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What do I need to achieve during my OST7 year?


By the end of stage 7 in OST you will have completed all the curriculum learning outcomes. You will be able to practice as a general ophthalmologist as part of a multidisciplinary team. You will have passed the Part 2 FRCOphth examination. You will have identified a sub-specialty within ophthalmic practice and have agreed how your training will enable you to practice independently as a sub-specialist. You will have completed one or more Trainee Selected Components (TSCs). You will able to assess a patient clinically (CA), order and interpret appropriate investigations (PI) and then manage the patient’s clinical care (PM) based upon an understanding of basic and clinical sciences (BCS). You will be competent in a range of practical (PS) and surgical skills (SS). You are able to communicate effectively with a patient and other individuals important in that patient’s care (C) and practice with appropriate attitudes and ethics (AER). As a healthcare professional working in a multidisciplinary team, you will be aware of the doctor’s role within the health and social services (HS) and are able to manage information effectively, efficiently and confidentially (IH). You can exercise appropriate decision making skills, clinical reasoning and judgment (DMCRJ) and are able to engage in health promotion and disease prevention (HPDP) and clinical teaching. You are aware of your limitations in terms of knowledge, experience and skills and you always practice within these limits. You are prepared to refer patients to other practitioners where appropriate, whether for diagnosis, treatment or support. You have an aptitude for and commitment to continuing personal development (CPD).

Your portfolio must contain the following documents:

General information

  • Form R (personal details, training number)
  • Up to date CV
  • Part 2 FRCOphth certificate

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

OST7 checklist:

Document (Learning Outcomes) Number of copies* Date obtained Included in portfolio? Y/N Comment
CRS1 (CA1) Consultation 2
CbD (Multiple learning outcomes) 10
DOPS (PS3) Drugs 2
DOPS (PS6) Diathermy 2
DOPS (PS9) AC paracentesis 2
DOPS (PS12) Punctual Occlusion 2
DOPS (PS15) Botox 2
DOPS (PS16) Corneal Glue 2
DOPS (PS17) Ocular Ultrasound 2
DOPS (PS19) AC+ vitreous Sampling 2
DOPS (PS23) Biopsy Sample 2
DOPS (PS24) Forced Duction 2
OSATS1 (SS1) Surgical Skills 2
OSATS1 (SS4) Cataract Surgery 2
EPA1 (SS4) Cataract surgery 2 (by the end of OST7)
OSATS1 (SS5) Surgery Raised IOP 2
OSATS1 (SS6) Repair Trauma 2
OSATS1 (SS7) Lid Surgery 6 (by the end of OST7)
OSATS1 (SS8) Surgery for Surface Protection 2
OSATS1 (SS9) Lateral Canthotomy/Cantholysis 2
OSATS1 (SS10) Biopsy 2
OSATS1 (SS11) Temporal Artery Biopsy 2
OSATS1 (SS12) Muscle Surgery 2
OSATS1 (SS13) Removal of Eye 2
DOPSBi (PS25) Biometry Skills 1
DOPS (SS15) Laser IOP 6 (by the end of OST7)
DOPS (SS16) Laser Retina 6 (by the end of OST7)
MSF report (Multiple learning outcomes) 1
Cataract audit data (see DMCRJ3)
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

# a proportionate number of these LO will have been achieved before OST7. They all must be achieved by the end of OST7.