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Overseas Registration Exam OSCEs Guidance

General information and instructions


Structure of the Exam
The Part 2 Exam consists of four components: an Objective Structured Clinical Exam (OSCE); a Diagnosis and Treatment Planning exam; a Medical Emergencies exam; and a set of Dental Manikin exercises.

Timing
The whole exam takes three days out of a possible four to complete. All candidates will sit the OSCE on the first day of the dates allocated to them, followed by the Dental Manikin component on day two and with the Diagnosis and Treatment Planning and Medical Emergencies exams both on day three.

General instructions for all sections of the exam


1) Candidates should wear appropriate clothing for a professional exam and maintain a professional appearance. a) No hand jewellery when working with instruments. b) Footwear suitable for working in a dental surgery i.e. closed toed shoes. 2) Candidates are advised that no mobile phones, PDAs, printed or written materials, or other sources of references may be brought to the exam. 3) Candidates will receive details of the location and fire regulations for the centre, plus information on cross-infection control in their joining instructions. These will be sent by the exam centre a few weeks before the exam.

Overseas Registration Exam - Page 1 of 5 General Dental Council, Overseas Registration Exam, 37 Wimpole Street, London W1G 8DQ Tel: +44 (0)20 7344 3735 Email: exams@gdc-uk.org www.gdc-uk.org

OSCE Exercise: Information and Instructions


The OSCE consists of a single continuous two hour session. a) During the session candidates will complete a circuit of 20 stations. b) Of the 20 stations, 14 will contribute to the overall mark for the OSCE Exercise. There will be a rest stop at 4 of the stations. There will also be 2 stations used to pilot new exercises for future exams, which will not contribute to the overall mark. c) Each station lasts 6 minutes: one minute is set aside for reading the question and instructions and there are 5 minutes allowed for answering the question or performing the required task. Candidates must stay in the station for the full 5 minutes even if they complete the task in less time. A bell will sound when it is time to move on. d) Some stations will have an examiner present to observe and assess the candidate. Other stations will require the candidate to undertake a task which the examiner will mark later. e) Candidates will be issued with an empty folder at the beginning of the session. As they pass through the unstaffed stations they will collect and complete mark sheets, put them in the folder and hand in at the end. The staffed station mark sheets will be retained by the examiners. Candidates are prohibited from using the rest stations to complete any paperwork. f) No materials must be taken out of the exam rooms. g) There will be a maximum of three circuits of 20 candidates per day. h) All instruments and materials required for a particular station will be provided.

i) Any masks or eye protection required for a particular station will be provided.

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OSCE Stations
The stations are designed to test different skills or combinations of skills such as:

history taking assessment of a patient simple practical procedures communication patient education clinical judgment decision making ethics professional attitude
Some stations have an actor present, playing a patient or a patients relative, who has been briefed with the relevant information for their role. These stations are used to test the candidates ability to:

discuss treatment options obtain informed consent give oral health education advice interpret radiographic evidence prioritise treatment
These lists are not exhaustive but are representative of the types of stations you may encounter.

Marking
a) Each station is individually marked against the criteria for assessing that particular skill/exercise, so that the total points available for each station may vary, as well as the points needed to pass each station. These marks are transferred into a percentage. b) The percentage marks from each active and contributing OSCE station will be aggregated to provide an overall mark. c) Rest or pilot stations will not count towards the final result. d) A mark of Fail in an individual active station will not necessarily be an automatic fail for the OSCE Exercise as the total percentage marks for the exercise are used to determine whether a candidate has passed or failed.

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Sample OSCE Station: Candidate Information


Note: You will have one minute to read this information, prior to entering the OSCE station, and five minutes to complete the task.

ORE OSCE EXAM


STATION:

Candidate Instructions
Mr/Mrs Green was referred to the Dental Hospital by his/her Dentist for the extraction of carious lower left molar tooth (lower left 7). He/she is fit and healthy but is very anxious. Using appropriate language, tell your patient that you have come to explain his/her treatment and obtain informed consent for an extraction under local anaesthesia today. You are asked to give an explanation of the proposed treatment, so that the patient will have enough information on which to give his/her consent to this procedure. Please complete the consent form at the station.

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Sample OSCE Station: Examiners Information Sheet


ORE OSCE EXAM EXAMINERS MARK SHEET
The candidate has been given the following instructions: Mr/Mrs Green was referred to the Dental Hospital by his/her Dentist for the extraction of carious lower left molar tooth (lower left 7). He/she is fit and healthy but is very anxious. Using appropriate language, tell your patient that you have come to explain his/her treatment and obtain informed consent for an extraction under local anaesthesia today. You are asked to give an explanation of the proposed treatment, so that the patient will have enough information on which to give his/her consent to this procedure. Please complete the consent form at the station. Use the following mark scheme: Good Adequate Candidate introduces 2 him/her self to patient Name & designation Candidates invites questions and encourages dialogue Candidate uses appropriate language Discusses the problem Discusses the procedure and answers questions Discusses treatment options Discusses what would happen with no treatment Discuss side effects Did the candidate display empathy (thoughtfulness)? Simulated Patients mark Did the candidate establish a sympathetic relationship with you? Do you feel that you understood the explanation / information given? Did the candidate address your anxieties appropriately? 2 very open and encouraging 2 avoids jargon 2 in depth 2 in depth 2 clear and concise 2 clear and concise 2 clear and concise 2 significant

Not Done 1 Hello / other 1 less open and encouraging 1 some jargon 1 superficial 1 superficial 1 vague 1 vague 1 vague 1 some

Mark 0 0 doesnt invite questions at all 0 too technical 0 0

0 0

0 0

2 good

1 fair

0 none

2 entirely

1 partially

0 none

2 entirely

1 partially

0 none

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