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What do I need to achieve during my OST2 year?


During the second stage of OST you will consolidate all that you learned in stage 1 and acquire more skills and knowledge. By the end of OST2 you will able to assess patients with more complex problems by taking a clinical history and examination. You will be able to examine the ocular fundus using a variety of techniques and perform a cover test and ocular motility examination (CA). You will be able to arrange and interpret most ophthalmic investigations (PI). You will be able to manage basic problems on your own and some more complex ophthalmic problems under supervision (PM). You will be able to perform a number of practical procedures and be able to assess a patient for spectacles (PS). You will have acquired basic microsurgical skills and be able to perform a number of eyelid procedures. You will have completed around 50 cataract operations (SS). You will be able to engage in some health promotion and disease prevention strategies (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 passed the Part 1 FRCOphth examination (PI and BCS). You will have adopted appropriate professional attitudes to patients and colleagues and will have sought 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 reflect 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
  • Part 1 FRCOphth confirmation

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
  • 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 2. Include evidence of achievement in these learning outcomes.

OST2 checklist:

Document (Learning Outcome) Number of copies* DateĀ  obtained Included in portfolio? Y/N Comment
CRS1 (CA1) Consultation 2
CRS7 (CA7) Ocular Motility 2
CRS10a CRS10c CRS10b CRS10d (CA10) Fundus 2
CbD (Multiple learning outcomes) 10
DOPS (PS8) Lacrimal Function 2
DOPS (PS10) Corneal Scrape 2
DOPS (PS13) Suture Removal 2
DOPS (PS18) Lid Hygiene 2
OSATS1 (SS1) Surgical Skills 2
OSATS1 (SS7) Lid Surgery 2
MSF report (Multiple learning outcomes) 1
Cataract data – where appropriate
Appraisal record
Educational Supervisor Report(s)
Clinical Supervisor Report(s)
Details of leave taken
Part 1 FRCOphth
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.