OSCE Practice Stations

Counselling on Methotrexate for Rheumatoid Arthritis

A timed 10-minute counselling OSCE station with reading time, a warning bell and an examiner-style weighted checklist including critical items, marked the way a real examiner would mark it.

Counselling10 min12 checklist items

Station type
Counselling
Time
10 minutes, after 60s reading
Total marks
22
Critical items
4 (missing one fails the station)

Candidate instructions

This station is a counselling task in an outpatient rheumatology clinic. The candidate is to counsel a 45-year-old woman who has recently been diagnosed with rheumatoid arthritis and is starting weekly methotrexate. The candidate must explain the key information about methotrexate, including the dose and frequency, folic acid, monitoring, infection precautions, and pregnancy advice. Time: 10 minutes.

How the station runs

  1. 60 seconds of reading time with the instructions above, and nothing else.
  2. 10 minutes on the clock, with a warning bell before the end.
  3. The examiner's checklist, 12 weighted items worth 22 marks, revealed only when the station ends.
  4. Your score, with a critical-fail flag if a safety-critical item was missed.

The checklist stays hidden until the station is over, exactly as it would outside the exam room.

Log in to run "Counselling on Methotrexate for Rheumatoid Arthritis"

A free account starts the clock: reading time, the station itself with a warning bell, then the examiner's checklist and your score.

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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.