Common mistakes in the acute care OSCE
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- Опубликовано: 20 янв 2016
- Here the 'student' Dr Francis Kynaston-Pearson (Medical Registrar & Clinical Teaching Fellow) & 'examiner' Dr Kishan Rees (Director WatMed educational & Clinical Teaching Fellow) showcase a compilation of common mistakes they have seen when examining students. Filmed at Lincoln UMED October 2015.
It's like watching myself in a mirror
These acute care OSCE videos are brilliant, learning the theory is all good but seeing the flow of someone doing it well (in the other video) and being able to see the common mistakes here really helps. Thanks very much team.
wow. where else can i find videos like this? true, it's like seeing myself in the mirror and reflecting how silly I looked. thanks for the video !
Me too under pressure of an OSCE was good to see an example of how not to do it, I was shouting out what he was missing, now know how my tutour felt with our group LOL
So you use ur name to intubate....hmmmm
Why on earth would anybody dislike this? This is an absolutely incredible video, the first of it's kind that I have ever seen! Alongside the "Best Practice" version, this really serves to highlight just how easy it is to get flustered and fall into panic. Other videos just so how to do it, with nothing to compare it to, in order to show you what to avoid.
I can't get over just how awesome this is. Thanks so much guys, and I know it is still early days, but I'm sure that this will be an incredible resource for medical students at all levels, and perhaps even for foundation year doctors.
All the best, guys! And keep up the good work! Looking forward to seeing more of these!
ARyman very bad conduced
I think this video will be quite familiar to lots of us who have practised the acute care station. It's quite easy to look silly, especially if you start to deviate from the core elements of the primary survery.
I think it would help for the student to start with a phrase which signposts what they intend to do, whilst acknowledging the conscious patient e.g. "Hi John, I understand you're in a lot of pain. We're going to find out what's causing that; I'm going to start by doing a few basic checks."
It seems Francis becomes a bit stuck with the reduced consciousness and doesn't feel able to move on. He might not be happy leaving the airway without any adjuncts with his patient at risk of obstructing it. Perhaps an NP airway would be a sensible intervention?
The examiner is immensely patient!
ABC boy ABC!
Got some teaching with my students tomorrow on, among other things acute care OSCE. Keen for people to critique Francis and I's performance - apart from the fact I am the most awful examiner ever!
Best,
Kishan
Clinical Teaching Fellow
Founder PREPARE4FY1®
This is one of the best educational videos I've ever seen on the internet, Thank you very much!
Fantastic so pleased they are of use!
Hello! Many thanks for your comment. I'm glad you found the videos useful. Please feel free to comment and ask questions in terms of should I do this...? Or how about doing that?
The acute care station is a massively stressful experience for students going through it. I very much see these videos as the start of something new in medical education. The first bit has been done in filming it.
Now it's up to the next generation of junior doctors, today's medical students, to comment and we can really create a powerful learning resource!
Cheers
Kishan
Dr Kishan Rees
MbChB, AF-HEA, MMedSci (Hons)
Clinical Teaching Fellow Lincoln UMED
MD WatMed Group
I'm loving these videos and I'm a newly qualified nurse, thanks :-) very helpful :-)
what field?
very helpful , thank you guys, keep it up
Great effort Indeed!👍
Keep it up sir!
Just wanted to say I am a first year medical student (paramedicine) and find your videos very useful :)
first of all the examiner is NOT NICE (haha sorry) because in A&E they don't tell you "you need to assess him" regardless of the question you ask and the student's initial approach to speak to the patient was normal...you don't jump on a patient who is talking to you doing ABCDE like a crazy person...plus all the obs are done by nurses...you're not alone haha...tip for future colleagues: Be confident at all times and go through your ABCDE (even if examiner prompts you to go elsewhere- like check the pupils when you haven't done B or C yet). Examiners feed on fear ;-)
Jeez, I remember being a volunteer 'actor' for the OSCEs. Once I'd been in a car accident with broken ribs! (They don't always use simulation models)
Non of the consultants in my medical school would be this patient 😂😂😂😂. "Dr please remove yourself from my ward!"
Dr Rees was clearly annoyed LOL, good video though. Thank you
Looool this is a different side of Dr Kishan who clearly looks annoyed!! Hilarious!! 😂😂🤭
Lmfaoooo why is this so me 😅
brilliant
What are the mistakes? I watched this twice and feel the title is misleading.
Connie Travelnurse he made tons he didnt know what to check or how to act. He had to be stopped several times. Best example ca. 2:08
Yes, I totally understand now. I just feel like the student is flustered due to the mannequin and unable to comprehend how the testing works. I'd already just called a rapid response and started ABCs. The student is clearly very nervous.
This was painful to watch 😅
I think the patient is post operative, drowsy, with pin point pupils and has respiratory depression, most likely cause is opioid overdose and Naloxone should be considered first
abcde first... then vapör...
I hate these it’s so awful :0 so scary
I could only bear to watch 1/2 of the video. I really pity the poor "patient". The approach of one doctor and the replies of the other were disorganized...chaotic actually. Hopefully they were not accurate reflections of their thought processes when responsible for living patients.
If you would care to read the title you would realise that this is an intentional demonstration of a poor OSCE examination. The doctor on the right is in the role of an examiner - his replies are not supposed to be helpful. Watch the video on OSCE best practice to see the doctor perform the same simulation successfully.
you should not be here in the first place
so many mistakes that i can point out here... Is that guy a doctor??, he doesn't know about oxygen use in COPD patients!!
don't try to act smart, this is a deliberate representation to show the mistakes made by students at these stations