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The OSCE Revision Guide for Medical Students

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The range of OSCE stations covered were very good, especially at the beginning when I didn’t know where to start!” Dress professionally and accordingly to NHS dress code. Looking neat might not give you extra marks, but it does help you make a good first impression. Remember to tie up long hair, roll sleeves up above the elbows and take off your wristwatch. Don’t worry about making mistakes during the OSCE – you haven’t got time to panic. Stay calm, take a deep breath and continue as you were. You may not be feeling very confident during your OSCE, but pretend you are! Stand up straight, smile when appropriate and speak loudly and clearly – being too apprehensive can give the impression you don’t really know what you’re doing and make the patient nervous too.

The CBT and OSCE information booklets for all nursing fields apply to adult nursing, children’s nursing, learning disabilities nursing and mental health nursing pathways. The chapters are clearly written, in simple language that should appeal to students and reflect the fact that the authors themselves have recently been OSCE candidates. They are all part of what I believe is a genuine re-invigoration of the art of teaching amongst junior medical staff.” This book is an essential read for any final year student about to take their OSCEs. The best money I spent in my final year of medical school.” We appreciate that OSCEs are often the most stressful exams you will take at medical school. This books aims to empower your examination preparation and help you on your way to excelling in the OSCE. We believe that fresh graduates have a unique perspective on what works for students. We have captured the insight of medical students and recent graduates in the language that they used to make complex material more easily digestible as students, with the reassurance of content review by senior clinicians.

This product stands for quality

Each guide summarises the key points of a given examination and explains relevant clinical signs to help you ace your OSCEs! This is Mrs Smith, who has presented with shortness of breath and a heart murmur. She is comfortable at rest, on 2 litres of oxygen. There are no stigmata of infective endocarditis. Her pulse is regular at a rate of 60BPM. It is slow rising and normal volume. Pulse pressure is normal. On auscultation, she has an ejection systolic murmur in the aortic area, radiating to both her carotids. S1 is normal with a quiet S2. There are no additional heart sounds. There is no evidence of heart failure. It is actually much more reliable to look for fasciculations when the tongue is resting in the mouth, rather than when it is protruded.”

Once you finish your examination you may have some spare time; don’t let this go to waste. Look around to see if there’s any equipment in the room you’ve not used. Concise, to the point and the key to passing any OSCE stations whether you are looking for a pass or a distinction. This book should be possessed by every medical student starting their clinical years.” These blueprints show how the relevant standards of proficiency and associated skills and procedures may be tested in either the CBT, OSCE or both parts.

Test specifications

Read the instructions carefully before you enter the station. It sounds silly, but people have been known to do the wrong examination in OSCEs (e.g. upper limb instead of lower limb neurological examination). If you don’t do what you’ve been asked, you just won’t get the marks. We aim to release free practical scenarios that medical students can use to practice towards their OSCEs. The following documents will support your preparation for the OSCE. We highly recommend you take the time to read these. Grab a fellow medic/friend/flatmate and practice regularly until your examinations are fluent and confident. Exam nervousness can affect your performance, so it’s better to be a bit overprepared than under. If your medical school allows you to practice with their equipment, then take advantage of those opportunities. If not, things like reflex hammers, blood pressure cuffs and penlights can be bought off the internet for a decent price. Remember to practice with a timer too as the minutes fly by in the real thing. Established in 2020, 7 graduating medical students came together with the aim of offering free educational content that medical students can use to practice for their OSCEs.

The marking criteria available to trusts and candidates have also been updated as we are seeing higher numbers of candidates attempting to rote learn the marking criteria. This is problematic as they no longer approach the assessment with an open mind and in some cases find the assessment challenging when presented with new or different scenarios.The updated marking guidance are more holistic and will give trusts and candidates the key points that that all candidates will be assessed on. They should be used by candidates to confirm understanding of the different skills that they need to demonstrate across the OSCE but the standards, code, and blueprint should form the basis of all teaching and learning.The test specification for all nursing fields apply to adult nursing, children’s nursing, learning disabilities nursing and mental health nursing pathways.

On 2 August 2021, we introduced the Test of Competence 2021, to reflect our new standards for nurses and midwives. OSCEs or Objective Structured Clinical Exams are the ‘practical’ exam of medical school. It aims to prepare you for the clinical and communication aspects of becoming a doctor. They can seem really difficult and stressful, but with enough practice, you are likely to score well. I hope these tips are helpful and make you feel a little less worried! The unofficial guide was my Bible for OSCE practice, it had everything you needed to know and more, an essential for all Finalists.”These booklets give an overview of the CBT and OSCE, what candidates should expect on the day and how they can prepare. It can be easy to just wipe all memories of a bad OSCE out of your brain. However, if you write those errors down you can review them for your next exam and ensure you don’t make the same mistakes again. Talking to your coursemates about their experience can help too – no one said that you can only learn from your own mistakes. All candidates who sit their assessment prior to 26 June 2023 will not be presented with the updates covered above. All candidates who sit on or after 26 June will experience the changes we have made. Candidates will still sit a 10 station OSCE but these changes will mean that there will be a greater selection of skills that could be assessed which will make the assessment less predictable. We will continue to develop new stations covering different skills and scenarios, so it is important that candidates and those supporting them incorporate the NMC blueprint and standards into their preparation for the test. As part of the ongoing development of the Test of Competence OSCE for midwifery, we have made some changes to the existing assessments and released a small number of new stations which will come into use from Monday 26 June. These changes will ensure a wider coverage of the standards, code of practice and blueprint and forms part of our routine maintenance to keep the test valid and reliable.

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