Becoming an ophthalmologist requires rigorous academic commitment and great determination. Before practicing this beautiful profession, the courageous student will have to travel a complex but necessary path to achieve the high degree of specialization expected. If you're interested in becoming an ophthalmologist, or would like to know how many years of study it takes to become an ophthalmologist, you've come to the right place! Together, we'll answer all your questions about studying to become an ophthalmologist.
Basic steps in ophthalmology training
After the baccalauréat
Before entering higher education, aspiring ophthalmologists need to pass the baccalauréat, preferably in a scientific stream, as this requires a solid foundation that other streams don't offer. Thereafter, students wishing to pursue health studies can choose between :
- The Specific Health Access Pathway (PASS)
- Introduced in 2020 to replace the former Première Années Commune aux Études de Santé (PACES), the PASS is a year of study combining a health major with a minor in another discipline. This structure makes it possible to diversify skills and offer avenues for reorientation.
- Students are assessed on the basis of continuous assessment and final exams.
- Those who pass can go on to study in the health sector.
- Those who fail can reorient themselves towards their minor before, if they so wish, trying their luck again.
- The PASS approach reduces the pressure of the single PACES exam, while diversifying students' skills.
- The Health Access Licence (L.AS)
- Introduced in 2020 to diversify the range of training courses available in health studies, the L.AS is a course combining any major (law, literature, economics, etc.) with a specific health minor (biology, physiology, etc.).
- At the end of the first, second or third year, and if they have passed the minimum requirements, students can apply for health studies. They then sit specific exams. Depending on their performance, they may be rejected or admitted to the second year of medical school.
- The L.AS allows students to follow a diversified pathway, favoring skills and reorientation.
General medical studies
After the PASS or L.AS (see above), general medical studies are divided into two parts:
- The Diplôme de Formation Générale en Sciences Médicales (DFGSM) : a three-year course (the PASS and L.AS count as the first) comprising theoretical courses in medical sciences and clinical placements in hospitals.
- Diplôme de Formation Approfondie en Sciences Médicales (DFASM): a direct continuation of the DFGSM, this is a three-year course of study incorporating specialist courses and advanced internships in various hospital departments.
End-of-clerkship examinations
During the final year of the second cycle, students must pass a series of exams which, depending on their results and rankings, will enable them to make their choice of specialty, as well as city. Here's the list:
- Épreuves dématérialisées nationales (EDN): these take place in October and account for 60% of the final grade. To pass, students must obtain a mark of at least 14/20 in theoretical knowledge useful to all doctors, regardless of their specialty.
- Objective and Structured Clinical Examinations (OSCE): These are held in May and account for 30% of the final grade. They test students' ability to develop clinical reasoning and problem-solving skills. The minimum mark is 10/20.
- Notre de parcours universitaire: this continuous assessment takes into account the student's commitment, curriculum, mobility and level of English, and accounts for 10% of the final grade.
Specialization in ophthalmology
Once they have completed their general medical studies , students specializing in ophthalmology enter a five-year residency program. This course is divided into theoretical and practical training:
- theoreticaltraining: interns follow theoretical courses covering the various aspects of ophthalmology. They attend conferences and congresses to keep abreast of the latest advances and research in the field.
- Practicaltraining : ophthalmology interns take part in outpatient consultations under the supervision of experienced ophthalmologists. They learn to diagnose and treat ocular pathologies.
In addition, ophthalmology interns must write and defend a thesis in order to obtain their doctorate. Once they have completed this specialization and validated their internships, they are awarded the Diplôme d'Études Spécialisées en Ophtalmologie (DES). After 11 years of study to become an ophthalmologist, the student can officially practise this profession, or superspecialize in retinology, cornea, pediatric ophthalmology, neuro-ophthalmology or oculoplastic surgery.
Careers and professional opportunities in ophthalmology
Status of ophthalmologists
Young ophthalmologists registered with the Ordre des Médecins can now apply for jobs as ophthalmologists. They will also have to choose the status under which they will practice:
- Liberal: ophthalmologists work as independent professionals in their own practices or in collaboration with other healthcare professionals. They are free to manage their own schedules, choose their own equipment and set their own fees. However, they must assume administrative and financial responsibility for their activity.
- Salaried : ophthalmologists may be employed by public hospitals, health centers or practices. This gives them access to state-of-the-art medical equipment and job stability, but less autonomy than self-employment.
Find out more on our ophthalmologist salary page.
Where ophthalmologists work
Ophthalmologists can choose to practice in a variety of locations, including :
- Private practices
- Hospitals and university hospitals
- Private clinics
- Health centers
- Institutes
- Research laboratories
- Humanitarian organizations
In short, ophthalmology studies are long and demanding. From initial selection via the PASS or L.AS, to specialized training during internship and super-specializations, each stage is designed to train experts capable of responding to complex needs.
If you enjoyed this article and would like to find out more, take a look at our ophthalmologist job description!