SHE Level 3
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code M3B524128
Module Leader Claudine Wallace
School School of Health and Life Sciences
Subject Vision Sciences
  • A (September start)-B (January start)-C (May start)
  • C (May start)-A (September start)-B (January start)
  • S-C (May start)-A (September start)-B (January start)

Summary of Content

This clinical module is an intrinsic element of the course. It allows students to develop and apply theoretical knowledge, extend and transfer practical skills and refine their problem solving ability within the clinical environment. The module will encourage the students to develop skills required to work in the health care setting including communication.


At this stage in the programme the focus on this clinical placement will be the diagnosis and management of concomitant and incomitant deviations. Advanced knowledge of binocular vision assessment and the detection and management of amblyopia will be developed.

Learning Outcomes

On completion of this module students should be able to:-Use knowledge of contra-indications and take necessary precautions in the application of treatmentCheck equipment before use.Practice appropriate support and supervision of the patient/client.Adhere to local Health and Safety policies.Show vigilance regarding potential hazards.Demonstrate awareness of local infection control policy and procedures.Adhere to BIOS Rules of Professional Conduct . Adhere to the procedures outlined in the Student Practice Handbook, refer in particular to punctuality/dress code etc. Adhere to the procedures outlined in the Clinical Unit/Trust, refer to procedures identified at placement induction Adhere to Glasgow Caledonian University Code of Conduct Behave in a responsible manner.Seek assistance when in doubt. Respond appropriately to feedback. Display an interest in the clinical speciality. Prepares adequately for the placement (Refer to Pre-Placement Package). Obtain patient/client consent Demonstrate a professional rapport with patients/clients. Communicate effectively with patients/clients. Respond appropriately to non-verbal communication. Demonstrate effective listening skills Convey information accurately and appropriately to patients/clients. Demonstrate ability to motivate patients/clients. Communicate effectively with other professionals including Practice Educator (timely, concise and accurate). Contribute to professional discussion. Keep records which are logically structured, accurate and legible. Communicate effectively with relatives/carers. Identify and access appropriate sources of information relevant to the patient Demonstrate a pro-active approach to patient/client care. Gather relevant information from the patient/client interview. Gather relevant information from observation of the patient/client. Select appropriate test protocols. Select and use appropriate outcome measures. Apply selected procedures competently. Appraise the information gained from the assessment. Link clinical findings with theoretical knowledge to assist clinical reasoning. Conduct examination/assessment demonstrating efficient time management. Demonstrate an ability to use clinical reasoning as part of clinical practice. Set short-term orthoptic objectives such as initial response to spectacle correction Set long-term orthoptic objectives, management of patient with ongoing medical condition or monitor visual development . Design an orthoptic treatment plan to meet short ( occlusion therapy after visual screening) and long-term objectives ( prescription of prisms in myasthenia). Provide an evidence based justification for orthoptic intervention. Negotiate with the patient/client possible orthoptic interventions. Apply appropriate clinical assessment, and management skills. Evaluate patient/client response to interventions Modify interventions appropriately, eg atropine occlusion if non compliant with convential treatment Educate the patient/client in self-management. Include aspects of health promotion in meeting patient/client needs such as need for regular follow up, screening etc In relation to Orthoptic practice the student should be able to Classify all types of amblyopia Formulate management plans in amblyopiaRecognise and be able to discuss the literature in relation to amblyopia detection , management and the role of visual screening in detection of amblyopiaIdentify and classify all types of manifest concomitant strabismusDiagnose and assess all forms of heterotropiaInvestigate abnormal binocular visionPerform smooth pursuit ocular movements (ductions and versions) and qualitative saccades in incomitant strabismus.Differentiate between mechanical, myogenic and neurogenic strabismus.Differentiate between congenital/longstanding and recently acquired strabismusIdentify using smooth pursuit ocular movement assessment defects of extra-ocular musclesPerform and accurately interpret:-lees/hess chart, field of binocular single vision, measurement in 9 positions of gaze using the synoptophore , measurement in 9 positions of gaze using prismsShow awareness of different management protocols to treat anomalies of binocular vision both incomitant and concomitantPlan an effective management strategy for the patientShow awareness of surgical treatment options and witness such procedures where possible

Teaching / Learning Strategy

Clinical placement is the practical where clinical hypothesis(es) are tested and evaluated. Hence they are an intrinsic element of the course and an important learning experience in their own right. Placements provide students with a unique opportunity to undertake problem solving in action. Third year placements will enable students to develop their diagnostic and management skills within the field of Orthoptics. The student should be encouraged with support to investigate a wide range of patients in a range of setting including undertake visual screening

Indicative Reading

Pre-placement package As directed

Transferrable Skills

Transferable skills integral to module operation and the learning experience include discipline skills, extension of information, social, communication & interpersonal skills, and development and enhancement of organisational ability, analysis, evaluation, synthesis, problem-solving, decision making and clinical reasoning skills.

Module Structure

Activity Total Hours
Assessment (FT) 4.00
Practicals (FT) 346.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 50.00 40% Completion of learning objectives according to clinical handbook1000 words
Coursework 3 n/a 25.00 40% Osce style practical test
Coursework 2 n/a 25.00 40% Reflective case study 1500 words