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Mock Objective Structured Clinical Examination Universal Marking Template Section 1 — Interaction with the Patient (Universal) Criteria Done Well Not Done Well Not done 1) Hand Hygiene or Washing oO a a (and/or Universal Precautions) 2) Introduces Self D a 0 3) Uses Patients Name a a ao 4) Interacts with the patient ‘well’ a a o Section 2 — The Clinical Skill Tested (This is likely derived from MINI-CEX or other Source) NB: Write in the space criteria you wish to ‘examine’ Criteria Done Well Not Done Well Not done 1) Asks patient whether they a a a are in pain/comfortable before starting 2) Qo a a 3) 0 a 3 4) a 0 a 5) a oD a 6) a a oO 7) 0 a o | 8) 0 ao a 9) a 0 a - Other Criteria a a o 10) Reports findings concisely and accurately at end: o a oO | Feedback Comments for Candidate: | - 3 Good Things: - 1 or 2 Things to do next time: STATION 1 Vets PROP FOR ASTHMA SPACER STATION (Provide Spacer and Inhaler for OSCE Exam)

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