Trial OSCE exam: 'lets give it a go' by Sanjna Rajajsegaran

You are taking part in a trial exam created by Sanjna Rajajsegaran. There are 6 OSCEs in this exam (60 minutes).
 

You have 3 minutes reading time. This OSCE will run for a maximum of 7 minutes.

Scenario:

You are the consultant rostered to a teaching day. You are doing a session on Central Venous Access.

You will be taking a junior registrar through the process of Central Venous Catheter insertion.

You will be using the kit provided to you now in this reading time.

View attached:   Attachment 1

Instructions for the candidate

Domains being examined

  • Medical Expertise
  • Communication
  • Scholarship and Teaching
 
The candidate has 3 minutes reading time. This OSCE is expected to run for a maximum of 7 minutes.

For the actor

Try and make the candidate speak as much as possible.
Answer any questions you are asked with short answers.

If the candidate doesn't cover the following topics in their teaching session ask the following (cover as many as time allows):
- What are the indications?
- Are there any contraindications?
- Do you have to have a CVC in to run inotropes? Can they be run peripherally?
- Do I have to get consent? Does it have to be written and signed?
- Why would I choose one CVC site over another?
- What sort of PPE do I need to wear?
- What are the possible complications?
- How do I confirm it is in the right spot?

For the examiner

Provide the candidate with a full CVC kit in its packet (can obviously be reused).
Ideally have a mannequin that allows demonstration of the landmarks of one of the 3 sites for CVC access.
If the mannequin allows for actual insertion that is even better but not necessary.
Have a trolley on which the CVC line can be laid out.
If possible have ancillary equipment like sterile drapes, chlorhexidine swabs, suture kit or proprietary catheter stabilisation device (e.g. Arrow CVC stabilisation device), transparent dressings e.g. Tegaderm.

Domains Assessment Objectives

Medical Expertise
- Knowledge of indications, contraindications, alternative options, consent, site choice

Communication

Scholarship and Teaching

Other Assessment Notes