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The Trickcyclists OSCE format

Trickcyclists OSCE stations

Consideration has been given to the chosen format for OSCEs geared towards the new CASC exam. The current format of the OSCEs available on the site adopts the scoring method used by North American institutions and permits calculation of the pass mark for the exam as well as reflecting a truly objective method of assessment.

However, the scoring scheme does not reflect that used by the Royal College and there are advantages in adopting a consistent and 'objective' format when revising for, and training for, the CASC exam.

Format of the new CASC OSCEs

Each OSCE will have a number of components:

  1. The OSCE 'construct'
  2. Instructions for the candidate
  3. Instructions for the role player
  4. Marking sheet
  5. Examiner's Briefing Notes
  6. List of equipment needed

As a candidate, you will only be given #2. However, the construct and the examiner's briefing notes will be very relevant to how you should approach the station. The construct indicates what the purpose of the station is and will probably reflect one of the general categories for OSCE stations (e.g. communication/ examination skills/ etc.) For example, an OSCE on assessment and risk assessment will describe the purpose of the OSCE as: "Candidates are expected to demonstrate an ability to assess risk to self and others from a competent assessment of mental state and relevant social factors".

Examiners are given information on how to rate performance in the additional 'Briefing Notes' which will give additional information on the construct of the station. The briefing notes may explain the areas that the candidate is expected to cover and are particularly relevant for examiners who may be assessing OSCEs out with their own specialty area.

Redesigning the marksheet for trickcyclists.co.uk OSCEs

In order to address a variety of goals, one of the most important being an educational objective rather than mirroring the CASC exam, the marksheet will eventually be redesigned as follows:

  1. Five domains for each station will be chosen, the first of which will be communication. The rest will be adapted from the Colleges 'areas of concern'.
  2. Weighting (totalling 100%) will be applied to each domain.
  3. The examiners' Briefing Notes will make specific suggestions on skills/ objectives to be demonstrated for each domain.
  4. Whilst marking sheets will adopt an A-D scheme for rating, a numerical score will also be applicable.
  5. A total score of 100 for the station will be determined.

Calculating the pass mark

To calculate the pass mark for OSCEs from trickcyclists.co.uk, the following method is chosen:

  • The mean score of all students scoring a global rating of 'C' (equivalent to 'borderline pass' on the old schem) on each station becomes the pass mark for this station
  • The mean scores on all stations are summed and this becomes the pass mark for the overall examination

Exam Blueprints

Usually, in order to ensure that there is a good balance of questions, a blueprint needs to be designed. An example blank one can be found here. The idea is that you place ticks in the respective boxes, so that you have questions that test your key areas (i.e. history taking, practical skills, etc.) and that your main learning areas (i.e. depression, anxiety, psychosis, etc.) are all covered as well.

It is very likely that the CASC exam will be focusing on a much narrower range of skills than the Part I OSCE and the expectation will be that more 'basic' skills and competencies will have been tested in the workplace-based assessments.

Last Updated on Tuesday, 02 July 2013 11:31

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History Taking OSCEs

The following OSCEs cover history taking.

Filename Size Date
An Adobe Acrobat file History_Taking_Agoraphobia 23.27 KB 2013-06-27
An Adobe Acrobat file History_Taking_Alcohol_History 22.94 KB 2013-06-27
An Adobe Acrobat file History_Taking_Anorexia_Nervosa 22.86 KB 2013-06-27
An Adobe Acrobat file History_Taking_Antisocial_PD 27.77 KB 2013-06-27
An Adobe Acrobat file History_Taking_Anxiety 25.23 KB 2013-06-27
An Adobe Acrobat file History_Taking_Body_Dysmorphic_Disorder 28.48 KB 2013-06-27
An Adobe Acrobat file History_Taking_Borderline_PD 26.7 KB 2013-06-27
An Adobe Acrobat file History_Taking_Bulimia_Nervosa 23.45 KB 2013-06-27
An Adobe Acrobat file History_Taking_Dementia_vs_Depression 23.49 KB 2013-06-27
An Adobe Acrobat file History_Taking_Depressive_Illness 24.74 KB 2013-06-27
An Adobe Acrobat file History_Taking_Fitness_to_Plead 21.5 KB 2013-06-27
An Adobe Acrobat file History_Taking_Grief_vs_Depression 26 KB 2013-06-27
An Adobe Acrobat file History_Taking_Morbid_Jealousy 26.57 KB 2013-06-27
An Adobe Acrobat file History_Taking_PTSD 24.53 KB 2013-06-27
An Adobe Acrobat file History_Taking_Postnatal_Low_Mood 27.81 KB 2013-06-27
An Adobe Acrobat file History_Taking_Premorbid_Personality 33.14 KB 2013-06-27
An Adobe Acrobat file History_Taking_Psychosexual_History 25.79 KB 2013-06-27
An Adobe Acrobat file History_Taking_Sexual_Offence 26.36 KB 2013-06-27
An Adobe Acrobat file History_Taking_Suicidality 95.12 KB 2013-06-27
An Adobe Acrobat file History_Taking_TLE 25.33 KB 2013-06-27
An Adobe Acrobat file History_Taking_Testamentary_Capacity 22.72 KB 2013-06-27
An Adobe Acrobat file History_Taking_Violent_Offence 26.91 KB 2013-06-27

Last Updated on Friday, 28 June 2013 00:16

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Mental State Examination OSCEs

The following OSCEs cover mental state examination skills.

Filename Size Date
An Adobe Acrobat file MSE_Assessing_Capacity 25.5 KB 2013-06-27
An Adobe Acrobat file MSE_Defense_Mechanisms 27.19 KB 2013-06-27
An Adobe Acrobat file MSE_FRS 22.28 KB 2013-06-27
An Adobe Acrobat file MSE_Hallucinations 27.48 KB 2013-06-27
An Adobe Acrobat file MSE_Insight 23.72 KB 2013-06-27
An Adobe Acrobat file MSE_Obsessions_and_Compulsions 25.57 KB 2013-06-27
An Adobe Acrobat file MSE_delusions 25.7 KB 2013-06-27
An Adobe Acrobat file MSE_passivity 22.75 KB 2013-06-27

Last Updated on Thursday, 27 June 2013 22:25

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Communication Skills OSCEs

The following OSCEs cover core communication skills.

Filename Size Date
An Adobe Acrobat file Communication_Skills_Antidepressant_Therapy 29.56 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Assessing_Capacity 42.62 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Behavioural_treatment_for_OCD 34.07 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Bipolar_Disorder 25.62 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Consent_for_ECT 25.06 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Detaining_a_patient 21.59 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Discharge_Arrangements 24.94 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Discussing_Referral_with_GP 28.38 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Explaining_CBT 24.93 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Explaining_Drug_Treatment_of_Schizophrenia 22.5 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Explaining_Panic 24.75 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Explaining_Psychotherapy 25.11 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Lithium 25.99 KB 2013-06-27
An Adobe Acrobat file Communication_Skills_Puerperal_Psychosis 25.99 KB 2013-06-27

Last Updated on Friday, 28 June 2013 11:10

Hits: 20046

Examination Skills OSCEs

The following OSCEs cover skills relating to physical examination.

Filename Size Date
An Adobe Acrobat file Examination_Skills_Alcoholic_Patient 24.58 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Anorexic_Patient 24.59 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Cranial_Nerves 22.39 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_EPS 22.37 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Frontal_Lobe_Testing 23.77 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Fundoscopy 41.6 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_MMSE 25.75 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Neurological_exam_upper_limbs 22.91 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Opiate_Withdrawal 24.71 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Parietal_Lobe_Testing 24.17 KB 2013-06-27
An Adobe Acrobat file Examination_Skills_Temporal_Lobe_Testing 26.96 KB 2013-06-27

Last Updated on Thursday, 27 June 2013 22:52

Hits: 15068

Practical Skills OSCEs

The following OSCEs cover practical skills.

Filename Size Date
An Adobe Acrobat file Practical_Skills_Depot_Injection 22.97 KB 2013-06-27
An Adobe Acrobat file Practical_Skills_ECT_electrodes 25.58 KB 2013-06-27

Last Updated on Thursday, 27 June 2013 22:33

Hits: 17386

Emergency Management OSCEs

The following OSCEs cover skills relating to emergency management.

Filename Size Date
An Adobe Acrobat file Emergency_Management_CPR 689.41 KB 2013-06-27
An Adobe Acrobat file Emergency_Management_Dystonia 23.56 KB 2013-06-27
An Adobe Acrobat file Emergency_Management_NMS 21.03 KB 2013-06-27
An Adobe Acrobat file Emergency_Management_serotonin_syndrome 21.77 KB 2013-06-27

Last Updated on Thursday, 27 June 2013 22:51

Hits: 14296

Data Interpretation OSCEs

The following OSCEs cover skills relating to data interpretation.

Filename Size Date
An Adobe Acrobat file Data_Interpretation_Blood_Results 26.99 KB 2013-06-27
An Adobe Acrobat file Data_Interpretation_CT_Scan 91.43 KB 2013-06-27
An Adobe Acrobat file Data_Interpretation_Kardex_1 47.75 KB 2013-06-27
An Adobe Acrobat file Data_Interpretation_MRI_Scan 260.06 KB 2013-06-27

Last Updated on Thursday, 27 June 2013 23:00

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