General Advice
Stay calm…. It’s so short
If you don’t understand a question ask for clarification
Make sure you know which station you’re at
If you’re not sure what you’ve been asked to do, just check
If they’re trying to give you a hint, take it
You can be asked medical questions by the surgeon and the other way round
The cases were all from the ‘expected’ conditions. If I wasn’t
getting to the diagnosis fast enough, the examiners often helped. Generally,
it was easier and friendlier than I had thought it would be
The patients were lovely (the lady I took a history from told me her diagnosis
half way through the history), as were the examiners. Which was good, as I
was incredibly scared! There are rarely any trick questions and they always try
to help you if you do get stuck. It all goes incredibly quickly! Just try to
relax and make sure you can do a slick and speedy examination. Good luck!
Do not panic. The examiners can phrase the questions badly – this
might be the reason why you have no idea what they are asking you! The cases and
questions are predictable – use a Short Cases book to prepare for them. If
you are not sure of the diagnosis then say so. They will usually try and help to
lead you to the right answer – they will not fail you for not knowing
everything! Some of the stations may seem ridiculous and not core –
just have a go and do your best! How you approach the patient and the examination
is far more important
Be clear in your mind of signs and take time to be sure. They will guide
you through stuff. Although you will not always get every diagnosis, that is not
what they are after so relax! You need to examine as if you have done it before
and be able to talk about the signs that you find. It doesn’t matter
if you have no idea – think on your feet and say sensible things
Stick to your guns and listen carefully to each murmur and sort out what
it is before you report. I hurried a little and didn’t listen enough
to the systolic murmur as the diastolic was so exciting!
The data interpretation station usually involves common material. My X-rays
were from the 4th year OSCE that we had, and included things like Small Bowel
Obstruction and Abdominal Aortic Aneurisms
Finally, good luck!