Introduction to MRCEM OSCEs
and the
online MRCEM Part C/OSCE exam

Introductory Module


Part 1. Introduction to OSCEs.

Objective Structured Clinical Examinations (OSCEs) have become the standard form of Emergency Medicine (EM) clinical examination in in the UK and many other countries because they are an effective and fair way to test for the presence of key clinical competencies and professional behaviour required of senior Emergency Physicians. These key competencies include clinical assessment and treatment of emergency presentations, clinical decision making, leading trauma and medical resuscitation teams, supervising trainees and managing an Emergency Department.  OSCEs are simulated medical workplace scenarios, which … … more in purchased course package.
OSCEs simulate typical workplace scenarios and assess how the candidate manages them through direct observation by an examiner. Scenarios are … … more in purchased course package.
Each station consists of a partitioned area inside the examination hall within which the mock clinical scenario is staged. Posted outside is a set of candidate instructions which … … more in purchased course package.
After 1 minute the bell will sound and the candidate enters the station. Inside, the mock clinical scenario will be laid out … … more in purchased course package.
In general, MRCEM OSCEs should be approached in the same way as you would a real clinical encounter in the ED. Sometimes this is more easily said than done and while the following practical points and behaviours are second nature to us in the ED, they are surprisingly easy to forget in the seemingly artificial environment of the OSCE station … … more in purchased course package.
You may be the best OSCE candidate in the world, but if the examiner doesn’t see or hear what you are thinking and doing, then you can’t gain any marks! Thus, it is important to ensure … … more in purchased course package.
The last minute is almost as important as the first (though not quite!). It is your last chance to gain marks and as such should be treated differently to the preceding 6 minutes and used well. OSCEs should be definitively closed, not just allowed to peter out into the bell! Be conscious of time and … … more in purchased course package.
In summary, therefore, MRCEM OSCEs allow candidates one minute outside the station to the read the instructions and review the distribution of marks pie chart, then 7 minutes in the station to perform the required tasks within a mock clinical or management scenario. In equal measure, OSCEs examine … … more in purchased course package.

Part 2. Introduction to the MRCEM Part C/OSCE Examination.

At the time of writing, the MRCEM Part C/OSCE Examination consists of a circuit of … …more in purchased course package

Part 3. Introduction to the Online MRCEM Part C/OSCE Exam preparation course.

Experience from teaching MRCEM Part C/OSCE courses for over ten years has shown us that most candidates would benefit from a structured approach to preparing for their MRCEM Part C/OSCE exam and that many weeks, if not months, of training and practice, are required to be confident of success. This is particularly true of candidates unfamiliar with the OSCE style of examination or who have trained and/or work in medical systems significantly different to the UK. Currently, no online or printed materials provide such a structured approach over such a period of time and face to face OSCE courses, while of great benefit in honing OSCE skills through real-time OSCE practice, are not sufficient on their own to deliver success to the inexperienced and unprepared candidate. Hence to fill this gap for all candidates preparing for the MRCEM PartC/OSCE exam we have created this online course. In creating the course we have brought together the unique experience, materials, and skills of the Bromley Emergency Courses Part C/OSCE faculty into a structured approach for OSCE preparation. The course charts a logical path through the MRCEM PartC/OSCE exam, building knowledge and skills (hard and soft) from the ground up. It is divided into a series of modules which can be viewed independently but would be best studied in order as each one builds on the preceding ones. The 6 modules of the course are:

Introductory Module. Introduction to OSCEs & the MRCEM Part C/OSCE exam.

Module 1. Core clinical skills: History taking, examination and communication.

Module 2. Advanced communications skills.

Module 3. Resuscitation OSCEs.

Module 4. Psychiatry OSCEs.

Module 5. Procedures & airway management.

Module 6. Final touches: Management & model OSCEs.

In the following section, we’ll look at each of these modules in more detail and explain how best to combine them into a comprehensive OSCE training course.

It can never be too early to start your MRCEM part C/OSCE exam preparation. We recommend … … more in purchased course package.