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					The Royal College of Ophthalmologists
17 Cornwall Terrace, London. NW1 4QW.
Telephone: 020-7935 0702 Extensions 225, 213, 212, 211, 210
Facsimile: 020-7487 4674
Email: Exams@rcophth.ac.uk
Website: www.rcophth.ac.uk

FROM THE EXAMINATIONS DEPARTMENT
                                                                       PATRON HRH THE DUKE OF YORK, KCVO, ADC




                                                                           October 2007
Dear Colleague

Thank you for your enquiry concerning this College’s Diploma Examination.

I enclose copies of the current:               Examination Calendar
                                               Admission Procedure
                                               Fees Schedule
                                               Examination Timetable
                                               Examination Structure
                                               Examination Syllabus
                                               Application Form

Candidates must hold a medical qualification approved by the General Medical Council of
the United Kingdom or of Ireland for the purpose of registration.

Please note candidates are required to submit an attested copy of their medical degree or
a copy of their GMC certificate in evidence of their eligibility to sit this examination.

The above information has been agreed by the Council of The Royal College of
Ophthalmologists. I would add that this information is subject to variation at the discretion
of the Council.

Yours sincerely


Emily Beet (Mrs)
Head of the Examinations Department




                                                                                                                a
                            REGISTRATION INFORMATION

  Candidates wishing to confirm the eligibility of their medical degree for the purpose of
    registration with the General Medical Council may do so by the following means:


  You can access the World Directory of Medical School list through the Web addresses
                                        below.

          Introduction: http://whqlibdoc.who.int/publications/WDMS/PRELIM.pdf

                  http://libdoc.who.int/publications/WDMS/WDMS.DOC

                    OR access via the List of Countries Alphabetically:

            A-C : http://whqlibdoc.who.int/publications/WDMS/WDMS_A-C.pdf

               D-I: http://libdoc.who.int/publications/WDMS/WDMS_D-I.pdf

               J-P: http://libdoc.who.int/publications/WDMS/WDMS_J-P.pdf

              R-Z: http://libdoc.who.int/publications/WDMS/WDMS_R-Z.pdf

Updates to Above: http://libdoc.who.int/publications/WDMS/WDMS_Updates_131201.pdf



Candidates are required to submit an attested copy of their medical degree or a copy of
their GMC certificate in evidence of their eligibility to sit this examination.




                                                                                             b
Regulations

The following notes on the regulations concerning applications for admission to the
examinations are published for the guidance of candidates:

   1) Completed application forms for admission to an examination must reach the
      Examinations Department no later than 5.00pm on the closing date, namely
      approximately FIFTY-SIX days before the exam is held. It is not possible accept
      applications received after the closing date.

   2) The application forms must be accompanied by the fee and such certification as
      is required by the regulations. If you cannot supply all the relevant information
      you must contact the Examinations Department or supply a covering letter as
      to the reasons why. All information must be sent at least 14 days prior to the
      examination if not before, otherwise the candidate will be withdrawn from the
      examination and forfeit their examination fee.

   3) Upon receipt of application the Examinations Department will send all candidates a
      written receipt. Detailed instructions including written and clinical examination dates
      will be dispatched to all candidates within ten days after the closing date for receipt
      of applications.

   4) Applicants wishing to withdraw or transfer their entry for an examination must notify
      the Examinations Department in writing by 5.00pm on the closing date for receipt of
      applications. Fees cannot be refunded or transferred after this time.

   5) Applicants must apply for entry visas for the United Kingdom in good time prior to
      the date of the examination. If a candidate is refused a visa after the closing date of
      receipt of applications they will forfeit their examination fee. If written evidence of
      the refusal of a visa is provided, the Examinations Committee will consider requests
      for candidates to transfer their examination entry subject to the receipt of a 20%
      administration charge.

   6) Candidates unable to attend an examination will forfeit their examination fee. In
      exceptional circumstances, the Examinations Committee will consider requests to
      transfer a candidate’s entry to an examination upon receipt of written
      supplementary evidence. E.g. a medical certificate, a death certificate for a close
      family member. Please note that lack of preparation is not considered a suitable
      reason to withdraw or transfer an examination entry.

   7) All unsuccessful will receive feedback regarding their individual performance in the
      examinations. Candidates who wish for further information to be sent to their
      College Tutor should notify the Examinations Department and supply them with the
      name and address of the College Tutor, it will not be sent automatically.

   8) Results are posted by First Class Mail with the Pass List being displayed on the
      College Website. Results are only released upon approval of the Senior Examiner.
      We regret that examination results are not available by telephone or email.




                                                                                             c
Written and Clinical Examination procedures

   1. Unless notified, candidates are not permitted to use calculators in any section of
      the examinations.

   2. Candidates are only allowed to bring pens/pencils etc into the examination in a
      clear plastic pencil case or plastic bag.

   3. Candidates are forbidden to communicate in any way with, seek assistance from,
      give assistance to, or interfere with the work of other candidates or the invigilators in
      the examination room or elsewhere during the period of the examination, or indulge
      in any other form of unfair practice.

   4. The Senior Invigilator has the power to expel a candidate from the examination
      room.

   5. Candidates are advised to read the Cheating Guidelines regarding examinations.

   6. Candidates are not allowed to use mobile phones. All mobile phones must be
      switched off and cannot be used as a method of time keeping. Clear
      instructions will be given to candidates regarding the timing of the examination.

   7. All candidates’ ID (namely photographic evidence such as passport, photographic
      drivers license or ID card) will be checked at the beginning of the examination and
      candidates will be required to sign a register for all written examinations.

   8. For clinical examinations, all candidates are required to present themselves in good
      time and are required to wear name badges throughout the examination period
      (these will be supplied by the Royal College of Ophthalmologists).

   9. Candidates are NOT permitted to enter a written examination 30 minutes after the
      examination has started. The clock to be referred to will be the clock in the
      examination hall or the Senior Invigilator’s watch.

   10. No candidate is allowed to leave the examination hall in the first 30 minutes of a
       written examination. No candidate is allowed to leave the examination hall in the
       last 10 minutes of a written examination to avoid disruption to candidates
       completing their work.

   11. Candidates deciding to leave the examination hall must submit their paper to the
       invigilator. They will not be permitted to re-enter the examination hall.

   12. Candidate are asked to raise their hand should they have a query regarding any
       part of the examination.

   13. Candidates wishing to go to the toilet must raise their hand and wait to be escorted
       by an invigilator. Only one candidate at a time is permitted outside the examination
       hall.

   14. No books, written material or electronic equipment are allowed on the candidate’s
       desk. All references to the examination such as letters and individual timetables
       are not permitted on the examination desk.

   15. Candidates are not allowed to use scrap paper, all notes must be written on the
       answer sheet and crossed through as appropriate.

   16. Candidates are advised that no extra time will be given to transfer answers from
       the question paper to the answer sheet.

                                                                                              d
Eligibility

A medically qualified candidate will be eligible to sit the examination provided that he/she:

a)     holds a medical qualification approved by the General Medical Council for the
       purpose of registration;

b)     has completed a pre-registration year (or equivalent) acceptable to the General
       Medical Council;

c)     has some experience in Ophthalmology at post graduate level. Evidence in the
       form of a letter from a consultant or administrative staff will suffice.

All candidates are required to submit an attested copy of their medical degree or a
copy of their GMC certificate in evidence of their eligibility to sit this examination.


Examination Content (please also see syllabus)

a)     Anatomy and embryology of the visual apparatus including orbit, brain, cranial
       nerves and adnexae

b)     Physiology, biochemistry, pathology, immunology, microbiology and pharmacology
       in relation to the eye and adnexae

c)     General ophthalmology with particular reference to clinical skills as listed in the
       Curriculum of Basic Specialist Training in Ophthalmology, i.e.:

       - Disorders of the lids, lacrimal drainage apparatus, adnexae, and orbit
       - External eye disease, sclera, cornea, and anterior uvea
       - Disorders of refraction, the crystalline lens, and zonules
       - Vitreoretinal disorders
       - Medical retinal and choroidal disorders
       - Disorders of the optic disc and visual pathway
       - Ocular motility, strabismus, amblyopia, and diplopia
       - Disorders of the eye and visual system affecting children

d)     Surgical principles and the management of complications, but detailed knowledge
       of complex surgical techniques will not be expected.

e)     The use of lasers in ophthalmology

f)     The diagnosis and management of general medical conditions of particular
       relevance to ophthalmology

g)     Basic orthoptic principles

h)     Clinical Optics

g)     Accident and Emergency Ophthalmology

THERE IS NO SPECIFIED READING LIST




                                                                                                e
Form of Examination

      A Multiple Choice question paper consisting of 40 questions relating to basic
       sciences and clinical optics
       Duration: 1 ½ hours

      An Extended Matching Question paper consisting of 20 questions relating to all
       aspects of clinical ophthalmology
       Duration: 1 ½ hours

      A Constructed Response Question paper consisting of 8 questions
       Duration: 1 hour

      A Multi Station Clinical examination consisting of 6 Stations each lasting 10 minutes
       (see below)

CANDIDATES MUST PASS THE CLINICAL EXAMINATION

Hand washing: Candidates and examiners are expected to wash their hands every time
they examine a new patient.

Resit procedure

There will be no limit on the number of times candidates will be permitted to re-sit the
examination. Resit forms will be sent to you if you are unsuccessful in the examination with
your result letter.




                                                                                           f
    Clinical Multi-station Examination




                                                      Candidate 1




                                                      Station 1
                                            Anterior Segment Disorders
    2 min interval                                                                           2 min interval
                                                     10 Mins
                                                                                                              Candidate 2
   Candidate 6


                                                                                    Station 2
                                                                             Glaucoma, cataract and
           Station 6                                                              visual fields
   Communication skills
(e.g. history, counselling etc)                                                           10 Mins
            10 Mins



                                                                                                              Candidate 3
                           2 min interval                                2 min interval
    Candidate
    5


                                                                                     Station 3
                                                                              Posterior Segment (A)
                   Station 5                                                  (e.g. Binocular indirect
           Posterior Segment (B)                                                Ophthalmoscope)
        (e.g. Direct Ophthalmoscope,
         slit lamp and 90/78 Dioptre                                                      10 Mins
                    lenses)

                      10 Mins


                                                   Candidate 4



    2 min interval                                                                           2 min interval
                                                     Station 4

                                                Motility and pupils

                                                      10 Mins




                                                                                                                       g
                            DIPLOMA EXAMINATION

                                2008 TIMETABLE


23 – 25 June 2008 *           Tresliske Hospital, Truro

23 June 2008                  Constructed Response Question Paper
                              Multiple Choice Question Paper
                              Extended Matching Question Paper

24 June 2008                  Multi Station Clinical Examination

25 June 2008                  Multi Station Clinical Examination


24 – 26 November 2008 *       Warrington Hospital

24 November 2008              Constructed Response Question Paper
                              Multiple Choice Question Paper
                              Extended Matching Question Paper

25 November 2008              Multi Station Clinical Examination

26 November 2008              Multi Station Clinical Examination



*Depending on the number of candidates the examination may run into an extra date




                                                                                h
                                       SYLLABUS

ACCIDENT AND EMERGENCY OPHTHALMOLOGY

1.    Superficial ocular trauma: including assessment and treatment of foreign
      bodies, abrasions and minor lid lacerations

2.    Severe blunt injury: management of hyphaema, recognition and initial management
      of more severe injury

3.    Severe orbital injury: recognition and initial management of blow-out fracture, optic
      nerve compression

4.    Penetrating ocular injury: recognition and initial care of corneal and scleral wounds,
      recognition of aqueous leakage and tissue prolapse

5.    Retained intraocular foreign body: anticipation from history, confirmation by X-Ray
      and CT scan

6.    Sudden painless loss of vision: recognition of retinal arterial occlusion, central
      retinal vein occlusion, acute ischaemic optic neuropathy, optic neuritis, and urgency
      of treatment

7.    Severe intraocular infection: recognition and initial investigation and management of
      hypopyon

8.    Acute angle closure glaucoma: recognition and acute reduction of intraocular
      pressure

9.    Eye protection and prevention of injury

10.   Chemical/alkali burns of the conjunctiva and cornea

11.   Drug penetration into the eye and vitreous


DISORDERS OF THE LIDS, LACRIMAL DRAINAGE APPARATUS, ADNEXAE AND
ORBIT


1.    Abnormal lid position: including assessment of ectropion, ptosis, trichiasis,
      lagophthalmos and exposure

2.    Abnormal lid swelling: including chalazion, stye, retention cysts, papilloma and
      basal cell carcinoma

3.    The watering eye: including the distinction between excessive lacrimation and
      epiphora, blepharitis, recognition and investigation of naso lacrimal obstruction

4.    Orbital swelling: including dysthyroid eye disease, distinguishing intraconal from
      extraconal space-occupying lesions, orbital cellulites, recognition of compressive
      optic neuropathy




                                                                                               i
EXTERNAL EYE DISEASE, SCLERA, CORNEA AND ANTERIOR UVEA

1.   Infectious external disease: including viral, bacterial and chlamydial conjunctivitis

2.   The dry eye: including symptoms, assessment of reduced tear production and tear
     film stability, and treatment

3.   Allergic and atopic eye disease: recognition and management

4.   Corneal ulcerations: from viral and bacterial disease, marginal keratitis

5.   Complications of contact lens wear

6.   Corneal oedema, opacity and ectasia, indications for corneal transplantation,
     standards of care in donor eye procurement, signs of corneal graft rejection and
     other complications

7.   Episcleritis: recognition and management

8.   Anterior uveitis: including classification, differential diagnosis, systemic
     associations, investigations and treatment

9.   Chemical injury of the cornea and conjunctiva


DISORDERS OF REFRACTION, THE CRYSTALLINE LENS AND ZONULES

1.   Ammetropia: including hypermetropia, myopia, astigmatism and their complications

2.   Accommodation problems: including spasm and presbyopia

3.   Lens opacification: including types of cataract, relationship of opacity to symptoms,
     contribution to visual loss in co-morbidities, systemic associations, cataract surgery
     and its complications

4.   Pseudoexfoliation of the lens capsule: including its recognition and significance

5.   Calculation of intraocular lens power: according to the patient’s needs

6.   Ectopia lentis: signs and causes


DISORDERS OF AQUEOUS PRODUCTION AND DRAINAGE

1.   Primary open-angle, normal-tension glaucoma and closed-angle glaucoma

2.   Secondary glaucomas: including phacolytic, pigmentary, erythroclastic,
     pseudoexfoliative and silicone-oil glaucomas

3.   Glaucomatous optic neuropathy: recognition and investigation

4.   Glaucoma suspects: including ocular hypertension

5.   Rubeotic glaucoma: recognition, differential diagnosis and management

6.   Hypotensive agents: topical and systemic drugs affecting intraocular pressure and
     their complications


                                                                                              j
7.    Glaucoma drainage surgery: indications, complications and their treatment

8.    Hypotony: including its causes and consequences

9.    Liaison: with glaucoma shared care schemes

10.   Malignant glaucoma

VITREORETINAL DISORDERS

1.    Flashes and floaters: complications of posterior vitreous detachment and
      recognition of retinal tears

2.    Vitreous haemorrhage: from retinal tears or neovascularisation, initial management

3.    Retinal detachment: classification, predisposition, recognition and urgency of
      treatment

4.    Senile/acquired retinoschisis: recognition

5.    Intraocular foreign body: complications

6.    Asteroid hyalosis

7.    Choroido-retinal coloboma

MEDICAL RETINA AND CHOROIDAL DISORDERS

1.    Diabetic retinopathy: classification, screening strategies, management

2.    Hypertensive and arteriosclerotic retinopathy: including macroaneurysms and
      branch retinal vein occlusion

3.    Retinal vascular occlusions: recognition of ischaemic and exudative responses,
      rubeosis

4.    Macular diseases: including recognition of age-related maculopathy, subretinal
      neovascularisation, cystoid macular odema, macular hole, related symptomatology
      and urgency of treatment

5.    Fluorescein angiography: indications and complications

6.    Electrodiagnosis tests and dark adaptation

7.    Genetic retinal disease: retinal dystrophies, common retinoblastoma

8.    Differential diagnosis of malignant melanoma

9.    Toxic maculopathy and central serous retinopathy

10.   Intermediate and posterior uveitis: toxoplasmosis, toxocara and sympathetic
      ophthalmia retinal vasculitis

11.   Coats’ disease, other telangiectasis and the retinal phakomatoses

12.   AIDS-related opportunistic infections



                                                                                           k
DISORDERS OF THE OPTIC DISC AND VISUAL PATHWAY

1.    Swollen optic disc: differential diagnosis, recognition and evaluation of
      papilloedema, ischaemic optic neuropathy (arteritic and non-arteritic), acute optic
      neuritis and congenital optic disc anomalies

2.    The atrophic optic disc: recognition and differential diagnosis, clinical evaluation of
      optic nerve function

3.    Visual pathway disorders: identification of site and nature of lesion from history,
      examination and investigations, transient ischaemic attacks

4.    Benign intracranial hypertension

5.    Multiple sclerosis and its ophthalmic manifestations


DISORDERS OF THE EYE AND VISUAL SYSTEM AFFECTING CHILDREN

1.    the approach: to infants, children and their parents

2.    Ophthalmia neonatorum: diagnosis and management

3.    Congenital nasolacrimal obstruction: recognition and management

4.    Ametropia in children: significance and treatment

5.    The apparently blind infant: normal and delayed visual maturation

6.    Congenital nystagmus

7.    Ocular albinism

8.    Congenital glaucoma

9.    Congenital cataract

10.   Leucocoria: differential diagnosis including retinoblastoma

11.   Ophthalmic signs of child abuse

12.   Orbital cellulites presenting in children

13.   Orbital tumours in children, including rhabdomyosarcoma


OCULAR MOTILITY, STRABISMUS, AMBLYOPIA, AND DIPLOPIA

1.    Concomitant strabismus: screening strategies, epicanthus, accommodative
      aspects, interpretation of orthoptic report, indications for surgery

2.    Amblyopia: anisometropic, stimulus-deprivation, strabismic, prevention and
      treatment using occlusion

3.    Incomitant strabismus: cranial nerve palsies including diabetic mononeuropathies,
      significance of painful third nerve palsy and of pupil sparing, prediction of post-
      operative diplopia


                                                                                                l
4.    Nystagmus

5.    Ocular motility syndromes (Duane’s, Brown’s)

6.    Fresnel Prisms


PRACTICAL SKILLS EXPECTED OF THE DIPLOMA CANDIDATE

1.    Taking a directed ophthalmological history after establishing a good rapport with the
      patient

2.    Assessment of vision including distance acuity using Snellen test types, reading
      vision, colour visions using Ishihara plates and confrontation visual fields
      (monocular and binocular and red)

3.    Undertaking a complete external eye examination including eyelids, conjunctivae
      and cornea

4.    Slit lamp biomicroscopy including the use of stains

5.    Examination of the pupils including swinging flashlights etc.

6.    Fundus examination including the use of the direct ophthalmoscope, indirect
      ophthalmoscope and slit lamp biomicroscopy with diagnostic non-contact lenses

7.    Guiding the severely visually impaired with confidence (to a seat etc)

8.    Ordering appropriate investigations, whilst avoiding unnecessary tests

9.    Formulating (for common conditions) a definitive ophthalmological diagnosis

10.   Prescribing appropriate local and systemic therapy for common ophthalmic
      conditions

11.   Basic general medical examination appropriate to ophthalmic practice.




                                                                                         m
Guidance for candidates with special requirements

The Royal College of Ophthalmologists recognise that there may be some candidates who
require special arrangements when undertaking a Royal College of Ophthalmologists
examination.

All candidates who require special arrangements must adhere to the guidelines set out below.
Candidates must note that upon receipt of sufficient evidence special arrangements may not
necessarily be granted.

In awarding special arrangements the Royal College of Ophthalmologists seek to:

          1. Approve valid arrangements and access to written and clinical examinations.
          2. Give special consideration to candidates where specific circumstances have
             arisen at or near to the examination time which have not previously been
             highlighted.
          3. Ensure that no special arrangement gives an unfair advantage over another
             candidate

When submitting their application form all applicants must make it clear if special
arrangements are needed in writing and attach this to the application form. Supplementary
evidence will be needed from the candidates such as:

Doctor’s note
Up to date literacy assessment
A Statement of Special Educational Need
A Relevant diagnostic report regarding the learning disability
Historical evidence of the disability

Extra time award:

An additional allowance of up to and including 25% may be awarded to those candidates
requesting special consideration for extra time and only on approval of the supplementary
evidence.

Specialist equipment:

The Royal College of Ophthalmologist will consider special request from candidates for
specialist equipment such as:

Additional lighting
Larger desk to accommodate specialist equipment
Separate room
Supervised rest breaks

All special requirements will be considered by the Chairman of the Examinations Committee.




                                                                                             n
Cheating

CANDIDATE INFORMATION REGARDING ALL EXAMINATIONS RUN BY THE ROYAL
COLLEGE OF OPHTHALMOLOGISTS

You may not take the following into the examination hall:

Spare paper including revision notes
Bags & Coats – these should be place at the back or side of the examination hall, we do not
take responsibility for items left in the Examination Hall.
Electrical equipment.
All mobiles phones must be switched off
Calculators
Alarms on watches/clocks must be turned off

NO CANDIDATE IS ALLOWED TO TALK TO, PASS INFORMTION TO, OR SIGNAL TO A
CANDIDATE WHILST THE EXAMINATION IS IN PROGRESS.

It is a serious disciplinary offence to attempt to impersonate another candidate or to have
another person impersonate you during any part of the Royal College of Ophthalmologists
examination/s.

Cheating (whether attempted or successful) will be penalised very severely by the
Examinations Committee of the Royal College of Ophthalmologists. The following are all
considered as attempts on cheating:

Copying
Talking
Passing notes
Bribery
Unauthorised access to exam papers
Taking unauthorised material into the examination
Copying or alteration of certificates
Discussing clinical cases with candidates (if they themselves have not yet sat their clinical
examination)
n.b. This list is not exhaustive

ALL ID WILL BE CHECKED THOROUGHLY AT THE START OF THE EXAMINATION
In the event of cheating (whether attempted or successful), the following procedures will be
followed:

The script will be marked by the invigilator at the time of the offence and directly reported to
the Head of Examinations.
The invigilator will fill out an invigilation form detailing the time and date of events.

The Chairman of the Examinations Committee will review the situation and decide on the
following course of action:

      The question when the offence took place will be given a mark of 0, or a mark of 0 will
       automatically be awarded for the whole paper.
      Where there is a need to obtain further information the invigilator and candidate in
       question should submit detailed reports of the events, any supplementary evidence
       should also be submitted e.g. revision notes. This report will go to Council. The
       candidate at this point may be disqualified from taking the examination for a number of
       years or be put forward to a disciplinary board that will make a final decision on the
       outcome.
      A candidate may appeal against any decision and the Appeals Procedure will be
       followed under the discretion of the Royal College of Ophthalmologists.
      A Candidate may be reported to the GMC as this is a probity issue.


                                                                                                   o
Language Requirements

All examinations run by the Royal College of Ophthalmologists are conducted in English.

Although candidates are not expected to undertake examinations such as IELTS or PLAB it is
expected that candidates should be equivalent to IELTS Level 7.

Preparing for the examinations

The Royal College of Ophthalmologists recommend that candidates preparing for
examinations should:

             Read the appropriate text, syllabi and curriculum for the relevant examination.
             Gain clinical experience in ophthalmology in hospitals this may also include
              working within other specialties such and Medicine and Pathology.
             Attend courses – A list of courses for examinations can be found on the College
              website (the College does not endorse any of these courses. It is the
              candidates’ decision as to what revision course that they wish to undertake)
             Good Medical Practice (from the GMC)

Candidates may also find useful information from the National Advice Centre for Postgraduate
Education. (http://www.nhscareers.nhs.uk/nacpme/)




                                                                                             p
THE ROYAL COLLEGE OF OPHTHALMOLOGISTS
17 Cornwall Terrace
London, NW1 4QW
Tel:     +44 (0)20 7935 0702, Ext 213
Fax:     +44 (0)20 7487 4674
Email:   exams@rcophth.ac.uk
Website: www.rcophth.ac.uk

Application form for the Diploma Examination

Last name:

Other names in full:

Address for correspondence:




Daytime Telephone number:

E-mail address:

Name of Deanery (if in OST):

Medical Qualifications (with dates):



Country of qualification:

University or Medical College:

Please state how many times you have sat this Examination:

I am registered with the General Medical Council in the UK / IRELAND as follows:
Full registration          Limited registration           NOT registered   
Please note candidates must submit an attested copy of their medical degree or a
copy of their GMC certificate in evidence of their eligibility to sit this examination.



       I hereby apply to be admitted to the Diploma Examination of The Royal College of
       Ophthalmologists commencing on Monday 23 June 2008 at Treliske Hospital, Truro
       (Closing date Monday 28 April 2008)
       Fee £625.00


       I hereby apply to be admitted to the Diploma Examination of The Royal College of
       Ophthalmologists commencing Monday 24 November 2008 at Warrington Hospital
       (Closing date Monday 29 September 2008)
       Fee £625.00




                                                                                          q
Please ensure your application is accompanied by written confirmation from the
relevant consultant or administrative staff that you have had prior exposure to
ophthalmology.

Please ensure that you include two passport sized photographs with your
application

Please make cheques payable to the Royal College of Ophthalmologists.

Signature of Candidate

Date of application

This application must be returned to the Head of the Examinations Department, The Royal
College of Ophthalmologists, 17 Cornwall Terrace, London NW1 4QW, no later than 5pm on
the closing date, together with the full amount of the fee and relevant information.

A candidate withdrawing an application for admission to an examination, in writing, may
receive back the full amount of the fee paid, provided that such a withdrawal is received
BEFORE the closing date.

REFUNDS will not be made to candidates who fail to attend the examinations or who
withdraw/transfer from examinations after the date on which applications are due.


You must bring with you to the examination your passport, or a photo driver’s license,
as the examination staff/ invigilator will check your identification before you sit the first
section of the examination on Monday morning.




                                                                                                r
                                                                                          10/00
                           MONITORING OF EQUAL OPPORTUNITIES

The Council of The Royal College of Ophthalmologists would be grateful, although it is not
compulsory, if you would help the College to monitor equal opportunities within its
examinations by answering the following questions and submitting the completed form with
your examination application. The ethnic groups used are those recommended by the
Commission for Racial Equality
NAME OF EXAMINATION CANDIDATE:………………………………………………

SEX OF EXAMINATION CANDIDATE:                             □        MALE            □        FEMALE

ETHNIC BACKGROUND OF EXAMINATION CANDIDATE:
Please choose one selection from (a) to (h) then tick the appropriate box to indicate your cultural
background:

a)      White
□       British
□       Irish
□       Any other white background, please specify…………………………………

b)      Mixed
□       White and Black Caribbean
□       White and Black African
□       White and Asian
□       Any other mixed background, please specify………………………………...

c)      Asian
□       Indian
□       Pakistani
□       Bangladeshi
□       Any other Asian background, please specify…………………………………

d)      Asian British
□       Indian
□       Pakistani
□       Bangladeshi
□       Any other Asian British background, please specify…………………………

e)      Black
□       Caribbean
□       African
□       Any other Black background, please specify…………………………………

f)      Black British
□       Caribbean
□       African
□       Any other Black British background, please specify…………………………

g)      Chinese
□       Chinese

h)      Other ethnic group
□       Other, please specify………………………………………………

FIRST SPOKEN LANGUAGE OF EXAMINATION CANDIDATE: ……………………………




                                                                                                      s

				
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