Ophthalmology ST1 · 2027 criteria

Ophthalmology ST1 Evidence Folder: points calculator and scoring guide

2027 criteria, published by NHS England (self-assessment page last reviewed 29 September 2026) Last checked

Pick the option that fits your evidence at each step to see your score out of 47, and what you can still add before the deadline.

Applications close 4pm, Thu 19 Nov 2026Evidence upload by Tue 2 Feb 2027

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Ophthalmology ST1 points calculator

Answer one question for each scored domain. We add up your points with the published rules shown on each step, then show what you could still add before the deadline, with dates. It takes about two minutes.

We'll show your result and email you a copy.

When are you applying?

We use this to date your plan. Applying this round, it works back from the deadline. Applying next year, you get the long-run version instead.

Your score is the total of the domain scores, out of a maximum of 47.

Maximum 5 pointsQualifications with certificates or letter of proof

Cumulative scoring - maximum 5 points. Please note that a cross-specialty requirement that intercalated one-year degrees taken during a primary medical degree are not scored has been imposed. Please state explicitly if any additional degrees to your primary degree are intercalated or not intercalated.

Each item you can evidence adds its points, up to 5 points for the domain.

1 point - per qualification taken as a course separate from the primary degree for at least 8 months full-time or equivalent- MSc, BSc, PG Cert (including Optometry degrees but NOT intercalated degrees)1pt eachHow many
3 points- for an MD or MPhil degree taken as a separate course before or after the primary degree. If you gained your medical qualification in a country where all students are automatically awarded an MD without additional study you cannot claim points for that MD. You may only claim points for an MD/ MPhil where you have undertaken a period of at least 2 years’ full time additional study and research to your primary medical degree and you must present a supervisor’s letter confirming this.3pts eachHow many
4 points - for a completed PhD or DPhil. You must have undertaken full-time research involving original work, usually of at least three years' duration. You must present a supervisor’s letter confirming this.4pts eachHow many

Separate (non-intercalated) degrees of at least 8 months full-time: BSc/MSc/PG Cert 1 each, MD/MPhil 3, PhD/DPhil 4.

Watch out. Claiming an intercalated BSc. It scores 0, and the guidance asks you to state explicitly whether each extra degree was intercalated.

Caps. Cumulative, capped at 5. "MRCP and MRCS are not scored." A teaching PG Cert/Diploma belongs in Education and Teaching, not here ("Not to be included in Qualifications section").

Maximum 5 pointsPrizes/Awards with proof

Cumulative scoring - maximum 5 points

Each item you can evidence adds its points, up to 5 points for the domain.

2 points each - 1st in the final year (not module or other part of a year) of an undergraduate degree or equivalent for example, Honours or Distinction where < 15% of the students in that year achieve this. Evidence explicitly demonstrating this must be presented. Degrees other than a primary medical degree (but not intercalated degrees) can be scored on this basis where evidence explicitly demonstrates < 15% of the year achieve this2pts eachHow many
National Undergraduate prize through competitive examination (in any specialty, e.g. The Duke-Elder prize): 3 points for coming first, 2 points for coming in top 10% of entrants, 1 point for being in the top 20% of entrants3pts eachHow many
2 points for coming in top 10% of entrants2pts eachHow many
1 point for being in the top 20% of entrants1pt eachHow many
1 point each- for each successful research grant application where the candidate was lead author and the application led to substantial peer-reviewed published research. Travel and other bursaries will not be scored unless there are exceptional circumstances/ achievement demonstrated1pt eachHow many
1 point each- for Best presentation or poster at a national or international meeting where you are first author (may also be used in evidence for Presentations section or QI/ Audit section) (Maximum 2 points this section). Being highly commended or any other designation will not be scored1pt eachHow many

Crombie Medal, top-of-year finishes (<15%), national undergraduate prizes with 400+ entrants, lead-author research grants that led to published research, and best presentation/poster prizes at national or international meetings as first author.

Watch out. Claiming 'highly commended' or a runner-up commendation. "Being highly commended or any other designation will not be scored".

Caps. Cumulative, capped at 5. Best presentation/poster prizes capped at 2 within the domain. This is the one stated exception to the no-double-counting rule: a prize-winning presentation "may also be used in evidence for Presentations section or QI/ Audit section".

Maximum 2 pointsMulti-Source Feedback (MSF)

Maximum 2 points. The MSF must have been taken place within 18 months of the interview date if the candidate has been in clinical posts for this period.

Scores the single best option you can evidence, up to 2 points. Pick the highest option you can evidence.

A satisfactory MSF/TAB from the last 18 months before the interview date (interviews are 22–23 March 2027), with 7+ respondents in a hospital post.

Watch out. Uploading an MSF that is too old, has too few respondents, or is an unsigned/unstamped non-TAB form.

Caps. 0 or 2 only (the proforma dropdown offers 0, 1 and 2, but the guidance publishes only 0 and 2).

Maximum 5 pointsQuality improvement (QI) / Audit projects

Maximum 5 points. A copy of your best QI project or audit, performed within the last 3 years of the interview date, must be uploaded with either presentation slides or a text document showing standards, methods, outcomes and recommendations.

Scores the single best option you can evidence, up to 5 points. Pick the highest option you can evidence.

Your single best QI project or audit from the last 3 years, scored by your documented role and how far it went: participation, design, write-up, closing the loop, then publication or supra-regional rollout.

Watch out. Assuming first authorship proves you led it ("being first listed in authors on documents is not proof of being lead on a project"), or relying on a supervisor letter alone for 4–5 points without data.

Caps. Single best project scored, max 5. "If you are not clearly lead on the project then the maximum score is 1 point". "Some modification of these marks may be made dependent on quality of project and impact of the work."

Maximum 6 pointsPresentations

Cumulative scoring - maximum score 6 points. List of presentations and copies of abstracts or posters, stating whether it is a poster presentation or oral presentation. Proof must be uploaded through an abstract book or signed letter from a supervisor. Presentations must be of original work and not didactic lectures. Presentations duplicating work will not be scored.

Each item you can evidence adds its points, up to 6 points for the domain.

1 Point each- Regional presentations (For example regional ophthalmology society meetings or other specialty equivalents in the UK or regional ophthalmology meetings of other countries or equivalent non-ophthalmology meetings. Regional designation includes specifically English, Scottish, Welsh meetings). Local hospital or university-specific meetings are not scored1pt eachHow many
2 Points each - National presentations (For example, RCOphth Congress, British Oculoplastic Surgery Society, or other specialty equivalents in the UK or national ophthalmology meetings of other countries or equivalent non-ophthalmology meetings)2pts eachHow many
3 Points each - International meetings – (For example, Association for Research in Vision and Ophthalmology, American Academy of Ophthalmology, and such as, or equivalent international non-ophthalmology meetings). Meetings in non-UK countries where explicit evidence is not presented as to the international nature of the meeting are scored as national or regional meetings.3pts eachHow many
Poster or video presentations score half points shown above, for example, 1 point at a national meeting0.5pts eachHow many
Poster or video presentations score half points shown above, for example, 1 point at a national meeting1pt eachHow many
Poster or video presentations score half points shown above, for example, 1 point at a national meeting1.5pts eachHow many
Second author or lower, oral (half the oral value)Second author or lower scores a half of the oral presentation. Points will only be given if the candidate presents evidence they gave the presentation in lieu of the first author. Second author or lower does not score for posters or videosThis one has no fixed value, so the calculator leaves it out. Work it out from the wording.varies

Original work (research, audit, QI, cases) presented at regional, national or international meetings, in ophthalmology or 'equivalent non-ophthalmology meetings'. Orals 1/2/3, posters and videos half that. Accepted-but-not-yet-delivered counts.

Watch out. Putting the same project in Presentations and in QI/Audit or Publications: "Candidates cannot place the same work in the presentations, QI/ Audit and/or publications domains." Also "An abstract will only receive points if the abstract links to a full article that can be reviewed".

Caps. Cumulative, capped at 6. "Accepted presentations, but not yet presented, will be awarded points". "The same paper presented at different meetings will only be counted once." Second-author posters/videos score 0. Second author or lower on an oral scores half the oral value (regional 0.5, national 1, international 1.5), and only with evidence you presented it in lieu of the first author.

Maximum 6 pointsPublications

Maximum score 6 points ... List peer-reviewed original research publications or high-quality systematic review articles (not letters to a journal or case reports, this evidence can be included in "Ophthalmology specialty links and commitment to date as a career" if the work is in Ophthalmology). Any journal published in must have a current Clarivate Journal Impact Factor (journal must be indexed via the free Web of Science Master Journal List).

Each item you can evidence adds its points, up to 6 points for the domain.

3 points for each publication where you are 1st author or joint first author and 1 point for any other publications up to 4th author (unless > 8 authors in total for article when 1st author only counted). If you are 1 of 3 or more joint first authors then you will be scored as a second author. If there are more than 6 joint first authors then no score will be given.3pts eachHow many
1 point for any other publications up to 4th author (unless > 8 authors in total for article when 1st author only counted)1pt eachHow many

Peer-reviewed original research or high-quality systematic reviews in Impact-Factor journals: 3 as first author, 1 as 2nd–4th author. In press counts with proof of final acceptance.

Watch out. Listing case reports or letters here. They don't score in Publications. If the work is in ophthalmology they go under Specialty Links (0.5 each, max 2).

Caps. Per-publication scoring capped at 6. Journals must have a current Clarivate Journal Impact Factor. "Quality of the work presented and impact of the journal may be considered when scoring." "Duplicate work in different publications will not be scored."

Maximum 5 pointsEducation and Teaching

Cumulative scoring - maximum score 5 points

Each item you can evidence adds its points, up to 5 points for the domain.

0.5 points each (2 points maximum) - for helping with an educational course (more than one session), for helping with mock OSCEs (more than one session), designing an elearning tool, writing an e-book, completing a "teaching the teachers" course and/or undertaking a formal role in examining undergraduates. Duplicate experiences will not be scored0.5pts eachHow many

Up to 2 points from 0.5-point activities, including completing a 'teaching the teachers' course. Plus 1 for a formal teaching series with feedback, 2 for a 60-credit/8-month teaching qualification, and 2 or 3 for academic book writing.

Watch out. Claiming two teach-the-teacher certificates (e.g. live day plus self-paced) as two 0.5s. "Duplicate experiences will not be scored", and "Multiple experiences in similar areas (for example, multiple teaching courses designed and delivered) will only be given points if additional attainment is described." Also: ward-based or small-group teaching doesn't count toward the 1-point formal series.

Caps. Cumulative, max 5. The 0.5 activities share a 2-point sub-cap ("0.5 points each (2 points maximum)"); every other tier scores once ("each and maximum"). "Duplicate experiences will not be scored". "No points will be awarded solely for being a teaching fellow or anatomy demonstrator."

Maximum 13 pointsOphthalmology specialty links and commitment to date as a career

Cumulative scoring - maximum score 13 points

Each item you can evidence adds its points, up to 13 points for the domain.

Non-peer reviewed publications and case reports or 'letters to the journal' in ophthalmology (0.5 points each) or other peer-reviewed (Pubmed-cited and Clarivate Journal Impact Factor listed (indexed via the free Web of Science Master Journal List)) research publications in ophthalmology not included in other sections (1 point each): 2 points max. Within this section (points only awarded if candidate is first author). Please indicate clearly impact of non-peer-reviewed publications0.5pts eachHow many
other peer-reviewed (Pubmed-cited and Clarivate Journal Impact Factor listed ...) research publications in ophthalmology not included in other sections (1 point each): 2 points max1pt eachHow many
Ophthalmic elective (of at least 2 weeks' duration) and/or separate undergraduate project: 2 points max, 1 point per achievement. Candidates must provide evidence of reflection on achievements. If electives were cancelled due to COVID and evidence is provided that an elective was planned then this can be scored. Undergraduate projects must have supervisor support explicitly stating the project was equivalent to 2 weeks' full-time work. Projects leading to presentations or publications should not be scored in those sections also1pt eachHow many
Evidence of ophthalmology simulation training (including EyeSi experience): 1 point for each activity of at least 4 hours or whole-day course, max. 2 points1pt eachHow many
Meetings attended: 3 points maximum, from which 3 points max. For National / International Ophthalmology educational meetings attended (1 point per meeting) and 1 point max. For Regional Ophthalmology meetings (including Royal Society of Medicine Ophthalmology Section Evening Meetings) attended (0.5 points per meeting). Meetings included in this section must not be included in the Presentations section. Online meetings attended may not score depending on the details supporting presented, including scope of meeting and reflections on learning1pt eachHow many
1 point max. For Regional Ophthalmology meetings (including Royal Society of Medicine Ophthalmology Section Evening Meetings) attended (0.5 points per meeting)0.5pts eachHow many
Evidence not included above- discretionary: 1 point per piece of evidence - 2 points max (not including taking Duke-Elder, logbook of surgical cases or WBAs)1pt eachHow many

Concrete ophthalmology commitment: Refraction Certificate, FRCOphth Part 1 (3 pass / 1 attempt), essay prize, first-author ophthalmology case reports or letters, electives/projects with reflection, taster week, spaced clinic/theatre sessions, 4h+ simulation, and ophthalmology meetings attended.

Watch out. Counting the same meeting under 'meetings attended' and Presentations ("Meetings included in this section must not be included in the Presentations section"). Also relying on online attendance without reflections. And forgetting that only first-author publications score here.

Caps. Cumulative, max 13, with item sub-caps: publications 2, electives/projects 2, taster 1, clinics/theatre 1, simulation 2, meetings attended 3 in total (regional within that, max 1), discretionary 2. Sub-caps add up to more than 13. Meeting attendance is limited to ophthalmology meetings.

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Last updated: 10 October 2026

Ophthalmology ST1 recruitment is centralised: NHS England South West (Severn) co-ordinates it for the whole country, so every applicant is scored against the same evidence folder and the same self-assessment, wherever they train. This page sets out what the folder contains, how it is submitted and verified, and exactly what the teaching domain is worth — the one domain a course can move.

Teaching in the Ophthalmology ST1 evidence folder: 0.5 points for completing a Teach the Teacher course. That is the ceiling a course can reach — the tier above it requires a qualification equalling 60 credits, or at least 8 months full-time or equivalent.

8scored domains
47points (stated self-assessment maximum)

How the 2027 self-assessment is scored

For the 2027 round the Ophthalmology ST1 self-assessment has 8 domains and a stated maximum of 47 points, and you need to self-score at least 19 to stay in the process. Shortlisting is now on the MSRA alone, while your verified evidence folder makes up half of the final score: the folder is out of 50, the online assessment is out of 50, and the MSRA isn’t counted in the total. Applications are open on Oriel from 10am on 22 October to 4pm on 19 November 2026, and your self-score and evidence go in together through the portal that’s open from 18 January to 2 February 2027.

The self-assessment page also lists “Overall portfolio layout and quality” with a “Maximum score 3 points”. It isn’t on the self-assessment form, so you don’t score it yourself. Those 3 plus the 47 match the 50 the folder carries in the final score, although NHS England doesn’t spell that out.

Ophthalmology ST1 evidence folder (self-assessment) points at a glance

2027 criteria, published by NHS England (self-assessment page last reviewed 29 September 2026) Last checked

Your score is the total of the domain scores, out of a maximum of 47.

Self-score: "There will be 8 domains to score and the maximum score that can be achieved is 47 points." (Selection process). Shortlisting is now MSRA-only: "Going forward the shortlisting score will be solely the MSRA score and will not include the self-assessment score. The verified self-assessment score will continue to be incorporated into the final total score." Final rank: "Evidence folder – Maximum score 50 points" plus "Online assessment – Maximum score 50 points"; "The score from the MSRA will not be included within the total score." The verified folder is therefore half the final score. The 50 appears to be the 47 self-scored points plus the panel-assessed "Overall portfolio layout and quality" ("Maximum score 3 points"). That domain is not on the self-assessment proforma (see open_questions).

Ophthalmology ST1: every domain, what scores and the maximum
DomainWhat scores (official wording)Max
Qualifications with certificates or letter of proof
  • 0 points a cross-specialty requirement that intercalated one-year degrees taken during a primary medical degree are not scored has been imposed
  • 1 point each 1 point - per qualification taken as a course separate from the primary degree for at least 8 months full-time or equivalent- MSc, BSc, PG Cert (including Optometry degrees but NOT intercalated degrees)
  • 3 points each 3 points- for an MD or MPhil degree taken as a separate course before or after the primary degree. If you gained your medical qualification in a country where all students are automatically awarded an MD without additional study you cannot claim points for that MD. You may only claim points for an MD/ MPhil where you have undertaken a period of at least 2 years’ full time additional study and research to your primary medical degree and you must present a supervisor’s letter confirming this.
  • 4 points each 4 points - for a completed PhD or DPhil. You must have undertaken full-time research involving original work, usually of at least three years' duration. You must present a supervisor’s letter confirming this.

Each item you can evidence adds its points, up to 5 points for the domain.

Cumulative, capped at 5. "MRCP and MRCS are not scored." A teaching PG Cert/Diploma belongs in Education and Teaching, not here ("Not to be included in Qualifications section").

5
Prizes/Awards with proof
  • 3 points 3 points – for Crombie Medal (1st place in FRCOphth part 1 exam)
  • 2 points each 2 points each - 1st in the final year (not module or other part of a year) of an undergraduate degree or equivalent for example, Honours or Distinction where < 15% of the students in that year achieve this. Evidence explicitly demonstrating this must be presented. Degrees other than a primary medical degree (but not intercalated degrees) can be scored on this basis where evidence explicitly demonstrates < 15% of the year achieve this
  • 3 points each National Undergraduate prize through competitive examination (in any specialty, e.g. The Duke-Elder prize): 3 points for coming first, 2 points for coming in top 10% of entrants, 1 point for being in the top 20% of entrants
  • 2 points each 2 points for coming in top 10% of entrants
  • 1 point each 1 point for being in the top 20% of entrants
  • 1 point each 1 point each- for each successful research grant application where the candidate was lead author and the application led to substantial peer-reviewed published research. Travel and other bursaries will not be scored unless there are exceptional circumstances/ achievement demonstrated
  • 1 point each 1 point each- for Best presentation or poster at a national or international meeting where you are first author (may also be used in evidence for Presentations section or QI/ Audit section) (Maximum 2 points this section). Being highly commended or any other designation will not be scored

Each item you can evidence adds its points, up to 5 points for the domain.

Cumulative, capped at 5. Best presentation/poster prizes capped at 2 within the domain. This is the one stated exception to the no-double-counting rule: a prize-winning presentation "may also be used in evidence for Presentations section or QI/ Audit section".

5
Multi-Source Feedback (MSF)
  • 0 points 0 points – for no information presented, negative comments or non-satisfactory scores
  • 2 points 2 points – satisfactory scores with appropriate good comments

Scores the single best option you can evidence, up to 2 points.

0 or 2 only (the proforma dropdown offers 0, 1 and 2, but the guidance publishes only 0 and 2).

2
Quality improvement (QI) / Audit projects
  • 0 points 0 points – if no evidence of QI / audit work in portfolio
  • 1 point 1 point – for participation but no specific roles documented or specific format followed
  • 2 points 2 points – for initiation and design of the QIP / audit and some evidence of specific format
  • 3 points 3 points – for initiation, design and writing up the QIP / audit and specific format followed
  • 4 points 4 points – as above and was personally involved in either implementing the QI strategy with specific demonstration of improvements to practice or in completing the audit loop and implementing change
  • 5 points 5 points – for published audit in peer-reviewed journal (not to be added to Publications or Presentations sections) or QI guidelines implemented supra-regionally with clear evidence of impact

Scores the single best option you can evidence, up to 5 points.

Single best project scored, max 5. "If you are not clearly lead on the project then the maximum score is 1 point". "Some modification of these marks may be made dependent on quality of project and impact of the work."

5
Presentations
  • 1 point each 1 Point each- Regional presentations (For example regional ophthalmology society meetings or other specialty equivalents in the UK or regional ophthalmology meetings of other countries or equivalent non-ophthalmology meetings. Regional designation includes specifically English, Scottish, Welsh meetings). Local hospital or university-specific meetings are not scored
  • 2 points each 2 Points each - National presentations (For example, RCOphth Congress, British Oculoplastic Surgery Society, or other specialty equivalents in the UK or national ophthalmology meetings of other countries or equivalent non-ophthalmology meetings)
  • 3 points each 3 Points each - International meetings – (For example, Association for Research in Vision and Ophthalmology, American Academy of Ophthalmology, and such as, or equivalent international non-ophthalmology meetings). Meetings in non-UK countries where explicit evidence is not presented as to the international nature of the meeting are scored as national or regional meetings.
  • 0.5 points each Poster or video presentations score half points shown above, for example, 1 point at a national meeting
  • 1 point each Poster or video presentations score half points shown above, for example, 1 point at a national meeting
  • 1.5 points each Poster or video presentations score half points shown above, for example, 1 point at a national meeting
  • no fixed value Second author or lower scores a half of the oral presentation. Points will only be given if the candidate presents evidence they gave the presentation in lieu of the first author. Second author or lower does not score for posters or videos

Each item you can evidence adds its points, up to 6 points for the domain.

Cumulative, capped at 6. "Accepted presentations, but not yet presented, will be awarded points". "The same paper presented at different meetings will only be counted once." Second-author posters/videos score 0. Second author or lower on an oral scores half the oral value (regional 0.5, national 1, international 1.5), and only with evidence you presented it in lieu of the first author.

6
Publications
  • 3 points each 3 points for each publication where you are 1st author or joint first author and 1 point for any other publications up to 4th author (unless > 8 authors in total for article when 1st author only counted). If you are 1 of 3 or more joint first authors then you will be scored as a second author. If there are more than 6 joint first authors then no score will be given.
  • 1 point each 1 point for any other publications up to 4th author (unless > 8 authors in total for article when 1st author only counted)
  • 0 points No points will be awarded in this section if you are 5th author or lower in the citation.

Each item you can evidence adds its points, up to 6 points for the domain.

Per-publication scoring capped at 6. Journals must have a current Clarivate Journal Impact Factor. "Quality of the work presented and impact of the journal may be considered when scoring." "Duplicate work in different publications will not be scored."

6
Education and Teaching
  • 0.5 points each 0.5 points each (2 points maximum) - for helping with an educational course (more than one session), for helping with mock OSCEs (more than one session), designing an elearning tool, writing an e-book, completing a "teaching the teachers" course and/or undertaking a formal role in examining undergraduates. Duplicate experiences will not be scored
  • 1 point 1 points (each and maximum) – for delivering at least three formal teaching sessions (not ward-based or small group) on different subject areas over a period of at least 3 months with formal feedback uploaded. Supervisor support in a letter stating these were formal teaching sessions must be provided
  • 2 points 2 points (each and maximum) - for a Higher teaching qualification for example, a Diploma, Certificate in Medical education (taken as a course separate from the primary degree, equalling 60 credits or for at least 8 months full-time or equivalent, specific evidence of this must be uploaded). Not to be included in Qualifications section
  • 2 points 2 points (each and maximum)– for writing a chapter in a postgraduate-level academic book (not an e-book or self-published book). Specific evidence of the publisher and impact of the book must be shown
  • 3 points 3 points (each and maximum) - for writing a postgraduate-level academic book (not an e-book or self-published book). Specific evidence of the publisher and impact of the book must be shown

Each item you can evidence adds its points, up to 5 points for the domain.

Cumulative, max 5. The 0.5 activities share a 2-point sub-cap ("0.5 points each (2 points maximum)"); every other tier scores once ("each and maximum"). "Duplicate experiences will not be scored". "No points will be awarded solely for being a teaching fellow or anatomy demonstrator."

5
Ophthalmology specialty links and commitment to date as a career
  • 1 point Refraction Certificate (or exemption as fully-qualified post-registration optometrist): 1 point
  • 3 points FRCOphth part 1: 3 points for a pass, or 1 point for having attempting the part 1 FRCOphth on at least 1 occasion
  • 1 point 1 point for having attempting the part 1 FRCOphth on at least 1 occasion
  • 1 point 1 point for first place in the RCOphth Essay Prize for Foundation Doctors
  • 0.5 points each Non-peer reviewed publications and case reports or 'letters to the journal' in ophthalmology (0.5 points each) or other peer-reviewed (Pubmed-cited and Clarivate Journal Impact Factor listed (indexed via the free Web of Science Master Journal List)) research publications in ophthalmology not included in other sections (1 point each): 2 points max. Within this section (points only awarded if candidate is first author). Please indicate clearly impact of non-peer-reviewed publications
  • 1 point each other peer-reviewed (Pubmed-cited and Clarivate Journal Impact Factor listed ...) research publications in ophthalmology not included in other sections (1 point each): 2 points max
  • 1 point each Ophthalmic elective (of at least 2 weeks' duration) and/or separate undergraduate project: 2 points max, 1 point per achievement. Candidates must provide evidence of reflection on achievements. If electives were cancelled due to COVID and evidence is provided that an elective was planned then this can be scored. Undergraduate projects must have supervisor support explicitly stating the project was equivalent to 2 weeks' full-time work. Projects leading to presentations or publications should not be scored in those sections also
  • 1 point Taster week: 1 point max (or evidence presented of a Foundation year attachment in Ophthalmology)
  • 1 point Attending ophthalmology clinics and theatre sessions outside of a formal taster week or Foundation/ tenured post and spaced out over more than 3 months (minimum 10 sessions with dates and supervisor-signed evidence): 1 point max
  • 1 point each Evidence of ophthalmology simulation training (including EyeSi experience): 1 point for each activity of at least 4 hours or whole-day course, max. 2 points
  • 1 point each Meetings attended: 3 points maximum, from which 3 points max. For National / International Ophthalmology educational meetings attended (1 point per meeting) and 1 point max. For Regional Ophthalmology meetings (including Royal Society of Medicine Ophthalmology Section Evening Meetings) attended (0.5 points per meeting). Meetings included in this section must not be included in the Presentations section. Online meetings attended may not score depending on the details supporting presented, including scope of meeting and reflections on learning
  • 0.5 points each 1 point max. For Regional Ophthalmology meetings (including Royal Society of Medicine Ophthalmology Section Evening Meetings) attended (0.5 points per meeting)
  • 1 point each Evidence not included above- discretionary: 1 point per piece of evidence - 2 points max (not including taking Duke-Elder, logbook of surgical cases or WBAs)

Each item you can evidence adds its points, up to 13 points for the domain.

Cumulative, max 13, with item sub-caps: publications 2, electives/projects 2, taster 1, clinics/theatre 1, simulation 2, meetings attended 3 in total (regional within that, max 1), discretionary 2. Sub-caps add up to more than 13. Meeting attendance is limited to ophthalmology meetings.

13
Total47

Dates for this round

  • Advert published source
  • Applications open (Oriel) source
  • Applications close source
  • MSRA invitations expected source
  • Self-assessment and evidence portal opens source
  • Evidence upload and self-score deadline (time not published) source 1 source 2
  • Self-assessment feedback source
  • Invitations to interview source
  • Interviews (virtual) source
  • Initial offers source

What you can still add before 2 February 2027

What each of these adds is the difference between the option you would reach and the one you already hold, so it can be nothing if you hold that option already. The calculator works out the gain from your own answers.

  • Prizes/Awards with proof. Only by winning a best oral/poster prize, as first author, at a national or international meeting held before you upload evidence (1 point each, max 2). It can't be planned for, so don't count on it. NMERC 2026 (14 Nov 2026) awards prizes. An NMERC best oral or poster prize won as first author is claimed under "Best presentation or poster at a national or international meeting" (1 point).
  • Multi-Source Feedback (MSF). If you have no satisfactory MSF/TAB from the last 18 months, start a TAB in your e-portfolio now. You need 7 hospital respondents (5 in general practice) and supervisor release before upload. Gets you to: Satisfactory MSF with good comments. Start by 4 January 2027. Our advice, not an official date: about four weeks before the portal closes (2 Feb 2027) leaves time to collect responses and get the summary released. The 18-month window runs back from the 22–23 March 2027 interview dates.
  • Quality improvement (QI) / Audit projects. Move an existing project up a tier. Write it up in standards/methods/outcomes/recommendations format and get the supervisor letter confirming your role (3). Or re-audit and implement change, with data (4). Gets you to: Initiated, designed and wrote up in format; Implemented change / closed the loop. Start by 2 November 2026. Our advice, not an official date: a re-audit cycle needs months of data, and everything must be complete by the 2 Feb 2027 upload deadline.
  • Presentations. Submit an abstract of original work you haven't claimed in QI/Audit or Publications to a regional, national or international meeting that will accept it before you upload evidence (2 Feb 2027). Acceptance alone scores. Have a full write-up ready to link: for NMERC abstracts, NMERC will publish optional full write-ups linked from each abstract, which meets "An abstract will only receive points if the abstract links to a full article that can be reviewed". Keep an abstract book or signed supervisor letter as proof; NMERC's abstract book lists every co-author with their author position. NMERC 2026 (online, Sat 14 Nov 2026; submit at nmerc.org/submit) gives abstract decisions within 5 days. Other meetings must confirm acceptance by 2 Feb 2027.
  • Education and Teaching. Complete a teach-the-teacher course (0.5). Help with an educational course or mock OSCEs over more than one session (0.5 each), within the 2-point sub-cap. For the 1-point tier, deliver your first of 3+ formal teaching sessions on different topics by 2 Nov 2026 and collect formal feedback. Teaching on an Erudical Teach the Teacher course could count as "helping with an educational course (more than one session)"; the panel decides. Erudical is always looking for teachers for the course: contact us at erudical.com/contact/. Gets you to: Teach-the-teachers course, helping with a course or mock OSCEs, e-learning, e-book, UG examining (0.5 each, max 2); 3+ formal teaching sessions over 3+ months with feedback. A course or mock-OSCE help can be completed any time before evidence upload (portal closes 2 Feb 2027), so any live course date before then fits. The formal teaching tier needs sessions "over a period of at least 3 months", and all achievements must be complete when evidence is uploaded, so for that tier deliver your first session by 2 Nov 2026 (3 months before 2 Feb 2027).
  • Ophthalmology specialty links and commitment to date as a career. Before 2 Feb 2027 you can add: a taster week (1), 4h+ ophthalmic simulation or EyeSi courses (1 each, max 2), national/international ophthalmology meetings attended (1 each, within the 3-point meetings cap), and regional ones (0.5 each, max 1). Clinic/theatre sessions (1) need 10+ sessions spread over more than 3 months, so start by late October 2026 (26 Oct gives a margin over "more than 3 months"). Gets you to: Taster week (or FY ophthalmology attachment); Ophthalmic simulation (EyeSi etc.), 4+ hours (1 each, max 2); National/international ophthalmology educational meeting attended (1 each); Regional ophthalmology meeting attended (0.5 each, max 1); 10+ clinic/theatre sessions spread over 3+ months. Start by 26 October 2026. The clinic/theatre item needs sessions "spaced out over more than 3 months", complete by upload (2 Feb 2027); 2 Nov would be exactly 3 months, so start by 26 Oct. Taster weeks, simulation and meeting attendance just need to happen before upload.

Evidence traps

  • One project, one domain. A QI project in the QI/Audit domain can't also score as a presentation or publication. A second, separate piece of work can. Candidates cannot place the same work in the presentations, QI/ Audit and/or publications domains. source
  • Two certificates from one teach-the-teacher course are one 0.5, not two. All the 0.5-point teaching activities share a 2-point cap. 0.5 points each (2 points maximum) ... completing a "teaching the teachers" course ... Duplicate experiences will not be scored source
  • Second-author posters score nothing. A second-author oral scores half, and only if you can prove you presented it. Second author or lower scores a half of the oral presentation. Points will only be given if the candidate presents evidence they gave the presentation in lieu of the first author. Second author or lower does not score for posters or videos source
  • Your self-score is final once submitted, 19 is the floor, and a verified score under 20 ends the application. Over-claiming can be reported to the GMC. The self assessment score cannot be changed once submitted ... candidates are required to score a minimum of 19 points to continue in the process ... Those candidates whose verified score is below 20 points will not progress to the next stage. source 1 source 2
  • A presentation abstract only scores if it links to a full piece of work the panel can review, and the meeting must be regional or above. Local and university meetings score 0. An abstract will only receive points if the abstract links to a full article that can be reviewed ... Local hospital or university-specific meetings are not scored source

Sources

What you can still add before 2 February 2027

Because the self-score is due with your evidence, anything you complete and can prove by 2 February 2027 still counts, even though applications close on 19 November. The largest gains are +2 for an abstract accepted as an oral at a national meeting (+1 as a poster), which scores before you’ve presented it, and +2 for a satisfactory TAB if you have no MSF within 18 months of the March 2027 interviews; we’d start that TAB by 4 January 2027 so there’s time to collect 7 hospital respondents and get it released. Specialty links rewards a taster week (+1), ophthalmic simulation of at least 4 hours (+1 each, up to 2) and national ophthalmology meetings attended (+1 each within the 3-point meetings cap), while clinic and theatre sessions (+1) must be spread over more than 3 months, so the first of your 10 needs to be by 26 October 2026. In Education and Teaching, a formal series of at least three teaching sessions with feedback adds 1 if the first is delivered by 2 November 2026, and each 0.5-point activity, such as helping run a course or mock OSCEs over more than one session, adds 0.5 up to the 2-point sub-cap. Teaching on one of Erudical’s Teach the Teacher courses could count as “helping with an educational course (more than one session)”, though the panel decides. We are always looking for doctors to teach on the course, so contact us if that interests you.

Where folders lose points at verification

Two assessors check the folders of the top 350 applicants by MSRA, and the guidance leaves little room for error: “The self assessment score cannot be changed once submitted”, and “if there is any doubt, points will not be scored unless third party or objective supportive evidence is presented.” Each piece of work also belongs in one domain only (“Candidates cannot place the same work in the presentations, QI/ Audit and/or publications domains.”), and the one stated exception is a best presentation or poster prize, which “may also be used in evidence for Presentations section or QI/ Audit section”.

Worked example: a folder just short of 19

Take a hypothetical FY2 doctor with an intercalated BSc, a satisfactory TAB, an audit they designed and wrote up, one regional talk, one national first-author poster, some teaching, an FRCOphth Part 1 pass and a fair amount of ophthalmology exposure. Scored domain by domain:

  • Qualifications, 0: the BSc was intercalated, and “intercalated one-year degrees taken during a primary medical degree are not scored”.
  • Prizes and awards, 0: nothing to claim, and a commendation wouldn’t help, because “Being highly commended or any other designation will not be scored”.
  • Multi-source feedback, 2: a TAB with 7 or more hospital respondents meets “2 points – satisfactory scores with appropriate good comments”.
  • QI and audit, 3: “3 points – for initiation, design and writing up the QIP / audit and specific format followed”, with the supervisor’s covering letter confirming their role.
  • Presentations, 2: 1 for the regional oral and 1 for the national poster, since “Poster or video presentations score half points shown above, for example, 1 point at a national meeting”.
  • Publications, 0: their case report can’t go here (“not letters to a journal or case reports”), so it’s scored under Specialty links instead.
  • Education and Teaching, 1.5: 0.5 for helping with an educational course over several sessions, plus 1 for “at least three formal teaching sessions (not ward-based or small group) on different subject areas over a period of at least 3 months with formal feedback uploaded”.
  • Specialty links, 9: “FRCOphth part 1: 3 points for a pass”, plus a taster week (1), a 2-week ophthalmic elective with reflection (1), an EyeSi simulation day (1), two national ophthalmology meetings (2), one regional meeting (0.5) and a first-author ophthalmology case report (0.5).

That’s 17.5, below the 19 floor, so this applicant wouldn’t progress, whatever their MSRA score. Two realistic additions change that. Completing a teaching-the-teachers course gains 0.5 (the 0.5-point activities go from 0.5 to 1, inside the 2-point sub-cap), and an accepted national oral of a separate piece of original work, one not already claimed in QI and audit, gains 2 (Presentations goes from 2 to 4). Together they gain 2.5 and take the total to 20, which clears the 19 self-score floor and, if every point survives verification, the 20 verified threshold. That assumes the panel accepts the meeting as national and the abstract links to a full article; for an NMERC abstract, the optional write-up NMERC publishes alongside it provides one.

Work through the 8 domains using only what you can evidence today. We’ll show your result and email you a copy.

Go to the Ophthalmology ST1 calculator at the top of this page

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Does a teach the teacher course count for Ophthalmology ST1?

Yes. It scores 0.5 in Education and Teaching, under the tier that reads “0.5 points each (2 points maximum) – for helping with an educational course (more than one session), for helping with mock OSCEs (more than one session), designing an elearning tool, writing an e-book, completing a “teaching the teachers” course and/or undertaking a formal role in examining undergraduates. Duplicate experiences will not be scored”. The wording sets no minimum hours and no live requirement. The course does have to be finished, with the certificate in hand, before you upload evidence between 18 January and 2 February 2027. It counts once: a live-day certificate and a self-paced certificate from the same course are one experience. The course adds 0 if you already hold that tier, which here means you’ve already claimed a teaching-the-teachers course or your 0.5-point activities already reach the 2-point sub-cap. It also doesn’t count as the 2-point higher teaching qualification, which has to be “equalling 60 credits or for at least 8 months full-time or equivalent”.

The guidance lists an “attendance certificate or a signed letter from a supervisory Consultant/ Educator” as evidence, and separately asks for “Specific evidence demonstrating impact of elearning projects or other teaching achievements”; it doesn’t say whether that second line applies to a course. Our Teach the Teacher course for Ophthalmology ST1 page covers the course itself, and the teaching points by specialty table shows how other training pathways score it.

Presenting at NMERC on 14 November 2026

NMERC, the online conference Erudical organises, runs on Saturday 14 November 2026. Abstracts can be submitted at nmerc.org/submit, with decisions within 5 days, so a talk there comes well before the 2 February upload deadline, and in ophthalmology acceptance alone is enough: “Accepted presentations, but not yet presented, will be awarded points”. As a national meeting, NMERC gains you 2 for an oral presentation and 1 for a poster, within the 6-point Presentations cap. The national tier covers “equivalent non-ophthalmology meetings”, and the guidance gives only examples.

The work has to be your own original project (“Presentations must be of original work and not didactic lectures.”), not already claimed in QI and audit or Publications, and backed by a full write-up, because “An abstract will only receive points if the abstract links to a full article that can be reviewed”. NMERC will publish optional full write-ups linked from each abstract, so sending yours gives the abstract the full article that rule asks for. You’ll need proof in the form the guidance names, “an abstract book or signed letter from a supervisor”; NMERC’s abstract book lists every co-author with their author position. You should also be first author: a second-author oral scores half, and a second-author poster scores nothing. Acceptance isn’t guaranteed, and a prize (1 point in Prizes and awards for a first-author best presentation or poster at a national meeting) isn’t something to plan around. If you have a project that fits, you can submit an abstract to NMERC.

Questions applicants ask about the ophthalmology evidence folder

What is the Severn Deanery ophthalmology evidence folder?

Ophthalmology ST1 recruitment is co-ordinated nationally by NHS England South West (formerly Severn Deanery), which is why many applicants still search for it under the Severn name. The evidence folder is the set of documents behind your self-assessment: you upload them with a standard proforma, and also submit your scores on an MS Teams form, while the portal is open from 18 January to 2 February 2027. The self-assessment has 8 domains worth up to 47 points, and two assessors verify the folders of the top 350 applicants by MSRA score.

What’s changed in the ophthalmology evidence folder for 2027?

Shortlisting is now on the MSRA alone: “the shortlisting score will be solely the MSRA score and will not include the self-assessment score.” Your verified folder still makes up half of your final score, and because the self-score is due on the upload deadline, you can keep adding achievements until 2 February 2027. That changes for 2028, when you’ll self-score in Oriel at application and only achievements in place by the November 2027 closing date will count.

How many points do you need for Ophthalmology ST1?

You need a self-score of at least 19 out of 47 to continue, and “Those candidates whose verified score is below 20 points will not progress to the next stage.” The top 260 by verified score are invited to interview on 22 and 23 March 2027. No interview cut-off score is published. For a sense of the competition, Round 1 in 2025 had 2,197 applications for 102 posts.