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Sample OSCE stations The exam will consist of ten OSCE stations, each of which will have the individual scenarios placed outside. The scenarios will contain information about the ‘’patient’’ you will see at that particular station. The information you will be given will include the patient’s name, age, gender, occupation and any relevant history. You will also be given a lead question. This will tell you the focus of the station. Prior to entering each OSCE station you will have up to two minutes to look at this information before you speak to the “patient”. While you are having a dialogue with the “patient”, an examiner will be marking you against a pre-agreed set of criteria on a mark sheet. Examples of candidate information and mark sheets are given below. The mark sheets are used as a basic outline and guide to the examiners. They indicate the absolute minimum required and the actual assessment of passing or failing is more complex than indicated on these mark sheets.
EXAMPLE 1
Information for Candidate Theme: History Taking Patient Details: Name Mr …………………… Age 65 (DoB …………….) Gender Male Occupation Retired librarian Information about scenario This is a new patient to your general dental practice today. He has a broken painful lower right first molar tooth and he has already told you he wants the tooth extracted. At this station Take a complete history from this patient and explain to the patient any implications of his history on his oral health and any proposed dental treatment. (Accept that you cannot examine the patient).
Clinical Management Competent Defers extraction Discusses need for GP/Hospital to assess INR maximum of 72 hours before extraction Offers alternative treatment for pain relief Recommends analgesia which does not interact with Warfarin Not competent Agrees to extraction today with no INR check Suggests inappropriate analgesia – NSAID Grade Outstanding / Good / Satisfactory / Unsatisfactory / Poor / Bad (delete as applicable)
EXAMPLE 2
Information for Candidate
Theme: Managing Patient Concerns
Patient Details:
Name Mrs ……………….. Age 56 (DoB …………..) Gender Female Occupation Restaurant Owner Relevant Social History Married, 1 son aged 27. Non-smoker. Non-drinker Relevant Medical History Fit and well Relevant Dental History Regular attender for past 30 years Information about scenario Towards the end of a busy morning, your receptionist comes through to your surgery to explain that Mrs ………….. is in the waiting room and is very upset and angry. She has come back from a holiday where she has had toothache and an infection. She went to a local dentist who said she had a lot of teeth that were decayed. The practice principal, Mr ……, usually sees Mrs ………… but he is on holiday for two weeks. The notes confirm that Mrs ………… has been a patient at the practice for the past 30 years. The notes report that she had some toothache six months ago and radiographs taken at that time show multiple carious lesions and an apical radiolucent area affecting the lower left first molar (LL6, tooth 36). However the radiographs were not reported in the notes and no treatment was provided except advice on use of a desensitising toothpaste. At this station Discuss and respond to Mrs …………..’s concerns regarding previous dental care in the practice.
Blaming colleague Does not establish if patient is in pain Grade Outstanding / Good / Satisfactory / Unsatisfactory / Poor / Bad (delete as applicable)
EXAMPLE 3
Information for Candidate Theme: Explanations Patient Details: Name Mrs ……………………... Age (^) 40 (DoB ………………..) Gender Female Occupation Accountant Relevant Social History Non-smoker, non-drinker Relevant Medical History (^) Fit patient with no relevant medical history Relevant Dental History Regular attender, but nervous about receiving treatment Information about scenario You have taken over this patient’s care from a colleague in general dental practice. She has been booked for root canal treatment of the upper left central incisor. There is post and crown but no root canal filling in the tooth which has developed a labial discharging sinus. A radiograph has been taken and is shown below. At this station Listen to the patient’s history and then explain the nature of the intended procedure.
Aware re-treatment may not be successful and discusses apical surgery, and extraction and replacement Not competent No discussion of options/risks Does not mention risk of root fracture Grade Outstanding / Good / Satisfactory / Unsatisfactory / Poor / Bad (delete as applicable)
