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

Instructions for the Role Player 

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