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How to present yourself in an OSCE
Transcript of How to present yourself in an OSCE
Consultant Emergency Physician
Central Manchester Hospitals You Examiner Patient Station Only modifiable component of the exam
Only constant component of the exam As well as your examiner, they are a potential "boss" Treat them like humans, not a simulator!
chaperone Same for everyone
Fixed marking scheme
Hard to score at extremes
NO AUTOMATIC FAILS
Some subjective components
BUT as fair as it can be
In summary Presenting yourself in an OSCE Knowledge Osces test:
basic medical knowledge
ability in emergency situations (eg BLS/ALS)
you know what to do in common clinical situations (eg new murmur)
interpretation of clinical data (eg ABG)
that you are a SAFE clinician Osces don't test:
knowledge of minutiae (eg patella-nail syndrome)
advanced emergency practice (eg Rapid sequence induction)
practice in uncommon situations
advanced investigation (eg CT head) Taper your learning with the time available
If you've left it too late to learn Medicine, concentrate on attitude and skills
Still need to know the basics and lifesaving stuff! Skills Practice is key:
on each other
on yourself Common skills tested! Be systematic
Be slick Attitude Key component of Osce towards patients/relatives
towards senior and junior colleagues
towards nurses/physios/HCAs/managers Other multivitamin preparations are available Be yourself
Be a memorable doctor for your "patient"
Be a potential employee for your examiner
Know the basics well
Don't be too flash Appearance Remember this is a test about being a doctor Look like a doctor
tidy Remember NHS policy:
Bare below the elbows
No wrist watches
No hand jewellery
No ties They want:
a patient centred approach
a junior they can trust with their patients Demonstrate competence by:
listening to instructions
taking a good history
being able to examine properly
formulating sensible differential diagnoses
testing those differentials
realising your limitations
communicating with seniors/nurses/patients etc.
knowing some medicine Remember:
in many clinical settings, your boss and their patient have known each other longer than you've been alive Examiners are:
wanting to find out what you know, rather than embarrass your lack of knowledge
Using a marksheet that is the same for everyone Practice "my granny" medicine Patients, even actors
are only human If they are being difficult:
work out some solution Patient safety Remember, the patient will be examined many times
Be gentle but thorough
Be clear about what you want them to do Remember to read the instructions!
If it's a history taking station, there are NO marks for examination
If it's a practical station, there's no marks for history taking It's ok to be nervous
You won't be the only one!
Remember the basics:
ABCDE Treat the patient like a human -
introduce yourself and shake hands
tell them what you're doing and why
make sure you don't hurt them unnecessarily
say please and thank you Remember core NHS "rules"
gloves/pinnies If you mess up:
you can start again
At the end of the station forget about it and concentrate on the next EVERYONE has bad stations
There is no automatic fail You Look like a doctor
Act like a doctor
The process is more important than the diagnosis
Practice clinical skills
- don't be afraid to go back to the patient
Be yourself Examiner Are not there to fail or embarrass you
Want to know what you know, rather than what you DON'T know
Have a range of personalities
Have a fixed marksheet Patients Have a range of personalities
Treat them like your granny:
comfort, dignity, but most importantly SAFETY
Be gentle, thorough and clear Stations Are the same for everyone
Are designed to test specific things
Do the basics well - it's hard to get full marks but easy to get some
If you have no clue - stick to a system that works for you
Forget about bad stations immediately after they are done
There is no automatic fail! Thanks.