Margaret Heidenreich Analysis of OSCE Performance 1.22.2012 The OSCE exam was a very interesting experience. Although very nerve racking at the time, I believe it was beneficial as a self-reflection tool. After reviewing the film, there are multiple areas I could improve on as a health care professional. In addition to this, I have a couple of suggestions that could have made me better prepared for this session. First of all, there were a couple of nervous tendencies that I could have done without during this office visit. I continually clicked my pen, adjusted my clothing and hair which was distracting and could be perhaps taken as nervous actions to the patient. Also, by touching my clothes/hair I contaminated my hands. I think it would’ve helped not to have pens/clip boards in my hand because they are also a distraction, and be perceived as though my full attention was not on the patient. I was also talking too quickly at times perhaps losing the patients attention at times. While I was standing doing my physical examination, I again was nervously rocking back and forth on my feet, playing with my stethoscope, etc, which it would be best to try to consciously not do these things. Next, I found that I was cutting off the patient’s speech a lot, not letting her think to respond to my questions, and finish her sentences. I would be asking another question before I got a response to the first. Not good! In addition to this, I jumped around with my train of thoughts too much. I would ask a history question, then ask about the episode, then ask another history question. I should have asked about the episode she had, gotten all the information from that, then asked all history questions, etc. This cohesion would have made the episode make better sense to me, and helped the patient memory of the occurrence as well. In addition to these issues, I didn’t give the patient a thorough plan of care for when she left the office. I should have presented which tests I wanted her to get, when the next office appointment should be, what blood tests I would perform, when all these results would be back, and what conditions I was looking for. This lack of a congruent plan made me seem unsure as to what I wanted to do. I believe this was my biggest problem during this patient exam, because this is the reason patients come to see a health professional. Last, I wonder if I took the patient’s blood pressure correctly. She was surprised that it was high, and maybe in my nervousness I mistook her pressure. Not only is this a rookie mistake, but stupid in real life because it would make a false reading for my patient! Hopefully, that was not the case; however hand blood pressures are probably still closer in accuracy then those automatic machines! There were a couple things that could have helped me to prepare for the OSCE a little better. The lack of knowing the procedure of the OSCE was the biggest problem I had. The instructions weren’t real clear as to when we should go in, when the exam finishes, whether we should dismiss the patient, when to talk to the camera and give our SOAP note etc. I think it would be beneficial to explain to students how the full exam works. A step by step including that: we will walk into a room with the patient already in it, you will need to do an exam and history, decide during the exam your plan of action, and then tell the patient the plan of care and dismiss them afterward. This lack of instructions made us more nervous because we weren’t sure we were doing the correct thing the whole time. For example, I didn’t know I could give my soap note once I was done with the patient; therefore I sat in the room for twenty minutes waiting for the cue to present to the camera. Other than that and the lack of real patients describing actual problems they have, the exam was quite an interesting experience.