OSCEs for Medical Finals 1st Edition PDF

OSCEs for Medical Finals 1st Edition PDF

Download OSCEs for Medical Finals – OSCEs for Medical Finals has been written by doctors from a variety of specialties with extensive experience of medical education and of organising and examining OSCEs.

Download OSCEs for Medical Finals

The book and website package consists of the most common OSCE scenarios encountered in medical finals, together with checklists, similar to OSCE mark schemes, that cover all of the key learning points students need to succeed.

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Each topic checklist contains comprehensive exam-focussed advice on how to maximise performance together with a range of ‘insider’s tips’ on OSCE strategy and common OSCE pitfalls.

Designed to provide enough coverage for those students who want to gain as many marks as possible in their OSCEs, and not just a book which will ensure students ‘scrape a pass’, the book is fully supported by a companion website at www.wiley.com/go/khan/osces, containing:

  • OSCE checklists from the book
  • A survey of doctors and students of which OSCEs have a high chance of appearing in finals in each UK medical school


Contributors, vii

Acknowledgements, viii

Preface, ix

Part 1: Examinations Top Tips, 1

1. Cardiovascular, 2

2. Respiratory, 7

3. Abdominal, 10

4. Peripheral nervous system, 20

5. Central nervous system, 28

6. Ophthalmoscopy, 37

7. Cerebellar, 40

8. Speech, 44

9. Thyroid, 48

10. Breast, 53

11. Rectal, 56

12. Hernia, 60

13. Testicular, 64

14. Vascular (arterial), 68

15. Vascular (venous), 73

16. Ulcer, 76

17. Shoulder, 80

18. Hand, 87

19. Hip, 93

20. Knee, 98

21. Confirming death, 105

Part 2: Histories Top Tips, 107

22. General lethargy and tiredness, 109

23. Weight loss, 112

24. Chest pain, 115

25. Palpitations, 118

26. Cough, 122

27. Shortness of breath, 125

28. Haemoptysis, 128

29. Diarrhoea, 132

30. Abdominal pain, 137

31. Abdominal distension, 143

32. Haematemesis, 148

33. Rectal bleeding, 152

34. Jaundice, 155

35. Dysphagia, 158

36. Headache, 161

37. Loss of consciousness, 165

38. Tremor, 168

39. Dizziness, 172

40. Joint pain, 177

41. Back pain, 183

42. Pyrexia of unknown origin, 191

43. Ankle swelling, 195

44. Needlestick injury, 199

45. Preoperative assessment, 201

Part 3: Communication skills Top Tips, 205

46. Breaking bad news, 208

47. Explaining medication, 211

48. Explaining a procedure, 215

49. Inhaler technique and asthma medication, 220

50. Exploring reasons for non-compliance, 222

51. Counselling for an HIV test, 225

52. Post mortem consent, 228

53. Explaining a DNAR (Do Not Attempt Resuscitation) decision, 230

54. Explaining post-myocardial infarction medication, 233

55. Dealing with an angry patient, 236

56. Carrying out a handover, 239

Part 4: Procedures Top Tips, 243

57. Urinary catheterisation, 245

58. Insertion of nasogastric tube, 248

59. Venepuncture/phlebotomy, 252

60. Intramuscular injection, 254

61. Intravenous cannulation, 257

62. Intravenous drug administration, 260

63. Arterial blood gas analysis, 262

64. Measuring peak expiratory flow rate, 267

65. Performing and interpreting ECGs, 271

66. Scrubbing up in theatre, 276

67. Suturing, 278

68. Basic life support, 282

69. Advanced life support, 286

70. Completing a death certificate, 291

Index, 293

Acknowledgements – OSCEs for Medical Finals

We are immensely grateful to the multitude of friends and colleagues who helped us with various aspects of this book. They include the following: • All of the patients who kindly permitted us to use their photos in this book • All the staff at Eversley Medical Centre who assisted us with finding patients with signs that could be photographed – specifically Dr John Chan, Dr Colette Boateng and practice nurses Pauline Kearney and Cheryl Mirador • Dr Vivek Chayya and Dr Alison Barbour for their advice on gastroenterology • Dr Sara Khan, Dr Kartik Modha, Dr Nazia Khan and Dr Siva Nathan for their help in recruiting contributors • Saiji Nageshwaran and Vaitehi Nageshwaran for reviewing several of the chapters • Mr Ian Skipper for his unparalleled IT expertise and assistance • Dr Khalid Khan for helping us develop the idea from which this book was derived, and for reviewing, proofreading and critiquing the final manuscript • All of our parents and families, without whose patience and support this project would never have succeeded We are also grateful to the Medical Womens Federation, Tiko’s GP Group and the Muslim Doctors Association for helping us recruit contributors through their organisation

Preface: OSCEs for Medical Finals

The student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end. Sir William Osler Few will disagree that the recent overhauls in medical training, together with higher numbers of medical students being trained, has made medicine far more competitive than before. Medical students today have to make definitive career choices much earlier on than they would have had in years gone by, and to start building a portfolio of achievements such as audits and publications very early on at medical school. OSCEs for Medical Finals

Time has become even more precious than it was before, and it is understandable that medical students today will opt for concise focused textbooks rather than sprawling prosaic texts, some of which have been used over many generations and gained an almost legendary status. This book is perhaps unique in that it has been written by a group of doctors who range from those in career-grade posts who have completed postgraduate training and have been OSCE examiners themselves, to those who have very recently sat their finals. We have collated our experiences to create a textbook that we have made as focused, easy to read and, above all, as exam-orientated as possible. While doing this, we have worked hard to ensure that we include everything necessary not only to pass finals, but also to achieve excellent marks and hopefully merits and distinctions.OSCEs for Medical Finals

The structure is based on four sections – clinical examinations, histories, communication skills and procedures. At the beginning of each of these sections, there is a ‘Top Tips’ page that has generic advice for any OSCE station of that section which would help you boost your marks and performance regardless of what the station is. Each section is divided into chapters based on the stations we feel are most likely to appear in OSCEs at medical schools. Practice makes perfect – and more so in OSCEs than in any other form of assessment. That is why we have started each chapter with a checklist of items reflecting the areas you are likely to be marked on. You should use these to perfect and consolidate your routines, and also when practising OSCEs with friends and on patients. You should ideally do this in a pair or a group of three, with one student doing the station as a candidate and one allocating mock ‘marks’ using the checklists to assess the candidate’s performance. Following this in each section, we have included tables that summarise the most common conditions that are likely to present in finals OSCEs. We have ensured that the information on the conditions in these tables is as focused and exam-oriented as possible. There is also a ‘Hints and tips for the exam’ section in which we have summarised key advice and common pitfalls that finalists tend to make. We hope that this book will make your revision not only thorough and focused, but also enjoyable. We have spent a lot of time working with our publishers to make the text as vibrant, colourful and easy to read as possible, with a plethora of tables, illustrations and photos that will not only make it easy to remember key ideas and principles, but also make the topic more interesting. We wish you the very best of luck with your finals OSCEs, and hope that you find this book both enjoyable and useful.

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About the Author

Hamed Khan, Mayday University Hospital, Croydon; Iqbal Khan, Final year medical student, University College London; Akhil Gupta, ST2 Doctor in Anaesthetics, KSS Deanery; Nazmul Hussain, GPST1 Doctor, London and Sathiji Nageshwaran, Final year medical student, University College London.

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