Tips for the respiratory OSCE
How to gain top marks on history and examination stations
Objective structured clinical examinations (OSCEs) are scary. Their unrelenting pace, unpredictability, and timed nature make them a fearsome prospect. This article provides some tips to help you maximise your marks in the respiratory OSCE. It will cover some tricky areas and some common pitfalls.
When taking the patient’s respiratory history, you should aim to build a comprehensive picture of the patient’s presenting complaint and its history; the patient’s medical history, drug history, family history, and social history; and a review of all the patient’s systems. Although this approach will gain you several marks, many more can be gained by finding out more about the patient’s risk of developing respiratory disease (box 1). To maximise your marks, you should cover the patient’s perspective of their own health, which will provide a thorough clinical picture of the presenting symptom and highlight the patient’s health concerns and expectations from the consultation. A common