Refraction Pilot - volunteer registration

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Please enter your full name in this format - Lastname Firstname

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Please provide your GMC number

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Are you a resident doctor or a doctor in a non-training post?

I am a resident doctor

I am a doctor in a non-training post

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Please indicate your ST (stage of training) year if you are a resident doctor, or your status if you are a doctor in a non-training post.

ST1

ST2

ST3

Doctor in non-training post:

This is required

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Have you sat the Refraction Certificate before? (NOTE: the Pilot is only for those who have never sat the Refraction Certificate)

Yes

No

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Do you intend to sit the Refraction Certificate in May 2026? (NOTE: the Pilot is only available for those who intend to sit the May 2025 exam)

Yes

No

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Please indicate the name of your deanery

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Please supply your email address

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Are you happy for your contact details to be shared for the purposes of the Pilot?

Yes

No