preparing for exams - osce dr. mala joneja [email protected]
TRANSCRIPT
http://www.youtube.com/watch?v=VfExPppvcew
You may think that standardized exams are a pain, but everybody has to do them
Preparing for the OSCE References: Bracken Library – Exam section: 3 day loan
OSCE and Clinical Skills Handbook by Katrina F. Hurley
OSCE &LMCC II Review Notes by Zu-Hua Gao
What is an OSCE? What is an OSCE? Tool for measuring clinical competence Developed to evaluate clinical performance in medical
students Test dimensions of clinical competence:
Physical examination History taking Interpersonal skills Technical skills Problem solving Decision making Treatment and management
How is an OSCE graded? How is an OSCE graded? Binary checklist Complex skills – Global Rating Scale
(communication or professionalism) Sequence/Organization
Checklist (the examiner has) Introduces self to the patient Refers to the patient by name Establishes the purpose of the encounter Uses open-ended questions to obtain story Establishes presenting complaint in the
patient’s own words Draping the patient Appropriate closing remarks
How should I prepare for an OSCE? Interestingly, learning for meaning, a desire
for this, appears to be associated with better outcome
Literature: OSCE performance = skills + knowledge / anxiety, self-confidence and preparedness
Hurley: It may not be possible to prepare yourself for each question that could be asked
Professionalism Professionalism is a big part Website –examples of scoring Demonstrated in Communication Pointers
Set up the interview Watch your body language Don’t interrupt the patient repeatedly
Active listening, repeat back to the patient
FIFE
Feelings, ideas, fears and expectations – WHY?
Useful, pays attention to the patient, find out information in a short amount of time
As a clinician, you are expected to: Complete a history and physical
examination Elicit presenting problems and
details Elicit past history, family
history, social history, medications and allergies
Review of systems Show sensitivity, respect Explain procedures to patient Use understandable language Proper use of medical
instruments Exam in logical sequence, focus
on system when appropriate
Establish rapport Show empathy, tact,
compassion, maintaining professional and ethical code of conduct
Concisely communicate results and findings
Formulate a problem list
ChLORIDE FPP Character Location Onset Radiation Intensity Duration Events associated Frequency Palliative factors Provocative factors
VITAMINS C Vascular Infectious Traumatic Autoimmune/Allergic Metabolic Idiopathic/Iatrogenic Neoplastic Substance abuse and Psychiatric Congenital
IPPA Inspection Palpation Percussion Auscultation
LMCC II Exam Tips Gao Practice scenarios with others, time the
scenarios Verbalize steps, even when practicing,
practice as though it is the exam, as much as possible
At the exam… Read the questions carefully. Be clear about
the objectives of the station. Shake hands with your patient while
introducing yourself Be empathic, address discomfort Mind your body language
Set the scene, tell the patient what you are going to do
Speak slowly, clearly, at a volume that is not too loud
Thank the patient before leaving the room
A surprise question… Develop a strategy or system to face each question. ‘if you come upon a question that you have not
studied – or begin to draw a blank, try to relax, take a deep breath”
Read the instructions to candidate carefully “Suspend disbelief” – treat the exam patient as you
would a real patient Don’t be distracted by the examiner
Introduce yourself to the patient, find out or confirm patient’s name
Wash your hands Develop a rapport with the patient Be conscientious about patient comfort Drape the patient properly Explain what you are doing State what you are looking for
Exam Stress
http://www.youtube.com/watch?v=j5kgXwPqZjg
This exam is stressful because It is mandatory It is general It is an OSCE
Exams are stressful because It is an evaluation of your performance It is one day
Reducing Exam Stress Accept it. Prepare for it. Look at the website. Prepare in groups. Build confidence. Practice for the exam. Rehearse the exam in your mind. Think positive. Know what to expect (location, time, format)
If you think you need help, ask for it:Dr. Melissa Andrew
Director of Resident Affairs
Email: [email protected]