ACEM example: Abdominal Pain OSCE added anonymously
Male patient with abdominal pain. You are required to perform an abdominal examination.
Instructions for the candidate
The patient is a male with abdominal pain. Your task is to perform an abdominal examination, including any further examination that you feel is appropriate.
You are then required to present your findings to the examiners including a differential diagnosis.
Domains being examined
- Medical Expertise
For the actor
The candidate will not be required to take a history from you. They will be required to examine your abdomen and then any further examination as they deem appropriate.
At 5 minutes they will be required to present their findings including a differential diagnosis to the examiner.
You should not volunteer any information to the candidate.
For the examiner
The candidate will perform an abdominal examination, including other relevant examination as they deem appropriate.
The patient will be a “bank” patient with chronic liver disease.
You should examine the patient yourself to determine what clinical signs are present.
You should give a standard introduction to the candidate and request that they examine the patients’ abdomen.
Vital signs including temperature, p, BP, SpO2 and urinalysis will be provided.
At 5 minutes you should ask the candidate to present their findings including differential diagnosis to you.
Domains Assessment Objectives
- Medical Expertise
- The candidate will be required to demonstrate their understanding of liver disease in the way that they perform the abdominal examination and then in the way that they present their findings.
The candidate will be required to demonstrate knowledge of the differential diagnosis of chronic liver disease relevant to this patient.
- The candidate will need to demonstrate clear communication as they examine the patient.
The candidate will need to communicate clearly with the examiner.