OEBC OSCE Component study plan

Elicit a complete case history in five timed role-play encounters, deliberately funnelling from open-ended to closed questioning and explicitly screening for red flags (sudden vision loss, flashes or new floaters, pain, trauma, monocular diplopia, halos).

Script and rehearse three disclosure conversations - a new diagnosis, a referral, and a 'no abnormality found' outcome - using plain language and teach-back to confirm patient understanding.

Perform a structured anterior-segment slit-lamp sweep (lids, lashes, conjunctiva, sclera, cornea, anterior chamber, iris, lens) on ten practice eyes, consciously changing magnification, illumination type and beam width at each step.

Record every slit-lamp finding with a named grading scale (Efron for lid and conjunctival redness, Sallman for papillae, LOCS III for lens opacity) instead of free-text description.

Perform direct ophthalmoscopy on eight eyes and monocular indirect ophthalmoscopy with a 20D lens on five eyes, systematically sweeping the fundus and describing disc, cup, macula and vessel findings aloud.

Identify angle structures by gonioscopy on six eyes using both direct and indentation techniques, and grade the angle with the Shaffer system.

Take paired Goldmann applanation and rebound tonometry readings on ten eyes, checking technique against the calibration checks and recording the inter-technique difference.

Neutralise twenty loose lenses by retinoscopy against a schematic eye until sphere and cylinder readings are consistently within 0.25 D.

Complete twelve full subjective refractions - sphere, cylinder, axis, duochrome refinement, binocular balance - and compare each result against the autorefractor and supervisor finding.

Measure distance and near visual acuity with logMAR charts, then apply pinhole and a potential acuity method, interpreting what each result implies about the cause of reduced acuity.

Explain a refraction result and its management options to a volunteer in under three minutes without jargon, then verify comprehension by teach-back.

Write a concise referral letter for a patient with unexplained acuity loss that states the findings, the question being asked and the urgency.

Execute cover/uncover, alternate cover with prism neutralisation at distance and near, near point of convergence and near point of accommodation on six adult volunteers, recording each measurement with units and方法 detail.

Measure stereoacuity with two different tests (contour and random-dot) and vergence ranges with a prism bar, then classify the resulting binocular vision status as normal, decompensating or strabismic.

Adapt the same test battery for a child: modified cover test, preferential looking acuity, fixation behaviour and a cycloplegic refraction plan, including how to hold attention and when to pause.

Counsel a simulated parent on amblyopia risk factors and the reason for cycloplegic refraction, checking understanding and addressing the most common objection.

Fit and evaluate soft and rigid contact lenses on five practice patients, selecting parameters from keratometry or topography and justifying each choice.

Assess lens fit at the slit lamp with sodium fluorescein, grading corneal staining, conjunctival hyperaemia and lens surface deposits with stated scales.

Demonstrate insertion, removal and care instruction for both lens types, then coach a volunteer through the same routine and correct their technique errors.

Perform anterior-segment procedures competently: fluorescein instillation, lid eversion, superficial foreign-body removal and conjunctival swabbing, stating the contraindications for each.

Work through ten ethics scenarios - consent in a minor, informed refusal, a dispensing conflict of interest, a record-keeping omission, a clinical error requiring disclosure - and write the defensible action for each with its rationale.

Draft a complete clinical record for a complex encounter that satisfies legal and professional standards: findings, diagnosis, advice given, follow-up interval and consent.

Manage two simulated contact lens complication consultations (red eye with a lens in situ, and a patient demanding a refit against advice), practising boundary-setting and referral triggers.

Audit your own practice against a scope-of-practice and delegation checklist, identifying three tasks to escalate rather than perform.

Run four timed mixed stations that chain case history, vision assessment and clinical judgement, keeping to the station clock and stating a working diagnosis before time expires.

Rehearse handling two difficult communication moments - a patient who disputes a refraction result and a patient who discloses a safety concern about driving - under observation.

Reduce every station to a written 30-second summary that names the key finding, the differential and the next step.

Review recorded practice sessions against a global rating scale and list the three behaviours that most reduce your score.

Complete two full mock OSCE circuits across all six domains under exam timing, with an examiner scoring each station against a technique checklist.

Re-run every station that scored below 80% until technique is fluent and the checklist is met without prompting.

Consolidate a single-page pre-station routine covering hand hygiene, introduction, consent, equipment check and closing summary, and use it in every station.

Verify logistics: equipment list, station timing, rest breaks and a recovery plan for a station that goes wrong.