Table 2 Detail content of 5 post-Internal Medicine block OSCE of all class 2013 and class 2014 clerks

1^st station

A regular hemodialysis uremia patient who had suffered from 2-day of palpitation symptoms after 3 days of diarrhea. SP will presented with a second degree Mobitz type II AV block EKG after a brief self-introduction

interpret the EKG (diagnostic skills), undertake a focused history taking, explain the appropriate differential diagnosis and describe a further treatment plan (clinical reasoning skill) to the SP

2^nd station

A productive cough patient with fever and the SP presented with a CXR showing a pneumonia patch

interpret the CXR (diagnostic skills), undertake a focused history taking, explain the appropriate differential diagnosis and describe a further treatment plan (clinical reasoning skill) to the SP

3^rd station

A patient with abdominal pain due to bowel obstruction and the SP presents with an intestinal obstruction KUB.

interpret the KUB (diagnostic skills), undertake a focused history taking, explain the appropriate differential diagnosis and describe a further treatment plan (clinical reasoning skill) to the SP

4^th station

A patient shows confusion and dyspnea with ABG showed metabolic acidosis is presented by SP

interpret the CBC + biochemistry (diagnostic skills), undertake a focused history taking, explain the appropriate differential diagnosis and describe a further treatment plan (clinical reasoning skill) to the SP

5^th station

SP is a case of acute alcoholic hepatitis with jaundice and leukocytosis

interpret the ABG (diagnostic skills), undertake a focused history taking, explain the appropriate differential diagnosis and describe a further treatment plan (clinical reasoning skill) to the SP