You will submit a 3,000 word essay in which you provide an evidence based and critical account of your in-class Observed Structured Clinical Examination (OSCE) performance.
Clinical Assessment in Primary Care
Assessment Specification: You will submit a 3,000 word essay in which you provide an evidence based and critical account of your in-class Observed Structured Clinical Examination (OSCE) performance.
Additional Information: As part of this module, you are required to take part in an in-class single station OSCE. The timing of the OSCE will take place on the date and at the time specified by the module leader. Attendance at the OSCE is mandatory. Please ensure that you arrive 30 minutes before your scheduled time. If you are more than 5 minutes late, entry will not be allowed. Non-negotiated non-attendance will result in an automatic fail in your summative assessment.
In the OSCE you will be presented with a patient specific scenario (relating to either the cardiovascular system, the respiratory system, the gastrointestinal system or urinary system). You will be given five minutes to familiarise yourself with the scenario and take notes if necessary. You will then be introduced to your patient and tested on the following skills:
- Communication and consultation (for example, your ability to develop a rapport with the patient and explore and respond to their agenda, health beliefs and preferences etc.).
- History taking (for example, your ability to take a history of the presenting problem, a medical and surgical history and family history etc.)
- Clinical examination and data interpretation (for example, your ability to undertake a systematic clinical examination and accurately interpret physical signs etc.)
- Diagnosis (for example, your ability to generate an adequate differential diagnosis based on the information available)
During the examination the examiner will provide you with the patient’s vital signs (blood pressure pulse, respirations, temperature, and oxygen saturation levels). Clinical equipment will be provided; however, you can use your own stethoscope if you prefer. The duration of your patient consultation will be 30 minutes.
Depending on the availability of camera recording systems, your OSCE may be videoed. If this facility is available, your videoed OSCE will be published on Moodle or City University London Media Space. A service user representation may be asked to view a selection of the video recordings and provide anonymised feedback on the interpersonal skills observed.
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