Medical Ophthalmology CESR Portfolio Guide

• Aware of, and adheres to, the GMC professional requirements
• Aware of public health issues including population health, social determinants of health and global health perspectives
• Demonstrates effective clinical leadership
• Demonstrates promotion of an open and transparent culture
• Keeps up to date through learning and teaching
• Demonstrates engagement in career planning
• Demonstrates capabilities in dealing with complexity and uncertainty
• Aware of the role and processes for commissioning
• Aware of the need to use resources wisely

• Aware of national legislation and legal responsibilities, including safeguarding vulnerable groups
• Behaves in accordance with ethical and legal requirements
• Demonstrates ability to offer apology or explanation when appropriate
• Demonstrate ability to lead the clinical team in ensuring that ethical and legal factors are considered openly and consistently

• Communicates clearly with patients and carers in a variety of settings
• Communicates effectively with clinical and other professional colleagues
• Identifies and manages barriers to communication (e.g. cognitive impairment, speech and hearing problems, capacity issues)
• Demonstrates effective consultation skills including effective verbal and non-verbal interpersonal skills
• Shares decision making by informing the patient, prioritising the patient’s goals and wishes, and respecting the patient’s beliefs, concerns and expectations
• Shares decision making with children and young people
• Applies management and team working skills appropriately, including influencing, negotiating, re-assessing priorities and effectively managing complex, dynamic situations

• Makes patient safety a priority in clinical practice
• Raises and escalates concerns where there is an issue with patient safety or quality of care
• Demonstrates commitment to learning from patient safety investigations and complaints
• Shares good practice appropriately
• Contributes to and delivers quality improvement
• Understands basic Human Factors principles and practice at individual, team, organisational and system levels
• Understands the importance of non-technical skills and crisis resource management
• Recognises and works within limit of personal competence
• Avoids organising unnecessary investigations or prescribing poorly evidenced treatments

• Manages clinical information / data appropriately
• Understands principles of research and academic writing
• Demonstrates ability to carry out critical appraisal of the literature
• Understands the role of evidence in clinical practice and demonstrates shared decision making with patients
• Demonstrates appropriate knowledge of research methods, including qualitative and quantitative approaches in scientific enquiry
• Demonstrates appropriate knowledge of research principles and concepts and the translation of research into practice
• Follows guidelines on ethical conduct in research and consent for research
• Understands public health epidemiology and global health patterns
• Recognises potential of applied informatics, genomics, stratified risk and personalised medicine and seeks advice for patient benefit when appropriate

• Delivers effective teaching and training to medical students, junior doctors and other healthcare professionals
• Delivers effective feedback with action plan
• Able to supervise less experienced trainees in their clinical assessment and management of patients
• Able to supervise less experienced trainees in carrying out appropriate practical procedures
• Able to act as a clinical supervisor to doctors in earlier stages of training

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Triage, risk assess and prioritise patients appropriately (OST)
• Apply management and team working skills appropriately, including understanding the perspectives of others, negotiating, re-assessing priorities and effectively managing complex dynamic situations (OST)
• Collaborates with members of the multidisciplinary team in different ophthalmic and medical specialties, including radiology and laboratory based specialties
• Participates in internal and external quality assurance
• Remains updated and implements pathways on treatment protocols for ocular conditions including intravitreal therapy.
• Works to optimise resources, train other health professionals and ensure maximal safety and efficiency when running injection lists and clinics.

• Demonstrates professional behaviour with regard to patients, carers, clinical and non-clinical colleagues
• Be an effective supervisor, teacher and trainer of urgent eye care (OST)
• Triage, risk assess and prioritise patients appropriately (OST)
• Performs accurate clinical examinations
• Shows appropriate clinical reasoning by analysing physical and psychological findings
• Formulates an appropriate differential diagnosis
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences and the urgency required
• Appropriately selects, manages and interprets investigations
• Manage the complexity and uncertainty of urgent eye care (OST)
• Understand and employ current accepted practice and recognise the need for sub-specialty input (OST)
• Communicate and deliver feedback to referrers and patients to support integrated health care (OST)
• Identify and treat patients with systemic disease presenting with urgent eye or visual symptoms
• Liaises with other medical specialties for patients with complex medical conditions

• Triage, risk assess and prioritise patients appropriately (OST)
• Demonstrates professional behaviour with regard to patients, carers, clinical and non-clinical colleagues
• Delivers patient centred care including shared decision making
• Demonstrates effective consultation skills (including when in challenging circumstances)
• Formulates an appropriate diagnostic and management plan for medical ophthalmology conditions, taking into account patient preferences
• Interprets systemic investigations appropriately including laboratory results
• Interprets and utilises ophthalmic imaging appropriately.
• Explains clinical reasoning behind diagnostic and management plan, taking into account patient preferences
• Demonstrates appropriate and timely liaison with other medical specialty services when required with other specialties and participates in the multidisciplinary teams relevant to patient care
• Appropriate management of local and systemic treatment for medical ophthalmic conditions, including management of immunosuppression. Ensures appropriate counselling, patient information and primary care shared care liaison
• Remains up to date with developments in the fields of inflammatory eye disease, medical retina and neuro-ophthalmology, as well as other relevant medical and ophthalmological specialties and subspecialties.
• Demonstrates effective specialised management techniques for those with special needs (OST)

• Demonstrate an understanding of ophthalmic surgical procedures and understand the principles for selecting treatment (OST)
• Risk stratify and prioritise patients for surgery appropriately (OST)
• Refer appropriately for ophthalmic surgery
• Manage patients with ocular inflammation, orbital inflammation and retinal disease undergoing ocular surgery including pre and post-operative care
• Manage complications of cataract surgery (OST) and refer for surgical review appropriately
• Formulates and communicates an appropriate management plan taking into account patient preferences.
• Liaises and co-ordinates operating arrangements with members of the theatre, surgical and medical ophthalmology teams

• Demonstrates competence in all procedures as defined by the curriculum
• Carries out an indicative number of procedures and achieves independent competence
• Maintain appropriate audits of practice (OST)
• Practice in line with latest evidence (OST)
• Understands the indications and evidence base for carrying out procedural skills
• Understands and demonstrates safe use of lasers
• Follows local Intraocular and periocular injections protocols
• Apply mental capacity legislation in clinical practice (OST)

• Recognises the visually impaired patient
• Refers appropriately to low vision and vision support services, including registration for a certificate of visual impairment
• Communicates effectively with patient and carers and demonstrates compassionate professional behaviour
• Understands the psychological consequences of visual impairment and the management of patients and families affected
• Follows DVLA guidelines and advises patients on visual requirements for driving

Currency Window

Evidence of your recent practice (i.e. less than five years old) will be given more weight, as it reflects current capabilities.

Evidence Volume

around 100 electronically uploaded documents