Sounds like a very sensible approach and one we have adopted for other OSCE.  I have used a very simple framework to help students make notes during patient interactions which involves a blank sheet of paper and a 4 coloured pen…happy to expand on the detail

 

Kathy

 

 

 

It may be worth thinking about what would happen in “real life” when this student is a doctor working with patients. He or she will have to develop an approach that allows them to note down key points whilst establishing and maintain rapport with the patient.  Given that this is what will inevitably happen in the real world, then this is a skill they will need to develop and practice. The GMC guidance for OSCEs suggests ‘additional practice sessions and support given prior to the OSCE’. This sounds like a good idea. I think it would be reasonable to permit brief notemaking whilst marking this student in exactly the same way as for everyone else for rapport and communication with the patient: this element is likely to be a competence standard.

 

Hopefully someone with direct experience of making adjustments for OSCEs can comment on this suggestion.

 

Regards,

 

Caroline

 

 

Hi all,

 

This seems quite timely given other discussions on the board but I was wondering if anyone had specific experience with reasonable adjustments in OSCEs on a Medicine course.  I am working with a student who struggles with recall of information.  They are fine with the processes themselves as they can commit this to memory but often struggle to recall the information gathered during the physical examinations or when taking patient histories.  The student has asked if they can take notes during the exam so that they have a prompt when giving feedback at the end of the station.  The school have advised that this may have an impact on the marks given for the rapport and communication with the patient.  However, the student is concerned that if they are not able to do this, they will be marked down for lack of fluidity in their response.  Has anyone else had any similar experiences?

 

Thanks,

Catherine

 

Catherine Perrett

Disability Caseworker/Gweithiwr Achos Anabledd

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