A sample OSCE station

This is the type of OSCE station you can expect to find at the PLAB 2 exam.

What will a scenario look like?

You are in a mock consultation with a patient played by a role player who has been briefed about their condition. You are a Foundation Year 2 doctor in a Rheumatology Unit. You are told that your patient James Horton, aged 45, has been referred by his GP with pain in his right big toe. You are not given any other information. You must assess and manage the patient. You’ll been given 8 minutes to complete the scenario.

What will the examiner be looking for?

The examiner wants to see you demonstrating the behaviours that we expect of a doctor. They will mark you against the three domains:

  1. Data-gathering skills, technical and assessment skills 
  2. Clinical management skills
  3. Interpersonal skills.

What will you need to demonstrate to pass?

  • Find a history of acute recurrent mono-arthritis which responds to nonsteroidal anti-inflammatory drugs (NSAIDS). 
  • Find a medical history of any medication, psoriasis or trauma. 
  • Find out appropriate lifestyle history (eg alcohol, diet, sex). 
  • Make a diagnosis of possible gout. 
  • Recommend appropriate management. 
  • Identify patient concerns, listen appropriately and display empathy. 
  • Conduct the consultation fluently and professionally.