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Naureen Shiakh
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this great effort. I really learned a lot from these emails. I wish you won't
cease sending me these emails.
Haitham Semir
Hello there ,
Thank you for giving good direction to prepare for USMLE STEP 2 CS. Many
things such as counseling station, deal with difficult patient, etc it
teaches me new things. So please keep sending me your information letter , I
like to read it again
I am obliged to you for your good deed.
Yours
Dr.Farida Kapasi
Thank you for sending me these messages, thank you.
Sai Nay Lynn Aung
Final part 2, Medical
student, Mandalay, Myanmar.
Dear Dr,
I have been following your ebook, mastering the
OSCE, for my MCCQE 2 preparation and I feel confident that I can manage
history and physical exam stations quite well.
Ubaid Abdullah, Calgary, Alberta, Canada
Thank you for all your OSCE preparation. I am
pleased to inform you that I have successfully completed MRCOG and do not
require further OSCE Preparation, thanks.
Jahan Ara Saeed, Al-Ayn, UAE
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I have been able to download and you have regained my faith in Internet
purchases.
In exchange I can only recommend your course to
students.
Agnelo F De Sousa, FRCS., FRACS., University of
Adelaide, Australia.
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Rosemarie Knight, New Zealand
I do read your tips weekly. It is pretty useful.
Just let me know how I can confirm my appreciation upon your mails.
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Sukit Roongapinun
Very useful info. Such helpful topics, definitely
verbal and non verbal communication is the key to success. I don't know how
should I thank you for all the useful information, but anyhow I extend my
warm thanks and wish you and your family all the best. Thanks a million for
the direction on communication skills. Looking forward for more
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your effort.
Best regards
Dr. Ubaid Abdullah,
Calgary, Alberta, Canada
Appreciated Dr. Alimari:
Thanks again for your collaboration. I`ve
been studying these e-mails with the corresponding articles for OSCES
exam preparation.
Cordially,
Juan Gonzalo Soto Vélez M.D
Hello Dr. Alimari,
Thank u very much for your information. I'm sure that it'll be
useful for me. I'm looking forward your mail now every weekend
when I open the mailbox.
yours,
Aung Tun Oo
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the system you propose for approaching OSCE.
Best regards,
Jose Lopez
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many others. I appreciate everything that has been done and permanently
is coming from you. Each information is so helpful and increases my
understanding of the problem and my ability to make clinical approach
and decision in short time. Thank you again for your generously willing
to share your knowledge with your colleges. God bless you and your whole
family.
Dr. R. Aslanov
Hello
I am a Cuban Dr in the process of pass my evaluations in Canada.
Last year, I received some e mails with tips that you use as
promotion of your book.
I will like that you know that all this information that I took from
these e mails, was very useful. I prepared my QE part II using your
information am I feel very comfortable. Even that I did not pass the
exam, it was just for some points. I recommend your book to all my
colleagues.
Thanks
Oscar
Thanks, I have the ebook, it is excellent and just wish I'd had it weeks
ago.
Nancy
Dear Dr Alimari
Many thanks for these very helpful osce information letters
Alice Macleod
Dear Dr.
I'd like to thank oscehome for helping me to get prepared for the mccqe2. I
got the result in Dec 2007 and successfully passed this exam. Thanks.
Objective Structured Clinical Examinations (OSCEs) stations
in USMLE Step 2 CS, MCCQE II, PLAB Part 2 and medical school
clinical exams are differently designed to assess one or more of your clinical
skills depending on the purpose of that exam. However, required medical
knowledge, clinical skills, and communication skills are the same among these
OSCEs. It is
important to fully understand what is exactly required to be performed in each
station and to what medical extent. You will be assessed for only those
skills asked in that station. Tasks other than those requested or more than
expected at this stage of your medical knowledge, regardless of whether you performed them right or wrong, wont be
counted and most critically will waste your valuable limited time.
The length of the OSCE station is generally 5-20 minutes. You
will perform a medical encounter with a standardized patient (SP) just like a
real medical encounter. In some OSCE exams, an examiner (a physician) will be present during
these encounters to assess your clinical skills and communication skills based
on a standard checklist. Other OSCE Exams use videotaping the entire encounter
to be assessed by more than one examiner later. A nurse may also be present in management stations to
receive management orders from you and inform you about the progress.
For detailed description of each format click on the
links above.
Combination of the above formats is the usual for USMLE Step 2 CS and is common in
other long OSCEs, like
a focused history taking and a focused physical examination, or a focused
history taking and a consult.
Some OSCEs ends with a one or two minute oral questions
period usually called "Post Encounter Probe (PEP)". During this time, you
are not allowed to talk to the SP but only the examiner. The examiner will ask
you 2-4 standard questions which are usually:
What is your one working diagnosis for this patient?
What is your three most relevant differential diagnosis?
What are the risk factors of this patient?
What is your only / three investigation you are going to
order for this patient and why?
What is your initial / short term plan of management?
What is your long term plan of management?
Interpret this lab findings / imaging...etc.
Prognosis? If this patient came back in .. days / weeks
with .. what will be your explanation
Some OSCEs alternate with a period of written
questions PEP covering the same upper listed questions.
There are few other modified formats that fall into one
of the above listed types, such us:
Patient write ups (Admission,
discharge, progress, follow up, pre-op, post-op notes, and referral
and thank you letters.).
Consult over the phone with a
patient, a caregiver, or another
physician.
Interpretation of diagnostic materials
such as labs, microscopic, ECGs, X-rays, CT.. etc.
Presenting the case
to the examiner with or without a differential diagnosis, plan for
immediate and long term managements as an evaluation of your clinical
reasoning.
Performing practical skills
such as venepuncture, inserting a cannula into a peripheral vein, suturing a wound,
vaginal bimanual exam, rectal digital exam, PAP smear, breast exam,
testes exam, prostate exam, ophthalmoscope, diagnostic procedures,
basic cardio-pulmonary resuscitation (adult and child), performing urinary catheterisation,
mixing and injecting drugs into an intravenous bag, giving intramuscular and subcutaneous injections,
safe disposal of sharps .. etc by using manikins.
Some of these may also be included in or at the end of the above
formats.
As you know, all medical students and graduates will take
several OSCEs during their medical life starting from the medical school OSCEs
then any ofUSMLE Step 2 CS, MCCQE
II, PLAB Part 2 OSCEs. So, develop your
clinical skills and use them repeatedly during the OSCEs and also, for your benefit,
later in your practice.
As in each station within the same exam day you'll encounter a
different standardized patient and examiner, you may repeat the same skills and
even the same words and descriptions. Assessment of each station is done
separately by different evaluators.
As you know, all medical students and graduates will take
several OSCEs during their medical life starting from the medical school OSCEs
then any of