Professional Documents
Culture Documents
Instructions
Your
next
patient
is
Martina,
a
19
year
old
female
who
woke
up
this
morning
with
a
lopsided
face,
and
is
now
unable
to
smile
or
eat
properly.
You
have
been
given
this
patient's
past
medical
history.
You
are
not
expected
to
ask
any
further
history
from
this
patient.
You
have
eight
(8)
minutes
to
perform
a
focussed
examination
with
respect
to
the
presenting
complaint.
Do
not
make
any
inferences
based
on
the
appearance
of
the
role
player.
You
are
expected
to
explain
to
the
examiner
the
specific
findings
that
you
are
looking
for
during
your
examination.
Tasks
Focussed
examination
including
reasoning
to
each
part
of
the
examination
to
the
examiner
8
minutes
Year
2
OSCE
Practice
2011
Set
4,
Examination
Station
Past
Surgical
History
Nil
Immunizations
Up
to
date
Lifestyle
Smoking
Never
Alcohol
A
lot
on
the
weekends,
nil
during
the
week
Diet
Varied
Year
2
OSCE
Practice
2011
Set
4,
Examination
Station
Instructions
to
Examiners
The
task
for
the
candidate
To
perform
an
examination
of
cranial
nerves
7-12
to
try
to
determine
the
cause
of
this
patient's
lopsided
face
&
difficulty
eating/smiling.
The
candidate
should
make
an
attempt
at
visualising
the
tympanic
membrane
to
check
for
herpetic
vesicles/
Ramsey
Hunt
syndrome.
Conduct
of
the
Station
Ensure
that
the
candidate
understands
the
task
that
he/she
has
to
do.
The
candidate
is
expected
to
interact
appropriately
with
the
patient-
including
introducing
themselves,
and
obtaining
consent
for
the
examination.
The
candidate
has
been
told
to
explain
to
the
examiner
the
specific
findings
they
are
looking
for
during
their
examination.
They
are
not
to
make
any
inferences
based
on
the
appearance
of
the
role
player.
Please
prompt
the
candidates
if
they
are
performing
the
examination
in
silence
-
or
talking
to
the
patient
instead
using
the
phrases
below.
Please
indicate
the
signs
you
are
specifically
looking
for
Please
talk
me
through
your
examination,
as
you
are
performing
it.
During
the
course
of
the
interview
the
candidate
may
refer
to
any
notes
they
have
made
during
the
perusal
time.
This
is
an
eight
(8)
minute
station.
Year
2
OSCE
Practice
2011
Set
4,
Examination
Station
MARKING
Examiners
are
asked
to
grade
students
performance
on
a
scale
of
0
-
4
in
the
areas
on
the
mark
sheet
in
capitals.
The
standards
for
awarding
these
grades
are;
0
=
Unequivocal
fail:
Student
was
unable
to
demonstrate
history
or
examination
skills
without
significant
prompting,
OR
displayed
unethical
or
unprofessional
behaviour.
Student
lacked
a
comprehensive
approach,
and/or
needed
considerable
prompting
to
complete
the
task.
Student performed a systematic examination or history but did not complete some components in a number of areas of the marking guide. Student had a systematic approach, required little or no prompting, was confident and completed most components of the marking guide.
3 = Clear pass:
4
=
High
pass:
Examiners
are
required
to
make
an
overall
judgement
about
the
students
performance
in
each
area
on
the
marking
sheet.
The
specific
items
listed
are
there
to
remind
examiners
about
issues
which
might
be
considered.
It
is
not
intended
that
these
items
should
rigidly
translate
into
a
score.
It
would
be
helpful,
particularly
when
feedback
is
being
given
to
poorly
performing
students,
if
there
is
some
notation
in
the
comments
column.
Also
examiners
may
find
it
helpful,
when
considering
what
grade
to
award,
to
have
indicated
in
the
comments
column
when
items
were
omitted
or
when
prompting
was
required.
Global
Score.
This
mark
does
not
form
part
of
the
students
overall
mark.
The
score
should
reflect
the
students
empathy
and
overall
performance,
and
is
from
the
examiners
perspective
only.
Year
2
OSCE
Practice
2011
Set
4,
Examination
Station
Student had a high level of proficiency, well above what would be expected of a student in Year 2.
Feature Introduction/General Who/role Permission Wash hands Appropriate Pt interaction Positioning (patient sitting) General Inspection: Facial asymmetry CN 7 Temporalis (forehead movement) Other muscles of facial expression (squeeze eyes shut, smile + puff out cheeks) Asks about change in taste Corneal reflex CN 8 Asks about change in hearing/ pain around ear (important for Bells palsy) Whisper test Webers test Rinnes test Otoscope (important for Bells palsy) CN 9 & 10 Inspection of palate + movement Inspection of uvula Gag reflex Voice for hoarness Cough CN 11 Inspect for torticolis Trapezius strength Sternocleidomastoid strength CN 12 Wasting of tongue Deviation of tongue
Comment
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
Pass Mark = 15/20 Pass/ Fail (Circle as appropriate) Comments (essential if the candidate has failed the station) Global Impression- from examiners only- score 0-4