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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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 Posted: Wed May 20, 2009 7:35 am Post subject: May 2009: OSCE feedback |
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So guys ... how did it go?
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vuivunwong
Joined: 27 Jan 2009
Posts: 2
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| Posted: Fri May 22, 2009 10:04 pm Post subject: how are marking done |
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| the questions on the second day is almost the same to the first day and candidates will have an unfair advantage over the first day candidates. how are the markings done.. is it different pass marks on both days?? |
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nibbs07
Joined: 03 Dec 2007
Posts: 19
Location: Hampshire
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| Posted: Sat May 23, 2009 4:04 am Post subject: |
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I don't think it matters,even though the theme were the same the questions inside were different. Besides,this is a well known fact - even then the pass rates for 2nd day is supposedly less then 1st n yes standared setting is different for each days(thats what I was told).
BTW Nick thanks for your help,I did OSCE circuits - and can say that its being an eye opener course & very helpful to get me through the exam
Nibbs 
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Nibbs |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 10:48 am Post subject: |
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| nibbs07 wrote: | BTW Nick thanks for your help,I did OSCE circuits - and can say that its being an eye opener course & very helpful to get me through the exam
Nibbs |
Our pleasure ... well done. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 10:50 am Post subject: Re: how are marking done |
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| vuivunwong wrote: | | the questions on the second day is almost the same to the first day and candidates will have an unfair advantage over the first day candidates. how are the markings done.. is it different pass marks on both days?? |
Hi and welcome ... nibbs is right - it does not matter. The questions have to be matched so that everyone is tested on the same thing. If you get Potter's one day you get Edwards the next - it is more about how you approach telling someone that their child has a fatal anomaly. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 10:51 am Post subject: |
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| nibbs07 wrote: | OK will try n write as much as my brain cells would allow-would request others to input as well 
1.Role play- ur consultant has done a lft salpingectomy on a pt yesterday for an ectopic pregnancy. Explain the procedure to the patient ,inform the future implications & answer her questions.
( all u get is a small op notes say a left salpingectomy has been done rest is NAD )
pt tells u that she has been trying for pregnancy for last 2 yrs-n why was tube removed n not any thing else.
2. Role play - GP referral for UI,take history,inform her of investigation n treatment options
in this station I had SI
3. Role play - teach ST1 ventouse delivery
u have been given pelvis n kiwi cup
4. prep station
u r a ST4 or something new in the hosp in rotation.The prev reg had started an audit on UI go thru the info & 3 slides and comment on audit cycle,slide quality n reccomendation.
this was a tough one as had info on 8 consultant n what type of procedure they do for SI,slides had improper n incomplete info,no info was given regarding outcome of the operation.
5, discuss the prev finding with the examiner
6.role play - about ???????????
7. laparoscopic diathermy has been done on an ? actress/ model who has sufferd burn injury on her thigh n buttocks.discuss with the examiner principles of diathermy,why it has happened ,what can be done to prevent it.
8. role play -u r about to see a post op case who had hysterectomy for prolapse h/p suggest Cx cancer -break BN,explain he findings tell her about further management,etc
9.10 sets of gp letters,investions to review n say what to do ,urgency etc
10. totally forgot what this was about - getting old n dementic I guess!!!
11.prep station-notes review
12. clinical gov discussion about the note review
thats all I can remember now,will write down later if my memory allows me to...
Nibbs |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 10:52 am Post subject: |
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Please post all references to the May 2009 OSCE in this thread.
Thanks |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 12:09 pm Post subject: |
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So it seems you had the following:
3 Role Play:
Stress incontinence
Breaking bad news: cervical cancer
Salpingectomy for ectopic
? a 4th
3 Structured Viva:
Teach ST1 ventouse delivery
Lap diathermy injury
10 GP letters
? a 4th
2 Preparatory stations
Audit on urinary incontinence looking at consultant performance
Case note review ? case
Is this right?
Could you rack your grey matter for the last two questions (or at least confirm they were 1 role play and 1 structured viva) and if possible, give us some details about the case note review?
Maybe to help you there is often at least one structured viva on a guideline - Tuesdays group had a familial thrombophilia one relating to pregnancy.
Could you also confirm that you did the Monday exam?
Last edited by Nick Raine-Fenning on Sat May 23, 2009 12:24 pm; edited 1 time in total |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sat May 23, 2009 12:22 pm Post subject: |
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Some specific questions now regarding the above:
Gynae role play on stress incontinence. How were you given the investigations - at the start or did you have to exam her and ask for the results? This is very important.
The teaching one on vacuum extraction: did you demo this to a role player or the examiner? Did it involve the indications, process, and aftercare or what? How was this structured? Did yo get any questions relating the process of teaching?
The preparatory audit station
3 or 4 slides? Did they want you to discuss the principles of audit or stick to the question relevant to the treatment of incontinence?
Structured viva on diathermy injury: did this involve risk management issues and complaint process?
The cervical cancer one: this is crucial - did it say 'cancer' or did it say 'suggestive of cancer' this changes the whole station you see. Did you end up discussing colp and biopsy under GA or actual staging and wertheims vs RRx?
Preparatory: case note review: what was this about? The Monday one was on shoulder dystocia.
Structured viva: GP letters: this was definitely GP letters and not results? Are you sure it was 10 and not 8? Did they want a superficial discussion or were you supposed to consider history, exam, tests etc in each case?
Role Play: left salpingectomy: did you get any case notes or simply told 'had a L salpingectomy yesterday? |
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nibbs07
Joined: 03 Dec 2007
Posts: 19
Location: Hampshire
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| Posted: Sun May 24, 2009 4:46 am Post subject: |
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I was on tuesday afternoon session and yes familial thrombophilia did came up.
Gynae UI was to inform the pt about investigation needed
vacuum was to be taught to the role player,the examiner didnt ask any ques at all.
audit prep had just 3 slides- & the station involded question related to that particular audit
actually we had 10 bits not 8 7 it had both GP letters & results-to discuss-what to do next & urgency
role play - all that was there was few lines about the procedure .
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Sun May 24, 2009 4:58 pm Post subject: |
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Thanks Nibbs
Anyone out there who did Monday?
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vuivunwong
Joined: 27 Jan 2009
Posts: 2
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| Posted: Fri Jul 03, 2009 5:11 am Post subject: Re: how are marking done |
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| Nick Raine-Fenning wrote: | | vuivunwong wrote: | | the questions on the second day is almost the same to the first day and candidates will have an unfair advantage over the first day candidates. how are the markings done.. is it different pass marks on both days?? |
Hi and welcome ... nibbs is right - it does not matter. The questions have to be matched so that everyone is tested on the same thing. If you get Potter's one day you get Edwards the next - it is more about how you approach telling someone that their child has a fatal anomaly. |
But do guys not think knowing that questions like diathermy was gonna come out will mentally prepare the candidates at least . so that is half the battle won. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 2037
Location: Nottingham
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| Posted: Fri Jul 03, 2009 2:36 pm Post subject: |
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Absolutely ... that is why we talk about it on our OSCE Courses and have a section in this Forum where the key principles are outlined and discussed. 
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