There remains, however, large variation throughout the UK in the assessment of the undergraduate ophthalmology curriculum. Welch and Eckstein have previously reported a similar level of clinical skills assessment.29 Baylis et al (2011),28 found comparable levels of assessment of ophthalmology knowledge as in other examinations, but fewer schools reporting ophthalmology clinical skills assessments. Only about a third of medical schools require students to pass their ophthalmology assessments in order to complete the year.29 A similar picture is seen in Canada where only 43% of schools count an ophthalmology evaluation towards a students’ assessment record.39 How the curriculum can be most effectively assessed remains largely unstudied.