Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1 |
Competency
Control infection risks in accordance with departmental protocols |
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| # 2 | Learning outcome 1 |
Competency
Minimise risks and hazards in compliance with health and safety policies |
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| # 3 | Learning outcome 1 |
Competency
Select suitable technology for each type of investigation, choosing and adapting the appropriate diagnostic technique, patient position and equipment settings for each patient |
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| # 4 | Learning outcome 1 |
Competency
Set up equipment ready for use for each type of investigation |
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| # 5 | Learning outcome 1 |
Competency
Obtain a suitably completed request form, greet the patient, check patient ID and ensure that the patient’s identity is confirmed as correct and fully identified on each type of recording system |
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| # 6 | Learning outcome 1 |
Competency
Explain the procedure for each type of investigation to the patient and address any questions they may have relating to the procedure, including the process after the procedure and how the patient will be informed of the results |
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| # 7 | Learning outcome 1 |
Competency
Gain informed consent for each investigation |
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| # 8 | Learning outcome 1 |
Competency
Position and align the patient correctly for investigation, avoiding patient discomfort |
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| # 9 | Learning outcome 2 |
Competency
Measure the axial length of the eye with low-coherence interferometry A- and B-scan modalities, to include:
|
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| # 10 | Learning outcome 2 |
Competency
Make appropriate calculations of intraocular lens power to include, patients who have had corneal refractive surgery |
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| # 11 | Learning outcome 3 |
Competency
Perform corneal pachymetry with ultrasound and at least one other imaging modality, and interpret and utilise results in the clinical context |
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| # 12 | Learning outcome 4 |
Competency
Perform corneal topography, distinguishing abnormal results and interpreting these in the clinical context |
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| # 13 | Learning outcome 5 |
Competency
Perform focimetry and autorefraction, and interpret results in the context of the patient’s current optical prescription and ocular disease or condition |
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| # 14 | Learning outcome 5 |
Competency
Instil mydriatic, cycloplegic and/or topical anaesthetic drops as indicated |
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| # 15 | Learning outcome 6 |
Competency
Interpret and report on results of investigations in the correct clinical context |
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Assessments
You must complete:
- 2 case-based discussion(s)
- 1 of the following DOPS/ OCEs:
| Perform focimetry of current spectacles including varifocals and aphakic lenses | DOPS |
| Prepare the clinical environment for the measurement positioning the patient and aligning the eyes to ensure accurate measurements | DOPS |
| Perform pachymetry | DOPS |
| Perform corneal topography and measurement | DOPS |
| Perform autorefraction | DOPS |
| Take accurate history and symptoms | OCE |
| Explain the test procedures to the patient and address any constraints or questions | OCE |
| Record the findings accurately in the notes using clinical convention | OCE |
| Interpret the findings and potential sources of counding artefact due to measurement or existing ocular pathology | OCE |
Learning outcomes
- Prepare patients and the clinical environment for investigations of ocular measurement, refraction and biometry
- Measure the axial length of the eye with low coherence interferometry A- and B-scan modalities, including in patients with significant ocular pathology or previous corneal refractive surgery, and make appropriate calculations of intraocular lens power
- Perform corneal pachymetry with ultrasound and at least one other imaging modality
- Perform corneal topography, distinguishing abnormal results
- Perform focimetry and autorefraction and interpret results in the context of the patient’s current optical prescription and ocular disease or condition
- Interpret and report on results of investigations