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Common osc estations
- 1. Common OSCE stations Paul Lord
- 2. Overview • Common approach to all OSCE stations – What to expect – Advice for any station • Common themes – Intro to topics
- 3. What to expect • Change in format from previous years • 10 minute stations – No mini-stations – No OSLERS • Examiners still expect you to cover the same competences • All stations on one day are the same in all exam locations • Most stations change from day to day – not all
- 4. What to expect • Similar to previous years exams – Stations may have introductory information and time to prepare – Some stations are brief and you will get to leave early if completed – Don’t worry if you haven’t finished – you can still get full marks
- 5. An approach to all stations • Smile • Listen to what is being asked – you can always ask the examiner to repeat/clarify • Introduce yourself • Obtain consent • WASH YOUR HANDS – Gloves may be available on some stations • Take your time – Look around the station – there may be clues – stop and think whenever you need to
- 6. The examiners • Friendly – May prompt you – Will point things out for you • Uninterested (rude!) – Will give no indication of how you are doing – Look like they don’t want to be there • They are all trying to find reasons to pass you – not fail you
- 7. Patients Too obstructive Too helpful • Will not give you any • Will not shut up! information • Are worried about ‘giving • Can use up all of your time away the answer’ • Don’t be afraid to interrupt • Remember what your objective is
- 9. Types of station • Communication • History taking • Examination • Spotters • Disease investigation and management
- 10. Communication • In every station! • Handling complaints • Breaking news • Obtaining information / consent • Ethical discussions • Remember that it is still a quantitative exam
- 11. Communication • Previous stations – Anxious parent +/- Non-accidental injury – Complaint about a GP in your practice – confidentiality – Explain a procedure – consent – Counselling e.g. HIV testing
- 12. History taking • Formally – OSLERS – Can you take a comprehensive history – Common chronic/stable diseases • Shorter stations – Can you obtain pertinent information in limited time – Emergency situations – e.g. chest pain
- 13. Examination • Full and comprehensive – Neuro exam – Visual fields – Cranial nerves • Quick and specific – “listen to this heart sound” – “examine this patients lower limb joints” – Followed by discussion about your findings
- 14. Spotters • Used to be 5 minute stations • May now include more discussion about the disease • Always stable/chronic problems • Don’t be afraid to talk to the patients – Ask how long they have had it and what treatment they have had
- 15. Spotters • Previous examples – Rheumatoid hand – AV Fistula – Dermatology – either eczema or psoriasis – Diabetic foot – Leg ulcer – Total knee/hip replacement (X-ray or patient) – (neurofibromatosis) • Don’t forget death certificates – this came up every day last year!
- 16. Diseases and investigation • Common diseases – Ischaemic heart disease – Diabetes – Stroke – Inflammatory Bowel Disease – Rheumatoid Arthritis – Chronic renal failure
- 17. Management • Basic Life Support • Acute coronary syndrome • Make sure you can quickly list investigations and management of common diseases
- 18. Overall • WASH YOUR HANDS • Take your time • Ask for help from the patient • Stations are usually basic – you can get lots of marks for the correct approach