OSCE STATION - 1

Student Instructions:

This patient has had increasing shortness of breath over

several months.

Please perform a complete cardiovascular system

examination to this patient and verbalize what you are
doing.
 CLINICAL PHASE
ASSESSMENT RUBRICS FOR MEDICAL STUDENTS

Name of Student: …………………………………………………………………… Reg. No.: ……………............

Name of Evaluator: …………………………………………………………………. Date: ……………………………..

Below Meets Above
No Items
Expectation Expectation Expectation
Hesitant in
Adequate in
performing
performing Conducts an
examination.
examination. adequate and
Considers
Relevant efficient
irrelevant
aspects are examination.
aspects.
(Cardiovascular System Examination) Hesitant in
considered. Report
Important accurate
reporting the
findings are findings.
findings.
reported. Needs little
Misses
Needs some guidance.
important
guidance.
conclusion.
Greets, introduces him/herself to the patient;
Asks for permission to examine and explain;
1
Approach from right side;
Start by general survey from foot end;
Look for/comment on: pallor, cyanosis, jaundice,
2
clubbing, LL edema, and other peripheral signs.
Radial Pulse: Rate & rhythm; Collapsing pulse; RR delay;
3 RF delay; Palpates the other peripheral arteries
bilaterally.
Inspects the neck JVP in 45 degree position;
4 Elicits hepato-jugular reflux;
Examines the neck for abnormal carotid pulsations;
Exposes the chest & inspects and palpate the
5
precordium.
Localizes the apex & comment on character;
6 Palpates for parasternal heave and for palpable sounds
& thrills;
Auscultates mitral area using diaphragm and bell of
7
stethoscope in supine and in left lateral positions.
Auscultates tricuspid area in both expiration &
8
inspiration.
Auscultates aortic & pulmonary area in supine & sitting
9
position (leaning forward, expiration).
Auscultates the carotids, femorals, lungs & abdomen
10 (bruit).
Thanks the patient.
Global Marking /20

Comments: ……………………………………………………………………………………………………………………………………………..

Signature of Observer: ……………………………………………………. Date: …………………………….