OSCE Examination Guidance Notes

The OSCE (Objective Structured Clinical Examination) consists of two active and two passive stations.

Definition: Performance-based assessment featuring a role play scenario with a simulated patient.
Setup: Two chairs facing each other with a rubric for grading.
Activities:
- Patient Interview: Collect medication history.
- Counseling: Provide guidance on using a device (e.g., injectable, inhaler).

Each station lasts 20 minutes:
- 5 minutes: Review the STEM (instructions and patient/case information).
- 15 minutes: Conduct the interaction.

Devices can be referenced during the STEM review, but not during the performance itself.
Instructors simulate patients and use a checklist for assessment; no feedback is given during the OSCE event.

Materials Required: Students must bring a printed, blank medication history worksheet.
If a worksheet is forgotten, blank paper will be available (no additional worksheets provided).
Process:
- Review the STEM for patient profile and relevant information.
- Fill in the worksheet based on the interview.
- Focus: Collect medication history; prioritize this over less critical areas like family history.
- At the end of the session, students must articulate at least one uncovered medication therapy problem without needing to solve it.
- Instructions for disposal of notes and worksheets provided post-station.

Preparation: Practice collecting medication histories during lab sessions.
Organization: Maintain a structured and methodical approach during the interview.

Materials Provided: Patient profile, medication label, information on existing conditions.
Use of Devices: Students cannot use notes or devices during counseling.
Focus Areas: Explain both the medication's usage and its associated risks/side effects.
Practice: Similar to prior lab experiences; focus on familiarizing with the devices prior to the exam.

Environment: Conducted in a quiet room for 35 minutes total.
- Each activity lasts 15 minutes.
- Transition time included between activities (little to no STEM review needed).

Inpatient Order Fulfillment:
- Evaluate 5 labels for order appropriateness within 15 minutes.
- Aim: Verify details such as patient name, correct medication, and volume.
- Practice labels available on Canvas.
Medication Therapy Problem Identification:
- Assess 3 prescriptions for appropriateness in the same time frame.
- Students must analyze the prescriptions and patient profiles for potential therapy problems.
- A familiarity with the medication therapy problem framework is critical.

Timetable: Arrive 15 minutes early to avoid penalties.
Non-modifiable Appointment Schedule: Students should adhere to assigned starting times and locations.
Self-study Activities: Extensive practice resources are available on Canvas for preparation before the exam.

Performance Criteria: To pass, a score of at least 70% is required at each station, adjusting for situations where class averages fall below adequate levels (e.g., 75% average but below two standard deviations).
If the standard is not met, students will receive an email notification detailing their results and required next steps, including:
- Self-reflection on performance.
- Scheduling a meeting with the instructor.
- Remediation scheduled for May (subject to change).
Remediation Program: For those not passing the OSCE after remediation, could postpone the hospital IPPE until later terms.
Supportive Environment: The remediation process is designed for skill enhancement and growth, not punitive measures.

Utilize rubrics to understand evaluation criteria for each station thoroughly.
Practice actionable scenarios using resources like Lexicomp and UpToDate for drug information, especially in the context of medication therapy problems.
Encourage self-recording of practice sessions to facilitate review and improvement.