February 2025 - Teaching students how to delegate
Delegation is when you ask a colleague to provide care or undertake a procedure on your behalf. By delegating, you are still responsible for the overall management of the patient, and there is a reasonable expectation that the patient should receive the same standard of care that you would have provided [1]. As Daniel Hardiman-McCartney FCOptom, Clinical Adviser for the College of Optometrists explains, “the sight test and contact lens fitting are somewhat unique, compared with, say, a GP consultation, in that the Opticians Act specifies that certain protected functions of these cannot be delegated, such as internal assessment of ocular health. Other aspects, such as instillation of eye drops, or ocular imaging, can be delegated.” It is therefore vital that optometry and ophthalmic dispensing students are fully aware of exactly which tasks they can and cannot delegate. Emily McCormick discusses this in her article for Optometry Today, Delegating effectively.
In order to manage increasing workloads, it's essential that optometrists and dispensing opticians learn to effectively and safely delegate. Dispensing Optician, Cheryl Hill gives her thoughts on delegation and how optometry and ophthalmic dispensing learners can develop skills in this key area.
Teaching delegation - Cheryl Hill FBDO SMC(Tech) CertEd
Delegation refers to the process of assigning tasks or responsibilities to another individual while maintaining overall accountability for the outcome. In professional settings, including healthcare and education, delegation is a critical skill that enables efficient task management, promotes teamwork, and fosters the development of skills in others. In the context of optometry and dispensing optics, delegation is particularly important as practitioners often work collaboratively with other professionals to ensure the delivery of high-quality care.
The General Optical Council’s (GOC) Outcomes for Registration for Approved Qualifications in Optometry or Dispensing Optics underscore the importance of delegation as part of professional practice. Students pursuing these qualifications must be trained to delegate tasks appropriately, understand the limits of their own competencies, and ensure that delegated tasks are completed to the required standards.
To effectively teach delegation to students, educators must consider the knowledge, skills, and behaviours outlined in the GOC’s Outcomes for Registration.
Different strategies can be used to incorporate delegation training into education and training programmes. Students should first be introduced to the principles of delegation through theoretical instruction. This includes understanding the definition and purpose of delegation in clinical practice. Consideration of legal and ethical considerations, including the principle of accountability and recognising tasks suitable for delegation and the criteria for selecting an appropriate delegate.
Practical application is critical in developing delegation skills. Simulated environments, such as clinical laboratories or virtual reality modules, provide students with opportunities to practice delegation in a controlled setting. Key components include:
- These exercises can be integrated into the curriculum and assessed through formative evaluations
- Students can be assigned tasks during patient interactions, be assessed giving clear instructions and checking for understanding
- In practice the monitoring and evaluating the completion of delegated task can all play a part
- Effective delegation relies on strong communication. Students must be trained to convey instructions clearly, provide constructive feedback, and address misunderstandings
- Active listening and assertiveness training can be incorporated into workshops or role-playing sessions and a re imperative to give a student the confidence to not only carry out a delegated task, but also the ability to ask for further help or say no where they do not feel comfortable completing it themselves
- Reflective practice is an integral part of professional development. Students should be encouraged to reflect on their delegation experiences, either through written journals or group discussions. This enables them to identify areas for improvement and solidify their understanding of the delegation process
The GOC’s Outcomes for Registration emphasise that students must demonstrate the ability to work collaboratively, prioritise patient safety, and manage responsibilities effectively. By integrating delegation training into education programmes, institutions can ensure graduates are well-equipped to meet these standards. This fosters not only technical proficiency but also the leadership and interpersonal skills necessary for professional success.
Teaching delegation in optometry and dispensing optics prepares students to thrive in real-world practice, contributing to a collaborative and efficient healthcare environment.
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Cheryl Hill FBDO SMC(Tech) CertEd qualified from ABDO College and registered as a Dispensing Optician in 2006. Cheryl has worked in both independent and multiple optical practice at management level.
She previously lectured in Ophthalmic Dispensing at Bradford College before moving to currently lecture in Ophthalmic Lenses and Dispensing at The University of Bradford, School of Optometry and Vision Science. Cheryl also works part time for ABDO CPD developing professional education for Dispensing Opticians and Optometrists.
She is a previous member of the Advisory Panel for All About Vision UK and a UK and Overseas Practical and Theory Examiner for ABDO. Cheryl is an experienced face-to-face and online presenter, author and facilitator of CPD, for both Optometrists and Dispensing Opticians.
Opportunities for delegation will vary for students depending on their programme, knowledge, understanding, skills and experience. Effective teaching of delegation will enhance optometry and ophthalmic dispensing students' clinical and professional development. By learning how to assign appropriate tasks to staff, collaborate with colleagues and make effective use of their time, optometry and ophthalmic dispensing students can focus on important elements of patient care whilst honing leadership and decision-making skills.
Teach the Steps of Effective Delegation
- Identify tasks that can be delegated
- Choose the right person for the task
- Communicate expectations clearly
- Provide resources and support
- Set deadlines and follow up
- Give feedback and recognize efforts
Interactive Activities & Exercises
- Group Project Simulation: Assign a group project where students must delegate tasks based on each member’s strengths
- Role-Playing Exercise: One student plays a manager, and others act as employees with different skills. The “manager” must delegate tasks effectively
- Time Management Challenge: Give students a list of tasks and ask them to decide which ones to do themselves and which to delegate
Ultimately, teaching delegation prepares students to be competent clinicians and effective team leaders.
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References and Bibliography
[1] Daniel Hardiman-McCartney FCOptom, Clinical Adviser for the College, The right way to delegate - College of Optometrists
McCormick, E, 2 November 2018, Optometry Today, Delegating effectively
Merrifield, Nicola, 3 March 2017, Nursing Times More delegation training needed for new nurses who often try to ‘do it all’
NHS Education for Scotland 2024, Making Delegation Safe and Effective
Griffith, R, 7 April 2022, British Journal of Nursing, The nurse's legal duty to safely delegate tasks and to follow up the outcome
Healthcare and Professions Council, Delegate appropriately
1/ Guidance section C221-C226 Delegation - College of Optometrists
2/ Guidance section C227-C234 Supervision - College of Optometrists
3/ GOC Standards of practice 10 10. Work collaboratively with colleagues in the interest of patients | GeneralOpticalCouncil
Gibbs, Kara. "6 tips for effective tech delegation: a good technician can save you time, increase revenue, accelerate your schedule and elevate your patients' perceptions of your practice." Review of Optometry, vol. 151, no. 11, 15 Nov. 2014, pp. 42+. Gale Academic OneFile, link.gale.com/apps/doc/A391719004/AONE?u=anon~2c25796a&sid=googleScholar&xid=1e9907bc. Accessed 30 Jan. 2025.