OSCEOSCEWhat am I going to do!What am I going to do!

Done and Presented byDone and Presented by

Amr KhayatAmr Khayat

What is inside?What is inside?OSCE Introduction.OSCE Introduction.

Sources.Sources.

Surgery Examples (inactive and active).Surgery Examples (inactive and active).

Medicine Examples (inactive and Medicine Examples (inactive and active). active).

What is OSCE?What is OSCE?

OObjective bjective SStructured tructured CClinical linical EExamination.xamination.

How it works?How it works?OSCE Exams consist of several clinical OSCE Exams consist of several clinical stations with actors playing the role of stations with actors playing the role of a patient with some sort of a medical a patient with some sort of a medical complaint.complaint.

All the student will be divided in sub All the student will be divided in sub groups and every group will be in a groups and every group will be in a room, then every time the coordinator room, then every time the coordinator will call around 4 students to start the will call around 4 students to start the exam and the coordinator will explain exam and the coordinator will explain the way and direction you should the way and direction you should follow.follow.

You will be nervous in this situation but You will be nervous in this situation but please please TAKE DEEEEEEP BREATH AND TAKE DEEEEEEP BREATH AND CONCENTRATE.CONCENTRATE.

Then a bell will ring. You knock the door and Then a bell will ring. You knock the door and enter the room. enter the room.

You have to read a full page describing what You have to read a full page describing what the station ahead is and what is required to the station ahead is and what is required to do.do.

Please try to read the instruction carefully and Please try to read the instruction carefully and understand the question very good.understand the question very good.

In each room, you will find a new patient and In each room, you will find a new patient and an examiner. You have to hand out the an examiner. You have to hand out the examiner one or two of your identification examiner one or two of your identification stickers .stickers .

PLEASE WHEN YOU FINISH THE STATION YOU PLEASE WHEN YOU FINISH THE STATION YOU SHOULD TRY TO FORGET THE PREVIOUS SHOULD TRY TO FORGET THE PREVIOUS STATION AND GO TO THE NEXT STATION KEEP STATION AND GO TO THE NEXT STATION KEEP SELF BLAMING TO THE END OF THE EXAM.SELF BLAMING TO THE END OF THE EXAM.

Did you get what I wanted you to understand? Did you get what I wanted you to understand?

Let me put it in Let me put it in summarysummary

You need to be organized and manage your time You need to be organized and manage your time effectively.effectively.

You need to know in advance what to ask, as there You need to know in advance what to ask, as there is no time to think.is no time to think.

You need to be careful about how to phrase your You need to be careful about how to phrase your questions and comments in order to be respectful questions and comments in order to be respectful and empathic. and empathic.

You need to ask your questions intelligently in order You need to ask your questions intelligently in order not to lead the patient or the examiner to waste not to lead the patient or the examiner to waste your time.your time.

You need to be and appear confident, organized, You need to be and appear confident, organized, and professional.and professional.

Oh My GOD !Oh My GOD !Is that easy?… Of course not.Is that easy?… Of course not.

Is it impossible to do?… Of course not.Is it impossible to do?… Of course not.

Thousands of medical students, Thousands of medical students, residents, and graduates have done it…. residents, and graduates have done it…. Okay, so it is not easy and at the same Okay, so it is not easy and at the same time not impossible. You need to prepare time not impossible. You need to prepare yourself to the OSCE Exams and you'll be yourself to the OSCE Exams and you'll be EXCELLENT.EXCELLENT.

Communication and Communication and Interpersonal SkillsInterpersonal Skills

Initiative of interview:Initiative of interview: introduces self, at introduces self, at ease, attentive to patient.ease, attentive to patient.

Questioning skills: Questioning skills: e.g., use of open-ended e.g., use of open-ended questions, confident and skillful questioning, questions, confident and skillful questioning, appropriate language.appropriate language.

Physical examination: Physical examination: Taking consent from Taking consent from the pt. to do physical examination, at ease the pt. to do physical examination, at ease with patient. with patient. BE CAREFUL FROM INATTENTIVE BE CAREFUL FROM INATTENTIVE TO PATIENT'S COMFORT OR DIGNITY; E.G., NO TO PATIENT'S COMFORT OR DIGNITY; E.G., NO DRAPING AND/OR CAUSES PAIN DRAPING AND/OR CAUSES PAIN UNNECESSARILY.UNNECESSARILY.

What Else !What Else !You need to be alert throughout the encounter You need to be alert throughout the encounter to all of the above listed points and, yes, this is to all of the above listed points and, yes, this is not easy but not impossible. You have to not easy but not impossible. You have to develop a a way to perform these OSCEs so that develop a a way to perform these OSCEs so that all the above points have been taken care of all the above points have been taken care of automatically and practice it so that it will be an automatically and practice it so that it will be an eternal part of your future practice. Is that eternal part of your future practice. Is that possible?... Yes it is!..possible?... Yes it is!..

When you arrive home after a long day at your When you arrive home after a long day at your medical school or hospital (or in the future, at medical school or hospital (or in the future, at your practice), how many times did you your practice), how many times did you wondered which way did you take driving back wondered which way did you take driving back home?!! You didn't figure it out although you home?!! You didn't figure it out although you were sure it was the right safe way home and were sure it was the right safe way home and you did follow traffic laws and road ethics!!.you did follow traffic laws and road ethics!!.

Take Home Take Home massage!massage!

OSCE OSCE exam need a good practice exam need a good practice before it and it is very effective way of before it and it is very effective way of evaluation and you will build up a lot of evaluation and you will build up a lot of clinical skills which you will never clinical skills which you will never forget.forget.

Plus let’s face it guys at least it is Plus let’s face it guys at least it is fair……...Don’t you think?fair……...Don’t you think?

Focus HistoryFocus HistorySymptoms Analysis.Symptoms Analysis.

Differential Diagnosis (role in and role Differential Diagnosis (role in and role out).out).

Risk Factors.Risk Factors.

Complications.Complications.

Other Related Questions.Other Related Questions.

ExaminationExaminationGeneral .General .

Specific.Specific.

Disease Oriented.Disease Oriented.

Evaluation !Evaluation !How are you going to be evaluated?How are you going to be evaluated?