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currentExamination

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currentExamination

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

Dear Colleague

Thank you for your enquiry concerning the College’s Part 1 Fellowship (FRCOphth) Examination.

I enclose copies of the current: Examination Calendar*

     Registration Information

     Admission Procedure

     Fees Schedule

     Examination Timetable

     Examination Structure and Syllabus*

     Reading List

     Guidance for candidates with special needs

     Cheating

     Language Requirements

     Preparing for examinations

     Equal Opportunities form

     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.

    No previous experience in ophthalmology will be necessary for candidates to sit the Part 1 FRCOphth but candidates will be required to pass this examination before they enter into the third

    year of ophthalmic specialist training.

    The structure of this examination is based on learning outcomes from the curriculum for the first two years of training. The syllabus is assessed by written 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,

    Head of the Examinations Department

    * During this period of change, candidates are advised to keep up to date with any amendments by reviewing the information available on the College Website at http://www.rcophth.ac.uk/exams/new-

    exams-structure.

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    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.

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    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.

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    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.

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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.

    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.

Applicants in Ophthalmic Specialist Training:

    Applicants who are in the Ophthalmic Specialist Training must supply evidence that they are undertaking the OST and provide confirmation of the year they are in.

Condition of the Examination

    No previous experience in ophthalmology will be necessary for candidates to sit the Part 1 FRCOphth but candidates will be required to pass this examination before they enter into the third

    year of ophthalmic specialist training.

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    EXAMINATION FEES 2007

PART 1 FELLOWSHIP EXAMINATION

Fee to sit examination UK ?400

     Non UK Centres ?600 (from October 2007)

PRACTICAL REFRACTION CERTIFICATE ?500

DIPLOMA IN OPHTHALMOLOGY EXAMINATION

Fee to sit examination UK ?600

    Completion fee (to be paid by candidates ?130 who successfully complete the examination)

PART 2 MEMBERSHIP EXAMINATION

Fee to sit examination UK ?430

PART 3 MEMBERSHIP EXAMINATION

Fee to sit examination UK ?470

    Completion fee (to be paid by candidates ?130

     who successfully complete the examination)

FELLOWSHIP ASSESSMENT

    Fee to sit examination UK ?400 Completion fee (to be paid by candidates ?130 who successfully complete the assessment)

Additional Payments:

    Replica certificates ?75 + VAT

    Appeal procedure ?200

    Duke Elder* ?15

    Undergraduate Prize Examination

     *Payments for non-attendance

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EXAMINATION TIMETABLE

    THE ROYAL COLLEGE OF OPHTHALMOLOGISTS

    FRCOphth PART 1 EXAMINATION

    TIMETABLE 2007

Examination Dates: 22 January 2007

     14 May 2007

     8 October 2007

Examination Venues:

    ; City Temple Conference Centre, Lower Hall, Holborn Viaduct, London, EC1A 2DE

    ; The Tennent Institute of Ophthalmology, Lecture Theatre, Upper Ground Floor, Gartnavel

    General Hospital, Glasgow, G12 0XN

    ; Fulwood Hall/Abbeydale Room in University House, Sheffield University Main Campus,

    Building 119, Western Bank, Sheffield, S10 2TN

    ; Aravind Eye Hospital & Postgraduate Centre, 1 Anna Nagar, Madurai - 625 020, Tamil Nadu,

    India

Examination Format:

     a.m Multi Choice Questions (MCQ)

     (3 hours)

     p.m Objective Structured Examination (OSE)

     (2 hours)

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Part 1 FRCOphth - Structure of the Examination

Introduction

    There are no restrictions on the timing or number of attempts for candidates sitting this examination. However, in order to comply with assessment progression, candidates who have entered Ophthalmic Specialist Training must have passed this examination by the end of the second year of run-through training.

The examination will consist of two papers including:

    120 MCQ questions over 3 hours

    OSE examination in booklet format over 2 hours.

    The examination will comprise of theoretical papers based on learning outcomes of the new curriculum appropriate to the first two years of training.

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Part 1 FRCOphth examination syllabus

    The Fellowship of the Royal College of Ophthalmologists examinations are designed to assess the knowledge, skills and professional attitudes required of a doctor who wishes to practice as an ophthalmologist in the United Kingdom. A pass in the part 1 FRCOphth, refraction certificate and part 2 FRCOphth examinations represents a high level of achievement. The FRCOphth is a necessary but insufficient requirement for the Certificate of Completion for Training in Ophthalmology.

    The three examinations that comprise the FRCOphth are based upon the curriculum for ophthalmic specialist training and candidates are strongly advised to become familiar with the curriculum

    (available at: http://curriculum.rcophth.ac.uk/).

The part 1 FRCOphth examination assesses understanding of patient investigations and

    knowledge of basic and clinical sciences relevant to ophthalmology. The specific learning outcomes from the RCOphth OST curriculum that the examination assesses are:

Basic and clinical sciences

BCS1 Anatomy

    All trainees must understand and apply knowledge of the anatomy of the eye, adnexae, visual pathways and associated aspects of head, neck and neuro anatomy. It extends to applied anatomy relevant to clinical methods of assessment and investigation relevant to ophthalmic practice. They must be able to use this knowledge when interpreting clinical investigations and in the practice of ophthalmic surgery.

    The Orbit and adnexae: Osteology, orbital foramina, eyelids, conjunctiva, lacrimal system,

    extraocular muscles, intraorbital nerves, vessels, orbital fascia

    Ocular anatomy: Conjunctiva, cornea, sclera, limbus and anterior chamber angle, iris and

    pupil, lens and zonule, ciliary body, choroid, retina, vitreous, optic nerve

    The Cranial Cavity: Osteology of the skull, meninges, vascular supply, foramina, cranial

    fossae, pituitary gland and its relations

    Central Nervous System: Cerebral hemispheres and cerebellum including microscopic

    anatomy of visual cortex, cranial nerves, spinal cord, vascular supply, visual pathways,

    control of eye movement, autonomic regulation of eye.

    Head and neck: Nose, mouth, paranasal sinuses, face and scalp, pharynx, soft palate, larynx,

    trachea, major arteries and veins, lymphatic drainage of the head and neck

    Cardiovascular system: Gross anatomy of the heart, and major blood vessels. Microscopic

    anatomy of arteries, veins and capillaries

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BCS2 Physiology

    All trainees must understand and apply knowledge of the physiology of the eye, adnexae and nervous system, including related general physiology. This includes the applied physiology relevant to clinical methods of assessment in ophthalmic practice. They must be able to use this knowledge when interpreting clinical symptoms, signs and investigations and in the practice of ophthalmic medicine and surgery.

General principles including:

    Maintenance of homeostasis: Characteristics of control systems - nervous and hormonal

    Body fluids - volume, osmolarity, osmotic and oncotic pressure, and electrolyte (including H+)

    concentrations

    Excitable tissues nerve and muscle: Structure and function of nerve cell,

    membrane potential, action potential, nerve conduction, synapse, the motor unit, muscle

    Blood: Plasma composition and functions, cell types, immune mechanisms, blood groups,

    haemoglobin and red and white cell formation and destruction, anaemias, clotting and

    fibrinolysis

    Cardiovascular system: Pressure resistance and flow in blood vessels, blood pressure

    And blood flow, the activity of the heart and its control, cardiac output, control

    Mechanisms within the CVS, transcapillary exchange, tissue fluid formation

    Respiratory system: Structure, lung volumes, composition of respiratory gases, lung

    mechanics, gas exchange in the lung, carriage of O and CO in blood, ventilation 22

    perfusion relationships, chemical and neural control of ventilation

    Nervous system and special senses: Receptors, synapses, afferent pathways, efferent

    pathways, cerebral cortex, control of movement, hearing, pain and its control, autonomic

    nervous system, cholinergic transmission, adrenergic transmission

    Endocrinology: Hormonal control, hypothalamus, pituitary, thyroid / parathyroid, adrenals,

    pancreas

    Nutrition: Dietary requirements, absorption, vitamins

    Kidney and adrenal cortex: Glomerular and tubular function, osmolality and pH of body

    fluids

Ocular physiology including:

    Physiology of tear production and control and the lacrimal drainage system

    Physiology of aqueous production and drainage including principles of intraocular pressure

    measurement

    Physiology and biochemistry of the cornea

    Lens metabolism

    Physiology of the vitreous

    Retinal physiology including phototransduction

    Retinal pigment epithelium

    Choroid

    Blood ocular barrier

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