The course is for doctors wishing to refine their refraction technique with comprehensive preparation for the Refraction Certificate Examination. Lack of confidence and a haphazard examination under time pressure are the main reasons for failure in an OSCE examination. This course specifically focuses on these aspects so that attendees have an organised routine to achieve success.

The course covers, in demonstrations and practical workshops, the following topics:

• Objective refraction - non-cycloplegic and cycloplegic retinoscopy
• Subjective refraction - sphere and cylindrical element
• Near addition
• Duochrome/+1 blur test/Binocular balance
• Trial frame fitting and Interpupillary Distance (IPD) measurement
• Refraction of a Model Eye
• Focimetry
• Lens neutralisation
• Visual acuity and refraction estimation
• Visual acuity testing in a child

The day is divided into the morning session during which candidates will be shown detailed step-by-step demonstrations on how to successfully perform a refraction based on the RCOphth Refraction Certificate syllabus with vital tips. A course handbook covering how to carry out each practical station, with the relevant theory will be sent to candidates 2 weeks before the course date. The afternoon session consists of practical workshops with a 2:1 ratio of candidate to examiner. Candidates will work through all 16 OSCE stations outlined in the syllabus with subjects and all the necessary equipment provided, under the guidance of the examiner. At the end of the day, a mock Refraction Certificate Examination will be conducted. Candidates will be assessed based on the RCOphth Refraction Certificate Examination mark sheets and these will be made available to candidates with feedback on each station.

The course is held at Charing Cross Hospital, Hammersmith. This central London location is easily accessible by public transport or car, with free parking available around the hospital.

The London Refraction Course costs £495 including course handbook, lunch and refreshments. Early booking is advised, as spaces are limited.

To ensure candidates receive the highest possible standard of tuition the number of places available is strictly limited to ten, allocated on a first come first served basis. This will allow us to provide a 2:1 ratio of candidates to examiners.