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Table 1 Number of questions devoted to each clinical diagnosis skill and OSCE station

From: How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)

    CLINICAL DIAGNOSIS SKILLS
OSCE STATIONS Format Content Patient Interaction Physical Examination Technic Indentification of Abnormality History-taking Patient Presentation Physical Examination Knowl Differential Diagnosis TOTAL2 No. of skills per station3
Abdominal Pain Role play History, review of systems Pain and differential diagnosis of subacute abdominal pain 8    27    11 46 2
Alcohol / Abdominal Examination Human model Examining abdomen of normal Abdominal individual, stating potential Examination findings in an alcoholic patient   18     9   27 2
Arthritis1 Videotape Describing and identifiying hand and forearm findings in osteo- and rheumatoid arthritis    11     5 16 2
Breast Silicone model Examination technique, and detecting 5 lumps of varying sizes   9 5      14 2
Calf Pain Question and answer Describing findings relevant and answer to differential diagnosis of calf pain       9 30 39 2
Ear Model, 35 mm slides Otoscopy, and identifying 35 mm slides normal, bulging, and perforated drums   3 8    5 1 17 4
Headache Role play History, review of systems and differential diagnosis for environmental cause of headache 1    26    10 37 2
Heart CD-ROM Describing and identifiying aortic stenosis and mitral regurgitation    13     2 15 2
Hemoptysis Question and answer History, review of systems, and answer differential diagnosis 5    13    12 30 2
Knee Human model Performing knee exam on normal individual and describing potential findings   12     14   26 2
Lung Audiotape Identifiying wheezes and rhonchi, describing associated findings    2    12   14 2
Mental Status Role play Probing at least 5 domains of cognitive and affective function   10     10   20 2
Presentation Question and answer Orally presenting the history and answer and differential diagnosis from abdominal pain station      33    33 1
Rectal / Prostate Plastic model Verbally identifying possible /Prostate rectal conditions, and tactily identifying prostate findings    2    11   13 2
Skin 35 mm slides Describing and identifiying psoriasis, melanoma and basal cell epithelioma    20     3 23 2
Thyroid Patient Describing and performing the thyroid exam in a patient with findings   8 4      12 2
TOTAL No. % of questions    14
4%
60
16%
65
17%
66
17%
33
9%
70
18%
74
19%
3824  
  1. 1OSCE 1999 had one less question than OSCE 1997 and 1998. 2 Mean number of questions per skill: 55 (range 14–74) 3Mean number of skills per station: 2.25 (range 1–4) 4Mean number of questions per station: 24 (range 12–46)