Table 2.

Items from Delegate action plans drawn up at the end of the second 3-day course

Time scale	Action Plan for the individual/unit/country
2 weeks	give feedback using the four step technique [14] perform an appraisal with at least one trainee discuss learning from the course with local trainers discuss progress with one other delegate by telephone enter each action point onto an personal development plan listing: objective, action required and outcome/evaluation, all with dates COECSA Administrator to coordinate circulating e-mails to the group to keep them in touch regularly.
2 months	write aims and objectives for their own existing lectures and rework lectures to address these plan teaching sessions to incorporate a variety of styles and techniques, including preparation by audience and increasing interaction use the four-step technique for teaching practical skills [13] apply teaching methodologies to all professions, eg: including OCOs nurses, to roll out a change in ethos use evaluation forms to collect feedback on teaching create a comfortable learning environment in theatres, including storing the vitrector in the theatre for ease of access and communication communicate what has been learned on the course to the rest of the department, and work out how to get them on board, possibly using existing departmental meetings incorporate teaching on training into existing teaching sessions review current training systems in the unit and identify which parts would be easiest to modify first allocate an educational supervisor to each trainee, and ensure they know they have a role in the career development of those trainees introduce a trainee portfolio develop an appraisal system for trainees with the necessary tools, and communicate its implementation to trainers and trainees
2 years	RCOphth is helping design the curriculum with WBAs to include in the trainee portfolio develop an appraisal system for trainers evaluate the quality of the training programme and list areas for improvement evaluate specific training areas, eg: cataract outcomes use evidence collected to influence any difficulties in cascading which may occur at country level design methods for cascading Training the Trainers Ophthalmic Committee Meetings for COECSA or Ophthalmic Societies to be used as a focus for further Training the Trainers sessions COECSA Annual Conference to have a session on training each year

Delegates were asked to write down actions at individual, unit and COECSA levels, which they wanted to undertake by 2 weeks, 2 months and 2 years

OCO Ophthalmic Clinical Officer, WBA Work-place Based Assessment