Proﬁciency Scale:

1 – Limited or no experience

2 – Moderate experience; requires some supervision

3 – Proficient; able to perform independently

Diagnostic and Imaging Skills

1

2

3

Optical coherence tomography (OCT)

Fundus photography and angiography

Performing pachymetry

Retinal imaging and analysis

Administering and interpreting diagnostic tests (e.g., fluorescein angiography)

Other Skills

1

2

3

Fitting and educating patients on contact lenses

Assisting with LASIK or other laser eye procedures

Performing color vision testing

Calibrating ophthalmic equipment

Supervising or training new staff/technicians

I certify that all the above information is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency. I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct.

Personal Information

Proﬁciency Scale:

Skills

Diagnostic and Imaging Skills

Administrative and Patient Care Skills

Other Skills