OSCE Template

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Sheet 1: OSCE COVER SHEET & Resources required

Specialty Surgery

SERIAL NO: 1

TOPIC: Lymphadenopathy

COMPETENCE TO BE ASSESSED: General physical examination

TYPE OF STATION: Interactive with the patient


RESOURCES REQUIRED: (Please write number of items required where necessary and put a tick mark before it)
Table paper, Glove box
Pencil/s eraser screen/s Chair, Hangers to put the patient coat and shirt on
Any other, please write the item and the number required below:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
NAMES OF EXAMINERS DEVELOPING THE STATION: Teacher XYZ

DATE THAT STATION WAS DEVELOPED: February 4, 2020

(TO BE FILLED IN BY THE EXAMINATION DEPARTMENT)

Date when previously used Difficulty index Discrimination index

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Sheet 2: OSCE INSTRUCTIONS FOR EXAMINERS

Specialty: Surgery

SERIAL NO: 1

TOPIC: General physical examination

COMPETENCE TO BE ASSESSED: General Physical Examination


TYPE OF STATION: INTERACTIVE
INSTRUCTIONS AS GIVEN TO CANDIDATE IN HIS / HER INSTRUCTION SHEET:

Please examine the axillary lymph nodes of this


patient while explaining each action

QUESTIONS TO BE ASKED FROM THE CANDIDATE ARE ON THE SCORING SHEET (IF APPLICABLE)

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Sheet 3: OSCE SCORING SHEET
Specialty Surgery

STATION NO: 1 ROLL NO:


TOPIC: General Physical examination DATE:
EXAM CENTRE: KMU
COMPONENT/ KEY FEATURES/ RATING SCALE
QUESTIONS AGREED ANSWERS

COMPONENT

EXCELLENT

GOOD

ADEQUATE

INADEQUATE

POOR
SCORE
Introduction and consent, Introduces, asks about comfort of the patient, helps the
preparation of the patient patient take out shirt and coat and hangs them properly,
and then wears gloves
Positions the patients right Asks the patient to stand up, relax L hand over
student’s R arm

Apical and medial nodes With gentle push upward and medially, feels the apical
and medial nodes

Pectoral nodes Rolls the fingers anteriorly over the edge of Pectoralis
major to feel the pectoral nodes

Lateral nodes Puts the patients L hand over own left arm and feels
laterally for nodes

Subscapular nodes Supports the posterior axillary fold and feels for
posterior nodes

Contralateral side Same steps on the other side

TOTAL

Prompt questions (if any) Prompt questions (if any)

EXAMINERS’ NAMES _____________________________ _____________________________


EXAMINERS’ SIGNATURES________________________ ____________________________

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Sheet 4: PROCEDURE INSTRUCTIONS FOR CANDIDATES

Specialty Surgery

STATION NO: 1
TOPIC: General Physical Examination
TIME ALLOWED: Five minutes
DESCRIPTION OF THE TASK TO THE CANDIDATES (information and instructions)

Please examine the axillary lymph nodes of this


patient while explaining each action

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SHEET 5: PATIENT BRIEF

Write instruction for the patient


For example:
Description of the role play
Interaction/ communication sentences at different steps of the station

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