Examiner Feedback (from ACEM OSCE Report 2021.1)
Over multiple examinations, several themes are observed by examiners:
Candidates who perform well in their OSCE, more often demonstrate they:
• have read the Candidate Instructions carefully, including the tasks required and the domains that are to be examined
• present a clear and structured approach to the required tasks
• demonstrate sound medical expertise (knowledge) and relate this directly to the specific scenario and the tasks at hand
• demonstrate their ability to conduct a comprehensive assessment: history and examination
• undertake appropriate patient management and safe disposition plans
• communicate effectively with role players in the context of the scenario.
Candidates who do not perform as well, more often:
• lack the clinical knowledge required to successfully complete the station
• have an inadequate history taking technique and miss key aspects of the station
• have a tendency to make generic statements such as ‘get bloods’ but do not indicate the samples required, or they suggest medication without the correct dosages
• neglect to justify their decisions about investigations, management, or disposition
• do not really listen to what the role player is asking and neglect to answer their specific questions.
Trainees are reminded that if a role player asks a question, this may represent a prompt for the candidate to refocus on an essential area or to cover a required aspect of the case. The examiners will be waiting to hear the answer the candidate provides, so that marks can be allocated to that section.