OSCE World

OSCE practice, marked

Each one speaks out loud, hedges, and holds things back until you ask. Then an examiner-style report on how you handled it.

140+ stations across 20 specialties. Two of them free, no credit card.

General Surgery

Emergency department

Callum Priestley, 19

Abdominal pain

Came to the emergency department this evening after about a day of abdominal pain that has got steadily worse. Take a history.

Station running10:00

“I've had a sore stomach since yesterday. My flatmate made me come in. I think I've probably just eaten something dodgy.”

He will not mention that the pain has moved unless you ask.

140+stations
20specialties
10minutes a station
$0to start

The library

The people you'llbe talking to.

Each one has a history, a personality, and the habit real patients have of answering only what you actually asked.

General Surgery

Callum Priestley

19, Emergency department

Abdominal pain getting worse over a day

Cardiology

Harold Jennings

67, General practice

Chest tightness on exertion

Paediatrics

Jack Thornbury

7, Emergency department

Headache, neck pain and fever

Vascular Surgery

Pauline Dacre

71, General practice

Non-healing leg ulcer

Respiratory

Maya Chen

34, General practice

Cough after a flu-like illness

General Medicine

Sylvia Ozanne

83, Emergency department

Confusion and unable to walk, history from her son

Orthopaedics

Bernadette Quill

46, General practice

Outer elbow pain

Hepatobiliary

Gerald Finch

52, Emergency department

Yellowing of the skin with upper abdominal pain and fever

Endocrine

Sophie Marchetti

32, General practice

Weight loss and racing heart

Neurology

Steven Marks

38, Emergency department

Severe one-sided headaches

Urology

Marjorie Enright

84, General practice

Repeated water infections, the fourth since Christmas

Paediatric Surgery

Oliver Hart

infant, Emergency department

Forceful vomiting after feeds

  • “The ulcer on my leg. Fourteen months now. I have seen four different nurses and had three courses of antibiotics.”

    Pauline Dacre, 71

  • “It's probably nothing, but I've been getting this tight, squeezing feeling in the middle of my chest.”

    Harold Jennings, 67

  • “I appear to have another water infection. That will be the fourth since Christmas.”

    Marjorie Enright, 84

There is never anyonefree when you are.

That is the gap this fills. A patient who is ready at seven in the morning, in a free hour between lectures, or on a Sunday afternoon, and a marked report at the end of every one.

A student sitting with a laptop in a cafe, working through a station.

Ten minutes, three things.

  1. 00:00

    The door opens

    A few lines outside the door, then you are in. Ten minutes by default, or set it to your school's timing. Turn the clock off entirely while you are still learning the shape of a history.

  2. 04:30

    You have to actually ask

    Speak into your phone or type. They answer out loud, in a voice cast for the patient, and only tell you what you asked for. A closed question gets a closed answer, and a patient who is playing it down keeps playing it down until you notice.

  3. 10:00

    Then somebody marks it

    Present your summary, differential, investigations and plan. The whole encounter comes back assessed, with the evidence taken from your own words rather than from a generic list of tips.

What you get back

Feedback that quotesyou back to yourself.

Not a grade and a note to work on communication. The moment it happened, what it cost you, and what to do instead.

Station report

Callum Priestley, 19

73%

Scored as the percentage of criteria you met, with the evidence taken from your own conversation.

Where the marks went

  • He said he was probably being soft about it, and you moved on. He minimises constantly, and every time he does it is an invitation to push gently rather than a reason to believe him.
  • "Is it quite bad?" invites exactly the answer he gave. Asking for a number would have got you seven out of ten from a man insisting he is fine.
  • You asked, which is more than most candidates manage, but you put it bluntly and he shut down. The framing did not only cost you the mark, it cost you the answer.

Nothing is improvisedwhile you are in the room.

  • The facts are fixed before you start

    Everything the patient knows is written down before the door opens: the history, the hidden detail, and the things they will only give up if asked. They cannot invent a symptom while you are talking to them.

  • Built to one specification

    Every station is produced against the same written specification and checked against it before it goes into the library: a brief, a history, a personality, and the detail a good candidate is expected to uncover.

  • Marked at your level

    Tell it where you are and the marking moves with you: years 1 and 2, years 3 and 4, or final year, IMG and GP. The same station is graded more strictly the further along you are.

Pick the one thatmatches your week.

A single station is US$1.25. Exam week is US$19.99. One payment, no subscription, nothing to cancel.

Do one station.Decide after.

Two stations free, no credit card, nothing to cancel. You do not have to make your mind up now: sit one, read the report, and decide from that.