26.8.2024
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FMH Specialist in Ophthalmology

Everything you need to know about postgraduate training to become a specialist in ophthalmology

Dr. Valery Vinzent Wittwer
Where can I find current and valid information on postgraduate training to become a specialist in ophthalmic surgery? 

In principle, everything is explained in detail on "siwf.ch". However, since the site is quite extensive and it is easy to lose track, we have put together a brief overview.

What does the title of Specialist in Ophthalmology mean?

The candidate is able to practise responsibly and independently in the field of ophthalmology, in accordance with the current rules of medical art and science.

What does the postgraduate training programme for the Specialist in Ophthalmology title involve?

Here is a summary of the currently valid, 25-page Ophthalmology postgraduate training programme of 1 January 2023

Total duration of postgraduate training: 5 years; short periods and part-time work are possible

Training objectives that must be demonstrated

Surgical assistance in all four segments (no requirements on the number of operations) (WBO 4.4.2)

  • anterior segment
  • posterior segment
  • strabismus
  • eyelids, lacrimal system, periorbital region
4 years of specialty-specific postgraduate training
  • 1 year: Category A1 (Kantonsspital Aarau, Universitätsspital Basel, Inselspital Bern, HUG (Geneva), CHUV (Lausanne), Luzerner Kantonsspital, Kantonsspital St. Gallen, USZ (Zurich))
  • 18 months outpatient: A1 or B1 (Vista Klinik, Swiss Visio, Pallas Kliniken, Stadtspital Zürich Triemli) or C1 (including ONO)
  • 4 months inpatient/clinical: A1 or B1
  • 1 year at another A1, B1, or C1 clinic
  • Practice assistantship: from the 3rd year onwards, 6 months may be worked as a practice assistant with a specialist available on call in the background, of which 1 month can be counted towards the training period

At least 2 years of specialty-specific postgraduate training must be completed in Switzerland

  • A federal Swiss or a recognised foreign medical diploma is required
1 year of non-specialty-specific postgraduate training or research activity

All federal postgraduate training titles from 45 specialties, except: occupational medicine, cardiac and thoracic surgery, nuclear medicine, physical medicine and rehabilitation, prevention and public health, radiation oncology

Research activity should be clarified in advance with the Title Commission of the SIWF's administrative office. MD-PhD programmes can also be credited.

Which clinics hold which SIWF certification?

The SIWF Register lists all clinics with their corresponding category and the extent to which training time can be credited.

Select the specialty in the corresponding field (Ophthalmology), then click on "Start search" and a list of all training clinics with their corresponding category will appear.

Tick the box for the type "Hospital/Institution" and "Medical practice" and select the category you need for your training.

What is the e-logbook for?

The e-logbook is used to document postgraduate training and is a prerequisite for registering for the examination. It should be opened at the start of the training period and kept up to date on an ongoing basis, and it is a prerequisite for the recognition of the training period and registration for the specialist examination.

How do I open my e-logbook?

On www.siwf.ch -> under «Registration and Login» you will find the procedure for logging in as an FMH member or as a non-member. FMH members can log in with the same password they received for access to «myFMH».
Non-members must complete the «Application form for access to the e-logbook and the SIWF continuing education platform» and send it, together with the required documents, by post to the address stated on the application form. Please note! Access to the e-logbook is only granted if the applicant is already registered in the MedReg.
Since 1 January 2018, all academic medical personnel working in Switzerland must be registered in the MedReg.

What is recorded in the e-logbook?

Employment positions

> Record employment position

Workplace-based assessments (Mini-CEX, DOPS)

Mini-CEX and DOPS are clinical assessments carried out with the trainer four times a year. They serve as the basis for qualification discussions and are a necessary component for the training period to be credited.

  • The trainee is responsible for completing the clinical assessments with the trainer, spread out over the year
  • Templates
    • Fill in beforehand and then work through and discuss together with the trainer after the teaching session
    • possible examples
      • Mini-Clinical Evaluation Exercise (Mini-CEX)
        • Pre-operative examination (e.g. for a cataract operation) (ONO: mandatory DOPS)
        • Contact lens examination with drawing (e.g. three-mirror contact lens)
        • Interpretation of an angiography (e.g. fluorescein or ICG angiography)
        • Interpretation of an optical coherence tomography
        • Interpretation of a visual field examination  (e.g. Goldmann, Octopus, Humphrey)
        • Interpretation of an electrophysiological examination (e.g. ERG, mfERG, VEP, EOG)
        • Spectacle fitting (ONO: mandatory Mini-CEX)
        • Contact lens fitting
        • Skiascopy (retinoscopy)
        • Neuro-ophthalmological and orthoptic status
        • Eyelid, orbit and lacrimal system status
        • Biometry
        • Ocular ultrasound (e.g. in mature cataract)
        • Surgical assistance under the microscope
        • ...
      • Direct Observation of Procedural Skills (DOPS)
        • Treatment with argon laser (e.g. focal, sectoral, panretinal, barrage) (ONO: mandatory DOPS)
        • Treatment with YAG laser (e.g. capsulotomy, iridotomy
        • Wound care in the eyelid area (ONO mandatory DOPS)
        • Simple eyelid procedure (e.g. chalazion, Snellen suture)
        • ...

Criteria

  • Study in advance and have a printout ready for discussion with the trainer
Certificates

Create certificates and have them signed by the head of the training institution

SIWF certificates document: courses, lectures, publications and expert opinions required for the specialist title

How can I edit my e-logbook?

www.siwf.ch > scroll down to "Postgraduate Training Login" (yellow box) -> click "Go to e-logbook" -> enter "FMH-ID" and "Password"

Is an examination required to obtain the specialist title?

Yes. A prerequisite for the award of the specialist title is passing the specialist examination. It is mandatory in all specialties. The medical societies are responsible for this and conduct the specialist examinations at least once a year.

What is required for the examination?

A detailed list of the examination content can be found in the postgraduate training programme

How is the specialist examination structured?

Written part: 52 multiple-choice questions in English within two hours, covering all fields of ophthalmology. Questions on general medicine relevant to ophthalmic surgery, ophthalmic pathology, microbiology, immunology and pharmacology may also be asked.

Oral part: 4 x 15-minute specialist discussions with experts from all ophthalmological segments, with clinical expertise being the main focus.

When should the examination be taken?

Only candidates who have completed at least 36 months of specialty-specific postgraduate training at the time of the examination are admitted.

How can one register for the examination?

Registration is done via the SOG website > Postgraduate Training

Contact: Swiss Ophthalmological Society SOGAdministrative Secretariat, Examination Commissionc/o IMK Institut für Medizin und Kommunikation AGAnna Schmidt, Münsterberg 1, 4001 BaselTel. 061 561 53 51E-mail fap-sog@imk.chWebsite www.sog-sso.ch

Registration for the 2024 examination is possible from 01.10.2024 to 01.12.2024. The examination location is Interlaken.

When does the examination take place?

The examination takes place each year in April/May in Paris (France). It is administered by the European Board of Ophthalmology.

How much are the fees?
  • CHF 1,500.- for SOG members (only counts after two years of membership)
  • CHF 3,000.- for non-SOG members
Who is responsible for the postgraduate training?

The head of the training institution is listed in the SIWF Register.

Dr. Edoardo Baglivo is responsible for the ONO Ophthalmology Network Organisation, resp. Augen Glattzentrum ONO AG.

Dr. Valéry Vinzent Wittwer is responsible for physicians in postgraduate training within the ONO Group in German-speaking Switzerland. Once all documents and SIWF certificates are complete, they are forwarded to Dr. Edoardo Baglivo, Head of the ONO Ophthalmology Network Organisation training institution, for signature.

What is the exact title after passing the specialist examination?

Specialist in Ophthalmology FMH, FEBO (Fellow of the European Board of Ophthalmology)

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