Competence in 19 of the 14 practical skills (PS) listed in the COECSA curriculum, and in surgical  skills (SS13,SS14andSS15) is assessed using a modified version of the F2 DOPS rating scale.[PS1 (refraction) is assessed by CRSretPS1a for adults , CRSret, Retinoscopy paediatric  and  formal COECSA examination.

How a practical procedure is taught will be determined by the individual trainer and informed by an appropriate training the trainers course. When trainees have the opportunity to perform the procedure themselves they must do so under appropriate supervision. The supervisor will be able to complete a DOPS at the end of the procedure. If there are aspects of the procedure that are not performed satisfactorily the completed DOPS will act as a guide for training and inform the next attempt. It is expected that for some of the more complex practical procedures e.g.PS2"Drug administration", a trainee will require assessment on more than one occasion (heir portfolio will reflect  this). Where possible a trainee will arrange to have at least 2 satisfactory DOPS for each of the relevant Learning Outcomes. Where opportunities to perform a procedure are scarce e.g.PS11"Corneal glue", it may be appropriate for the portfolio to contain only one DOPS. The ultimate decision as to how many are appropriate will be the responsibility institution examination committteel.

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

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

Where a trainee has an opportunity to perform a practical procedure that is not included in the curriculum e.g. as part of sub-specialty training, she/he is encouraged to ask the trainer to complete a DOPS for inclusion in the portfolio.

The following practical skills Learning Outcomes are assessed by DOPS:

Learning Outcome(Click here for DOPS form)

Target Year (TYA)*

Comments

PS8

Ocular surface FB

1

DOPS can be completed by an appropriately trained nurse or senior resident

PS5

Tear film

2

DOPS can be completed by senior Resident

PS6

Lacrimal drainage

DOPS can be completed by senior Resident

PS7

Corneal scrape

2

PS9

Removal of sutures

2

DOPS can be completed by an appropriately trained nurse

PS14

Perform/teach hand hygiene

2

DOPS can be completed by an appropriately trained nurse

PS2

Local anaesthesia

3

May require several DOPS for different LA techniques

PS10

Fit a bandage contact lens

3

DOPS can be completed by an appropriately trained nurse

SS13

Laser to the lens capsule

3

SS14

Laser for raised intraocular pressure

3/4 (annual review)

May require several DOPS for different laser therapies

SS15

Laser for retinal problems

3/4 (annual review)

May require several DOPS for different laser therapies

PS3

Diathermy

3

May be incorporated with a surgical OSATS

PS2

Intraocular/periocular drugs

3/4

May require several DOPS for different LA techniques

PS4

Cryotherapy

3/4

May be incorporated with a surgical OSATS

PS11

Corneal glue

3/4

.

PS13

Ocular /orbital ultrasound

3/4

.

SS16

AC/vitreous tap

3/4

.

SS10

Prepare biopsy

3/4

.

PS12

Forced duction test

3/4

.


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

By completion of training a trainee's portfolio may contain around 60 satisfactory DOPS forms.