Joseph Oakley
college-optometrists.org/students
students@college-optometrists.org
Objective
By the end of this presentation, you will have a broad understanding of the
structure and content of the Scheme for Registration
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WHO ARE WE?
•
The professional membership body for
optometry in the UK
•
Provides targeted support, guidance and
development opportunities to all members
•
Supports optometrists throughout their career –
from undergraduate, through the Scheme for
Registration to the highest professional levels.
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YOUR JOURNEY
Supervised Practice – 2 years 3 months (max) or 4
attempts at the OSCE
February to
March
July
Introduction
to SfR
Begin
Scheme
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
Mid
March/May
July
Stage 2 Visit
OSCE
Stage 2
Assessment
Final
Assessment
University
visit to final
year
Stage 1
Assessment
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WHO ARE WE?
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WHO ARE WE?
WEBSITE +
COLLEGE
EDUCATION
TEAM
TRAINEE
HANDBOOK
YOU
SUPPORTED
SUPERVISOR
EXPERT
ASSESSORS
(AND
EXAMINERS)
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WHO ARE WE?
Supervised Practice
February to
March
July
Introduction
to SfR
Begin
Scheme
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
Mid
March/May
July
Stage 2 Visit
OSCE
Stage 2
Assessment
Final
Assessment
University
visit to final
year
Stage 1
Assessment
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ENROLMENT PROCESS
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FAIR ASSESSMENT
Reasonable adjustments
If you feel that you may need reasonable adjustments making to
your exam e.g. 25% extra time due to dyslexia:
– Complete the Reasonable Adjustments form on the College
website
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BEFORE YOU START IN PRACTICE
Be prepared
 Meet your supervisor
 Familiarise yourself with the practice
 Read the handbook
 Get a record card / plan your routine
 Local referral and shared care
 Product knowledge
 Get your books out / practical skills
 Pre-reg Buddy
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PLENARY 1 - MEMORY
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STAGE 1
- What does the assessment involve?
How can I effectively prepare for the assessment?
- How do I go about providing evidence against a
competency?
- What is the dispensing/refraction logbook?
- What does the hospital experience involve?
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STAGE 1
Supervised Practice
February to
March
July
Introduction
to SfR
Begin
Scheme
University
visit to final
year
August
Visit 1
October
Visit 2
January
Visit 3
10
32
33
Elements of
competence
Elements of
Elements of
competence
Competence
Stage 1
Assessment
March
Visit 4
Additional
Stage 1
Visit
usually
required
Mid
March/May
July
Stage 2 Visit
OSCE
Stage 2
Assessment
Final
Assessment
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STAGE 1 – WHAT DOES IT INVOLVE?
 6 – 8 month flexible process
3-5 visits
 Formative
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
 Receive constructive feedback
 75 elements of competence (GOC)
10
32
33
Elements of
competence
Elements of
Elements of
competence
Competence
Additional
Stage 1
Visit
usually
required –
catch up
 Provide evidence or demonstrate
competence against each competency
Each assessment lasts around 3 hours
 Same assessor
Patients from own practice/hospital
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STAGE 1 – PLANNING FOR VISIT 1
BEFORE THE ASSESSMENT
• Check Assessment plan and Assessment framework
in the trainee handbook or on website
• Reflect on the evidence you are going to present for
each element
• Go through the patient records you want to submit and
pre-empt possible discussion topics
• Ask your supervisor or colleagues to observe you
performing the direct observation tasks and to discuss the
records with you
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STAGE 1 – PLANNING FOR VISIT 1
How did you prepare for Stage 1 assessments?
Results from online survey of 46 respondents
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STAGE 1 – TWO OTHER THINGS TO
CONSIDER
1. Logbook
2. Hospital placement logbook
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STAGE 1 – TOP TIPS TO SUCCESS
 Plan for assessments carefully and thoroughly using the Trainee handbook and
College website
 Be organised – get your records prepared and practise excellent record keeping
 Rehearse performing procedures and discussing your records with your supervisor
and colleagues
 Don’t shy away from more challenging cases – be proactive to gain the breadth of
experience required (e.g. RGP lenses)
 Continue revising theory using university notes/textbooks
 Set up a productive working relationship with your supervisor and assessor
 Be reflective about your practice – heed and act on constructive feedback
 Refract and dispense little and often
 Organise your HES or community practice experience early on
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PLENARY 2
Ways to prepare for your
first Stage 1 assessment
New things you have
learnt so far
Characteristics of Stage 1
assessments e.g. how
long an assessment lasts
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STAGE 2
Supervised Practice
February to
March
July
Introduction
to SfR
Begin
Scheme
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
Mid
March/May
July
Stage 2 Visit
OSCE
Stage 2
Assessment
Final
Assessment
University
visit to final
year
Stage 1
Assessment
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STAGE 2
- What does the assessment involve and how does it
differ from Stage 1?
- How can I effectively prepare for the assessment?
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STAGE 2 – WHAT DOES IT INVOLVE?
 Single assessment
 Summative
Mid
March/May
Stage 2 Visit
 Assesses the overarching groups of competence e.g. BV as a
group, Dispensing as a group.
 Routine and Soft CL fitting/aftercare / Case-based discussion
Lasts between 3 – 4 hours
 New assessor (each time)
Mystery patients
 Can resit (if required)
 Receive constructive feedback (if unsuccessful)
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STAGE 2 – TOP TIPS TO SUCCESS
 Plan for assessments carefully and thoroughly using the Trainee
Handbook and College website
 Rehearse your routine with your supervisor and colleagues observing
you in timed conditions
 Rehearse contact lens fitting and aftercare with your supervisor and
colleagues observing you in timed conditions
 Be reflective about your records and practice and act on advice from
your supervisor and colleagues
 Keep your reading and theory up to scratch
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VIDEO - A TRAINEE PERSPECTIVE
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PLENARY 3 – TRUE OR FALSE?
1. Stage 2 assessments are done by the same assessor as Stage 1
2. You can resit Stage 2 if you fail
3. The assessment lasts about 2 hours
4. You will know the patient in your Stage 2 assessment
5. You have to do a routine eye test and an RGP contact lens fitting
and aftercare at Stage 2
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OSCE – WHAT DOES IT INVOLVE?
Supervised Practice
February to
March
July
Introduction
to SfR
Begin
Scheme
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
Mid
March/May
July
Stage 2 Visit
OSCE
Stage 2
Assessment
Final
Assessment
University
visit to final
year
Stage 1
Assessment
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OSCE
- What does OSCE mean?
- Why do we use the OSCE format?
- How does the OSCE fit in to the SfR?
- What does the OSCE test?
- What does an OSCE circuit look like?
- How can I prepare for the OSCE?
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OSCE – WHAT DOES IT MEAN?
OSCE?
The Organisation for Security and Co-operation in Europe?
Office Scan Corporate Edition?
Office of Strategic CrimE?
Objective Structured Clinical Examination
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OSCE – WHY USE THIS FORMAT?
Objective Structured Clinical Examination
Minimises
examiner bias
Same assessment
experience for
everyone
Tests important
practical/clinical
skills
Performed in
test conditions
- Allows us to test a range of practical skills in an objective and fair way
- Allows 16 different pairs of eyes to assess you – the more eyes, the better the
assessment
- Allows us to perform a final sample of competencies from across the WBA
- Recognised as an effective and reliable assessment method especially when used in
conjunction with other forms of assessment (i.e. WBA)
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OSCE – WHAT DOES IT TEST?
• History Taking, including diagnosis
• Communication Skills
• Data Interpretation
• Clinical Examination and Practical Skills
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OSCE – EXAMPLE STATION
Skill
Communication
Elements of Competence
6.1.2. Interprets and investigates the presenting symptoms of the patient.
6.1.5. Recognises common ocular abnormalities and refers when
appropriate.
Condition
Posterior vitreous
detachment
1.1 The ability to communicate effectively with a diverse group of patients
with a range of optometric conditions and needs
1.2 The ability to impart information in a manner which is appropriate to
the recipient
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OSCE – EXAMPLE STATION
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OSCE – THE CIRCUIT
14
15
16
17
3
2
1
11
12
13
10
9
5
8
6
7
Candidate
Entrance
4
What does an OSCE look like?
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VIDEO – A TRAINEE PERSPECTIVE
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OSCE – HOW CAN I PREPARE?
It’s a long way off , so don’t worry about this now!
- Keep calm
- Be confident
- Be organised
- Read through notes (uni, Stage 1, Stage 2, webiste, handbook)
- Interpret pictures
- Practise those everyday practical skills little and often
- Practise communicating different conditions
- Practise communicating and performing tasks in 5 minute
windows
- Imagine possible scenarios using the elements of competence
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MCOptom
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HOW DO I SURVIVE?
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VIDEO – TRAINEE PERSPECTIVE
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HOW DO I SURVIVE?
 Find a pre-reg buddy locally to talk to about the Scheme
 Maintain a healthy work-life balance
 Study little and often to avoid cramming
 Budget well
 Seek advice and support when needed
 Stay organised
 Keep calm
 Don’t panic!
IT IS CHALLENGING BUT YOU CAN DO IT!
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Visit the website!
www.college-optometrists.org
Joseph Oakley – Head of Examinations
E: joseph.oakley@college-optometrists.org
T: 020 7766 4367
Lee Rolls – Trainee Services Co-ordinator
E: lee.rolls@college-optometrists.org
T: 020 7766 4365
Ruth Brough – Lead Assessor
E: ruth.brough@college-optometrists.org
T: 020 7766 4382
PS... If you are
currently on a Tier
4 visa and would
like to do your prereg in the UK, stay
behind at the end
totalk to us!
MCOptom
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