OSCE and OSPE practice

Timed stations, weighted checklists, critical fails

Stations that behave like the exam. Reading time, a clock with a warning bell, and a checklist you cannot see until the station ends, with weighted items and critical fails marked the way a real examiner would mark them.

  • History, examination, communication, counselling, prescription, interpretation, procedure and pharmacology stations
  • Self-score in practice mode, or have a faculty examiner mark you in assessment mode
  • An AI examiner comments on your written response after the checklist score is in

Included in

  • Student ProUnlimited
  • Faculty ProUnlimited
  • InstitutionUnlimited

Not in the free tier, but every new account starts with a 7-day Student Pro trial, no card, so you can use it from day one.

How a session works

  1. 1

    Reading time

    The candidate instructions, and only those. The checklist stays hidden, as it would outside the exam room.

  2. 2

    The station

    A countdown with a warning bell before the end. Finish early if you are done, or the clock ends it for you.

  3. 3

    The checklist

    Weighted items, some allowing half marks, some critical. Score yourself, or an examiner scores you.

  4. 4

    The result

    Marks, percentage, pass or fail, a critical-fail flag, and the checklist with what you did and did not do.

Try it now, no account

Run a station now

A three-minute counselling station. Read the brief, run the clock, then mark yourself against the examiner's checklist, including the critical item. The marking rule is the simulator's own.

counseling station · 3:00 · 30s reading

Counselling: starting warfarin

Candidate instructions

You are a final-year medical student on a cardiology ward. Mr Ahmed, 66, was diagnosed with atrial fibrillation this week and is being started on warfarin today. He has never taken an anticoagulant. Counsel him about his new medicine. You do not need to discuss the choice of warfarin over other anticoagulants. You have three minutes.

30 seconds of reading time, then 3:00 on the clock, then you mark yourself against the examiner's checklist.

What gets marked

Weighted items

Each checklist item carries its own marks, so the things that matter most count for more.

Partial credit

Items the author allows half marks for, and items that are all or nothing.

Critical fails

Miss a critical item and the station is failed whatever the total, the way a safety-critical omission is treated in the exam.

Timing

Reading time, station time and the warning bell are set per station and enforced.

Examiner marking

In assessment mode a faculty examiner marks the checklist and the score is recorded to your cohort.

Written response

Where a station asks for written output, an AI examiner gives advisory feedback on it after the deterministic score.

Courses that use this module

Each of these courses builds this practice into its modules, next to the teaching it tests.

  • Therapeutic Drug Monitoring and Prescribing Calculations

    For final-year medical students preparing for finals and the Prescribing Safety Assessment (PSA), final-year pharmacy students, and foundation doctors. Topics: prescribing calculations, applied pharmacokinetics and therapeutic drug monitoring of narrow-therapeutic-index drugs, and interpreting potassium, sodium, renal, thyroid and liver results. UK practice, BNF dosing and NICE-style guidance. Pharmacy students do not sit the PSA.

  • Adverse Drug Reactions and Pharmacovigilance

    For final-year medical students preparing for finals and the PSA, final-year pharmacy students and foundation doctors. Covers what counts as an ADR, A to F and DoTS classification, WHO-UMC and Naranjo causality, severity versus seriousness, type A reactions, allergy, organ-specific harm, and Yellow Card reporting. Every module closes with a quiz. Practice includes prescribing scenarios, timed OSCE stations and ADR cases to assess and report.

  • Safe Prescribing in Special Populations

    Prescribing where standard adult doses cause harm, in UK practice with British National Formulary dosing, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers renal and hepatic impairment, pregnancy and breastfeeding, weight-based dosing in children, polypharmacy and deprescribing in older people, and serious interactions and adverse drug reactions.

  • Pain, Neurology and Mental Health Prescribing

    Pain, neurological and psychiatric prescribing in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers the analgesic ladder, opioid and NSAID safety, neuropathic pain, epilepsy and valproate risk, migraine, Parkinson's disease, depression, lithium, anxiety and sleep, psychosis, rapid tranquillisation and delirium. Doses follow the British National Formulary.

  • Respiratory Therapeutics

    Respiratory drug therapy and assessment in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers stepwise asthma management, inhaler technique, acute severe asthma in adults and children, COPD inhaled therapy and infective exacerbations, controlled oxygen and type 2 respiratory failure, and respiratory examination, chest radiographs and bronchiolitis.

  • Acute Medicine, Poisoning and Emergencies

    Acute medicine and emergency prescribing in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers ABCDE assessment, basic life support, anaphylaxis, poisoning and antidotes for paracetamol, opioids and lithium, alcohol withdrawal, intravenous fluids, acute kidney injury and hyperkalaemia, blood gases, upper GI and variceal bleeding, status epilepticus and subarachnoid haemorrhage.

  • Diabetes and Endocrine Therapeutics

    Diabetes and endocrine prescribing in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers choosing and intensifying type 2 diabetes therapy, insulin regimens and sick-day rules, hypoglycaemia, the variable rate insulin infusion, DKA and HHS, thyroid disease, corticosteroids and adrenal crisis, and calcium and sodium disorders. Dosing follows the British National Formulary.

  • Antimicrobial Prescribing and Infection Management

    Antibiotic prescribing and infection management in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers the antibiotic classes, stewardship and C. difficile, penicillin allergy, gentamicin dosing, sepsis, pneumonia, COPD exacerbations and tuberculosis, urinary, skin and soft tissue infection, meningitis, malaria and dengue in returning travellers, and febrile neutropenia.

  • Cardiovascular Therapeutics

    Cardiovascular pharmacology and therapeutics in UK practice, for final-year medical students preparing for finals and the Prescribing Safety Assessment, final-year pharmacy students and foundation doctors. It covers stepwise hypertension treatment and statins, acute coronary syndromes and the discharge prescription, heart failure and diuretics, and atrial fibrillation, heart block and syncope, including the electrolyte and renal effects of cardiovascular drugs.

Questions

Can I see the checklist before the station?
No. Exactly as in the exam, the checklist is revealed only when the station ends, at the point you score yourself or an examiner scores you.
What kinds of stations are there?
History taking, physical examination, communication, counselling, prescription writing, data interpretation, procedures and pharmacology. Faculty can author their own for their institution.
Is the sample on this page marked the same way?
Yes. Full, half or no marks per item, and a missed critical item fails the station. The only difference is that nothing is recorded until you have an account.
Which plan includes it?
OSCE practice is part of Student Pro and above. Every new account starts with a Student Pro trial, no card required.

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