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Clinical Assessment CA1

To assess a patient clinically, in OPD and elsewhere, in particular to:

TITLE	CONDUCT A CONSULTATION
Code	CA1
Learning Outcome	Conduct full consultations appropriate for the clinical problem and patient’s needs. Take clinical histories, guide patients through appropriate examinations, give information about their problems and involve them in their management decisions as appropriate.
Assessment	CRS1 Part 2 FRCOphth
Assessor	Consultant ophthalmologist, Senior OST (Year 4, 5, 6, 7)
Target Year of Achievement	Two in Year 1 and Year 2, then at least once in each special interest area
Related Learning Outcomes	C1 C8 PM1 AER1 AER2 AER3 AER4 AER5
Overview	Apply the communication skills you acquired in your non-ophthalmic training to the ophthalmic patient and their relatives/carers including conflict resolution as appropriate. Check you have accurately identified the patient’s concerns and revisit history-taking as necessary. Make special considerations for individual patients, taking into account the nature of the problem and its potential management. Utilise aids to history-taking, e.g. questionnaires, etc. Break bad news in an optimal way. Involve patients in the management decisions as appropriate. Refer patients to other sources of information and support as appropriate.
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