OSCE

Salam

Last two days, saya tolong as helper for OSCE examination. In University of Leeds, OSCE started on year 3. So, ni kira preparation for the next year's OSCE lah. Banyak gak benda dapat belajar daripada tolong-tolong ni. In the morning, I am assigned to be thyroid examination patients. First of all, I noticed how many of them are tremoring mase examined saya. huu. Dapat tengok betapa berdebarnya jugak orang-orang kat sini buat OSCE. Bukan Melayu/International students je la yang takut dengan OSCE ni.

Pemarkahan OSCE ni quite simple je bile saya tengok. I asked the consultant/ examiner whether markah berbeza tak for inspection of face as an example, for orang yang listed all cannot-be-find abnormalities dengan orang yang cakap simply, the patient's face seems fine and normal? Then dia jawab, sama je. Ok. So, take note, kalau untuk examination yang tak cukup masa macam cardiac exam, baik cakap cepat2 je normal and buat examination lain dengan cepat, daripada bazir masa cakap lama2 kat inspection je. huhu.

Then ada students yang tak jumpa pulse and tak kira pulse rate, so, kira dapat markah tak walaupun dia ada effort buat. Examiner kata Tak. Sebab supposedly dalam soalan dah cakap yang "Students should not find any abnormalities on patients". So, wajib jugak lah semua benda dapat rasa and confirmed yang semuanya normal. One more thing, dalam Thyroid examination ramai yang lupa auscultate, percuss and do reflex tests. 

Then I went to urinalysis station. Ni station yang mendebarkan sebab kne buat urine dipstick test. So, first of all, ramai lupa pakai apron. Ramai lupa check expired date of the dipsticks. Then, tak explain whether the urine is from midstream or sample cathether. Orang pun tak comment sangat pasal colour,smell and etc for the urine. Tapi ramai pass lah on commenting the urine analysis results. Cuma ramai tak perasan ada jam dekat depan meja. So, sume guna jam sendiri kat seluar diorang. Agak geli lah bila glove with urine pegang bersentuh dengan seluar pulak kan. ahaha.

Soalan OSCE yang lain pun dah tak tipikal sangat. Ada soalan kat "vital signs" station tu susah. And ada kena amek history of pain in the knee. Hmm. tu musculoskeletal ke? Macam bukan. Mix kot. So, kene prepare dengan all sorts of questions la. Ada hari semalam, soalan pasal breast keluar. Not sure la apa diagnosis dia. Sebab ada yang kena give possible two diagnosis (contoh soalan pasal patients who complained about breathlessness). Soalan radiology pun agak susa. Tapi tak sempat pulak nak masuk and tengok apa soalan dia. Just I know ramai complained susah. huhu

Ok la. That's it. Nanti ada lagi akan ditambah kemudian. Have to record all findings for next year's OSCE.