Clinical Skills for OSCEs, fifth edition 5/e

I. GENERAL SKILLS 1. Hand washing; 2. Scrubbing up for theatre; 3. Venepuncture/phlebotomy; 4. Cannulation and setting up a drip; 5. Blood cultures; 6. Blood transfusion; 7. Intramuscular, subcutaneous, and intradermal drug injection; 8. Intravenous drug injection; 9. Examination of a superficial mass and of lymph nodes II. CARDIOVASCULAR AND RESPIRATORY MEDICINE 10. Chest pain history; 11. Cardiovascular risk assessment; 12. Blood pressure measurement; 13. Cardiovascular examination; 14. Peripheral vascular system examination; 15. Ankle-brachial pressure index (ABPI); 16. Breathlessness history; 17. Respiratory system examination; 18. PEFR meter explanation; 19. Inhaler explanation; 20. Drug administration via a nebulizer III. GI MEDICINE AND UROLOGY 21. Abdominal pain history; 22. Abdominal examination; 23. Rectal examination; 24. Hernia examination; 25. Nasogastric intubation; 26. Urological history; 27. Male genitalia examination; 28. Male catheterisation; 29. Female catheterisation IV. NEUROLOGY 30. History of headaches; 31. History of 'funny turns'; 32. Cranial nerve examination; 33. Motor system of the upper limbs examination; 34. Sensory system of the upper limbs examination; 35. Motor system of the lower limbs examination; 36. Sensory system of the lower limbs examination; 37. Gait, co-ordination, and cerebellar function examination; 38. Speech assessment V. PSYCHIATRY 39. General psychiatric history; 40. Mental state examination; 41. Cognitive testing; 42. Dementia diagnosis; 43. Depression history; 44. Suicide risk assessment; 45. Alcohol history; 46. Eating disorders history; 47. Weight loss history; 48. Assessing capacity (the Mental Capacity Act); 49. Common law and the Mental Health Act VI. OPHTHALMOLOGY, ENT, AND DERMATOLOGY 50. Ophthalmic history; 51. Vision and the eye examination (including fundoscopy); 52. Hearing and the ear examination; 53. Smell and the nose examination; 54. Lump in the neck and thyroid examination; 55. Dermatological history; 56. Dermatological examination; 57. Advice on sun protection VII. PAEDIATRICS AND GERIATRICS 58. Paediatric history; 59. Developmental assessment; 60. Neonatal examination; 61. The six-week surveillance review; 62. Paediatric examination: cardiovascular system; 63. Paediatric examination: respiratory system; 64. Paediatric examination: abdomen; 65. Paediatric examination: gait and neurological function; 66. Infant and child Basic Life Support; 67. Child immunisation programme; 68. Geriatric history; 69. Geriatric physical examination VIII. OBSTETRICS, GYNAECOLOGY, AND SEXUAL HEALTH 70. Obstetric history; 71. Obstetric examination; 72. Gynaecological history; 73. Gynaecological (bimanual) examination; 74. Speculum examination and liquid based cytology test; 75. Breast history; 76. Breast examination; 77. Sexual history; 78. HIV risk assessment; 79. Condom explanation; 80. Combined oral contraceptive pill (COCP) explanation; 81. Pessaries and suppositories explanation IX. ORTHOPAEDICS AND RHEUMATOLOGY 82. Rheumatological history; 83. The GALS screening examination; 84. Hand and wrist examination; 85. Elbow examination; 86. Shoulder examination; 87. Spinal examination; 88. Hip examination; 89. Knee examination; 90. Ankle and foot examination X. EMERGENCY MEDICINE AND ANAESTHESIOLOGY 91. Adult Basic Life Support; 92. Choking; 93. In-hospital resuscitation; 94. Advanced Life Support; 95. The primary and secondary surveys; 96. Management of medical emergencies; 97. Bag-valve mask (BVM/'Ambu bag')ventilation; 98. Laryngeal mask airway (LMA) insertion; 99. Pre-operative assessment; 100. Syringe driver operation; 101. Patient-Controlled Analgesia (PCA) explanation; 102. Epidural analgesia explanation; 103. Wound suturing XI. DATA INTERPRETATION 104. Blood glucose measurement; 105. Urine sample testing/urinalysis; 106. Blood test interpretation; 107. Arterial blood gas (ABG) sampling; 108. ECG recording and interpretation; 109. Chest X-ray interpretation; 110. Abdominal X-ray interpretation XII. PRESCRIBING AND ADMINISTRATIVE SKILLS 111. Requesting investigations; 112. Drug and controlled drug prescription; 113. Oxygen prescription; 114. Death confirmation; 115. Death certificate completion XIII. COMMUNICATION SKILLS 116. Explaining skills; 117. Imaging tests explanation; 118. Endoscopies explanation; 119. Obtaining consent; 120. Breaking bad news; 121. The angry patient or relative; 122. The anxious or upset patient or relative; 123. Cross-cultural communication; 124. Discharge planning and negotiation.