Family Medicine OSCE

The Family Medicine Clerkship OSCE is administered on the last Friday of every block. Orientation begins at noon in room 1045 BW, and the OSCE begins at 12:30. During the orientation, students will review the OSCE Video, using the B-Line System, and have a brief Q&A session.

OVERVIEW

Students will see three Standardized Patient (SP) cases, 1 chronic and 2 acute. Each case runs for 40 total minutes. In the first 30 minutes, students will review the patient's medical history chart, obtain the HPI, perform a physical exam, record an initial differential diagnoses list (acute cases) or initial chronic problem list (chronic case), order necessary labs, receive lab results, and counsel the patient (chronic case only). In the remaining ten minutes, students will do a final write up as either a complete SOAP Note (acute cases) or a Problem List (chronic case).

Students receive results from the SP for any physical exam technique attempted, regardless of whether or not it is performed correctly. SPs will indicate on a checklist only those physical exam techniques performed correctly and history questions asked/counseling topics covered during the interview, which contriubutes to the final score. Students will receive lab results for all labs ordered from the SP regardless of whether or not it is necessary. Scores will be derived from the labs ordered in the computer system and points can be deducted for ordering unnecessary labs. The differential list, chronic problem lists, and SOAP notes are all scored by faculty and contribute to the final score.

The OSCE will count towards 15% of the final clerkship grade. Scores are scaled in sets of two blocks (1&2, 3&4, 5&6, and so on).