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Clinical OSCE

Hold up!

See that little date above?

This post was published years ago.

My opinions have changed over time: I think it's quite fun to keep old posts online so that you can see how that has happened. The downside is that there are posts on this site that express views that I now find offensive, or use language in ways I'd never dream of using it today.

I don't believe in airbrushing history, but I do believe that it's important to acknowledge the obvious: some of what I've written in the past has been crap. Some of it was offensive. Some of it was offensively bad. And there's may be some brass among the muck (you can make up your own mind on that).

Some of what I've presented as my own views has been me—wittingly or unwittingly—posturing without having considered all the facts. In a few years, I'll probably think the same about what I'm writing today, and I'm fine with that. Things change. People grow. Society moves forward.

The internet moves on too, which means there might be broken links or embedded content that fails to load. If you're unlucky, that might mean that this post makes no sense at all.

So please consider yourself duly warned: this post is an historical artefact. It's not an exposition of my current views nor a piece of 'content' than necessarily 'works'.

You may now read on... and in most cases, the post you're about to read is considerably shorter than this warning box, so brace for disappointment.

Oh, ho ho. Today was…interesting.

Station One: Chest Drains
I did resonably well as I realised that it was a chest drain I was being asked to insert. Other people thought it was a thermometer, a needle, a reflex-testing mallet, or – in one case – a catheter. So far, so good. But then when asked where I would insert it, the examiner’s response was ‘Well, you’ve just pierced his heart and killed him’. Which I thought was a little harsh, a simple ‘No’ would really have sufficed. I got all the stuff on pleural effusions right, though, so it didn’t go too badly.

Station Two: Headache
This basically involved getting a case history from a patient, which I felt went reasonably well, but I did managed to knock my ID badge off half way through the interview. The invigilator obviously though I was having some kind of a fit, since she came up to me (interrupting the interview) with a glass of water and told to to calm down, and that everything would be OK. So maybe I didn’t do as well as I’d thought.

Station Three: Spleen Examination
This was unfortunate. I hadn’t looked in any detail at how to do this, as you usually can’t feel someone’s spleen, so I didn’t think it’d come up in the exam. Oops. Firstly, I should have got him to lay down on a bed. Which I didn’t. And then I should have done the examination properly, which I also didn’t, though I did do some poking about, so may have got some marks. The examiner then started her questions, such as why would the spleen be enlarged, which I didn’t know. So that final station was a bit of a disaster really.

So overall, today didn’t seem to go particularly fantastically. But it’s tomorrow I’m dreading the most, with the non-clinical OSCEs!

Originally posted on The LBSC

This post was filed under: Exams, University.

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