Information about the Certified Ophthalmic Technologist (COMT®) Performance Evaluation

Source: The exam is administered by the Joint Commission on Allied Health Personnel in Ophthalmology (800-284-3937).

1. The performance evaluation is the second part of the certification process. You must first take and pass the written certification exam before you can take the performance evaluation. If you are not currently a COT®, you must also pass the COT skill evaluation. (This would apply to someone who has graduated from a COMT program).

2. The performance evaluation must be taken within 36 months of the date of acceptance of your written exam application.

3. There are five tasks and you are given 60 minutes (1 hours) to complete all five tasks, There is no individual time limit for each task.

4. Each skill is scored independently. There is an accuracy and a technique component to each score, except for the visual fields skill, which is only scored for technique. Each step in the technique has a weighted score, depending upon the importance of the step. Each skill has a minimum score needed for passing. Each skill must be passed in order to pass the skill evaluation.

5. If you fail one or more of the individual skill evaluations, you will receive a conditional "pass", meaning that you must retest on only the skills not passed. You will have 36 months from the time of your application in which to pass. You must wait a minimum of 6 weeks before re-testing. You can re-test up to 3 times within the 36 month period.

6. The cost of the first performance evaluation is $110. Each subsequent retest of the performance evaluation costs $85. If you have to take the skill evaluation, the first attempt is included in the initial exam fee of $340. A skill evaluation retest costs $85. The (COT®) skill evaluation must only be taken by those who are not currently COT® certified (program graduates).

7. The individual skills that are tested are as follows:

Measure patient’s ocular motility using prism and cover tests at a distance. 

Perform manual lensometry: Identify and measure prism. 

Perform fundus photography and identify fluorescein angiography phases.

Measure, compare, and evaluate pupil function at a distance. 

Evaluate versions and ductions, identifying any abnormalities.

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