So how many people took OSCES ?

[UES Girl]

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So my school being the progressive enlightening forward pushing unversity that we are ( I can't decide if I am being sarcastic or just annoyed in chronic sleep derpivation state ) is now doing OSCES. There are 3+ hours long, we are being videotaped and therapeutics is included. Topics are random and nondisclosed of course. Mine is on the same day as a three hour midterm that is a midterm # 6 in the row in the two week span, so I am not too thrilled of course.

Just wonder how many people took them ? How many second years took them ? What was your experience like ? Were your patients mean ? Did they pull Kramer with his marvelous gonorrhea acting on you ?

 

[Carboxide]

We have them, but they're not nearly that long. Same idea, though. There's no point fora 3 hour plus one...you should be able to counsel, etc in under 5 min. Ours are one half hour for three different subjects including therapeutics.

 

[drhenPharmD]

We had 1 station a week. max 15/min.

Our med students are doing them right now. I don't think they take 3 hrs either.

 

[deleted205891]

We had them starting 2nd semester of P2 I think.

They're not a big deal for us. They involve a written assessment (typically with calculations), a counseling assessment and a skill assessment (BP, ophthalmic, inhaler, glucometer, etc...).

 

[confettiflyer]

Did them starting P1 year, various topics (counseling, diabetic foot exams, injection technique/counseling, blood pressure/PAD screening, med rec., etc...)

They take place on our simulated hospital floor/rooms, "eye in the sky" watching/taping you the entire time.

they're ~20mins each, post-encounter is another 10 mins or so to answer a few multiple choice/short answer questions related to your case.

we get two in a row, so total time in simulation is 1 hour.

man you guys are late!

 

[UES Girl]

Did them starting P1 year, various topics (counseling, diabetic foot exams, injection technique/counseling, blood pressure/PAD screening, med rec., etc...)

They take place on our simulated hospital floor/rooms, "eye in the sky" watching/taping you the entire time.

they're ~20mins each, post-encounter is another 10 mins or so to answer a few multiple choice/short answer questions related to your case.

we get two in a row, so total time in simulation is 1 hour.

man you guys are late!

We are late to everything, we just got computer lab upgraded probably for the first time in 15 years - that was exciting.

 

[Filler]

We are late to everything, we just got computer lab upgraded probably for the first time in 15 years - that was exciting.

Best part about our OSCE?

When they replay the taped "event" in front of classmates for a critiquing session.🙄

awkward

 

[confettiflyer]

Best part about our OSCE?

When they replay the taped "event" in front of classmates for a critiquing session.🙄

awkward

HAHHAHAHA omg i laughed so hard on the inside when some of the played, so glad mine didn't get selected. hahahahhahahah

wait 'til you get to IPA (case-studies, not the beer), some of your classmates will pick treatments that will seriously kill/maim the patient. this is done out loud and in small group discussion, no hiding in a lecture crowd. it'll really put everyone's internal thinking on blast.

 

[UES Girl]

HAHHAHAHA omg i laughed so hard on the inside when some of the played, so glad mine didn't get selected. hahahahhahahah

wait 'til you get to IPA (case-studies, not the beer), some of your classmates will pick treatments that will seriously kill/maim the patient. this is done out loud and in small group discussion, no hiding in a lecture crowd. it'll really put everyone's internal thinking on blast.

We already have that, I just killed a couple people myself last week. One renal failure patient who had a hypertensive crisis and was on a beta blocker - I gave her a calcium channel blocker that knocked her straight into av block and a classmate of mine gave her nitroprusside thats renally contraindicated.

 

[Filler]

Even with the basic OTC stuff that we went over last semester, there were some funny moments.

Once case that we had last semester dealt with the patient who was "backed up" and was looking for some relief. Being the wary fool that I am, I recommended going with some Metamucil.

Couple hours later my roommate had his case, and when I asked him about his recommendation, he replied "Dude, I handed her the mag citrate 😎"

For some reason, this picture came to mind

 

[mustang sally]

My class did them once in P3 fall semester and once in P3 spring semester. But they were nowhere near 3 hours long. That sounds intense!

Our fall one was an MTM encounter, after which we had to write and submit the appropriate soap notes.

Our spring ones involved three separate stations with random patient counseling. Each one was a max of ten minutes.

We don't have to watch the video tapes unless we want to. Thank god.

 

[njac]

ours with patient exams were about 45 min including counseling time.

 

[njac]

We already have that, I just killed a couple people myself last week. One renal failure patient who had a hypertensive crisis and was on a beta blocker - I gave her a calcium channel blocker that knocked her straight into av block and a classmate of mine gave her nitroprusside thats renally contraindicated.

ahh, sometimes I forget the awesomeness that we get taught in school.

It's not contraindicated for short term use. You just have to keep an eye on it - it's better than Nitroglycerin or Nicardipine for short-term in a renal pt because it's less fluid.

 

[rxlea]

ahh, sometimes I forget the awesomeness that we get taught in school.

It's not contraindicated for short term use. You just have to keep an eye on it - it's better than Nitroglycerin or Nicardipine for short-term in a renal pt because it's less fluid.

So, how long are we talking about here? How long before we start having to give sodium thiosulfate?

EDIT: as for OSCEs, we start them first semester of first year for counseling (new scripts and refillss, chief complaints) and motivational interviewing (like for smoking cessation). We start doing SOAP notes second semester (wayyyy too many) and patient assessment (physical exams and all that). So we do SOAP notes for the assessment lab and our IPPE since we visit with residents at the LTC every week. Second year we do a compliance/adherence class and I am pretty sure we do OSCEs then too... not sure about after that but I should probably find out LOL

 

[Praziquantel86]

We've had interdisciplinary simulations that almost always result in teams of students managing to kill patients together. Our standard OSCEs are all pretty easy, with not too much damage that can actually be done (unless you are really, really bad at pharmacy).

 

[owlegrad]

We've had interdisciplinary simulations that almost always result in teams of students managing to kill patients together. Our standard OSCEs are all pretty easy, with not too much damage that can actually be done (unless you are really, really bad at pharmacy).

Yeah we have teams of people that often manage to kill patients as a group. My favorite is when treatment plans have extensive work on something like GERD but somehow manage to miss treating AFIB. Prioritize people! Or when they catch an important interaction, but the plan is to d/c the more important drug because of the interaction. It's like, huh? Not that I haven't killed my share of imaginary patients though, individually and as a group.

 

[Doctor Rock]

We had to do the OSCEs. Basically visit with 3 patients and solve their problems in 5 minutes. Pretty much a joke for ours because we were graded on getting the case rights, information gathering, and whether the patient would come back to us. I solved all of the cases correctly but scored poorly on information gathering (strange to think you could solve their case without gathering the right information). It was really lame. It is just a big waste of time and money. Its the same stuff you do in a community setting or ambulatory care setting. Except they place a ton of stress on you and expect you to give the perfect canned response. If these schools arent careful they are gonna jump right up their own asses.

 

[njac]

We've had interdisciplinary simulations that almost always result in teams of students managing to kill patients together. Our standard OSCEs are all pretty easy, with not too much damage that can actually be done (unless you are really, really bad at pharmacy).

👍 teamwork!

 

[confettiflyer]

👍 teamwork!

haha, death by committee, sounds so easy

i guess we found those death panels people were complaining about

 

[SomeGuy]

Not only did we have them, they're a part of our licensing exams too.

 

[deleted205891]

Not only did we have them, they're a part of our licensing exams too.

What state is this? I'd really prefer not to do an OSCE for my license. What if I'm nervous that day and forget to counsel on something?

 

[SomeGuy]

What state is this?

The 51st.

I'd really prefer not to do an OSCE for my license. What if I'm nervous that day and forget to counsel on something?

Duh, no one prefers to do one! There are multiple stations, so it's not all or nothing. If you blow them all, well, there's another one 6 months later.

 

[UES Girl]

The 51st.


Duh, no one prefers to do one! There are multiple stations, so it's not all or nothing. If you blow them all, well, there's another one 6 months later.

Canadia ?