How is your OSCE graded for EPR - Part II

The Rating Rubrics of OSCE (Part 2) - for EPR Malaysia

Notes: 

• BOLD: Must do
• Underline: clinical related

Lets continue from what we left in the last post 😁

Part 2 - History Examination

• Uses a structured, fluent and focused approach to history taking, relevant to the station
• Uses a combination of open question and closed questions where appropriate
• Respond to information given by the patient, rather than strictly appearing to follow a standard/ guided formula of questions.
• Obtains key an relevant information and shows the ability to use the information appropriately
• Question reflect the depth of understanding of the clinical condition/ pathology, where applicable.
• Repeats, reflects, summaries and clarifies any misconceptions as necessary
• Allows the patient to ask questions and endaevours to answer those
• Able to ask the patients to give more information missed earlier.
• Avoid premature or false reassurance

Part 3 - Physical Examination

• Wash your hands before starting
• Seeks permission to examine and explains the nature of the examination 
• Asks for chaperone where appropriate
• Does not distress, embarrass or hurt the patient unduly
• Respect patient's modesty
• Asks the patient if any areas to be palpated or moved are painful
• Positions the patient correctly and comfortably
• Uses a methodical and fluent approach indicating familiarity with the examination skill.
• Examines/suggests examining all the relevant areas with the correct technique.
• Completes the task in the allocated time, thanks the patient and covers up the exposed areas.

Part 4 - Procedural Skills

• Introduces and explains the procedure and gains consent
• Ensure privacy - asks for chaperone where appropriate
• Prepares the patient with correct exposure and position for the procedure
• Checks that all relevant equipment are available, appropriate and functioning
• Ensures aseptic precautions and correct methods are taken.
• Ensures correct and safe placement of equipment wherever necessary
• Avoids any unnecessary/ dangerous steps
• Disposes equipment appropriately and safely.
• Thanks the patient.
• Document and/or labels the process or samples appropriately.
• Completes the task in the allocated time. 

Part 5 - Professional Skills

• Explores patient's understanding before providing information.
• Encourages the patient to ask questions and responds appropriately.
• Provides correct information and options without the use of jargon.
• Discover the impact of the problem on the patient's life and acknowledge concerns.
• Respects the patient's autonomy and negotiates with the patient appropriately.
• Reviews the patient's understanding during the interview - clarifies and summaries where appropriate.
• Appears to have a grasp of the issue and its ramifications - minimizing conflict.
• Acts assertively and within the codes of practice and law.
• Reaches and agreement with the patient about a strategy to progress.

Part 6 - Content Knowledge

• Systematic approach in collecting and/or understanding the data/ scenario/ information presented.
• Able to interpret the data or information provided and correlate it with clinical relevant context.
• Able to identify and recognize the pattern of the underlying problem.
• Able to integrate the information provided.
• Able to make a conclusion/ diagnosis / differential diagnosis if applicable.
• Able to apply knowledge to the problem presented such as listing possible complications and management. 

So these are the 5 details that are important and vital for your exam preparation. 

Once you fully understand these, don't forget to practice with the questions in the books (Question samples can be found in sams) !!!