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The objective structured clinical examination

  • Owen Haeney (a1)
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Abstract
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The objective structured clinical examination

  • Owen Haeney (a1)
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eLetters

OSCE

Dr Amitav Narula, SENIOR HOUSE OFFICER
03 November 2004

The letter by Haney (Psychiatric Bulletin, October 2004, 28, 383) raises an interesting conundrum.

I have recently been advising a number of my colleagues, who will be undertaking the clinical examination for Part II MRCPsych. A significant number of them undertook the Part I MRCPsych OSCE exam, so have not had experience of the unobserved long case.

With the introduction last year of the OSCE exam and its widespread use in undergraduate teaching, a large proportion of trainees have no experience of long case examination. As was mentioned in the letter by Haney (Psychiatric Bulletin, October 2004, 28, 383) candidates strugglewith the uncontrollable variables of patient and examiners. My own feeling about this is that, with experience, candidates can often handle these situations better. During my undergraduate training, I was examinedusing the traditional long case format, and I do believe that exposure to this format gave me greater confidence when dealing with long cases in bothPart I, and more, recently, in Part II examination.

It would be of interest to get an idea of how candidates who are now undertaking Part II are dealing with the lack of exposure to the long case. This would particularly apply to any proposed change in the Part II examination. Having reviewed previous articles it would appear that while most have highlighted the need for changes in the Part I clinical examination, there is little mention of what changes, if any, can be made to improve the Part II clinical examination.

It is my opinion that, having initiated the change to the OSCE formatfor the Part I clinical exam, the College should review the current long case format in the Part II exam.
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Conflict of interest: None Declared

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