1. Introduction to the OSCE Dr Lisa Joels MD FRCOG Royal Devon & Exeter NHS Trust July 2011 © Royal College of Obstetricians and Gynaecologists

2. OSCE Objective structured clinical examination 12 stations – 2 preparatory – 10 active 1 minute to read scenario outside booth Information also inside booth 14 minutes with examiner

3. Preparatory stations 15 minutes to prepare by reviewing candidate’s information e.g. Labour ward board 15 minutes with examiner presenting the work you’ve prepared Make sure you review all the material Order your thoughts – logical approach

4. Role player stations Actor + Examiner – Examiner plays no active part - only marking Don’t address the examiner Pretend they aren’t there Don’t ask examiner questions – Behave exactly as you would in clinic – Remember communication skills lecture Body language Eye contact

5. Role player Typical scenarios: – Breaking bad news – Counselling about treatment options – Obtaining consent – Teaching a practical skill – De-briefing after adverse event

6. Structured oral You and the Examiner Examiner will ask questions and mark your answers Clinical scenario may evolve – give further information (written & verbal) – If you forgot something revealed in next part cannot gain marks (can’t go back) – Examiner may move you on if concerned about timekeeping

7. Structured oral You cannot ask Examiner questions They must stick to a strict “script” to ensure examination is consistent between candidates and fair

8. The exam Pencil and paper – Make notes, draw diagrams 15 minutes per station – 1 minute reading, 14 minutes with Examiner Follow the numbers Candidate number clearly on view If you finish early just sit quietly The Examiner is forbidden to chat with you

9. Summary Think about what you do every day Read the question – What does the station want you to do – E.g take a history and arrange investigations Role play yourself when talking to the actor Don’t ask the Examiner questions