OSCE tips

Question 1

Acute History

Answer 1

Demographics: age, gender, occupation, RF

likely Diagnosis: ‘picture suggestive of’
build the case: Sx, RF, PMH, important negs/DDx

summary: demographics, diagnosis, plan (Ix + Tx)

Question 2

Surgical inpatient

Answer 2

demographics: age, gender, occupation, RF

intervention + indication/BG: days post-op, HPC
investigations: recent + trends
other management received

O/E: post-op r/v and current status; main pos, important neg
*symptoms, vitals, E+D, BO, mobility, wound

summary: demographics, diagnosis, plan (Ix, Tx)

Question 3

MDD Presentation

Answer 3

Demographics: age, gender, occupation, RF, HANDEDNESS

likely diagnosis
build the case: main positives, important negatives
ICE and IMPACT

summary: demographics, diagnosis, plan (Ix, Tx)

Question 4

SBAR

Answer 4

ID: who you are, to whom you are talking

Situation: location, PC/Dx
Background: quick history
Assessment: o/e findings/AtoE - main pos/neg
Recommendation: what you want, what should you do meanwhile