The clinical ophthalmic skills taught by the UK medical schools also adhered to the RCOphth guidelines33 but failed to encompass all the skills described in the ICO guidelines.15 Only seven of the eleven ICO recommended clinical skills are taught by 75% (n=21) of the UK medical schools, namely visual acuity, pupil reactions, red reflex assessment, direct ophthalmoscopy, confrontation field testing, ocular motility, and the cover test.