Transcript Visit 1 presentation - College of Optometrists

Scheme for Registration Timeline
Supervised Practice
Feb to
April
July
Introduction
to SfR
Begin
Scheme
University
visit to final
year
August
Visit 1
October
Visit 2
January
Visit 3
March
Visit 4
April/May
June/July
Stage 2 Visit
OSCE
10
32
33
Elements of
competence
Elements of
Elements of
competence
Competence
Stage 1
Assessment
Additional
Stage 1
Visit
usually
required
Over-arching
elements + FA
of Routine and
CLs by a
different
Stage 2
assessor
Assessment
Final
Assessment
Important Stage 1 and Stage 2
completion dates for OSCE sittings
Deadline for Stage 1 sign off to
guarantee a full Stage 2 visit before the
OSCE application deadline
Stage 2 completion date for next
available round of OSCE’s
OSCE dates
Friday 21 April 2017
Friday 02 June 2017
Summer 2017
18 – 27 July (inclusive)
Friday 23 June 2017
Friday 04 August 2017
Autumn 2017
19 – 25 Sept
The Stage 1 assessor will regularly review
each trainee’s progress to ensure they are
realistic in their expectations of when they
will be ready to sit the OSCE
Demonstrating competence
Where the element of competence requires that you:
“Do” something - the assessor will expect to see you work with
patients to perform that particular skill or procedure, either by
watching you (DO) or looking at what you have done previously in
your patient records (PR).
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“Understand” something - as a minimum, there will be a “what if”
case scenario (CS) discussion with the assessor about that element
based on your patient records or a case scenario presented by the
assessor.
There are other forms of evidence including recognising images of ocular
conditions and managing them (I) and prescription interpretation (PI)
and knowledge seeking questions (Q).
Check that your evidence is valid and relevant to the element descriptor
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Patient confidentiality and supervision
requirements
For patient records to be used as evidence:
You must seek patient consent for ALL their records to
be viewed by one or more College assessors as part
of the process (please note this also includes
dispensing, CL related and hospital records)
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Patient consent must noted on the records
Verbal consent from the patient is sufficient
You must note in your logbook and on the patient
record the name of the person supervising you when
saw th
you dispensed / examined this
patient
Contact lens and Dispensing records
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You must provide complete records (i.e. not just
dispensing orders or partially completed CL records)
for assessment
If in doubt then to help with recording evidence, use
the College templates found in your handbook as
your original record. These must be completed at
the time of the patient interaction and signed by your
supervisor to confirm
Use these templates particularly if you want to use
the record as evidence in the assessment process.
Contact Lens Fitting and Aftercare
What constitutes an appropriate CL fitting record
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Take all relevant preliminary measurements
From these measurements decide on appropriate lens specification
Order the lenses or select from stock
Check ordered lenses on eye
Instruct patient to wear the lenses and review at a follow up
appointment to issue contact lens prescription.
The fitting is not complete until the prescription is issued
It is appropriate to count these follow up visits towards your
aftercare totals
Contact Lens Fitting and Aftercare
What constitutes an appropriate CL aftercare record
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The patients need to have worn the lenses (be real wearers!) and
require a refractive correction
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It is appropriate to count the 2 week follow up visits towards your
aftercare totals
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You will need to provide a minimum of 20 aftercares records of
patients who are established wearers having worn the lenses on a
regular basis for a minimum of 6 months
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If the patients seen for aftercare are all straightforward with few or
no complications, is low then the assessor will use images of RGP
aftercare complications to investigate your ability in
this area along with the observation and the evidence from your
patient records
HES Experience
For community practice based
trainees
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You must use your HES
logbook to provide evidence
of your HES experience
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This should be completed at
each of your HES visits by
your HES supervisor
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Finally it should be shown to
your practice supervisor for
sign off before being used in
the assessment process
Acceptable
Witness
Testimony
Evidence
this should clearly
identify what the
trainee has done
whilst being observed
by the Witness
Witness Testimony/Observationa Record
(delete as appropriate)
Name of Trainee:
Miss A. Trainee
Date
2nd March 2011
The Witness Testimony will never act as sole evidence for Sign Off
The Witness Testimony within the HES should be used as a record of observational evidence except in the following
instance:
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where the trainee is using the Witness Testimony to confirm their “ability” in which case a copy of the
patient record would also need to be attached. In this case the Witness is confirming that the technique
was carried out by the trainee e.g.
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I witness that the assessment of Patient AAA ….was carried out by Trainee XXX as per the attached copy
record.
Description of the Task Carried Out
Should include …
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Positive language, i.e. I observed / I was present when...
Describe how the task was carried out e.g. on time / to the standard requested
State number of occasions same or similar tasks were carried out
I have today observed while Miss A. Trainee examined a
patient presenting with a red eye.
She set up the slit lamp appropriately and unprompted
was able to identify cells in the anterior chamber and
suggest that the patient was suffering with anterior
uveitis.
Signed by witness
Position of the Witness
Anne Optometrist
Supervising Optometrist
Name in BLOCK Capitals
Contact Details
ANNE OPTOMETRIST
Eye Casualty,
A Hospital
Tel: 01234 567890
Fair assessment
Reasonable adjustments
If you feel that you may need special consideration e.g.
dyslexia:
 Write to the Director of Education at the College stating:
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Your special circumstance
What reasonable adjustments you would wish to be made
to allow assessments to be equitable with that of other
candidates
(Scheme for Registration Regulations, College Website )
Complaints and appeals
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Work-based assessment
 Complaints process for work based appeal
(Scheme for Registration Regulations,
College Website )
Contacting me
Best route for the quickest response
Email:
Text or leave a message on mobile
Next
Home number:
Finally GPO but not registered or recorded delivery to:
Visit Preparation: all relevant information must be sent to me at
least 1 week before the assessment date.
If it does not arrive neither do I.
If your assessment visit is cancelled
at short notice then you will be
charged for the visit