OEBC OSCE Component case studies
OEBC OSCE Component · Put your knowledge to work in context.
The Optometry Examining Board of Canada (OEBC) is a national not-for-profit corporation whose members are the ten provincial optometry regulators in Canada. It establishes a psychometrically valid and defensible, bilingual assessment of entry-to-practice competence in optometry in Canada, developed by the profession for the profession. The Objective Structured Clinical Examination (OSCE) is the station-based clinical component of that assessment: candidates rotate through timed tasks involving standardized patients, models and clinical equipment while sequestered, and are released only after the Chief Examiner reviews any Significant Disruption Reports filed that day. Stations sample the breadth of entry-level practice: case history and patient communication, ocular health procedures such as biomicroscopy, ophthalmoscopy, gonioscopy and tonometry, refraction and vision assessment, binocular vision and paediatric work, contact lens and anterior segment procedures, and professional judgement and ethics. The OEBC OSCE Component case studies are 5 cases and about 4,108 words.
1A peripheral infiltrate on a Friday afternoon
R, 24, has worn monthly soft spherical lenses for six years, typically 12–14 hours a day, and admits to napping in them two or three times a week. She presents on a Friday at 4:30 pm with a red, watering right eye, mild photophobia and a foreign-body sensation that began on Wednesday.
818 words, about 4 min2An intermittent exotropia in a six-year-old whose mother wants 'the patch'
Tomas, 6 years 2 months, attends for his first full eye examination. His mother has noticed his left eye drifting out when he is tired, and his Grade 1 teacher says he loses his place when reading.
825 words, about 4 min3A glaucoma suspect with a disc haemorrhage and no family doctor
K, 61, attends for a routine examination; his mother has open-angle glaucoma. Best-corrected acuity is 6/6 OU.
837 words, about 4 min4Fitness to drive, confidentiality, and a patient who drove herself in
L, 79, attends alone for a routine examination. She has bilateral cataract and early dry age-related macular degeneration.
800 words, about 4 min5A truck driver who wants 'the strongest prescription'
P, 58, is a long-haul truck driver reporting gradual blur and glare, worse in the left eye, over about 18 months. Habitual spectacles (R −0.75/−1.00×175, L −1.25/−1.50×170, +1.00 add) give 6/9 OD and 6/18 OS.
828 words, about 4 min