Structured Clinical Examination, OSCE, also called Objective Standardized
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,
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
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).
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
Have you read between the lines?… Have
you achieved an understanding about how your physical and mental
status will be during the OSCE exam?
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.
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
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.
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
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
How To Unlock Difficult Medical Encounters? To Deal
with 20 Difficult OSCE Scenarios Like Depression, Breaking Bad News,
start. You can do it.
help you pass the OSCEs with high score.
need someone to show you specifically how to do it, and We can help.
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!
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.
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!
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
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.
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
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!
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
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!..
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!!
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 &
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
ectopic pregnancy, or
depression, ...etc. There are two
drawbacks for this approach.
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!.
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?!!.
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?!..
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!
There is never any time but now, and there never will be any time
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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