May 2006

THE ROYAL COLLEGE OF OPHTHALMOLOGISTS

EDUCATION AND TRAINING DEPARTMENT

EQUIVALENCE OF TRAINING SUB-COMMITTEE

CONSOLIDATED RECORD SHEET OF SURGICAL AND LASER EXPERIENCE FOR

ARTICLE 14 APPLICATIONS WHICH REFERS TO A SUBMITTED LOGBOOK

Full name ………………………………………………………………………………..

Dates of log book information covered by the consolidated data below:

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All the surgical and laser logbooks covered by this consolidated record sheet
must be separately validated and submitted with the application as set out in the
PMETB guidance.

Posts covered by the consolidated data below:

e.g.: SHO in ophthalmology at Addenbrooke’s Hospital from 1 May 1998 to 23 April

1999.

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Please note that you are required to complete all the columns in the table below in full
summarising the whole of your logbook including SJ and A.

Training committee required minima TX PS P SJ A

Cataract surgery - small incision 300 TX
- ECCE - -
Strabismus 20 TX
Oculoplastic & lacrimal (excl ptosis) 40 TX
Ptosis 3 A
Procedures for glaucoma (including 30 TX
laser)
A combination of corneal grafts and 6 A
graft triples
Retinal detachment and VR 20 A

Laser to retina 40 TX
A = Assisted in the operation
P = Performed yourself
PS = Performed under direct supervision of someone more senior
SJ = Supervised a junior
TX = Total of PS and P

Details of the Consultant validating the consolidated record sheet

Name: ……………………………………………………………………………………………

Post held: …………………………………………………………………………………………

Professional Address: ……………………………………………………………………………

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Signature: …………………………………….Date:.…………………………………………….

Hospital Stamp