Attention Ophthalmology ST1 applicants

    How many Ophthalmology ST1 points will you score, and is it enough?

    The answer is thirty seconds down this page

    The answer

    50 points, across 10 domains.

    Your Ophthalmology self-assessment scores the evidence in your portfolio domain by domain. There are 10 domains, 9 of them scored, out of 50. Each scored domain is worth a fixed number of points and stops counting at that cap. Specialty Links and Commitment is the largest, at 13. Multi-Source Feedback is worth 2.

    • 0
      Previous Posts
    • 5
      Qualifications
    • 5
      Prizes and Awards
    • 2
      Multi-Source Feedback
    • 5
      Quality Improvement and Audit
    • 6
      Presentations
    • 6
      Publications
    • 5
      Education and Teaching
    • 13
      Specialty Links and Commitment
    • 3
      Overall Portfolio Layout and Quality

    Total 50

    Why the self-assessment form totals 47

    The self-assessment form totals 47, across the 8 domains you score yourself on. It has no row for Overall Portfolio Layout and Quality, worth 3, which is judged on the folder itself: those 3 points bring the portfolio to 50. Previous Posts is listed but scores nothing.

    The List of Previous Posts scores 0. It is declarative: the guidance asks for it “to give context to your achievements”, and says it “is not scored”.

    NHS England: Self-assessment and supporting evidence
    How points are awarded

    What does your evidence score?

    The ST1 portfolio self-assessment is a ladder in each domain. Every kind of item sits on a rung with a fixed number of points, so a year's work and a weekend's score the same on the same rung. Publications cap at 6 points, however many papers you have.

    Every rung needs third-party proof: a certificate, a letter from a supervisor, or the paper itself. A claim you cannot prove with somebody else's document scores nothing.

    Qualifications

    up to 5

    Degrees separate from your primary medical degree. Intercalated degrees, MRCP and MRCS score nothing. An MD or MPhil needs at least two years of full-time study and research beyond the primary degree, and a PhD or DPhil full-time original research, each confirmed in a supervisor's letter.

    • MSc, BSc or PGCert, eight months or more full time, Optometry degrees included1 point
    • MD or MPhil3 points
    • PhD or DPhil4 points

    Prizes and Awards

    up to 5

    A degree prize counts only for a first in the final year of a non-intercalated degree, and any other national exam prize needs over 400 entrants. A presentation prize needs you as first author, and being highly commended scores nothing.

    • Crombie Medal, first in FRCOphth Part 13 points
    • National undergraduate exam prize, first place3 points
    • National undergraduate exam prize, top 10%2 points
    • National undergraduate exam prize, top 20%1 point
    • A first in the final year of a degree, where fewer than 15% of the year achieved it2 points
    • A first in any other year0 points
    • Research grant as lead applicant, leading to a publication1 point
    • Best presentation or poster prize at a national or international meeting1 point, up to 2

    Multi-Source Feedback

    up to 2

    Two points or none, with at least 5 GP or 7 hospital respondents. Multi-source feedback must fall within 18 months of the interview date if you have been in clinical posts for that period. Out of a clinical post with none in that window, include the feedback from your most recent clinical post.

    • Satisfactory scores with positive comments2 points
    • None, negative or unsatisfactory0 points

    Quality Improvement and Audit

    up to 5

    Only your best project scores, and it must fall within three years of the interview. If you were not clearly its lead, it scores 1 at most, and 4 or 5 points need the data showing the improvement.

    • Took part, with no clear role1 point
    • Initiated and designed it2 points
    • Initiated, designed and wrote it up in full3 points
    • As above, and implemented the change or closed the loop4 points
    • Published in a peer-reviewed journal, or implemented supra-regionally with clear impact5 points

    Presentations

    up to 6

    Original work only. A local hospital or university meeting scores nothing, and a project counts once however many meetings it went to. An accepted presentation scores before you give it, and an abstract scores only if it links to a full article. A meeting outside the UK scores as national or regional unless you show it was international.

    • International, oral3 points
    • National, oral2 points
    • Regional, oral1 point
    • International, poster or video1.5 points
    • National, poster or video1 point
    • Regional, poster or video0.5 points
    • Second author or lower, international oral you gave1.5 points
    • Second author or lower, national oral you gave1 point
    • Second author or lower, regional oral you gave0.5 points
    • Second author or lower, poster or video0 points

    Publications

    up to 6

    Peer-reviewed original research or systematic reviews only. Fifth author or lower scores nothing, and on a paper with more than eight authors only the first author scores. One of three or more joint first authors scores as a second author, and where there are more than six joint first authors the paper scores nothing.

    • First or joint first author3 points
    • Second, third or fourth author1 point

    Education and Teaching

    up to 5

    Formal teaching sessions, a teaching qualification, a book chapter and a book score once each, and a duplicate experience scores nothing. A job title such as teaching fellow scores nothing on its own.

    • Helped run an educational course0.5 points
    • Helped run mock OSCEs0.5 points
    • Designed an e-learning tool0.5 points
    • Wrote an e-book0.5 points
    • Completed a teaching the teachers course0.5 points
    • Formal undergraduate examining0.5 points
    • Three or more formal teaching sessions on different subjects, over three months or more, with feedback1 point
    • Higher teaching qualification, 60 credits or eight months full time, not also claimed under Qualifications2 points
    • Chapter in a postgraduate academic book2 points
    • Author of a postgraduate academic book3 points
    • All half-point items togethercapped at 2

    Specialty Links and Commitment

    up to 13

    Papers here must be first author and not claimed under Publications, and a meeting you presented at cannot be claimed again as attended.

    • FRCOphth Part 1, passed3 points
    • FRCOphth Part 1, attempted1 point
    • Refraction certificate, or qualified optometrist1 point
    • RCOphth Essay Prize for Foundation Doctors, first place1 point
    • Peer-reviewed Ophthalmology paper1 point
    • Ophthalmology letter, case report or non-peer-reviewed paper0.5 points
    • Ophthalmology elective of two weeks or more, or undergraduate project1 point
    • Taster week or Foundation attachment in Ophthalmology1 point
    • Ten or more clinic or theatre sessions outside your posts, over more than three months1 point
    • Simulation activity of four hours or more, or a whole-day course1 point
    • National or international meeting attended1 point
    • Regional meeting attended0.5 points
    • Other evidence of commitment, not sitting the Duke Elder, a surgical logbook or workplace-based assessments1 point, up to 2
    • Papers, letters and case reportscapped at 2
    • Electives and projectscapped at 2
    • Simulationcapped at 2
    • Meetings attendedcapped at 3
    • Regional meetings within thatcapped at 1

    Overall Portfolio Layout and Quality

    up to 3

    The guidance says only that “how the portfolio is presented in layout and organisation will be assessed”, and publishes no ladder for it. It has no row on the self-assessment form.

    NHS England: Self-assessment and supporting evidence, the guidance for 2027 recruitment, checked in October 2026.

    The largest domain

    Specialty Links and Commitment is a quarter of the form.

    One domain holds 13 of the 50 points on the portfolio, and 13 of the 47 on the self-assessment form. It is the domain with least to do with academic achievement, and it asks a single question: can you show, with evidence, that you have been pointed at Ophthalmology for a while?

    Its sub-caps are what catch people out. Ophthalmology papers, letters and case reports claimed here must be first author, and share a cap of 2 points. Electives and undergraduate projects share 2. Simulation shares 2, and an activity counts only at four hours or a whole-day course. Meetings attended cap at 3, and regional meetings, at 0.5 points each, cap at 1 within that.

    Discretionary items, the evidence of commitment the list does not name, score 1 point each, up to 2. They exclude sitting the Duke Elder, a surgical logbook and workplace-based assessments.

    NHS England: Self-assessment and supporting evidence
    Caps, and claiming each item once

    Where should each item go?

    Points past a domain's cap are lost: a surplus in one domain cannot cover a shortfall in another. An item can still be placed under another domain it qualifies for that has room, and there it scores.

    Each item is claimed once. In the guidance's words, “evidence cannot normally be used in two different domains.” The same audit cannot score in Quality Improvement and again in Presentations, and a meeting you presented at cannot be claimed again as attended under Specialty Links and Commitment. Where an item qualifies for two domains, claim it in the one with room.

    NHS England: Self-assessment and supporting evidence
    What the score has to clear

    Is your score enough?

    Your ST1 self-assessment score has two floors to clear, and then it is half of what you are ranked on.

    19
    the lowest self-assessment score that goes on past the MSRA stage
    NHS England: Selection process
    Below 20
    a verified portfolio score under 20 ends your application
    NHS England: Scoring, ranking and offers
    50 / 100
    your verified portfolio is half your final score; the interview is the other half
    NHS England: Scoring, ranking and offers

    Above the first floor, the MSRA alone decides which 350 candidates have their evidence verified by a panel. The highest-ranking 260 verified scores are invited to interview. There is no pass mark beyond the two floors, and the panel gives you only the points your evidence proves.

    NHS England: Selection process; Scoring, ranking and offers
    The free self-assessment tool

    Score yourself by domain, as you go.

    SmartOST puts these ladders and caps behind every item you add, so you see what each piece of evidence scores, and your total updates live as you add each item. Scoring is free.

    1

    Add your evidence

    Record each item under its domain, and attach the document that proves it.

    2

    See your score

    Your total updates as you add each item, and every domain shows its points against its cap.

    3

    Close the gaps

    Mark work in progress with its dates. The calendar shows it beside the cycle's key dates, so the points still to come have a plan.

    4

    Export the folder

    Generate each domain as a PDF, with a contents page and your evidence inside, ready to upload.

    See it working

    Your score, domain by domain, on one screen.

    The score you have, the range it could reach with the work in progress, the days left until submission, and every warning to fix before you upload. Then the evidence itself, domain by domain.

    Screenshot of the SmartOST portfolio dashboard

    The SmartOST team

    A team that knows Ophthalmology ST1 and knows how to build AI products.

    SmartOST was born out of Keane AI's research lab, combining top-ranked London North Thames Ophthalmology trainees with AI researchers and engineers. We bring the practical know-how of getting into training and the technical expertise to build tools that make preparation smarter, faster, and less stressful.

    Dr Mertcan Sevgi

    Dr Mertcan Sevgi

    Co-founder & Coach

    Ranked in the top 1% of applicants, securing a spot as an ST1 in the London North Thames deanery. Brings startup and scale-up experience, with a focus on voice AI and user-first product development.

    Dr Virginija Vilkelyte

    Dr Virginija Vilkelyte

    Coach

    Ophthalmology trainee (ST1, Moorfields Eye Hospital) and top-scoring applicant in national ophthalmology specialty training selection. Helps aspiring ophthalmologists maximise their portfolio and interview performance, giving them the best possible chance of securing an ophthalmology training post in their preferred location.

    Dr Vanessa Otti

    Dr Vanessa Otti

    Coach & Content Lead

    Ophthalmology registrar (ST2, London North Thames), ranked in the top 1% of applicants nationally. Creates curated, high-yield learning resources delivered straight to members.

    Dr David Merle

    Dr David Merle

    Co-founder

    Retinal specialist and Senior Research Fellow in the Keane AI Lab. He is currently driving development of our next products, designed to support you as you begin ophthalmology training. Stay tuned for updates.

    Dr Negin Sanadgol

    Dr Negin Sanadgol

    Intern

    Clinical Research Fellow with Keane AI. At SmartOST, Negin is leading on quality improvement projects to measure and improve our impact.

    Frederick Lewis

    Frederick Lewis

    Founding Engineer

    Engineering degree from Imperial College London. Software and AI engineer building fast, reliable, user-first product experiences at SmartOST.

    Professor Pearse Keane

    Professor Pearse Keane

    Strategic Advisor

    Professor of Artificial Medical Intelligence at the UCL Institute of Ophthalmology and Consultant Ophthalmologist at Moorfields Eye Hospital. Founder of the Keane AI lab.

    Proof

    What applicants say after using it.

    “My portfolio took me a full day to put together before. With SmartOST Portfolio it took about 30 minutes.”
    OST 2026 applicant
    “It was an absolute headache to understand the evidence folder scoring framework, and I self-assessed incorrectly in multiple places. SmartOST made it really clear and helped me improve my score”
    OST 2026 applicant
    “The PDF generator is so clean. I was genuinely worried about how my portfolio looked and this fixes it.”
    OST 2026 applicant
    “The one-click PDF export is exactly what I needed. Everything comes out neat and ready to upload.”
    OST 2026 applicant
    “The calendar view is amazing. I can actually plan how I'm going to get the points and track what I've done. Thanks so much SmartOST team.”
    Medical student

    Simple pricing

    SmartOST Portfolio

    Your evidence folder, scored and laid out, ready to upload. Pay once, and only when you want every domain.

    Every domain scored against the 2027 rules, with warnings as you go
    The calendar, for the work still in progress
    One domain exported as a PDF, free
    £19.99one-off

    Every domain exported as a PDF, ready to upload

    Access for the Ophthalmology ST1 2026/2027 application cycle

    Score my portfolio free
    No risk

    Don't take our word for it.

    Scoring is free, so you can see it work first. If you buy the full export and it isn't what we promised, email us and we'll give you your money back.

    Questions about the self-assessment

    Know your number

    Put your evidence on the ladders, and see what it scores.

    Put in the evidence you have, and you will see how many of the 50 points it scores and whether it clears the self-assessment floor of 19. Exporting every domain, at £19.99, is a decision for after that.

    P.S. Past the floors of 19 and 20 there is no pass mark: your verified score is ranked for the 260 interview places, and it is half of your final total. Scoring your self-assessment is free, and the refund covers the export.