Clinic OSCE Proficiency Exam Overview

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Clinic OSCE (Proficiency) Exam Overview

• Preparing for the Clinic OSCE
• (Proficiency) Examination

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Test Goals

• Assess basic knowledge
• Assess skills level
• Assess clinical reasoning
• Focus is on condition based care

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Test Goals

• Introduce student to an OSCE format examination
• Objective Structured Clinical Examination (OSCE)

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Test Content

• Diagnosis and Case Management
• Diagnostic Imaging

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Test Structure

• Ridged Timed Examination
• Six Stations in Main Clinic
• 5 minutes per station
• There are 2 cases
• Station 1,2 and 3 is one case
• Station 4, 5 and 6 is another
• Radiology Section in a Separate Building

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Stations 14

• You will start at one of these stations
• Perform a focused history
• Ask all appropriate questions
• Pay attention You will need the information
  obtained for the next station

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Stations 25

• Perform a focused examination
• There will be a standardized patient provided
• Have all equipment necessary
• One case focuses on musculoskeletal conditions
• One case focuses on non-musculoskeletal conditions

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Stations 36

• Answer the questions based on the prior two
  stations
• The questions are related to case management,
  follow-up and diagnosis

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During the exam

• You must listen and follow the examination timing
• You will be asked to step out of rooms and move
  to the next station
• You will be told when to move into the room
• You can not move out of a room until you are told
  to do so

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At the beginning of the exam

• You will be placed if front of a station station
  1 or station 4
• You move to the next station until all 6 stations
  are completed

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After the 6 stations

• You will go, as a group, to the building where
  the radiology section is being performed

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After Radiology

• Go to the review area
• Review the exam
• Fill out the evaluation form

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Preparation

• History
• Standard CC and PI
• Create an image of a patient as you ask the
  standard questions
• Know the parameters questions cold
• Try to visualize what the patient experiences
  throughout the day

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History

• Classic Presentations are used with few
  distracters

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Physical

• Mosbys Guide to Physical Examination
• Evaluation performance criteria is taken strictly
  from the text

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• Not Performed
• Performed Incorrectly
• Incompletely Performed
• Performed Correctly
• Pulse
• .Palpates the radial pulse on the flexor surface
  of the wrist laterally with the pads of the 2nd
  3rd fingers
• Blood Pressure
• .Places patients arm in a slightly flexed
  position
• .Patients arm is free of clothing
• .Deflated bladder centered over brachial artery
  2-3 cm above antecubital crease
• .Applies appropriately sized cuff snugly and
  securely
• .Places fingers of one hand over the brachial or
  radial artery to feel for pulse
• .Rapidly inflates cuff with the hand bulb 20 - 30
  mm Hg above the point at which the brachial pulse
  disappears
• .Deflates cuff slowly at a rate of 2 - 3 mm Hg /
  sec until at least 2 beats of brachial pulse is
  felt
• .Immediately deflates the cuff completely

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Physical Preparation

• Consider classic presentations
• Go through a review of systems and outline the
  most likely or most serious conditions you may
  encountered

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Orthopedic/Neurological

• Evans Illustrated Essentials in Orthopedic
  Physical Assessment
• Evaluation criteria is taken strictly from the
  text

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O/N Preparation

• Spinal and extremity exams
• Regional DDs

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Develop a Pattern

• Experienced clinicians can assess things quickly
  because they recognize patterns
• Patterns are developed through Process

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What you will need

• 2 2 Pencils
• Diagnostic equipment
• BP cuff, Otoscope, Inclinometer, cloth measuring
  tape, tongue depressors, tuning forks etc.