Competency-based Assessment of Refractive Error Measurement in a Mozambique Optometry School

Background: The aims of this study were to develop a process for assessing refractive error management competence among the first two cohorts of students in a new optometry program at Unilúrio in Mozambique and to understand the effectiveness of implementing the process in the context of a low resource environment. Methods: The assessment methods were developed using information from a literature review and a focus group discussion and implemented on 15 students. Results: The exams consisted of direct observation of two patients, short-answer questions and a structured oral examination. Conclusion: The use of existing checklists and rating skills helped to identify areas of competence deficits. Areas for further development of the assessment process include increasing assessor training and guidelines for patient standardization. Key Words: competency assessment, refraction, optometry students, Mozambique