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Clinical Assessment Guide

A factual breakdown of the COE clinical examination — Skills Stations and Patient Examinations

The COE clinical examination is held in person at the Australian College of Optometry (ACO), 374 Cardigan Street, Carlton 3053, Melbourne. Both sections (Skills Station and Patient Examination) run over a one-week session. Results are emailed within ~5 weeks.

Before you can sit the clinical

  • ✓ Pass both written papers (Part 1 + Part 2)
  • ✓ Complete Cultural Safety Training with ≥80% on all assessments
  • ✓ Sit the clinical within 3 years of passing the written
PART 1

Skills Stations

12
Skills assessed
6
Stations (2 skills each)
30 min
Per station
  • You rotate through 6 stations and demonstrate 2 skills at each. Time allocation between the two skills is at the candidate's discretion
  • Failing any essential criterion fails the entire skill. Failing three or more desirable criteria results in failure of that skill
  • You must pass all 12 skills to pass Part 1
  • Candidates falling short in up to three of the 12 skills may have the opportunity to re-sit the failed skills the next day as a supplementary examination

For the official list of skills tested, refer to the OCANZ Examination Guide.

PART 2

Patient Examinations

4
Patients
70 min
Per patient
3 of 4
Pass requirement
  • You receive only the patient's name, gender, and date of birth — no access to prior clinical records. Approach each as the patient's initial visit
  • The 70 minutes covers a full examination including all necessary tests and completion of all paperwork
  • To pass an individual patient, you must receive an average mark of 1 in each of the 6 sections of the marking rubric for that patient
  • You must pass at least 3 of 4 patients to pass Part 2

For the section names and detailed criteria of the 6-section marking rubric, refer to the OCANZ Examination Guide.

Fees (AUD, 2025/2026)

Skills Examination$2,863
Patient Examination$4,722

Fees are payable per attempt and non-refundable for failure. Withdrawals incur a $200 administration fee.

Practise the clinical exam

Use our OSCE Skills Simulator and Patient Examination Simulator to rehearse stations and full patient encounters.

Source: OCANZ Examination Guide (2025) and Application and Examination Fees (ocanz.org). Verified April 2026.

Sample Questions

Practice with real exam-style questions and get immediate feedback