Development of a competency framework for optometrists with a specialist interest in glaucoma

J Myint, D F Edgar, A Kotecha, D P Crabb, J G Lawrenson

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


PURPOSE: 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.

Original languageEnglish
Pages (from-to)1509-14
Number of pages6
Issue number9
Publication statusPublished - 14 May 2010


  • Accreditation
  • Clinical Competence
  • Delphi Technique
  • Education, Medical, Continuing
  • Glaucoma
  • Humans
  • Optometry
  • Specialization


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