Clinical Skills/OSCEs

General Practice and Procedural Skills

• Procedures
  • Venepuncture
  • Cannulation
  • ABG
  • Catheterisation
  • NG tube insertion
• Communication
  • Breaking bad news
  • Explaining results/diagnoses/tests
  • Gaining consent / Assessing capacity
• Interpretation
  • FBC; U&E; LFT; TFT; Coagulation screen

Cardiovascular

• Cardiovascular examination
• Examination of the peripheral vascular system (see here)
• Cardiovascular risk 
• Examination of varicose veins
• Blood transfusion
• Core Clinical Problems
  • Chest pain including acute scenario management
  • Shortness of Breath
  • Palpitations (+ acute tachycardia management)
  • Syncope/Presyncope
  • Acute bradycardia management (algorithm)
• ECG interpretation

Respiratory

• Respiratory Examination
• PEFR/Inhaler technique
• ABG
• CXR
• Pulmonary/Respiratory Function Tests
• Core clinical problems
  • Shortness of breath
    • Acute asthma management
    • Acute COPD exacerbation
    • Acute Pulmonary Embolus
    • Pneumonia 
  • Wheeze (see management of SOB/Asthma/acute asthma)
  • Cough
  • Haemoptysis

GI

• Abdominal Examination
• Inguinal Orifices and PR (Rectal) Examination
• Nasogastric Tube Insertion
• LFT Interpretation
• Core Clinical Problems
  • Abdominal Pain
  • Abdominal Distension
  • Abdominal Mass
  • Jaundice
  • Diarrhoea
  • Constipation
  • PR Bleeding
  • Haematemesis

Neurology

• Cranial Nerve Examination
• Upper limb neuro exam
• Lower Limb neuro exam
• Cerebellar exam
• CSF Interpretation
• Core clinical problems
  • Headache
  • Muscle weakness
  • Sensation disturbance
  • Visual Disturbance
  • Dizziness
  • Abnormal gait

Psychiatry

• Mental state examination
• Mental Health Act
• Adults with Incapacity and Consent
• Psychiatric History
• Suicide/Self harm risk assessment
• Alcohol Excess screening
• Dementia/Memory Problems
• Delirium
• Paracetamol Overdose

For some excellent psychiatry OSCE marking sheets, see here

Ear, nose and throat

• Ear examination
  • Audiogram interpretation
• Core clinical Problems
  • Hearing loss
  • Dizziness
  • Ear pain
• Neck examination

Ophthalmology

• Examination of the eye
  • Using the Slit lamp
• Core clinical problems
  • Red eye
  • Painful eye
  • Visual loss

Urology/Nephrology

• Examination of the male reproductive system
• Renal Examination
• Interpretation of U&Es
• Core clinical problems
  • Haematuria
  • Dysuria
  • LUTS
  • Nephrotic syndrome

Care of the elderly

• Core clinical problems
  • Falls
    • Assessment and general
  • Confusion (assessment of acute confusion)/Dementia
  • Polypharmacy

Obstetrics

• Examination of the pregnant abdomen
• Counselling about termination of pregnancy
• Counselling about Down’s/other abnormality testing
• Interpreting a CTG/partogram
• Core clinical ‘problems’
  • Normal labour
  • Bleeding in pregnancy

Gynaecology

• Examination of the female reproductive system
• Examination of the breast
• Cervical smear test
• Contraceptive counselling
• Menopause/HRT counselling
• Core clinical problems
  • Post-menopausal bleeding
  • Post-coital/intermenstrual bleeding
  • Menorrhagia
  • Amenorrhoea
  • Pelvic pain
  • Vaginal discharge

Paediatrics

• Examination of the newborn
• Examination of the child
• APGAR assessment
• Paediatric BLS
• Acutely unwell child
• Counselling about vaccinations
• Assessment of growth and development
• Non-accidental injury and child protection
• Core clinical problems
  • Childhood diarrhoea
  • Childhood constipation
  • Childhood urinary tract infection
  • Childhood fever/rash
  • Respiratory problems in children
  • Failure to thrive
  • Preterm baby/low birth weight baby

Musculoskeletal

• GALS examination
• Examination of the shoulder
• Examination of the elbow
• Examination of the hand and wrist
• Examination of the hip
• Examination of the knee
• Examination of the ankle and foot
• Examination of the spine/back
• Neurovascular examination of a limb (e.g. after surgery/trauma)

Endocrinology/Metabolic Disorders

• Examination of the thyroid/neck
• Assessing fluid status (important in DKA)
• Managing Diabetic Patients going for surgery
• Presentations/managements
  • Hyperthyroid crisis/Acute Hyperthyroidism
  • DKA
  • Hypoglycaemia
  • Hyperkalaemia
  • Hyponatraemia
  • Hypernatraemia
  • Hypercalcaemia
  • Hypocalcaemia
  • Other electrolyte imbalances

The Acutely Unwell Patient

• ABCDE
• Cardiac Arrest/ALS

Other

• Skin lesion
• Blood transfusions
• Fluids
• Warfarin Prescribing/Counselling
• Assessment and Certifying Death
• Managing Diabetic Patients going for surgery