Skip Navigation Links
Skip navigation links
Online Enrolment
Training
Assessment (KBA & WPBA) and e-portfolio
Specialties
MMC
Forms and Guidance
Search
College Representatives
Events
Additional Information
Skip navigation links
Online Enrolment
Training
Assessment (KBA & WPBA) and e-portfolio
Specialties
Acute Medicine
Allergy
Audiological Medicine
Cardiology
Clinical Genetics
Clinical Neurophysiology
Clinical Pharmacology and Therapeutics
Dermatology
Endocrinology and Diabetes Mellitus
Gastroenterology
General (Internal) Medicine
Genitourinary Medicine
Geriatric Medicine
Haematology
Immunology
Infectious Diseases and Tropical Medicine
Medical Oncology
Medical Ophthalmology
Metabolic Medicine
Neurology
Nuclear Medicine
Paediatric Cardiology
Palliative Medicine
Pharmaceutical Medicine
Rehabilitation Medicine
Renal Medicine
Respiratory Medicine
Rheumatology
Sport and Exercise Medicine
Stroke Medicine
MMC
Forms and Guidance
Search
College Representatives
Events
Additional Information

Medical Ophthalmology

 Introduction

Medical Ophthalmology (Ophthalmic Medicine) is an emerging medical specialty in the United Kingdom. In the future it is expected that there will be one ophthalmic physician (medical ophthalmologist) per population of 263,000. The primary purpose of the specialty is the medical assessment, investigation, diagnosis and management of disorders affecting vision, particularly:


Inflammatory disorders affecting vision (e.g. uveitis, scleritis, corneal graft rejection, systemic vasculitis)
ii.Vascular disorders affecting vision (e.g. diabetes, arteriosclerosis, hypertension, stroke)
iii.Neurological disorders affecting vision (e.g. multiple sclerosis, stroke, pituitary disorders, thyroid eye disease)
iv.Public visual health (e.g. diabetic retinopathy screening)
Other important aspects include:
v.Genetic disorders affecting vision (e.g. retinitis pigmentosa)
vi.Retina specific disorders affecting vision (e.g. age-related macular degeneration)
vii.Visual rehabilitation (e.g. age-related macular degeneration)
viii.Ophthalmic procedures particularly laser therapy for diabetic retinopathy and local injection therapy for age-related macular degeneration


50% of the new referrals to ophthalmology that require intervention or specialist follow up are medical in nature and benefit from the expertise of a clinician with expertise in internal medicine. The 2000 Royal College of Ophthalmologists Survey of Demand for Medical Ophthalmology in the United Kingdom found that many units wished to have an ophthalmic physician to enable them to deliver effective care. Inflammatory eye disease is a particular issue- a 2005 survey, conducted by ophthalmologists with an interest in uveitis in Scotland, revealed a marked variation in the delivery of immunosuppression for sight-threatening uveitis, the commonest cause of treatable blindness in young adults. Expertise in ophthalmic medicine is also appropriate for diabetes where the prevalence is expected to rise by 60% in the next decade as a consequence of the ageing population and the epidemic of obesity. As the eye is a direct extension of the brain, then expertise in neurology is beneficial as many patients with visual disorders have conditions affecting the brain and its pathways rather than the eye itself.

The ophthalmic physician requires to have varied clinical skills beyond expertise in the assessment and diagnosis of visual symptoms and signs. He or she must have expertise in immunosuppression, neurology and cardiovascular medicine. In addition many ophthalmic physicians will be involved in managing large diabetic retinopathy screening programmes, which require organisational and public health skills. Some will be required to manage retina-specific disorders requiring practical skills such as laser therapy and intra-ocular injections.

Ophthalmic medicine is a fascinating and rewarding specialty. It is predominantly out-patient based. The workload of an ophthalmic physician is varied ranging from the personal delivery of care such as laser therapy for diabetic retinopathy through to the intellectual challenge of neuro-ophthalmic disorders. It is also very rewarding with the majority of conditions responsive to therapy. Further information concerning the curriculum and availability of posts can be obtained from lisa.hawke@jrcptb.org.uk

Updated Feb 07

 Curricula & Assessment

Due to regular revisions, arising from changes in the training environment and the requirements of the PMETB, the JRCPTB are currently running various curricula for trainees in each specialty.  All relevant curricula are listed at the bottom of this page under Documents.  Use the filter option on the right-hand side, together with the guidance notes below,  to help you select the correct document.  In summary:


• If you are a run-through (Specialty Registrar [StR]) trainee, you will follow the curricula tagged as ST3+


• If you are an ‘old style’ SpR, you are following the curricula tagged as SpR


• If you enrolled prior to 01/01/03, you will be following the original curricula which are no longer available for download, see note below

Competence Based Curricula and Assessment - StRs

PMETB has received the assessment system (blueprint and RITA/ARCP grid) for Medical Ophthalmology and this has been approved.  

The assessment blueprints show the possible methods that can be used to assess each of the competences in the curriculum. Trainees and trainers should refer to the blueprints for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the RITA Decision Aid. It is not expected that all competences will be assessed by all methods, rather that there will be a sampling of competences within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.

 Acute care common stem (Medicine) trainees will also follow the ACCS training manual.

Core Training: ST1, ST2 

Core Medical Training or Acute Care Common Stem (Medicine)

Specialty Specific Training: ST3 onwards

GIM (level 1) curriculum

 

Medical Ophthalmology curriculum

 

Generic curriculum

 

KBA

                                MRCP pt 1          MRCP pt 2                 Specialty Exam

 

 

WPBA

Throughout training according to Assessment Blueprint & ARCP Decision Grid

 

 

ARCP

      8             16                  23           at end ST3            st4              etc

  

Competence Based Curricula – SpR (for trainees enrolling after 1 Jan 2003)

The JCHMT introduced revised curricula for all the medical specialties together with a generic curriculum that applied to all trainees back in 2003. These are competence-based and set out the knowledge, skills and attitudes to be acquired by trainees before they may be awarded a CCT. 

Curricula (for trainees enrolling before 1 Jan 2003)

The curricula for trainees enrolling pre 01/01/03 are no longer available on the website but can be obtained by request to kate.forrester@jrcptb.org.uk

 Documents

PTB Training Level
Expand/Collapse PTB Document TypeAssessment Blueprints and RITA Decision Aids ‎(3)
Generic Curriculum Assessment Blueprint.pdfGeneric Curriculum Assessment Blueprint191 KB07/08/2008 14:45ACCS (Medicine); FTSTA; ST2; ST1; ST3+
Medical Ophthalmology Assessment Blueprint.pdfMedical Ophthalmology Assessment Blueprint211 KB08/08/2008 12:46ST3+
Medical Ophthalmology RITA Decision Aid.pdfMedical Ophthalmology RITA Decision Aid28 KB08/08/2008 12:46ACCS (Medicine); CESR; ST1; ST2; ST3+
Expand/Collapse PTB Document TypeCurriculum ‎(4)
Generic Curriculum 2003.pdfGeneric Curriculum 200393 KB07/08/2008 14:45SpR
Generic Curriculum May 2007.pdfGeneric Curriculum May 2007339 KB07/08/2008 14:45ACCS (Medicine); ST1; ST2; ST3+; FTSTA
Medical Ophthalmology Curriculum.pdfMedical Ophthalmology Curriculum385 KB08/08/2008 12:46SpR
Medical Ophthalmology Specialty Training Curriculum May 2007.pdfMedical Ophthalmology Specialty Training Curriculum May 2007615 KB08/08/2008 12:46ST3+

 SAC Membership

Name Position Representing
Professor John Vincent  Forrester Chair Royal College of Ophthalmologists
Dr Peggy Alison  Frith Secretary Royal College of Ophthalmologists
Professor Philip Ian  Murray Member Royal College of Ophthalmologists
Dr Graham Stuart  Venables Member SAC Neurology
Professor Derek  Bell Member SAC G(I)M
Dr Andrew Brian  Hassell Member SAC Rheumatology
Professor Andrew David  Dick Member Royal College of Ophthalmologists
Dr Paul Manley  Dodson Member Royal College of Ophthalmologists
Dr Declan  Flanagan Member Royal College of Ophthalmologists
Dr Gordon Terence  Plant Member Royal College of Physicians of London
Dr Richard Peter  Gale Trainee Representative Trainee's Committee
Professor David Huw  Jones Lead Dean COPMeD
Dr John Alexander  Olson Co-opted Member Co-opted

 Useful Links

(All information is correct at the time of publication)