AMC Clinical (Part 2 OSCE) study plan
AMC Clinical (Part 2 OSCE) · Give each week a clear focus.
8 weeks · About 6 hours per week
History taking & Diagnostic formulation
Draft a reusable opening script and a bank of 20 transition phrases that move from open to closed questioning within 90 seconds
Practise three full history stations aloud with a peer, recording each and marking every missed cue on a self-built checklist
Build a one-page symptom-to-differential template for the five presenting complaints you find hardest
Time each history attempt and log the point at which you stopped gathering and started hypothesising
Your checkpoint
A written history-taking checklist of at least 25 observable behaviours plus three recorded 8-minute histories scored against it
History taking & Management/counselling/education
Write and rehearse a 60-second explanation of a common diagnosis using plain language, chunking, and a teach-back check
Role-play three difficult conversations (breaking bad news, addressing non-adherence, discussing risk) with structured feedback
Audit your own recordings for filler words, interruptions, and jargon, and set two specific replacement habits
Practise closing every history with a summarised plan the patient can repeat back
Your checkpoint
Three recorded difficult-conversation role-plays, each with a peer-completed feedback form and a written list of two changes to make next time
Examination & Diagnostic formulation
Rehearse a standard examination sequence for each major system until you can state the order and the rationale for each step without prompting
Narrate findings aloud in structured form (inspection, palpation, percussion, auscultation) during five practice runs
Convert each set of practice findings into a ranked differential with the discriminating feature that moves each diagnosis up or down
Identify and drill the three examination manoeuvres you most often omit
Your checkpoint
A one-page examination-to-differential map for six systems, each linking at least three findings to their diagnostic implications
Diagnostic formulation & Examination
Work through 15 written clinical vignettes and commit to a top-three differential plus a single next investigation for each before checking any answer
Justify each differential aloud in under 45 seconds using a problem-representation structure
Pair every examination finding you generate with the diagnosis it would confirm or exclude
Log every case where your initial hypothesis was wrong and write the cue you missed
Your checkpoint
A log of 15 vignettes with your pre-committed differential, next step, and a written reflection on each miss
Management/counselling/education & History taking
Assemble a safety-netting script and rehearse delivering it in under 30 seconds at the end of five histories
Practise shared decision-making on three scenarios where reasonable options conflict, explicitly eliciting patient values
Rehearse negotiating a management plan with a patient who declines your recommendation
Re-run two week-1 history stations and score them against the same checklist to measure change
Your checkpoint
A written safety-netting and shared-decision template plus two re-scored history recordings compared against week 1 scores
Management/counselling/education & Diagnostic formulation
Build and rehearse a counselling structure for four chronic-disease education scenarios, each including lifestyle, medication, and follow-up
Deliver three full stations end to end (history, examination, formulation, management) under time pressure
Write a 30-second formulation statement for each of ten diagnoses and say it aloud until fluent
Identify the two management areas where your knowledge is thinnest and produce a one-page summary for each
Your checkpoint
Three complete timed stations recorded end to end, each with a written formulation statement and a management plan checked against a peer's independent plan
History taking & Examination & Diagnostic formulation & Management/counselling/education
Run two full mock circuits of eight stations each under exam timing with a peer as examiner
Score every station against a domain-weighted marking sheet and rank your weakest three behaviours
Re-drill only the weakest three behaviours until each is performed correctly twice in a row
Practise recovering from a deliberate curveball (missing information, an emotional patient, an interrupting examiner) in four stations
Your checkpoint
Two completed eight-station mock circuits with scored mark sheets and a ranked list of your three weakest behaviours with evidence
History taking & Examination & Diagnostic formulation & Management/counselling/education
Re-run one full mock circuit and compare domain scores against week 7 to confirm improvement
Rehearse your opening and closing scripts until they are automatic and consistent across all stations
Consolidate all checklists, templates, and error logs into a single revision sheet you can review in 20 minutes
Rehearse two stations you previously failed until each is passed twice consecutively
Your checkpoint
A final scored mock circuit showing improvement over week 7, plus a consolidated one-page-per-domain revision sheet
Milestones
Week 2: Three recorded histories and three difficult-conversation role-plays scored against your own checklist, with at least 20 of 25 behaviours demonstrated
Week 4: Fifteen vignettes completed with pre-committed differentials; at least 11 of 15 top-three differentials contain the correct leading diagnosis
Week 6: Three complete timed stations delivered end to end without examiner prompting, each with a defensible formulation and management plan
Week 8: Final mock circuit scores higher than week 7 in every domain, with no domain below 60 percent and previously failed stations passed twice