| Descriptors |
- Manage patients, with non-complex conditions suitable for management by the generalist, with indirect supervision.
- Manage patients, suitable for management by a generalist, at an accepted rate.
- Manage time and resources effectively.
- Demonstrate effective consultation skills, including effective verbal and non-verbal interpersonal skills.
- Identify and manage barriers to communication, including language barriers, sensory and cognitive impairment.
- Use the exophthalmometer and interpret the findings with relevance to the specific patient.
- Use appropriate tools to assess the cornea e.g. pachymeter and know when to use specular microscopy.
- Understand when to use, and competently employ a variety of lenses for binocular fundus and gonioscopy examination with the slit lamp.
- Use a portable slit lamp competently.
- Use a binocular indirect ophthalmoscope with a variety of lenses, selected to the situation and appropriate indentation.
- Perform refraction and understand the relevance and importance of the refraction.
- Assess a patient’s spectacles using neutralisation techniques and focimetry.
- Assess a patient’s binocular co-operation and assess whether optical correction for this is necessary.
- Select investigations appropriate to the likely diagnosis. Know when they need to be ordered urgently and how to interpret the results. Know their contra-indications, limitations and implications (including cost).
- Employ and interpret new methods of assessment and investigation when they are introduced into clinical practice.
- Assess the progress of a patient’s condition and respond accordingly. This includes observation of the natural history of a disease and clinical improvement or deterioration in response to interventions.
- Understand and apply knowledge of lasers. Apply this knowledge when recommending laser treatment.
- Employ safe practice, including complying with local laser safety procedures.
- Have knowledge of the common Low Vision Aids and the conditions for which they may provide benefit.
- Understand when different methods of intraocular pressure (IOP) measurement are required and how to use them.
- Understand use of ultrasound biomicroscopy and anterior segment optical coherence tomography.
- Understand and interpret optic nerve imaging.
- Understand and interpret visual field-testing methods and glaucomatous changes.
- Select investigations appropriate to the likely diagnosis, such as use of ultrasound in paediatric cases and use of IOP phasing.
- Perform laser peripheral iridotomy, including in the emergency setting, following practise in a simulated setting.
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