FEBOS-CR Exam

Advanced FEBOS-CR Exam/Diploma (Cataract & Refractive Surgery)

Application successfully received

Thank you for your application, the FEBOS Exam Committee will review it following the deadline and be in touch in due course. If you have any questions please direct them towards escrs@escrs.org. The EBO will be in touch with you directly regarding the initial entry payment deposit of €150.

FEBOS-CR Exam Application Form

Personal Information

Full name *

Job Title *

Country *

Country where medical diploma was awarded *

Email address *

example@example.com

Confirm email address *

example@example.com

Address *

Street Address City State/Province Postal/ Zip Code

Telephone number *

Institution/Hospital *

Current Head/Director of Department - Full Name *

Documents Required

Passport photograph of yourself (JPEG) *

Upload your CV (PDF) *

Listing surgical, teaching and publication experience

A letter from director/head of department/other senior figure in your institution that recommends you as a surgeon of advanced experience and expertise *

Copy of your Medical Diploma (PDF) *

Must prove you qualify as a cataract and refractive subspecialist from a UEMS member country

ONE video of a complex case you operated on (only submit if you have not already sent to the office)

Must meet criteria and no larger than 500MB maximum 4 minutes

Please provide the following information about the complex surgery video: Background case data and a short description of what makes the surgery complex for you *

Surgical Experience

Total cataract surgeries performed without supervision *

(minimum 400, including complex cases)

Typical Surgical Practice

In the below questions click on the dropdown, then select one of the following: No experience, Experience, Manage regularly, Referred to you by others.

Other

Laser Assisted Cataract Surgery (Where applicable)

In the below questions click on the dropdown, then select one of the following: No experience, Experience, Manage regularly, Referred to you by others.

Complex Case Mix

Enter percentages in the spaces given.

Approx. complex case mix (%) *

Percentage of cases that have complicating factors

Approx complication rate (%) *

Percentage of complications encountered in case mix.

Cases with coexisting eye disease

In the below questions click on the dropdown, then select one of the following: No experience, Experience, Manage regularly, Referred to you by others.

Other

Cases with complicating comorbidity

Other

Teaching Experience

Provide details of your experience as teaching faculty in each of the following settings. Please include course title, presentation title/ subject and year.

University Setting *

Scientific and medical associations, societies and international educational programmes, (not including sponsored programmes *

Include free papers and posters presented at national/international meetings