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OSCE questions for the Clinical Assessment of Skills and Competencies

Category of OSCE
Description of typical tasks
History Taking Specific aspects of history taking, such as risk assessment, eating disorder, anxiety, depression, etc.
Mental State Examination Hallucinations, delusions, obsessions, insight, etc.
Communication Skills Primarily discussing a subject with a patient/ relative, addressing particular issues, or themes.
Examination Skills Cranial nerve examination, fundoscopy, opiate withdrawal, etc.
Practical Skills ECGs, ECT electrode placement, etc.
Emergency Skills CPR, dealing with the unwell patient
Miscellaneous
Data interpretation, spot diagnosis

This is a collection of OSCE questions aimed at those sitting the MRCPsych OSCE exam. All the questions are downloadable as Adobe Acrobat files.

These OSCEs do not use the same format as the Royal College. The format of the trickcyclists.co.uk OSCEs is discussed here, and they have a number of advantages over other formats:

  1. Explicit instructions
  2. Full details for examiners (and simulated patients)
  3. Consistent marking scheme (explained on the Local OSCE Exam page)

Previously, the format of the OSCEs on the Trickcyclists website was slightly different, and often included more detailed 'hint sheets'. The old style OSCEs are no longer available.

Additional Information

Please read the Terms and Conditions before downloading any files.

There is extensive information on preparing for the CASC here.

Dr John Graham, who sat the Spring 2003 OSCE (and passed!) has added an excellent account of his experiences, which makes excellent (and easy) reading.

Dr Albert Michael (author of 'OSCEs in Psychiatry') has provided a summary of all stations that have occurred in the OSCE exams so far.

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