Independently assess and manage moderate complexity patients, demonstrating an understanding of vitreo-retinal procedures and selecting the most appropriate treatment according to current accepted practice.

Domain of Clinical Practice Patient Management
Level Level 3
Special Interest Area Vitreoretinal Surgery
Code VR3.1
Descriptors
  • Understand and apply knowledge of medicine and surgery relevant to vitreoretinal practice, to make diagnoses and recommend a management plan.  
  • Be informed by the patient’s unique medical, psychological and social circumstances. 
  • Understand the tests and imaging techniques that might be helpful in deciding about and guiding treatment. 
  • Use with accuracy and efficiency instruments available to assess the patient, including ultrasound.
  • Implement a detailed management plan to include care from triage to discharge from care.
  • Acknowledge and follow relevant guidelines or protocols. 
  • Practise in line with the latest evidence. 
  • Understand the indications, risks and limitations of laser treatment and surgery and identify patients for whom these treatments would be appropriate. 
  • Involve the patient, and where appropriate, their carer, partner or relatives, in the choices about their care and enable them to express their informed consent. 
  • Share decision-making by providing patients with appropriate and comprehensible information, prioritising the patient’s wishes and respecting the patient’s beliefs, concerns and expectations. 
  • Communicate the uncertainty of options in a manner that patients will understand. 
  • Manage difficult or challenging conversations. 
  • Develop situational awareness and an understanding of the impact of cultural and social issues. 
  • Enable patient self-management where possible. 
  • Understand and apply knowledge of clinical genetics relevant to vitreoretinal conditions. 
  • Advise patients about patterns of inheritance and recognise when it is appropriate to refer a patient for genetic counselling. 
  • Recognise when it is important to offer a consultation with family members. 
  • Recognise when a patient has had or is developing a complication or side effect from treatment and be able to manage this in an appropriate and timely manner. 
  • Maintain an understanding of new developments in relevant technologies. 
  • Understand the importance of ‘do no harm’ in cases where intervention is unlikely to be of benefit and communicate with the patients and relatives accordingly. 
Method of Assessment
Other information