1. Form of interview
The candidate will usually be assessed by the three assessors who reviewed his/her casebook. The casebook will form the agenda for the interview but the discussion may include related pertinent areas of clinical ophthalmology and basic sciences. Candidates will be expected to show familiarity with publications relevant to the case studies and may be required to analyse the reliability, scope and quality of the cited references in the case studies.
The interview will last about 2 - 3 hours and will usually be held at The Royal College of Ophthalmologists, 17 Cornwall Terrace, London NW1 4QW.
Content of the interview
In the interview candidates must demonstrate a depth of knowledge and understanding expected of an independent specialist not sub-specialising in the field being tested. In both the case studies and the interview the candidate must demonstrate: -
Knowledge of all clinical aspects of ophthalmic medicine and surgery relating to the case(s) in each chapter (i.e. demonstrate competence in diagnosis and management of each case)
The capacity to formulate a differential diagnosis and to choose an appropriate management strategy from the options available
The appropriate use of investigations and an understanding of the basic principles of these investigations
An appreciation of the socio-economic aspects of each case and the impact that the disease and its management may have on the patient's work, family and recreation, and society as a whole, including health service management implications of the case.
An understanding of clinical optics and refractive management of relevance to the case(s)
An ability to perform a relevant and appropriate literature search for each case and perform a critical appraisal of the relevant literature
Understanding of the importance of evidence based practice and familiarity with the guidelines published by The Royal College of Ophthalmologists and other relevant guidelines wherever available
Understanding of the contribution of other health service personnel in the management of the patient
Understanding of the importance of health promotion and disease prevention
Recognition of the limits of their own knowledge and insight as to when to refer a patient for further opinion as necessary
Communication / Information Technology skills, i.e. communication with the patient, their family, other professionals as well as presentational skills in their writing of each case
In addition, the candidate should demonstrate:
An appreciation of clinical teaching and commitment to continuing professional development in general
Understanding of ethical issues e.g. in research
Understanding of medico-legal aspects of the case where relevant
Knowledge of services for the visually handicapped and how to access these
3. Following the interview
a) Candidates may pass the assessment, pass subject to minor amendments in the casebook or they may fail.
b) Candidates are allowed to phone the Examinations Department to obtain thier result following thier interview. The result will not be given straight away. Candidates will also be notified in writing.
c) Failure may require reworking parts of the casebook or may require additional experience. The unsuccessful candidate will be counselled accordingly.
d) Successful candidates with the MRCOphth will be recommended for the award of FRCOphth (by the Council of the College); successful candidates already in possession of the FRCOphth or other Fellowship will be awarded a certificate of satisfactory completion of the Fellowship Assessment. For those in Type 1 higher specialist training, the Training Committee will propose the candidate to the Council of The Royal College of Ophthalmologists for recommendation to the Specialist Training Authority (STA) for the award of the Certificate of Completion of Specialist Training (CCST) on the receipt of RITA Form G from the deanery Specialty Training Committees, and satisfactory final review of the individual's log book.