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Next take your other two pages and trace the quarter mark as well as the four head shapes. Obviously the optimal technique for the assessment of retinal blood flow should provide a high reproducibility and sensitivity.

In addition, an adequate time resolution is required if pharmacological or physiological interventions are to be studied. Recently, a commercially available system for the real time assessment of retinal vessel diameters in vivo has been introduced (Zeiss Retinal Vessel Analyzer, Oberkochen, Germany).

The average age of appointment to consultant is no higher than for other surgical specialties,1 because streamlining of training from specialty trainee (ST) 3 compensates for the time taken to become dual qualified.

Furthermore, as competition for jobs intensifies, trainees in other surgical disciplines are increasingly encouraged to obtain higher degrees that may not be relevant to their career. OMFS offers the opportunity to study for another degree with the benefit that it is a recognised part of training (box 2).

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