Ophthalmology specialists have been comparatively peripheral to the education and training of doctors, such that ophthalmology has become isolated in the undergraduate medical curriculum.7 A larger emphasis on the learning of clinical skills in general practice rotations, rather than specialty attachments has reduced dedicated ophthalmology teaching.4 Conflict about what the end product of an ophthalmology rotation should achieve: a general practitioner, researcher or specialist has also created further confusion about the content of the curriculum.4 Despite this decline in undergraduate ophthalmology teaching, the ability to perform direct ophthalmoscopy examination is still an expected competency during UK Foundation Year One training.8