The Objective Structured Clinical Examination MRCGP International South Asia

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The Objective Structured Clinical
ExaminationMRCGP International (South Asia)
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Beginnings

• VENUE Bandaranayake Memorial International
  Conference Hall, Colombo
• 5 exam sessions am and pm on Wed 28th and Thu
  29th March am only Friday 30th March
• Each session will accommodate 14 candidates.
  Candidates will move in a circuit through the
  OSCE stations

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Format

• Stations
• Total of 14 stations with an additional 3-4 rest
  stations.
• All stations will have simulated patients and
  Examiners
• Time allocation
• Each case will be a maximum of 10 minutes
  duration
• Bell/whistle marks the start finish of a case
• Up to one minute break between cases for
  change-over
• There is time allocated for reading the case
  material prior to seeing the next case
• Assume the examination will take up to 3 hours
  from the start time

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Case content

• Typical cases from South Asian practice
• A clinical examination may be required
• No intimate examination (e.g. rectal, vaginal,
  breast)
• Candidates instruction of each case will be
  provided at each station to help identify the
  focus of the case
• Removal of any paperwork from the examination
  will result in disqualification of the candidate

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Equipment

• All necessary equipment for examination will be
  provided at each station except for stethoscope.
• Please bring your own stethoscope but no other
  equipment will be necessary

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Electronics

• Mobile phones will not be allowed in the
  examination hall
• Use of palmtops/electronic databases could result
  in disqualification of the candidate
• Please do not use an audible alarm clock!
• Photography is not permitted

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Simulated patients

• Mix of actors and trained role players
• Well trained, rehearsed and standardised
• Consultations conducted in English
• No current assessment role
• Treat with courtesy and respect but ask for
  clarification if patients history not understood
• Examine with care

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Examiners

• Examine one case only
• Unobtrusive
• Avoid eye contact
• Mark during and afterwards
• No direct interaction between examiner and
  candidate
• Ignore unless specific intervention by the
  Examiner

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What is it like?

• Consultation with patients in a primary care
  setting
• You can write on the notes and this will not be
  marked, but
• If a script is written, give it to the role
  player and this may be marked
• Please note removal of any paperwork provided
  may result in disqualification from the
  examinations
• If you finish early do not worry as not all cases
  take 10 minutes

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Shadow Marking

• May have TWO assessors coming in for quality
  assurance purposes
• One is the marker
• The second shadow marks but does not contribute
  to your score. It is used to measure quality of
  the marking process
• Treat both assessors the same (i.e. ignore them!)

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Marking Schedule

• Each case is marked in 5 domains
• Consultation skills
• Data Gathering skills
• Examination and practical skills
• Management skills
• Professionalism
• All domains are equally weighted
• 4 possible grades for each domain
• Excellent
• Competent
• Unsatisfactory
• Poor

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Domain Descriptor
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How to pass!

• Be familiar with syllabus and marking domains
• Learn from seeing patients
• Clinical, communication and ethical challenges
• Discuss and practice cases with colleagues
• Familiar with at least one consultation model
• Practice 10 minutes patient centred consultations
  with explanation and shared management
• Relax be yourself!
• Practice, practice, practice

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Good luck!!