29/04/2020 International Council of Ophthalmology Examinations

An Introduction to the Foundation Formative Assessment

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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 29/04/2020 www.icoexams.org

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ICO Examinations • • • Foundation Assessment from 2013 About an 85% pass rate (Criterion Referenced) Standard Examinations Basic Science Optics & Refraction Clinical Sciences 2hrs 1 hr 4 hrs 80 Questions 30 Questions 200 Questions 55-60% Pass Rate (Norm Referenced) Advanced (FICO) Examination 3 hrs onwards ? 50% pass rate (Criterion Referenced) 4 th Year 1st Year or earlier 84 Questions 2 nd /3 rd Year 2 nd /3 rd Year 3 rd /4 th Year 29/04/2020 www.icoexams.org

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2013 Foundation Assessment

• • Can be taken: Prior to Ophthalmology or 1 st Only online year in training • • • • • Essentials Syllabus: Essentials of ophthalmology Open access on nearly any computer.

No monitoring Security features Instant results on completion 29/04/2020 www.icoexams.org

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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 29/04/2020 www.icoexams.org

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Group

A B C

Area of Syllabus

General Medicine related to Ophthalmology Community Medicine & Public Health International Medical Ethics & good Practise Epidemiology and Statistics Genetics Opth.pathology & intraocular tumours Intraocular inflammation and uveitis Retina and vitreous Trauma, external disease and cornea Glaucoma Lens and cataract 29/04/2020 www.icoexams.org

% of total

7% 5% 1% 2% 2% 5% 6% 6% 5% 6% 6%

Group %

17% 17% 17% 8

Group

D

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E F

Area of Syllabus

Anatomy of the Eye, the Orbit and related structures Embryology and Development Neuro-Anatomy Principles of General Physiology Vision, Ocular Physiology, Biochemistry, Cell Biology Pathology and Micro-biology Pharmacology Optics & Refraction Basic design, construction and use of instruments Commonly used tests in ophthalmology Neuro - ophthalmology Paediatric Ophthalmology Orbit, eyelid and Lacrimal disease www.icoexams.org

% of total

4% 2% 2% 2% 4% 2% 2% 2% 6% 6% 6% 6% 5%

Group %

16% 16% 17% 9

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 those with English as a first language.

False • 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” position.

FALSE • 4. If testing with a pinhole gives worse visual acuity than without it, a central scotoma is a likely diagnosis.

TRUE 29/04/2020 www.icoexams.org

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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 29/04/2020 www.icoexams.org

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Confidence indicator example from Sample question 1

Candidate’s Answer TOTAL +5 12 +3 +3 +2 -3 29/04/2020 www.icoexams.org

• 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.

TRUE 2. The posterior capsulorhexis is perfectly axial.

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.

TRUE FALSE 3. The eye movements in the this patient are pendular.

TRUE 4. He is likely to be blind.

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 to 20 minutes to answer 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: Good Luck!

F------

You can take it again if you need a higher grade 29/04/2020 www.icoexams.org

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