OSCEs in Psychiatry
Contents
These materials may be used for personal study.
They must not be used for commercial purposes.
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Instructions for the candidate
Plan
Action
Role player instructions
Notes
Guide
Read the Instructions for the candidate and develop a Plan
This may look tedious and time consuming. However, you would do this within minutes for every station at your OSCE exam.
Cross-check your Plan with one provided. Make your plan even better.
Develop an Action including what exactly you would do, and say, considering all eventualities.
It would be best if only the role player reads the instructions for the role-player.
Trainees reading the instructions for the role-player will narrow their perspective.
Use your colleagues and friends, and if safe, even your family members to role-play.
Occasionally, notes are provided as aid memoire
For some stations, Instructions for the candidate, Plan, Action, and Role player instructions are given. They are marked with an *.
For most stations only Instructions for the candidate, Plan and Role player instructions are provided. Develop your clinical skills by elaborating the Plans and developing Actions and doing the task with a role player.
NB: There is more than one way of doing an excellent job.
01-Mental state examination
01-01- Orientation, attention, memory
01-02- Delusions
01-03- Hallucinations
01-04- First-rank symptoms
01-05- Language function *
02-Neuropsychiatry
02-01- Coordination, stance, gait
02-02- Delirium-
02-03- Frontal lobe- Examine-
02-04- Parietal lobe- Examine
02-05- Cerebellum- Examine
02-06- Alcohol and memory- Assess
02-07- Complex partial seizures-Assess
02-08- Huntington’s disease- History *
02-09- Sleep attacks
02-10- Alcohol- Physical examination *
02-11- Cardiovascular system *
02-12- Cranial nerves *
02-13- Lower limb examination *
03-Child & adolescent
03-01- School refusal- Collateral Hx *
03-02- School refusal- Explain *
03-03- Angry young man
04-Adult
04-01- Self-harm- adult-Assess-
04-02- Self-harm- recurrent
04-03- Depression-
04-04- Anxiety
04-05- Obsessive compulsive disorder-
04-06- Anxiety attacks
04-07- Hypochondriasis
04-08- Dissociative symptoms
04-09- Borderline personality traits
04-21- TSRD-1- Unwell after accident
04-22- TSRD-2- Unwell after incident
04-23- TSRD-3- Unwell after assault
04-24- TSRD-4- Veteran
04-25- TSRD-5- Unwell after altercation
04-31- Mania-Assess-1
04-32- Mania-Assess-2
04-33- Mania-Assess-3
04-41- Psychosis-Assess-1
04-42- Psychosis-Assess-2
04-43- Psychosis-Assess-3
04-44- Psychosis-Assess-4
04-45- Psychosis-Assess-5
04-46- Psychosis-Assess-6
04-47- Psychosis-Assess-7
05- Old age F
05-01- Self-harm in old age-Assess-1
05-02- Self-harm in old age-Assess-2
05-03- Self-harm in old age-Assess-3
05-04- Self-harm in old age-Assess-4
06- Old age O
06-01- Mild neurocognitive disorder-1-Hx *
06-02- Mild neurocognitive disorder-2-Assess *
06-03- Mild neurocognitive disorder-3-Explain *
06-04- Confusion in old age-Collateral History
07- Substance misuse
07-01- Alcohol
07-02- Alcohol and anxiety *
07-03- Drug misuse
07-04- GBL abuse
07-05- Opiate use- Assess
07-06- Acute onset hallucinations
07-07- Methadone prescribing *
08- Forensic
08-01- Indecent exposure- Elderly-1 *
08-02- Capacity to refuse to pay fine *
09- Perinatal
09-01- Postnatal depression-1-Assess
09-02- Postnatal depression-1-Explain diagnosis
09-03- Postnatal depression-2-Assess
09-04- Postnatal depression-2-Explain diagnosis
09-05- Postnatal depression-3-Assess
09-06- Postnatal depression-3-Explain diagnosis
09-07- Postnatal depression-4-Assess
09-08- Postnatal depression-4-Explain diagnosis
10- Liaison
10-01- Post-stroke depression- Assess
10-02- Post-stroke depression- Discuss
11- Management
11-01- Schizophrenia- Explain management *
11-02- Cognitive Analytic Therapy *
11-03- Dialectical Behavioural Therapy *
12- Psychoeducation
12-01- Schizophrenia- Explain diagnosis *
12-02- Psychosis- Explain how family can help *
12-03- Need to be in the hospital- Explain *
Neurodevelopmental
Liaison
Side effects, complications