Development of a competency framework for optometrists with a specialist interest in glaucoma.
OBJECTIVE
To develop a competency framework, using a modified Delphi methodology, for optometrists with a specialist interest in glaucoma, which would provide a basis for training and accreditation.


METHODS
A modified iterative Delphi technique was used using a 16-member panel consisting almost exclusively of sub-specialist optometrists and ophthalmologists. The first round involved scoring the relevance of a draft series of competencies using a 9-point Likert scale with a free-text option to modify any competency or suggest additional competencies. The revised framework was subjected to a second round of scoring and free-text comment. The Delphi process was followed by a face-to-face structured workshop to debate and agree the final framework. The version of the framework agreed at the workshop was sent out for a 4-month period of external stakeholder validation.


RESULTS
There was a 100% response to round 1 and an 94% response to round 2. All panel members attended the workshop. The final version of the competency framework was validated by a subsequent stakeholder consultation and contained 19 competencies for the diagnosis of glaucoma and 7 further competencies for monitoring and treatment.


CONCLUSIONS
Application of a consensus methodology consisting of a modified Delphi technique allowed the development of a competency framework for glaucoma specialisation by optometrists. This will help to shape the development of a speciality curriculum and potentially could be adapted for other healthcare professionals.
Myint
J
J
Department of Optometry and Visual Science, Henry Wellcome Laboratories for Vision Sciences, City University, London, UK.
Edgar
D F
DF
Kotecha
A
A
Crabb
D P
DP
Lawrenson
J G
JG
D000068:Accreditation; D002983:Clinical Competence; D003697:Delphi Technique; D004502:Education, Medical, Continuing / Q000458:organization & administration; D005901:Glaucoma; D006801:Humans; D009907:Optometry / Q000193:education*; D013038:Specialization