The Objective Structured Clinical Examination in Anaesthesia

Description

The Objective Structured Clinical Examination (OSCE) is a highly reliable and valid tool for the evaluation of trainees in anaesthesia. It enables examiners and trainers to assess a number of competencies in an organised way. Performance in the OSCE is considered to be a fair reflection of the level of knowledge and skill attained during anaesthesia training. Apart from having a wide and deep knowledge on the subject, trainees are expected to have the capacity to demonstrate their competency in a short period of time allotted for each station.The authors of this book have a rich experience in successfully conducting OSCE courses in the United Kingdom. The sample OSCE sets in the book closely simulate the style and content of the Royal College of Anaesthetists' examination format. The book contains 100 OSCE stations with answers based on key practical procedures, clinical skills, communication COVER FRONT Contents Preface Foreword Acknowledgements Abbreviations OSCE set 1 Station 1.1 Anaesthetic equipment: circle absorber Station 1.2 Data interpretation: ECG Station 1.3 Data interpretation: haemodynamic data Station 1.4 Data interpretation: statistics Station 1.5 Anatomy: internal jugular vein Station 1.6 Communication: awake tracheal intubation Station 1.7 Technical skill: cricothyrotomy Station 1.8 Clinical examination: assessment of a trauma patient Station 1.9 Measuring equipment: pulmonary artery flotation catheter Station 1.10 Resuscitation: paediatric resuscitation Station 1.11 Anatomy: base of the skull Station 1.12 History taking: teeth extraction Station 1.13 Simulation: anaphylaxis Station 1.14 Monitoring equipment: capnography Station 1.15 Clinical safety: diathermy and electrical safety Station 1.16 Radiology: chest X-ray Station 1.17 History taking: arthroscopy of the knee Station 1.18 Communication: awareness under anaesthesia Station 1.19 Anatomy: intercostal nerve block Station 1.20 Clinical examination: cranial nerves OSCE set 2 Station 2.1 Anaesthetic equipment: Humphrey ADE breathing system Station 2.2 Data interpretation: ECG Station 2.3 Data interpretation: drug overdose Station 2.4 Data interpretation: neuro-observation chart Station 2.5 Anatomy: stellate ganglion Station 2.6 Communication: brain stem test Station 2.7 Technical skill: lumbar puncture for spinal anaesthesia Station 2.8 Clinical examination: cardiovascular system Station 2.9 Measuring equipment: Wright respirometer Station 2.10 Resuscitation: basic life support of a pregnant mother Station 2.11 Anatomy: vagus nerve Station 2.12 History taking: laparoscopic cholecystectomy Station 2.13 Simulation: failed intubation Station 2.14 Monitoring equipment: peripheral nerve stimulator Station 2.15 Clinical safety: defibrillator Station 2.16 Radiology: chest X-ray Station 2.17 History taking: varicose veins Station 2.18 Communication: suxamethonium apnoea Station 2.19 Anatomy: cubital fossa Station 2.20 Technical skill: ankle block OSCE set 3 Station 3.1 Anaesthetic equipment: anaesthesia machine check Station 3.2 Data interpretation: biochemistry Station 3.3 Data interpretation: ECG Station 3.4 Data interpretation: coagulation studies Station 3.5 Anatomy: neck and thorax Station 3.6 Communication: postponed surgery Station 3.7 Technical skill: tracheostomy tube exchange Station 3.8 Clinical examination: respiratory system Station 3.9 Measuring equipment: temperature measurement Station 3.10 Resuscitation: atrial fibrillation Station 3.11 Anatomy: trigeminal nerve Station 3.12 History taking: mastectomy Station 3.13 Simulation: ST depression Station 3.14 Monitoring equipment: pulse oximeter Station 3.15 Clinical safety: administration of blood to a patient Station 3.16 Radiology: CT scan of the head Station 3.17 History taking: hernia repair Station 3.18 Anaesthetic equipment: entonox valve Station 3.19 Technical skill: intra-osseous infusion Station 3.20 Technical skill: intravenous regional anaesthesia OSCE set 4 Station 4.1 Anaesthetic equipment: Bain breathing system Station 4.2 Data interpretation: lung function tests Station 4.3 Data interpretation: ECG Station 4.4 Data interpretation: vital parameters Station 4.5 Anatomy: the orbit and ophthalmic anaesthesia Station 4.6 Communication: Jehovah’s Witness Station 4.7 Technical skill: laryngeal mask airway (LMA) insertion Station 4.8 Clinical examination: airway examination Station 4.9 Measuring equipment: Bourdon gauge Station 4.10 Resuscitation: broad complex tachycardia Station 4.11 Anatomy: larynx Station 4.12 History taking: tympanoplasty Station 4.13 Simulation: post-induction hypotension Station 4.14 Monitoring equipment: oxygen analyser Station 4.15 Clinical safety: peripheral nerve injury Station 4.16 Radiology: chest X-ray Station 4.17 History taking: total hip replacement Station 4.18 Communication: labour analgesia Station 4.19 Clinical skill: cricoid pressure Station 4.20 Anatomy: caudal block OSCE set 5 Station 5.1 Anaesthetic equipment: airway equipment Station 5.2 Data interpretation: lung function tests Station 5.3 Data interpretation: statistics Station 5.4 Data interpretation: arterial blood gas result Station 5.5 Anatomy: sciatic nerve block Station 5.6 Communication: dental injury Station 5.7 Technical skill: chest drain insertion Station 5.8 Clinical examination: arterial and venous pulses, and pressures Station 5.9 Measuring equipment: Severinghaus carbon dioxide electrode Station 5.10 Resuscitation: pulseless electrical activity Station 5.11 Anatomy: arterial system of the hand Station 5.12 History taking: septoplasty Station 5.13 Simulation: bronchospasm Station 5.14 Monitoring equipment: invasive blood pressure monitoring Station 5.15 Clinical safety: patient positioning Station 5.16 Radiology: cervical spine X-ray Station 5.17 History taking: abdominal hysterectomy Station 5.18 Communication: abdominal aortic aneurysm repair Station 5.19 Anatomy: spine and vertebrae Station 5.20 Technical skill: supraclavicular brachial plexus block COVER BACK