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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




                                                                                November 2008
Dear Colleague

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

I enclose copies of the current:               Registration Information
                                               Admission Procedure
                                               Guidance for Candidates with Additional Needs
                                               Cheating
                                               Language Requirements
                                               Fees Schedule
                                               Examination Timetable
                                               Examination Structure
                                               Standard Setting
                                               Examination Syllabus
                                               Application Form
                                               Equal Opportunities 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.
Certificates may be attested by a Fellow or Member of this College, the British Council or
your embassy, a solicitor or the university issuing the certificate.

The above information has been agreed by the Council of The Royal College of
Ophthalmologists.

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 within 14 days after the
      closing date, 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 the next examination sitting subject to receipt of
      written supplementary evidence (e.g. a medical certificate, a death certificate for a
      close family member) and subject to a 20% administration charge. Please note that
      lack of preparation is not considered a suitable reason to withdraw or transfer an
      examination entry.

   7) All candidates will receive feedback regarding their individual performance in the
      examinations.

   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. For clinical exams candidates must be appropriately dressed.

   10. 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.

   11. 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.

   12. 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.

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

   14. 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.

   15. 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.

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

   17. 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.
Certificates may be attested by a Fellow or Member of this College, the British Council or
your embassy, a solicitor or the university issuing the certificate.


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
Guidance for candidates with additional requirements

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

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

In awarding additional 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 additional arrangement gives an unfair advantage over
             another candidate

When submitting their application form all applicants must make it clear if additional
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 Needs
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 additional requirements will be considered by the Chairman of the Examinations
Committee.




                                                                                            f
Cheating

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:

      Plagiarism (see www.rcophth.ac.uk/exams/admission for full policy)
      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.




                                                                                               g
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/)




                                                                                             h
                                        EXAMINATION FEES 2009
PART 1 FELLOWSHIP EXAMINATION

Fee to sit examination                                     £440

PRACTICAL REFRACTION CERTIFICATE                           £525

PART 2 FELLOWSHIP EXAMINATION

Fee to sit examination                                     £850

Completion fee (to be paid by candidates                   £160
who successfully complete the examination)

DIPLOMA IN OPHTHALMOLOGY EXAMINATION

Fee to sit examination                                     £625

Completion fee (to be paid by candidates                   £160
who successfully complete the examination)


FELLOWSHIP ASSESSMENT
Fee to sit examination (per attempt*)                      £495
Resit Fee**                                                £200

Completion fee (to be paid by candidates                   £160
who successfully complete the assessment)

*An attempt constitutes the submission of your casebooks and any subsequent amendments prior to the
proposed interview date.

Candidates deemed as unsuccessful after the casebook stage shall not be permitted to attend for interview.

Candidates are required to submit payment of the fee for each attempt. For example, if a candidate’s
casebook do not proceed to interview and a new date is allocated, the full fee of £495 will be payable.

Similarly, if a candidate fails three or more chapters at the interview stage, a new date must be allocated and
payment of the full fee must be submitted.

** The resit fee of £200 applies only to candidates re-sitting two chapters or less at the interview stage.

CERTIFICATE IN LASER REFRACTIVE SURGERY

Fee to sit examination (per attempt)                       £1100

An attempt constitutes the submission of Portfolio Assessment and any subsequent amendments prior to the
proposed interview date.

Candidates deemed as unsuccessful after the submission shall not be permitted to attend the Portfolio
Interview, or for Part A candidates, the Portfolio Interview and Structured Vivas.

Candidates are required to submit payment of the fee for each attempt. The cost is the same, whether
sitting both parts, or just part B.

Additional Payments:
Replica certificates                      £75 + VAT
Appeal procedure                          £200
Duke Elder***                             £15 (Undergraduate Prize Examination)

***Payments for non-attendance




                                                                                                              i
                               DIPLOMA EXAMINATION

                                   2009 TIMETABLE

March 2009
Closing Date for Receipt of Applications:     19 January 2009


16 – 18 March 2009               Ninewells Hospital, Dundee

16 March 2009                    Constructed Response Question Paper
                                 Multiple Choice Question Paper
                                 Extended Matching Question Paper

17 March 2009                    Multi Station Clinical Examination

18 March 2009                    Multi Station Clinical Examination


September 2009
Closing Date for Receipt of Applications:     20 July 2009


14 – 16 September 2009           Gloucestershire Eye Unit, Cheltenham

14 September 2009                Constructed Response Question Paper
                                 Multiple Choice Question Paper
                                 Extended Matching Question Paper

15 September 2009                Multi Station Clinical Examination

16 September 2009                Multi Station Clinical Examination




                                                                        j
Part 1 FRCOphth - Structure of the Examination

Introduction
There are no restrictions on the timing or number of attempts for candidates sitting this
examination.

The examination will comprise of theoretical papers and an objectively structured multi-
station clinical examination (OSCE) as follows:

      A 1 ½ hour Multiple Choice Question (MCQ) paper of 40, 5 stem, true/false
       questions relating to basic sciences and clinical optics

      A 1 ½ hour Extended Matching Question (EMQ) paper of 20 questions each
       consisting of 3 parts, 60 items in total, relating to all aspects of clinical
       ophthalmology

      A 1 hour Constructed Response Question (CRQ) paper of 8 questions

      A Multi Station Clinical examination (OSCE) consisting of a series of 6 stations,
       each will be times for precise periods 10 minutes (see below for further details)

Standard Setting

All examinations are standard set. The MCQ and EMQ papers are standard set using a
modified Angoff method. The CRQ is standard set using the borderline candidate method.

Overall Result

Candidates are required to pass the clinical component. In addition, a marginal fail in one
written paper can be compensated if a candidate performs well in the clinical (OSCE)
component and passes the two remaining written papers.

If awarded a fail, candidates must re-sit the entire examination, even if a pass was
previously achieved in any section.

Results

Results will be released 2 weeks after the examination, once verified by the Senior
Examiner. Candidates are not permitted to telephone the College for examination results.
All results will be sent to candidates by first class post and the pass list will be displayed
on the College website.




                                                                                             k
    Structure of 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




                                                                                                                       l
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

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



                                                                                                        m
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

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


                                                                                                       n
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


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


                                                                                                      o
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

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.

                                                                                                     p
The Royal College of Ophthalmologists
17 Cornwall Terrace, London. NW1 4QW.
Telephone: 020-7935 0702, Extension 213
Facsimile: 020-7487 4674
Email: Exams@rcophth.ac.uk
Website: WWW.RCOPHTH.AC.UK

                                                                          PATRON HRH THE DUKE OF YORK, KG, KCVO, ADC


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 17 March 2009 at Ninewells Hospital,
          Dundee (Closing date Monday 19 January 2009)


          I hereby apply to be admitted to the Diploma Examination of The Royal College of
          Ophthalmologists commencing Monday 15 September 2009 at Gloucestershire Eye
          Unit, Cheltenham (Closing date Monday 20 July 2009)

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


                                                                                                                  q
The fee for sitting the Diploma Examination is £625.00. Please make cheques payable to ‘The Royal College of
Ophthalmologists’. Alternatively, Visa and Mastercard are accepted. If you wish to use this method of payment,
please give your details below:

Name of Cardholder:

Card Number:

Expiry Date:                                Start Date:                                 Issue Number:

This application form must be returned to the Examinations Department, The Royal College of Ophthalmologists,
17 Cornwall Terrace, London, NW1 4QW, together with the fee and documentation.

Please note it is not possible to accept application forms after the closing date for receipt of applications.

Applicants are advised to send applications forms by Special Delivery or Recorded Post to guarantee delivery.

Allocation will be on a first come, first served basis and although there is not a limit on numbers, venues can only
hold a specified amount of people due to health and safety.


Signature of Candidate:

Date of Application:




                                                                                                                       r
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
       □       English
       □       Scottish
       □       Welsh
       □       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, Asian British, Asian English, Asian Scottish or Asian Welsh
□      Indian
□      Pakistani
□      Bangladeshi
□      Any other Asian background, please specify…………………………………

d)     Black, Black British, Black English, Black Scottish or Black Welsh
□      Caribbean
□      African
□      Any other Black background, please specify…………………………

e)     Chinese, Chinese British, Chinese English, Chinese Scottish or Chinese Welsh
□      Chinese
□      Any other Chinese background, please specify…………………………

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

□      Decline to Answer

Do you consider yourself to have a disability according to the terms given in the
Disability Discrimination Act 1995 (DDA)?
□ Yes         □ No

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




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