Royal College of Surgeons in Ireland

Intermediate Cycle 3 Clinical OSCE MARK SHEET

STATION: Cardiac Examination (2019)

Examiners Name……………………...................... Candidate Number………………

Examiner to greet student and say:

“Please examine this patient from a cardiology point of view. After 6 minutes I will ask you some questions ”
Patient’s findings: This patient has ______________
Please tick the appropriate box for each criterion. The standard expected is that of a third year medical student.

Not Done Done Done

Done Poorly Adequately Well

Initial approach to the patient: performs hand hygiene, introduces him/herself, explains
what he/she will be doing, obtains consent, asks about pain, positions and exposes
patient correctly
Inspection: performs general observation of patient and environment, mentions
presence/absence of environmental aids/devices, obvious haemodynamic instability,
respiratory rate/distress
Hands: examines for clubbing, stigmata of infective endocarditis, tar staining,
xanthomata, peripheral cyanosis, examines pulse (rate, rhythm, character, volume),
checks for radio-radial delay and collapsing pulse, offers to check for radio-femoral
delay (do not permit student to perform this), offers to check blood pressure (do not
permit student to perform this).
Head/Neck: examines for xanthelesma, corneal arcus, scleral icterus, malar flush, high
arched palate, poor dentition, peripheral cyanosis, central cyanosis.
 Palpates carotid artery
 Auscultates carotid arteries for bruits
 Examines jugular venous pulsation
 Performs hepatojugular reflux
Student offers to examine praecordium (PLEASE MOVE STUDENT ON AT THIS
POINT)
Examines lung bases

Examines sacrum and lower limbs for peripheral oedema

Examiner: “ What are your findings on examination”?

Presents a systematic description of findings

Examiner: “What is your differential diagnosis ”?

Examiner asks question relating to clinical signs/symptoms of various

diseases
Overall approach to task including approach to patient and clinical acumen

Appropriate dress, neatly dressed and wearing a clean short-sleeved white coat

Overall Grade* (Please circle as appropriate)
<30% 40% 50% 60% 70% >80%
Very Poor Excellent
Please indicate Poor Adequate Good Very Good Please indicate
precise % precise %

Comments: (essential if candidate does not pass)

 Royal College of Surgeons in Ireland
Intermediate Cycle 3 Clinical OSCE MARK SHEET

% GRADE DESCRIPTOR PERFORMANCE

>80% Excellent All criteria done well Outstanding performance for a 3rd year
medical student - Excellent
examination technique, excellent
summary of patient problems,
excellent related knowledge, and
excellent approach to patient
70% Very Good All criteria done adequately and at Excellent in most respects
least 3/4 done well

60% Good All criteria done adequately and at Good sound overall performance
least 1/2 criteria done well.

50% Adequate – Bare Pass All basic examination criteria done
adequately or well, but limited
responses to additional knowledge
questions
40% Poor - Fail 3-4 criteria poorly done or not
done including at least 1 basic
examination criteria done poorly or
not done
Just reaching acceptable pass
standard in physical examination
Poor performance – the candidate
may display some adequate attributes
but does not reach an acceptable pass
standard overall

<30% Very Poor – Clear Fail > 5 criteria poorly done or not The candidate’s performance is so
done poor in all areas that the standard
required is not even remotely
approached.