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        Integrated Comprehensive Clinical & Communication Skills Approach For Patient Interviews & OSCE Exams

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Clinical Skills Assessment Medical OSCE Exam (OSCE home)

A Step By Step Guide to Mastering the OSCEs


Objective Structured Clinical Examination, OSCE, also called Objective Standardized Clinical Examination is tough. OSCE exams like USMLE Step 2 CS, MCCQE II, PLAB Part 2, Medical Students OSCEs, Medical Schools Finals, and Clinical Skills Assessments for International Medical Graduates, TRAS OSCE, AMC Clinical, NZREX are really difficult and stressful. That is what it is. We are not going to say it is easy as what clinical educators and OSCE organizers usually claim trying to make it acceptable for you.


OSCE Exams consist of several clinical encounters (called stations) with specially trained actors playing the role of a patient with some sort of a medical complaint (called Standardized Patient, SP).


Let’s take few minutes here to imagine your situation during the OSCE. This is an important step as you may realize that the first step to deal with any issue is to completely understand what it is.


You will find a lot of articles and web pages describing what are the OSCE exam procedures. They present the OSCE in a scientific academic context. We are sure you already have read several of these.


Are you?… Have you read between the lines?… Have you achieved an understanding about how your physical and mental status will be during the OSCE exam?


Well, let us explain it for you. Just concentrate. Imagine yourself in a hallway with several other candidates each standing in front of a closed door. Several individuals are watching you for any violation of the rules. Then a bell, a buzzer, or an announcer goes on. You have one or two minutes to read a full page hanged on that door describing what the station ahead is and what are you required to do.


Usually, you’ll need to read the instruction several times because you’re nervous, your heart is racing and your mind isn’t catching what your eyes are reading!


Then, a second bell/buzzer/announcer sounds. You knock the door and enter the room. In each room, you will find a new patient and a different room setting. In some OSCE Exams, an examiner is present in the room. In such cases, you have to hand out the examiner one or two of your identification stickers that you may have looked for them and didn’t find. Remember you are nervous.


Then you have to get started as your limited time has already been started when the second bell/buzzer went on. You need to get information from the SP and/or may be examine or consult him/her. Your voice is low. Your hands are shaking. You look unconfident and don’t know what to do. You are at the center of focus of both the SP and the OSCE examiner (present or through video monitoring). Both are watching you carefully. Listening to you.


Those SPs are well trained not to give you any information unless you specifically ask for it. That is not like real life medical encounters where the patient will say everything when you ask about the reason of their visit. So, you have to know what questions you need to ask, the OSCE Examiner checklist.


As you were asking, the patient replies by questions for you. Questions like ‘What do you mean?’, ‘Do I have to answer that?’, ‘Is this relevant to my problem?’, ‘Why are you asking this?’. All these questions are intended to shake you if that wasn’t a reflex of your poorly phrased questions. You start to lose control over yourself and the encounter. You start to make fatal mistakes like being disrespectful to the patient and unprofessional. You’ll jump from topic to topic unorganized. And you’ll forget to ask questions that are important to fulfill the examiner checklist! That examiner who is closely observing you and filling out your checklist and writing comments.


Suddenly the bell/buzzer/announcer goes on again. The station is over. Oh my God. There are still tons of questions that I have to ask. I missed this station. You’ll start the process of self-blaming. You’ll feel hopeless.


As you proceed, you’ll try to hold yourself up. You’ll find that you had already wasted substantial time of the minute before the next station or in some exams where there is a post encounter oral or writing question period or patient notes writing period.


The cycle starts again and again.


By the fourth or fifth station, you’ll feel exhausted and your brain starts to ache. You’ll feel unable to think about the coming station and you start to give up claiming that you’ll do your best.



Did you get what we wanted you to understand? Let’s summarize:



         You will be nervous, irritable and cannot think straight.

         You will be physically and mentally exhausted.

         Your time is running fast and is not enough.

         Some SPs will be challenging you intentionally and waste your time.

         You need to be organized and manage your time effectively.

         You need to know in advance what to ask, as there is no time to think.

         You need to be careful about how to phrase your questions and comments in order to be respectful and empathic. Remember, no time to think.

         You need to ask your questions intelligently in order not to lead the patient or trigger time wasting and problem evoking conversations.

         You need to be and appear confident, organized, and professional.



Is that easy?… Of course not.


Is it impossible to do?… Of course not.


Thousands of medical students, residents, and graduates have done it…. Okay, so it is not easy and at the same time not impossible. You need to assign the needed time and effort to prepare yourself to the OSCE Exams and you’ll be just fine.



But how to prepare yourself for the OSCEs?


Obviously, you need a system to follow through the medical encounter, an OSCE station or real medical patient encounter. A system that will automatically organize the encounter and thoroughly covers all the check points and differential. This ebook, A Step By Step Guide To Mastering The OSCEs, will help you to:



1. A Step By Step Flowcharts To Follow Through Out Your Organized Controlled Medical Interview OSCE Exam. 


2. A Complete History Taking Templates For All Common OSCEs In ALL Specialties. 


3. Ready To Use Questions Templates Of What & How & When To Ask, Not Only Checklists That You Need To Figure Out How To Cover In Your OSCE Exam.


4. Question Templates That Cover All Related Differential Diagnosis And Covers The Checklists Without The Need To Think About The Case.


5. A Step By Step Guide Of How To Perform A Physical Examination, What To Examine, And What To Tell The Patient And The OSCE Examiner (if present) While Examining The SP.


6. A Step By Step Guide To Follow About What, When, And How To Manage Any Emergency Setting OSCE Station.


7. How To Organize A Counselling Station In The OSCEs.


8. Complete Carefully Phrased Sentences Of How To Approach Sensitive Issues Like Menses, Sexual History, And Abuse In An Ethical Manner.


9. Master Verbal Communications Indirectly By Just Memorizing The Templates and Perform Them In Your OSCE Exam.


10. How To Unlock Difficult Medical Encounters?  To Deal with 20 Difficult OSCE Scenarios Like Depression, Breaking Bad News, .......



Let’s start. You can do it.

We can help you pass the OSCEs with high score.

You just need someone to show you specifically how to do it, and We can help. Let’s start.



Download it NOW, Don't waste your time




Your Driving Lessons!

In order to learn how to do something in life, there are two ways. Either you try to figure it out yourself by trial and failure approach that takes time, effort, and failure risks. Or you seek a professional training, which sounds costly, but in fact it saves you time, effort, and the risk of failing expensive exams.

You didn't figure out how to drive yourself! In stead, you started with some one who knows how to drive well and learned from him/her those specific driving steps, short cuts, and valuable secrets that you now use them automatically unconsciously every day!

In your preparation to your OSCE exam, don't you realize that it is noticeably logical to take the same approach to shape up your communication and clinical skills?!

When you got your driving lessons, your instructors asked you to follow specific steps and perform specific procedures in a specific sequence, right?! That was because these specific steps and the sequence they have been organized in proved to be the most rapid, logical, and safe practices. By strictly following these steps, you can insure your safety and the safety of other road users. He had also told you about fatal mistakes to avoid on the road.

In OSCE exams, and subsequently in your real life medical encounters, OSCE examiners want you to be organized by following specific steps in specific medically and ethically correct sequence in order to be considered a thorough, efficient and safe physician. Nothing else! Just be organized, thorough, efficient and safe with no fatal mistakes concerning your performance or the patient safety!

After knowing the specific driving steps and their sequence, what did you do? Let us guess. You thought about the logic of each step and its place and its timing in the sequence. You argued with your instructor about that, too. You may even have questioned your instructor's ability by first listening from him/her then by trying his/her advices yourself. Definitely you came up with a slightly modified approach that you felt comfortable to perform and your instructor found it acceptable on the point of the guidelines. Then you memorized those steps. Right!... That is a healthy approach and I sincerely encourage you to do the same in your OSCE exam preparation! Find out the specific steps and the specific sequence!

What did you do next?... You practiced these steps first by yourself by imaging being on the road thinking about what would you do if, for example, you need to turn right on next intersection. Then, you moved on to the next step of being on the road with your instructor practicing and listening to his/her remarks about your performance. Logical approach, right?!

Do the same for the OSCEs. Memorize the steps. Practice them with yourself imaging being in a medical encounter. Practice in front of large mirror where you can see all your body. Pay attention on your non-verbal gestures. Then move on in your practice and practice with friends. Practice in a group of three to four friends. Choose them carefully. Choose who is willing to criticize you and open to listen to yours too. Think about what are saying about you. The intention is honesty. Be honest with yourself and with your friends. 

Practice is crucial. It makes the steps part of your daily medical encounter routines and reactions to events. You'll shape up your communication and clinical skills by practicing over and over. You'll feel no station is new. All OSCEs scenarios will be familiar. You'll perform confidently and naturally yet met all the medical and ethical guidelines and precautions. Practice will build up confidence that will overcome the OSCE exams fast pace and stress.!

When you took your driving lessons, were you focusing on how to pass the test first, or on how to drive safely and efficiently?!... This is what the driving test is all about!.... Isn't it to test your driving skills?!.... So is the OSCEs, it is to test your clinical and communication skills!. Don't focus on passing the OSCE exam. It won’t work. In stead focus on your clinical and communication skills. A good passing mark in the exam will be a very consequence!

What happens if you don't know what to do in a medical encounter?. What happens if you knew what to do but because of not practicing enough, or the exam fast pace, or a patient rushing practices you forgot what to do? You will be disorganized, irritable, rude, hesitant, and start to make medical and ethical mistakes! If you were successful to hold yourself and remembered some steps to do, you'll be acting them up. Not living the moment naturally! OSCE examiners are well aware of this just like driving examiner. It won't work acting up in OSCEs! They want to see the real you! If that won't be a kind, capable, thorough, efficient, safe physician, then, that won't be kind of assuring for them that you will be as so in real medical encounters.

Objective Structured Clinical Examinations (OSCEs) organizers want you to be a kind, thorough, efficient, and safe physician. They respond to the concerns of the general public, politicians, and professional bodies. What about your concerns, then??!.. Don't you want to be safe to your patients and yourself?.. Don't you want to establish a reputation of being kind and clever in your community (free publicity!)?.. Don't you want to be thorough and cover every think to protect you from damaging and expensive lawsuits?.. Of course you do!!.

So, start shaping your clinical and communication skills right now and practice the techniques over and over, adapt them, develop them and start building your prosperous carrier!..

Act now !!...


Download it NOW, Don't waste your time


What is "A Step By Step Guide to Mastering the OSCEs" ?!

Act now?!!... But what are the steps!!

There are now several good books that deal with how to prepare for the Objective Structured Clinical Examinations (OSCEs). Some of them are even specifically written for one OSCE organizer such as USMLE Step 2 CS, or PLAB 2, or MCCQE II, or OSCEs for medical students. Some are specific for a certain specialty such us surgery or obstetrics & gynaecology, psychiatry .. etc. You need to buy more than one to master the OSCEs and they are not cheap!. However, they are great resources and we used a lot of them.

All of these books are organized around topics which are common in OSCEs like appendicitis, ectopic pregnancy, or depression, ...etc. There are two drawbacks for this approach. 

First, They are limited to few common OSCE scenarios! What would you do when you face a modified or new scenario on your OSCE exam day?!. All OSCE organizers include one or two new scenarios each exam, in addition to continuously modify scenarios of the same topic!.

Secondly, They are focused to prepare you only for the OSCEs, if not even for only one organizer's OSCEs or specialty!.. What about the other OSCEs?..  What about your daily medical encounters with real patients during your medical school, residency, or real practice?! Do you have to retrain and practice again every time?!!.

For these reasons, we wrote the ebook "A Step By Step Guide to Mastering the OSCEs!".

It is not focused on certain organizer's OSCEs or specialty OSCEs, but on shaping your clinical and communication skills to turn you into a good thorough efficient and safe physician first, and as a consequence, capable of passing all types of OSCEs with good grades!. Isn't that the aim of the OSCEs organizers?!.. Isn't that your own goal?!.. Definitely,.. YES!.


Do not think you will be able to do it completely by yourself,

and then sit down and wait for good OSCE Exam scores.


If you do, you will never get your best potential!

 Act now.

There is never any time but now, and there never will be any time but now.

If you are ever to begin to make yourself ready for what you want for your OSCE exam, you must begin NOW...



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