The OSCE (Objective Structured Clinical Examination) is a pivotal step for internationally trained optometrists aiming to qualify and register in the UK. As the CEO of ACN Academy, a pre-registration supervisor, a professional development tutor, and someone who has conducted mock OSCEs, I understand just how daunting the OSCE can seem. This guide aims to give you clarity, boost your confidence, and direct you toward success especially if you're preparing through the traditional Scheme for Registration route before the full implementation of the new CLiP model.

What Is the OSCE?

The OSCE is a practical, scenario-based exam that tests your clinical, communication, and decision-making skills. It is administered by the College of Optometrists as the final assessment in the UK optometry qualification process under the Scheme for Registration.

OSCE Format:

• 17 stations total (including 1–2 rest stations and pilot stations)

• 5 minutes per station, with 1 minute beforehand to read instructions

• Each station is scored independently by an examiner

• You must pass a majority of scored stations and meet the overall cut mark

What Does the OSCE Assess?

The OSCE tests your ability to apply clinical knowledge practically and communicate effectively with patients or colleagues. You will be assessed on competencies such as:

• History-taking and diagnostic reasoning

• Clinical techniques (e.g., ophthalmoscopy, retinoscopy, cover test)

• Communication (e.g., explaining conditions or treatments)

• Data interpretation (e.g., visual fields, OCT, fundus photography)

• Professional conduct (e.g., hygiene, consent, referral decisions)

Common clinical themes include:

• Red eye

• Sudden vision loss

• Binocular vision anomalies

• Contact lens complications

• Glaucoma and diabetic retinopathy

Top Tips to Pass the OSCE as an International Optometrist

1. Understand UK Clinical Expectations

You will be tested against UK standards, not your home country’s practices. Review:

• GOC competencies

• College of Optometrists’ Clinical Management Guidelines (CMGs)

2. Practice with a Timer

Do 5-minute drills with mock cases. Practice history-taking, diagnosis, and explanations within strict time limits to develop speed and structure.

3. Refine Your Communication Skills

Use clear, layperson language. Be empathetic and professional. Practice role-plays and receive feedback from colleagues or mentors.

4. Master Practical Skills

Get hands-on practice with essential tools:

• Direct ophthalmoscope

• Retinoscope

• Volk lens

• Slit lamp

5. Use Past Station Themes

Review past OSCE themes. Many candidates report recurring topics like:

• Headaches

• Visual field defects

• Red flag symptoms for referral

Recommended Study Tools

• College of Optometrists OSCE Briefing Videos

• CMGs: https://www.college-optometrists.org/guidance/clinical-management-guidelines

• Optometry textbooks (Kanski, Elliott, etc.)

• Peer study groups (Facebook, WhatsApp)

• Mock OSCE courses (in-person or online)

• Referral letter writing practice

What About CLiP?

The Clinical Learning in Practice (CLiP) model is being introduced to eventually replace the current pre-reg + OSCE structure for UK optometry students. Under CLiP:

• Students complete clinical placements during their degree

• Assessment is continuous; no final OSCE exam

🚨 If you’re an international optometrist, the traditional OSCE still applies to you for now. The GOC has not yet clarified how CLiP will affect overseas candidates, so it’s wise to proceed through the current pathway if you are eligible now.

Read our full post on CLiP and what it means for international optometrists.

Final Thoughts

The OSCE is intense, but it is passable especially with clarity, mentorship, and preparation. What you need is a focused strategy and practical confidence.

Need help structuring your OSCE preparation or ready to work 1-on-1 with our team ? Chat with us on WhatsApp, just send the word "OSCE" to begin.