How a surgical procedure is taught will be determined by the individual trainer and informed by an appropriate training the trainers course (where available). When trainees have the opportunity to perform the procedure themselves they must do so under appropriate supervision. The supervisor will be able to complete an OSATS at the end of the procedure. If there are aspects of the procedure that are not performed satisfactorily the completed OSATS will act as a guide for training and inform the next attempt. Where possible a trainee will arrange to have at least 2 satisfactory OSATS for each of the Surgical Skills Learning Outcomes.

It is expected that several OSATS will be completed and kept in the trainee's portfolio, before the first satisfactory OSATS is achieved for an individual Learning Outcome. It is important that a trainee and trainer understand that this is an important part of training and does not represent a problem with a trainee.

Trainees should also maintain a logbook of surgical and laser procedures performed with reflective comments where appropriate as part of their portfolio.

Where appropriate it is useful for initial OSATS to be completed using any simulators that are available e.g. in a wet lab. The OSATS form must make it clear that the assessment has been carried out using a simulator.

The following surgical Learning Outcomes are assessed by OSATS:

WpBA

Learning Outcome (LO)

Target Year (TYA)*

Comments

OSATS2

SS2

Operating microscope

1

This LO can be assessed by a senior resident (year   3 or 4)

OSATS3

SS3

Aseptic technique

1

This LO can be assessed by an appropriately trained theatre nurse

OSATS1

SS1

SS1 Simulation and wet lab

2

OSATS after initial TYA should reflect an increase in complexity of cases

OSATS1

SS7

Common Lid surgery

3/4

OSATS1

OSCAR

SS4

Cataract surgery

3/4

OSATS1

SS11

Strabsmus surgery

3/4

OSATS1

SS5

Procedures to lower IOP

 3/4

OSATS1

SS6

Ocular and adnexal trauma

2

OSATS1

SS8

Ocular surface protection

1

OSATS1

SS9

Lateral canthotomy/cantholysis

2

OSATS1

SS10

Biopsy ocular and adnexal tissue

2

OSATS1

SS13

Removal of the eye

2

This LO can be assessed by a senior resident (year   3 or 4)

OSATS1

SS17

Anterior Vitrectomy

3/4

* The TYA represents the latest year that a trainee must achieve the specified LO. Trainees are encouraged to seek assessment using OSATS when an opportunity arises and not wait until the target year.