Common OSCE stations for Medical Students


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Common OSCE stations for Medical Students

  1. 1. Common OSCE stations A quick guide of what to expect in your OSCE
  2. 2. What we will cover… <ul><li>Common advice across all OSCE stations </li></ul><ul><ul><li>What to expect </li></ul></ul><ul><ul><li>Advice for any station </li></ul></ul><ul><li>Common themes you may encounter </li></ul><ul><ul><li>An intro to these topics </li></ul></ul>
  3. 3. What to expect <ul><li>You will encounter 10 minute stations </li></ul><ul><ul><li>No mini-stations </li></ul></ul><ul><ul><li>No OSLERS </li></ul></ul><ul><li>Examiners still expect you to cover the same competences </li></ul><ul><li>All stations on one day are the same in all exam locations </li></ul><ul><li>Most stations change from day to day – not all </li></ul>
  4. 4. What to expect <ul><li>Stations may have introductory information and time to prepare </li></ul><ul><li>Some stations are brief and you will get to leave early if completed </li></ul><ul><li>Don’t worry if you haven’t finished – you can still get full marks </li></ul>
  5. 5. An approach to all stations <ul><li>Smile </li></ul><ul><li>Listen to what is being asked – you can always ask the examiner to repeat/clarify </li></ul><ul><li>Introduce yourself </li></ul><ul><li>Obtain consent </li></ul><ul><li>WASH YOUR HANDS </li></ul><ul><ul><li>Gloves may be available on some stations </li></ul></ul><ul><li>Take your time </li></ul><ul><ul><li>Look around the station – there may be clues </li></ul></ul><ul><ul><li>Stop and think whenever you need to </li></ul></ul>
  6. 6. The examiners <ul><li>They may be friendly… </li></ul><ul><ul><li>May prompt you </li></ul></ul><ul><ul><li>Will point things out for you </li></ul></ul><ul><li>They may act uninterested… </li></ul><ul><ul><li>Will give no indication of how you are doing </li></ul></ul><ul><ul><li>Look like they don’t want to be there </li></ul></ul><ul><li>BUT they are all trying to find reasons to pass you – not fail you </li></ul>
  7. 7. Patients <ul><li>Too obstructive </li></ul><ul><li>Will not give you any information </li></ul><ul><li>Are worried about ‘giving away the answer’ </li></ul><ul><li>Remember what your objective is </li></ul><ul><li>Too helpful </li></ul><ul><li>Will not shut up! </li></ul><ul><li>Can use up all of your time </li></ul><ul><li>Don’t be afraid to interrupt </li></ul>
  9. 9. Types of station <ul><li>Communication </li></ul><ul><li>History taking </li></ul><ul><li>Examination </li></ul><ul><li>Spotters </li></ul><ul><li>Disease investigation and management </li></ul>
  10. 10. Communication <ul><li>In every station! </li></ul><ul><li>Handling complaints </li></ul><ul><li>Breaking news </li></ul><ul><li>Obtaining information / consent </li></ul><ul><li>Ethical discussions </li></ul><ul><li>Remember that it is still a quantitative exam </li></ul>
  11. 11. Communication <ul><li>Examples of communication… </li></ul><ul><ul><li>Anxious parent +/- Non-accidental injury </li></ul></ul><ul><ul><li>Complaint about a GP in your practice – confidentiality </li></ul></ul><ul><ul><li>Explain a procedure – consent </li></ul></ul><ul><ul><li>Counselling e.g. HIV testing </li></ul></ul>
  12. 12. History taking <ul><li>Formal history taking </li></ul><ul><ul><li>Can you take a comprehensive history </li></ul></ul><ul><ul><li>Common chronic/stable diseases </li></ul></ul><ul><li>Shorter stations </li></ul><ul><ul><li>Can you obtain pertinent information in limited time </li></ul></ul><ul><ul><li>Emergency situations – e.g. chest pain </li></ul></ul>
  13. 13. Examination <ul><li>Full and comprehensive </li></ul><ul><ul><li>Neuro exam </li></ul></ul><ul><ul><li>Visual fields </li></ul></ul><ul><ul><li>Cranial nerves </li></ul></ul><ul><li>Quick and specific </li></ul><ul><ul><li>“ listen to this heart sound” </li></ul></ul><ul><ul><li>“ examine this patients lower limb joints” </li></ul></ul><ul><ul><li>Followed by discussion about your findings </li></ul></ul>
  14. 14. Spotters <ul><li>Used to be 5 minute stations </li></ul><ul><li>May now include more discussion about the disease </li></ul><ul><li>Always stable/chronic problems </li></ul><ul><li>Don’t be afraid to talk to the patients </li></ul><ul><ul><li>Ask how long they have had it and what treatment they have had </li></ul></ul>
  15. 15. Spotters <ul><li>Examples… </li></ul><ul><ul><li>Rheumatoid hand </li></ul></ul><ul><ul><li>AV Fistula </li></ul></ul><ul><ul><li>Dermatology – either eczema or psoriasis </li></ul></ul><ul><ul><li>Diabetic foot </li></ul></ul><ul><ul><li>Leg ulcer </li></ul></ul><ul><ul><li>Total knee/hip replacement (X-ray or patient) </li></ul></ul><ul><ul><li>(neurofibromatosis) </li></ul></ul><ul><li>Don’t forget death certificates – this can come up often! </li></ul>
  16. 16. Diseases and investigation <ul><li>Common diseases </li></ul><ul><ul><li>Ischaemic heart disease </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Stroke </li></ul></ul><ul><ul><li>Inflammatory Bowel Disease </li></ul></ul><ul><ul><li>Rheumatoid Arthritis </li></ul></ul><ul><ul><li>Chronic renal failure </li></ul></ul>
  17. 17. Management <ul><li>Basic Life Support </li></ul><ul><li>Acute coronary syndrome </li></ul><ul><li>Make sure you can quickly list investigations and management of common diseases </li></ul>
  18. 18. Remember to… <ul><li>WASH YOUR HANDS </li></ul><ul><li>Take your time </li></ul><ul><li>Ask for help from the patient </li></ul><ul><li>Stations are usually basic – you can get lots of marks for the correct approach </li></ul>
  19. 19. And finally.. <ul><li>Top 10 tips – read our full guide here </li></ul><ul><ul><li>Look professional </li></ul></ul><ul><ul><li>Organise your presenting posture to minimise nerves </li></ul></ul><ul><ul><li>Structure your presentation of medical terminology </li></ul></ul><ul><ul><li>Interpret as you go </li></ul></ul><ul><ul><li>Learn to summarise in one sentence </li></ul></ul><ul><ul><li>Group your thoughts logically every time </li></ul></ul><ul><ul><li>Let the examiners know you are finished examining the clinical cases every time </li></ul></ul><ul><ul><li>Acknowledge what you don’t know </li></ul></ul><ul><ul><li>Have a set way of presenting clinical case examination findings every time </li></ul></ul><ul><ul><li>Thank and ‘look after’ your exam patient (and the examiners) </li></ul></ul>
  20. 20. More free resources <ul><li>More help and advice </li></ul><ul><li>MCQs </li></ul><ul><li>Videos </li></ul><ul><li>OSCEs </li></ul><ul><li>Podcasts </li></ul><ul><li>Visit Medical Educator </li></ul>