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There are three types of emergency room OSCEs scenarios. 
- The ER management scenario;
- The post management ER consult, and;
- The ER stable patient as walk-in clinic scenario.
In ER management OSCEs, you will be asked to manage the
case. A nurse will be present to take your orders.
In the post management ER consult, you will be asked to
consult the patient for discharge, dealing with ethical issues like breaking bad
news, organ donation, or abuse.
In the ER stable patient as walk-in clinic scenario,
you will be asked to perform any task just like any office setting like
history taking, physical examination, or consult.

So, read the instruction carefully before entering the
room to sub- classify the ER station to one of the above types as your task
will be different.
ER OSCEs require a lot of training and practice to
perform all the requested tasks accurately and efficiently. It is very
important to show confidence and control of the situation.
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