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What do I need to achieve during my OST1 year?


By the end of OST1 you will be able to assess a patient by taking a clinical history and examination (CA). You will be able to arrange and interpret basic ophthalmic investigations (PI). You will be able to manage common ophthalmic problems under supervision (PM). You will be able to remove a corneal foreign body and irrigate an eye (PS). You will have started to develop basic microsurgical skills and be able to use the operating microscope (SS). You will understand the importance of preventing cross-infection (HPDP). You will have good communication skills with patients, their carers and colleagues (C). You will be maintaining a training portfolio and be able to use IT effectively (IH). You will have adopted appropriate professional attitudes to patients and colleagues and seek feedback on your performance. You will be practising according to the GMC’s Duties of a Doctor (AER) and Good Medical Practice guidance (HS). You will be aware of your limits as an ophthalmologist and always seek help where necessary. You will be reflecting on your clinical work and be actively involved in your own learning by keeping a reflective CPD diary (CPD).

Your portfolio must contain the following documents:

General information

  • Form R (personal details, National Training Number)
  • Up to date CV

Good Clinical Care/Relationships with patients/Working with colleagues

  • Verified copies of your work based assessment forms (CRS, DOPS, OSATS, MSF, CbD) – signed forms or e-verification via e-Portfolio.
  • Copies of any complaints/letters of thanks
  • Any other written feedback on your performance
  • Logbook of experience

Maintaining Good Medical Practice

  • Appraisal documents and personal development plans
  • CPD/reflective learning diary/details of study leave
  • Certificate of attendance at College Basic Microsurgical Skills course
  • Any Trust certificates (e.g. CPR, BLS etc)
  • Signed copies of foundation training certificates

Teaching, training, appraising and assessing

  • Details of involvement in teaching with feedback

Health and Probity

  • A statement regarding personal health and probity

Research and audit

  • details of audit projects
  • details of research

In addition

You may have achieved some of the curriculum learning outcomes that have a target year of achievement later than stage 1 (e.g. you may have passed Part 1 FRCOphth). Include evidence of achievement of these learning outcomes.

OST1 checklist:

Document (Learning Outcome) Number of copies* Date obtained Included in portfolio? Y/N Comment
CRS1 Consultation (CA1) 2
CRS2 Vision (CA2) 2
CRS3 Visual Fields (CA3) 2
CRS5 External Eye (CA5) 2
CRS6 Pupil (CA6) 2
CRS8 IOP (CA8) 2
CRS9 Slit Lamp (CA9) 2
CbD (Multiple learning outcomes) 10
DOPS Cannulation (PS4) 2 (Not required
DOPS Blood Samples (PS20) 2 if Foundation training
DOPS Hand Hygiene (PS21) 2 completed)
DOPS Ocular Surface (PS11) 2
DOPS Irrigation (PS22) 2
OSATS2 Operating Microscope (SS2) 2
OSATS3 Aseptic Technique (SS3) 2
DOPSBi Biometry Skills (PS25) 1
MSF report (Multiple learning outcomes) 1
Cataract audit data – where appropriate
Appraisal record
Educational Supervisor Report(s)
Clinical Supervisor Report(s)
FRCOphth certificate
Details of leave taken
CPD diary
Any other evidence of performance

* You are expected to have more than one assessment for each of these work based assessments. If you have been unable to obtain 2 assessments you must explain the reason for this to your educational supervisor.