International Council of Ophthalmology (ICO)

Report
International Council of Ophthalmology
Examinations
An Introduction to the
Foundation Formative
Assessment
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1
Foundation Formative
Assessment 2013
A unique learning and
assessment tool for
ophthalmologists at the
start of their career
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ICO Examinations and Assessments
- the background
•
•
•
•
•
Since 1994
70 countries
120 centres
3500 examinations
2500 candidates each year
• Cost depends on the GNIPC
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ICO Examinations
• Foundation Assessment from 2013
1st Year or earlier
About an 85% pass rate (Criterion Referenced)
84 Questions
• Standard Examinations
Basic Science
2hrs 80 Questions
Optics & Refraction
1 hr 30 Questions
Clinical Sciences
4 hrs 200 Questions
55-60% Pass Rate (Norm Referenced)
• Advanced (FICO) Examination
2nd/3rd Year
2nd/3rd Year
3rd/4th Year
4th Year
3 hrs
onwards
? 50% pass rate (Criterion Referenced)
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2013 Foundation Assessment
Can be taken:• Prior to Ophthalmology or 1st year in training
• Only online
Essentials
• Syllabus: Essentials of ophthalmology
• Open access on nearly any computer.
• No monitoring
• Security features
• Instant results on completion
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Books, a computer/web
browser can be used while the
assessment is being taken
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Foundation Assessment
• 84 Questions (Open Access 24/7)
• 6 groups: (16-18% of total each group)
• 14 questions per group
• 20+ mins per question
TOTAL POSSIBLE TIME = 28 hours
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Group
A
B
C
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Area of Syllabus
% of
total
General Medicine related to Ophthalmology
7%
Community Medicine & Public Health
5%
International Medical Ethics & good Practise
1%
Epidemiology and Statistics
2%
Genetics
2%
Opth.pathology & intraocular tumours
5%
Intraocular inflammation and uveitis
6%
Retina and vitreous
6%
Trauma, external disease and cornea
5%
Glaucoma
6%
Lens and cataract
6%
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Group %
17%
17%
17%
8
Group
D
E
F
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Area of Syllabus
% of
total
Anatomy of the Eye, the Orbit and related structures
4%
Embryology and Development
2%
Neuro-Anatomy
2%
Principles of General Physiology
2%
Vision, Ocular Physiology, Biochemistry, Cell Biology
4%
Pathology and Micro-biology
2%
Pharmacology
2%
Optics & Refraction
2%
Basic design, construction and use of instruments
6%
Commonly used tests in ophthalmology
6%
Neuro - ophthalmology
6%
Group %
16%
16%
17%
Paediatric Ophthalmology
6%
Orbit, eyelid and Lacrimal disease
5%
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Sample Question 1
Concerning the testing visual acuity in adults, which of
the following statements are true and which are false?
•
1. If a patient only sees at 20 feet a Snellen letter that should be seen at 100 feet,
the visual acuity is 20/100.
TRUE
•
2. The Snellen letter B is easier to resolve than L because it is more familiar to
False
those with English as a first language.
•
3. For the best corrected visual acuity in a patient with an abnormal head posture,
the visual acuity should be tested only with the head in the “straight ahead”
FALSE
position.
•
4. If testing with a pinhole gives worse visual acuity than without it, a central
TRUE
scotoma is a likely diagnosis.
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The Confidence Indicator
For each of the 4 options for each question, the
candidate has to decide how sure they are that
their answer is correct.
 If they mark 3 (very sure) they gain 3 of lose 3,
if right or wrong.
 If they mark 2 they gain or lose 2 marks.
 If they mark 1, they may gain 1, if correct,
score Nil if incorrect
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Confidence indicator example from
Sample question 1
Candidate’s
Answer
+3
+3
+2
-3
TOTAL
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+5
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Concerning the slit lamp image shown, which of the following
statements are true and which are false?
• 1. It shows a one-piece Intraocular lens.
• 2. The posterior capsulorhexis is perfectly axial.
TRUE
FALSE
• 3. The fundus reflex is abnormal.
FALSE
• 4. There is a re-growth of lens fibres.
TRUE
Sample Question 2
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The video in Q52 is a “slowed down” image of the eye movements of a 12
year old boy with an acquired disorder of his ventricle, horizontal and rotary
(torsional) eye movements. Concerning this patient’s nystagmus, which of
the following statements are true and which are false?
•
•
•
•
1. He has a tumour in the region of the optic chiasm.
2. Ependymoma is the most common pathology.
3. The eye movements in the this patient are pendular.
4. He is likely to be blind.
TRUE
FALSE
TRUE
FALSE
If the video cannot be viewed:
it shows vertical and rotary (“See-saw”)
nystagmus.
Sample Question 3
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Approximately what the
payment page looks like
What the groups page
looks like
You will have started
When you click the box!
A question. You have up
20 minutes to answe
The clock is ticking!
You have answered the
previous question and
you can pause before
continuing
Click the box to move
to the next group
Results
• The trainer can decide which level you should achieve
Successful completion:*
A , A, B, C,
And:F------
Good Luck!
You can take it again if you need a higher grade
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