio
pregnancy health, systemic health and treatment effectiveness.
HPDP12 Prophylaxis • Know the risk factors for the development of • Understand how risk factors for the development of • Identify modifiable risk factors for relevant WBA template CbD/ e-Portfolio
relevant disorders (and injuries for A&E). relevant disorders (and injuries for A&E) may be disorders (and injuries for A&E) in a patient and
• Know the risk factors for infection post- modified. make recommendations how risk can be reduced.
intervention. • Understand how risk factors for infection post- • Identify modifiable risk factors for infection post-
intervention may be modified. intervention and make recommendations for how to
reduce risks as appropriate.
CS1 Develop rapport • Establish a trusting relationship with a patient, • Establish a trusting relationship with a patient, their • Establish a trusting relationship with a patient, WBA template CRS CA1
their carers and relatives. carers and relatives. their carers and relatives.
• Recognise when there could be problems with • Recognise when there could be problems with • Recognise when there could be problems with
establishing rapport and make attempts to mitigate establishing rapport and make attempts to mitigate establishing rapport and make attempts to mitigate
possible effects on the clinical relationship. possible effects on the clinical relationship. possible effects on the clinical relationship.
Electronic resources
CS2 Communicate • Communicate effectively and sensitively with • Communicate effectively and sensitively with • Communicate effectively and sensitively with WBA template CRS CA1
effectively patients, relatives and carers in a variety of patients, relatives and carers in a variety of situations. patients, relatives and carers in a variety of
situations. • Ensure patients receive the information they situations.
• Ensure patients receive the information they require. • Ensure patients receive the information they
require. • Demonstrate active listening throughout require.
• Demonstrate active listening throughout consultations. • Demonstrate active listening throughout
consultations. • Explain matters in terms understood by a lay consultations.
• Explain matters in terms understood by a lay person. • Explain matters in terms understood by a lay
person. • Be sensitive during questioning. person.
• Be sensitive during questioning. • Be able to draw a consultation to a satisfactory • Be sensitive during questioning.
• Be able to draw a consultation to a satisfactory conclusion. • Be able to draw a consultation to a satisfactory
conclusion. conclusion.
Electronic resources
CS3 Deliver information • Deliver information clearly to a patient and, where • Deliver information clearly to a patient and, where • Deliver information clearly to a patient and, where WBA template CRS CA1
appropriate, their carers; this must include the appropriate, their carers; this must include the appropriate, their carers; this must include the
explanation of the process, investigations and explanation of the process, investigations and explanation of the process, investigations and
procedures being performed. procedures being performed. procedures being performed.
• Be sensitive to how information is given and how • Explain clearly a preliminary diagnosis if formulated, • Explain clearly a diagnosis if formulated, its
it is being received. and subsequent processes. implications, a management plan and subsequent
• Allow a patient to determine how much • Be sensitive to how information is given and how it processes.
information they want and how quickly it should be is being received. • Be sensitive to how information is given and how
shared. • Allow a patient to determine how much information it is being received.
• Provide information using appropriate terms and they want and how quickly it should be shared. • Allow a patient to determine how much
plain language, being sensitive to issues of ethnic, • Provide information using appropriate terms and information they want and how quickly it should be
gender and religious diversity. plain language, being sensitive to issues of ethnic, shared.
gender and religious diversity. • Provide information using appropriate terms and
plain language, being sensitive to issues of ethnic,
gender and religious diversity.
Electronic resources
CS5 Obtain valid consent • Recognise that consent is a process that may • Recognise that consent is a process that may • Recognise that consent is a process that may E-portfolio / Reflection
culminate in, but is not limited to, the completion of culminate in, but is not limited to, the completion of a culminate in, but is not limited to, the completion of
a consent form. consent form. a consent form.
• Obtain valid consent from the patient according to • Obtain valid consent from the patient according to
national and Trust guidelines, or from the parent in national and Trust guidelines, or from the parent in
the case of a minor. the case of a minor.
• Be aware of, and be able to respond to, the patient’s • Be aware of, and be able to respond to, the
level of understanding and mental state and how this patient’s level of understanding and mental state
may impair their capacity for informed consent (and and how this may impair their capacity for informed
also that of parents, relatives or carers where consent (and also that of parents, relatives or carers
appropriate). where appropriate).
CS6 Breaking bad news • Communicate potentially upsetting information in • Communicate potentially upsetting information in • Communicate potentially upsetting information in WBA template CRS CA1
an appropriate manner. This should include giving an appropriate manner. This should include giving the an appropriate manner. This should include giving
the patient time to ask questions in an appropriate patient time to ask questions in an appropriate the patient time to ask questions in an appropriate
environment. environment. environment.
• Provide information about appropriate support. • Provide information about appropriate support. • Provide information about appropriate support.
CS7 Mitigate • Communicate appropriately when there are • Communicate appropriately when there are • Communicate appropriately when there are WBA template CRS CA1
communication barriers language and other potential barriers to effective language and other potential barriers to effective language and other potential barriers to effective
communication. communication. communication.
• Recognise when normal communication may be • Recognise when normal communication may be • Recognise when normal communication may be
difficult because of problems of language, culture, difficult because of problems of language, culture, difficult because of problems of language, culture,
hearing impairment, age or mental state and make hearing impairment, age or mental state and make hearing impairment, age or mental state and make
provision during the consultation to mitigate the provision during the consultation to mitigate the provision during the consultation to mitigate the
impact of these problems on patient impact of these problems on patient communication. impact of these problems on patient
communication. communication.
CS8 Non-verbal • Understand the importance of your own non- • Understand the importance of your own non-verbal • Understand the importance of your own non- WBS template CRS CA1 / e-Portfolio / Reflection
communication verbal communication (body language), especially communication (body language), especially when you verbal communication (body language), especially
when you are under pressure, and how this may are under pressure, and how this may affect the when you are under pressure, and how this may
affect the patient. patient. affect the patient.
• Be aware of non-verbal clues from patients and • Be aware of non-verbal clues from patients and • Be aware of non-verbal clues from patients and
carers and respond appropriately. carers and respond appropriately. carers and respond appropriately.
CS9 Respons to complaints • Understand and comply with guidance on • Understand and comply with guidance on • Understand and comply with guidance on WBA template CbD / e-Portfolio / Reflection
complaints from the Trust and other professional complaints from the Trust and other professional complaints from the Trust and other professional
bodies. bodies. bodies.
• Be aware of and comply with local guidance in the • Be aware of and comply with local guidance in the • Be aware of and comply with local guidance in the
management of errors and complaints regarding management of errors and complaints regarding management of errors and complaints regarding
clinical services or professional practice. clinical services or professional practice. clinical services or professional practice.
• Be open with patients and colleagues when errors • Be open with patients and colleagues when errors • Be open with patients and colleagues when errors
or complaints have arisen. or complaints have arisen and participate in giving a or complaints have arisen and provide a full and
• Respond to any complaint about your clinical full and frank explanation. frank explanation, taking particular care to ensure
practice in a sensitive and professional manner and • Respond to any complaint about your clinical that all possible ameliorating measures are taken
ensure that the clinical care of the patient is not practice in a sensitive and professional manner and and explained.
compromised. ensure that the clinical care of the patient is not • Respond to any complaint about your clinical
• Respond appropriately to complaints about the compromised. practice in a sensitive and professional manner and
clinical practice of other health service professionals • Respond appropriately to complaints about the ensure that the clinical care of the patient is not
in a sensitive and professional manner. clinical practice of other health service professionals compromised.
• Document these incidents in the e-Portfolio. in a sensitive and professional manner. • Respond appropriately to complaints about the
• Document these incidents in the e-Portfolio. clinical practice of other health service
professionals in a sensitive and professional
manner.
• Document these incidents in the e-Portfolio.
CS10 Interprofessional • Communicate succinctly and effectively with other • Communicate succinctly and effectively with other • Communicate succinctly and effectively with other E-portfolio / Reflection
communication professionals as appropriate. professionals as appropriate. professionals as appropriate.
• Use verbal, written and electronic means of • Use verbal, written and electronic means of • Use verbal, written and electronic means of
communication. communication. communication.
• Respond to legitimate requests for information in • Respond to legitimate requests for information in a • Respond to legitimate requests for information in
a timely manner. timely manner. a timely manner.
CS11 Clinical record keeping • Keep accurate, succinct, contemporaneous and • Keep accurate, succinct, contemporaneous and • Keep accurate, succinct, contemporaneous and WBA template CRS CA1
legible clinical records. legible clinical records. legible clinical records.
• Ensure all relevant information is recorded • Ensure all relevant information is recorded following • Ensure all relevant information is recorded
following local and national guidelines. local and GMC guidelines. following local and GMC guidelines.
• Use appropriate, secure electronic records. • Use appropriate, secure electronic records. • Use appropriate, secure electronic records.
• Be aware of the security and patient • Be aware of the security and patient confidentiality • Be aware of the security and patient
confidentiality of every record. of every record. confidentiality of every record.
Electronic resources General Medical Council: Good Medical Practice 2013 http://www.gmc-uk.org/guidance/good_medical_practice/record_work.asp
– Record your work clearly, accurately and legibly
CS12 Write/dictate letters • Communicate through effective clear writing, • Communicate through effective clear writing, • Communicate through effective clear writing, WBA template CbD / e-Portfolio / Reflection
whether written by hand, electronically, dictated or whether written by hand, electronically, dictated or whether written by hand, electronically, dictated or
using templates. using templates. using templates.
CS14 Planning leave • Ensure adequate intra-departmental • Ensure adequate intra-departmental • Ensure adequate intra-departmental E-portfolio / Reflection
communication to ensure efficient service provision communication to ensure efficient service provision communication to ensure efficient service provision
especially with respect to planned and un-planned especially with respect to planned and un-planned especially with respect to planned and un-planned
leave and on-call work. leave and on-call work. leave and on-call work.
• Recognise the importance of planning annual, • Recognise the importance of planning annual, study • Recognise the importance of planning annual,
study and duty leave with sufficient notice. and duty leave with sufficient notice. study and duty leave with sufficient notice.
• Follow relevant departmental protocols in the • Follow relevant departmental protocols in the event • Follow relevant departmental protocols in the
event of un-planned leave. of un-planned leave. event of un-planned leave.
• Ensure adequate communication when • Ensure adequate communication when • Ensure adequate communication when Other forms of assessments:
responsibility for patients is handed over. responsibility for patients is handed over. responsibility for patients is handed over. e.g log
• Make yourself available if at all possible, in the • Make yourself available if at all possible, in the • Make yourself available if at all possible, in the book, reviews etc
interests of patient safety, in the event of interests of patient safety, in the event of interests of patient safety, in the event of
unpredictable
e-lf and unavoidable absences of unpredictable and unavoidable absences of unpredictable and unavoidable absences of
colleagues. colleagues. colleagues.
•Books
Plan &
your return to work after significant absence,
Journals • Plan your return to work after significant absence, • Plan your return to work after significant absence,
complying with national and local guidance. complying with national and local guidance. complying with national and local guidance.
Electronic resources British Medical Association: Junior doctors’ leave https://www.bma.org.uk/advice/employment/leave/juniors-leave
IH1 Learning resources • Access and use a full range of learning resources, WBA template CbD / e-Portfolio
including paper, electronic, web-based and specific
e-learning.
• Know what resources your patients might use and
guide them appropriately.
Electronic resources
IH2 Records • Use paper-based and/or electronic methods for WBA template CbD / e-Portfolio
recording and utilising clinical information.
• Follow local Information Governance protocols,
including patient confidentiality.
• Contribute to clinical data collection for any
appropriate national databases or local projects.
IH3 Guidelines • Follow local and national guidelines. • Understand how guidelines are generated, the • Contribute to the generation of local guidelines WBA template CbD / e-Portfolio
levels of evidence used, and how they are and protocols, and demonstrate this in your
differentially weighted. portfolio.
Understand how guidelines can influence your
practice. Other forms of assessments:
e.g log
book, reviews etc
IH3 Guidelines
Electronic resources National Institute for Health and Care Excellence https://www.nice.org.uk/guidance
(NICE) guidance
IH4 Portfolio • Use a portfolio for professional development. WBA template CbD / e-Portfolio
• Manage your portfolio according to guidance.
• Consider the important of maintaining a personal
portfolio throughout your career.
• Know how to write a reflective piece about a
positive or negative event and record this in your
portfolio.
Electronic resources
IH5 Information • Use information technology in your clinical WBA template CbD / e-Portfolio
technonogy practice and adhere to information governance.
• Use email and other electronic means of
communication effectively and appropriately.
• Engage with electronic patient record and data
storage methods.
IH6 Referrals • Contribute to appropriate management of waiting WBA template CbD / e-Portfolio
lists and other methods of managing access to
clinical services.
• Intervene when clinical care for a patient is put at
risk by inappropriate waiting list management.
IH8 Data bases • Contribute to appropriate local and national WBA template CbD / e-Portfolio
databases.
• Know how to use reports from these databases to
influence your clinical practice and assist in audit.
IH9 Incident reporting • Know the types of incidents which should be • Know what might be learned from critical Incidents, WBA template CbD / e-Portfolio
reported and how their severity can be categorised. and how that learning might be implemented.
• Know how to report an incident locally. • Know what steps can be taken to reduce the risk of
• Participate fully in the follow up of any critical Critical Incidents occurring.
incidents (or serioius untoward incidents) in which
you have been involved.
BCS1 Anatomy • Know the anatomy of the anterior segment of the • Recognise variations in the normal anatomy of the • Identify normal and abnormal anatomy in patients WBA template CbD / e-Portfolio
eye (including cornea, anterior chamber and lens), anterior segment of the eye (including cornea, and understand how this may affect the symptoms
and the structures contributing to axial length. anterior chamber and lens), and the structures and management of their condition.
• Apply this knowledge to clinical assessments and contributing to axial length. This should be both in
investigations used in patients with cataract. terms of normal variation within the population, and
variation due to previous disease, surgery or injury.
Electronic resources
BCS3 Biochemistry & cell • Understand the basic biochemistry and cell biology • Use knowledge of basic biochemistry and cell WBA template CbD / e-Portfolio
biology associated with common relevant ophthalmic biology when interpreting relevant clinical
disorders. symptoms, signs and investigations.
BCS3 Biochemistry & cell
biology
Electronic resources
BCS4 Pathology • Understand the basic pathology of common • Use knowledge of basic pathology when WBA template CbD / e-Portfolio
relevant ophthalmic disorders. interpreting clinical symptoms, signs and
investigations (including microbiology if relevant).
BCS5 Growth and senescence - • Understand the anatomical, physiological and • Understand how growth, development and WBA template CbD / e-Portfolio
developmental changes which occur during senescence affect symptoms, signs and investigation
embryogenesis, childhood and ageing in ophthalmic results in patients with relevant disorders.
patients with relevant disorders.
Electronic resources
BCS6 Optics & ultrasound • Have a basic knowledge of optics, ultrasound and • Use knowledge of optics, ultrasound and • Use knowledge of optics, ultrasound and WBA template CbD / e-Portfolio
electromagnetic wavelengths relevant to scope of electromagnetic wave lengths when undertaking electromagnetic wave lengths when interpreting
practice. clinical work and investigations. clinical symptoms, signs and investigations and
when relevant to the management of patients.
BCS7 Clinical ophthalmology • Understand the general principals of medicine and WBA template CbD / e-Portfolio
surgery relevant to scope of ophthalmic practice.
BCS8 Therapeutics • Know the routes by which drugs used in • Understand how the properties of a drug influence • Understand the principles of how combinations of WBA template CbD / e-Portfolio
ophthalmic practice can be administered. its absorption, distribution and clearance. drugs can be used together to compliment each
• Understand how the dose and frequency of • Understand how ocular medications can produce other and to minimise side effects.
administration of drugs relate to their effects. systemic effects, and how systemic medications can
produce ocular effects. Drugs cannot be prescribed unless the
Drugs cannot be prescribed unless the "Independent "Independent Prescriber" qualification is held.
Prescriber" qualification is held. Drugs cannot be prescribed unless the "Independent
Prescriber" qualification is held.
BCS10 Psychology • Understand the psychology of vision to a basic • Recognise when a patient’s mental state is WBA template CbD / e-Portfolio
standard, and its relevance to clinical practice. disturbed and make appropriate arrangements for
• Recognise factors that might affect the mental state, the patient’s care.
including discrimination or exclusion. • Understand how psychological problems can
• Understand the psychological impact of screening manifest as ophthalmic symptoms, and visual
for ophthalmic disease, for example in the context of deprivation can affect the psyche.
pre-existing systemic conditions e.g. diabetes.
BCS11 Sociology • Understand the relevance of medical sociology to • Understand how health inequalities impact on WBA template CbD / e-Portfolio
ophthalmic practice. ocular health and ophthalmic practice.
BCS13 Epidemiology & • Understand clinical epidemiology and evidence • Apply clinical epidemiology and evidence based WBA template CbD / e-Portfolio
evidence based based medicine relevant to ophthalmic practice. medicine when planning clinical management for a
medicine • Apply this knowledge when clinicalyl assessing a patient.
patinet and interpreting investigations. • Understand the influence of economic and
political considerations (both locally and globally)
on individual and community health.
BCS 14 Instruments • Know about instruments relevant to ophthalmic • Understand and apply knowledge of instrument • Know the limitations of technology and the risks WBA template CbD / e-Portfolio
practice. technology relevant to ophthalmic practice. involved in the use of instrument technology.
• Maintain an understanding of new developments
in relevant technologies.
BCS15 Statistics • Know about basic descriptive statistics relevant to • Understand and apply knowledge of statistics • Use knowledge of statistics relevant to ophthalmic WBA template CbD / e-Portfolio
ophthalmic practice. relevant to ophthalmic practice. practice in the interpretation, performance and
• Use knowledge of statistics relevant to ophthalmic publication of audit and research.
practice in the interpretation of audit and research.
AER1 Compassion • Be compassionate in your management of • Be compassionate in your management of patients. • Be compassionate in your management of E-portfolio / Reflection
patients. • Show understanding of suffering, kindness, caring patients.
• Show understanding of suffering, kindness, caring and a willingness to help. • Show understanding of suffering, kindness, caring
and a willingness to help. and a willingness to help.
AER3 Considerate appraoch • Show consideration, especially when managing • Show consideration, especially when managing • Show consideration, especially when managing E-portfolio / Reflection
people with physical disability, or visual impairment people with physical disability, or visual impairment people with physical disability, or visual impairment
or learning disability. or learning disability. or learning disability.
• Adopt an appropriate method of communication • Adopt an appropriate method of communication • Adopt an appropriate method of communication
and assist the patient with appropriate verbal and and assist the patient with appropriate verbal and and assist the patient with appropriate verbal and
physical support. physical support. physical support.
• Act as an advocate for the patient. • Act as an advocate for the patient. • Act as an advocate for the patient.
Electronic resources Royal National Institute for Blind People (RNIB) http://www.rnib.org.uk
website
AER4 Empathy • Show empathy to patients and colleagues. • Show empathy to patients and colleagues. • Show empathy to patients and colleagues. E-portfolio / Reflection
• Consider the impact of disfigurement and • Consider the impact of disfigurement and disability, • Consider the impact of disfigurement and
disability, including visual impairment, on the life of including visual impairment, on the life of patients disability, including visual impairment, on the life of
patients and their relatives. and their relatives. Make appropriate arrangements patients and their relatives. Make appropriate
• Be an advocate for those with visual impairment, for support. arrangements for support.
helping to combat the stigma potentially associated • Be an advocate for those with visual impairment, • Be an advocate for those with visual impairment,
with it. helping to combat the stigma potentially associated helping to combat the stigma potentially associated
• Be aware of individuals and agencies that might with it. with it.
provide support for professionals in difficulty. • Be aware of individuals and agencies that might • Be aware of individuals and agencies that might
provide support for professionals in difficulty. provide support for professionals in difficulty.
Electronic resources Royal National Institute for Blind People (RNIB): http://www.rnib.org.uk/services-we-offer-advice-professionals/education-professionals
Education professionals
AER5 Confidentiality • Respect patient confidentiality and be aware of • Respect patient confidentiality and be aware of • Respect patient confidentiality and be aware of E-portfolio / Reflection
appropriate circumstances for disclosure of patient appropriate circumstances for disclosure of patient appropriate circumstances for disclosure of patient
information in protecting the individual and society. information in protecting the individual and society. information in protecting the individual and society.
DVLA https://portal.e-lfh.org.uk/Component/Details/509242
AER6 Limits • Recognise the limits of your competence and work • Recognise the limits of your competence and work • Recognise the limits of your competence and E-portfolio / Reflection
within them. within them. work within them.
• Recognise the level of supervision commensurate • Recognise the level of supervision commensurate • Recognise the level of supervision commensurate
with your training. with your training. with your training.
• Improve your competence by exploiting training • Improve your competence by exploiting training • Improve your competence by exploiting training
opportunities when they arise. opportunities when they arise. opportunities when they arise.
AER7 Help • Seek advice and assistance from other health • Seek advice and assistance from other health • Seek advice and assistance from other health E-portfolio / Reflection
professionals where appropriate. professionals where appropriate. professionals where appropriate.
• Offer and make arrangements for a second • Offer and make arrangements for a second opinion • Recommend where a second opinion might be
opinion when appropriate. when appropriate. appropriate.
AER7 Help
AER8 Multisource feedback • Obtain feedback from colleagues using an • Obtain feedback from colleagues using an • Obtain feedback from colleagues using an WBA template MSF
appropriate tool such as multi-source feedback and appropriate tool such as multi-source feedback and appropriate tool such as multi-source feedback and
use the information obtained to develop clinical use the information obtained to develop clinical use the information obtained to develop clinical
practice. practice. practice.
• Contribute to similar feedback for colleagues in a • Contribute to similar feedback for colleagues in a • Contribute to similar feedback for colleagues in a
constructive way. constructive way. constructive way.
AER9 Appraisal and • Take part in regular appraisal, prepare a portfolio • Take part in regular appraisal, prepare a portfolio • Take part in regular appraisal, prepare a portfolio E-portfolio / Reflection
revalidation and use it to reflect upon your training and and use it to reflect upon your training and and use it to reflect upon your training and
development as an eye care professional. development as an eye care professional. development as an eye care professional.
• Use your personal development plan to prepare • Use your personal development plan to prepare for • Use your personal development plan to prepare
for your assessment of competency, and any your assessment of competency, and any necessary for your assessment of competency, and any
necessary revalidation or maintenance of revalidation or maintenance of registration. necessary revalidation or maintenance of
registration. • Understand the Good Practice document relevant registration.
• Understand the Good Practice document relevant to your profession. • Understand the Good Practice document relevant
to your profession. to your profession.
AER10 Ethical appraoch • Have an understanding of clinical ethics in relation • Have an understanding of clinical ethics in relation • Have an understanding of clinical ethics in relation E-portfolio / Reflection
to clinical practice and the care of patients. to clinical practice and the care of patients. to clinical practice and the care of patients.
• Understand and apply the principles of equal • Understand and apply the principles of equal • Understand and apply the principles of equal
opportunities and avoid unfair discrimination in a opportunities and avoid unfair discrimination in a opportunities and avoid unfair discrimination in a
diverse society. diverse society. diverse society.
• Use resources in an ethical way. • Use resources in an ethical way. • Use resources in an ethical way.
• Apply the principles of research ethics.
AER11 Probity • Follow your professional body’s guidance on • Follow your professional body’s guidance on • Follow your professional body’s guidance on E-portfolio / Reflection
probity. probity. probity.
• Be aware of potential and actual conflicts of • Be aware of potential and actual conflicts of interest • Be aware of potential and actual conflicts of
interest and declare them appropriately. and declare them appropriately. interest and declare them appropriately.
AER13 Data protection • Apply the principles of data protection and • Apply the principles of data protection and freedom • Apply the principles of data protection and E-portfolio / Reflection
freedom of information legislation in relation to the of information legislation in relation to the use and freedom of information legislation in relation to the
use and disclosure of health data. disclosure of health data. use and disclosure of health data.
DVLA https://portal.e-lfh.org.uk/Component/Details/509446
DMCRJ4 Research • Understand and apply the basic principles of • Perform research projects and present the results E-portfolio / Reflection
research in health care. of one.
• Critically appraise research literature and • Understand basic principles of research
understand how the findings contribute to clinical governance and how you should apply relevant
practice. ethical guidelines to research activities.
HS1 Health service provision • Understand the organisation of healthcare at the • Understand the organisation of the healthcare E-portfolio / Reflection
local level. system, so as to appreciate the political,
environmental and economic context of patient
care.
HS1 Health service provision
HS2 Clinical governance • Adhere to local clinical governance guidelines. • Know and understand the components of clinical • Play an active role in local clinical governance E-portfolio / Reflection
• Ensure that patient safety is paramount in all you governance, such as audit and risk management. processes, and ensure that patient safety is
do. • Adhere to local and national clinical governance paramount in all you do.
guidelines.
• Ensure that patient safety is paramount in all you
do.
HS4 Multidisciplinary teams • Develop good clinical networks with colleagues in • Recommend when patients might benefit from WBA template MSF
other disciplines that will benefit patient care. the input of healthcare professionals from other
specialties and professions.
HS5 Leadership • Know the different types of leadership role and • Adopt the role of the leader in the multi- E-portfolio / Reflection
understand that they are not solely based on professional team where appropriate.
hierarchy.
HS8 Research • Understand the value of research in clinical care. • Contribute to research in eye care. E-portfolio / Reflection
• Consider Good Clinical Practice (GCP) training.
HS8 Research
HS9 Teaching • Understand the skills required to contribute to the • Demonstrate the skills required to contribute to the • Take responsibility for the teaching and training of E-portfolio / Reflection
teaching and training of students and other teaching and training of students and other students and other healthcare colleagues.
healthcare colleagues. healthcare colleagues.
Planning https://portal.e-lfh.org.uk/Component/Details/510852
CPD1 Reflects • Reflect on your personal behaviour and practice. • Reflect on your personal behaviour and practice. • Reflect on your personal behaviour and practice. E-portfolio / Reflection
CPD2 Limits • Maintain an awareness of the limits of your • Maintain an awareness of the limits of your • Maintain an awareness of the limits of your E-portfolio / Reflection
knowledge. knowledge. knowledge.
• Pursue means of gaining insight into your • Pursue means of gaining insight into your • Pursue means of gaining insight into your
limitations and feedback on clinical practice. limitations and feedback on clinical practice. limitations and feedback on clinical practice,
including in complex situations.
CPD6 Career development • Take responsibility for your own career • Take responsibility for your own career • Take responsibility for your own career E-portfolio / Reflection
development. development. development.
• Seek the support and guidance of your • Seek the support and guidance of your educational • Seek the support and guidance of your
educational supervisors. supervisors. educational supervisors.
CPD6 Career development
CPD7 Personal health • Take responsibility for your own personal health • Take responsibility for your own personal health • Take responsibility for your own personal health E-portfolio / Reflection
and well-being. and well-being. and well-being.
• Take appropriate steps to protect patients when • Take appropriate steps to protect patients when • Take appropriate steps to protect patients when
your own health is affected by illness or disability. your own health is affected by illness or disability. your own health is affected by illness or disability.