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Pre-exam candidate orientation March 2019

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Pre-exam candidate orientation march2019

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Pre-exam candidate orientation March 2019

  2. 2. © NAC | MCC 2019 Introduction to the OSCE What is an OSCE? Objective Structured Clinical Examination • A form of performance-based testing used to measure candidates’ clinical competence • During an OSCE, candidates are observed and evaluated as they go through a series of stations in which they interview, examine and treat standardized patients (SPs) who present various types of medical problems The NAC OSCE consists of 12 clinical stations of 11 minutes each.
  3. 3. © NAC | MCC 2019 NAC Exam The National Assessment Collaboration (NAC) exam assesses the competence of candidates; specifically the knowledge, skills and attitudes essential for entrance into postgraduate training in Canada. The NAC exam may include problems in: • Medicine • Surgery • Pediatrics • Obstetrics and Gynecology • Psychiatry • Preventive Medicine and Community Health
  4. 4. © NAC | MCC 2019 Duration • The exam duration is about 3 hours • Plan to be at the exam site for a minimum of 6.5 to 7 hours • No external contact will be permitted during the exam and sequestering period • No conversations about the exam will be permitted • Candidate release time: this is coordinated between the MCC and the site staff 4
  5. 5. © NAC | MCC 2019 • Entrance Card • Reflex hammer • Stethoscope • White lab coat without a university or hospital logo • Watches (analogue/digital/smartwatches) (NOTE: a clock will be provided in each station) • Cell phones, pagers, media players, laptops • Electronic devices with internet access, transmission, reference or recording capabilities • Electronic stethoscopes • Pens, pencils, pen lights • Paper, books, notebooks • Bags, briefcases, wallets, keys • Snacks  Items to bring:  Items that are NOT permitted:
  6. 6. © NAC | MCC 2019 Coat check • A coat check will be provided at the site to store your personal items during the exam and sequestering period • Storage space will be limited: ◦ please leave all handbags, large bags, and unnecessary personal belongings at home NOTE: While every effort will be made to store your belongings safely, the Medical Council of Canada (MCC) cannot be held responsible for theft or damage.
  7. 7. © NAC | MCC 2019 Bathroom breaks  Before the exam begins  After the exam is over  For urgent need: notify staff 7
  8. 8. © NAC | MCC 2019 Confidentiality Prior to exam day you accepted MCC’s Code of Business Conduct attesting that you would NOT disseminate or reveal to others any content of the examination. This means you CANNOT discuss or disclose exam content with others at any time, in any way, after the exam is over. The unauthorized use or disclosure of any Confidential Information could cause damage to the MCC as well as others involved with the MCC, such as examination candidates or entities that rely on the integrity of MCC examination methods and results. Examples of this include comparing station content with your colleagues, sharing exam content with future exam candidates, and posting case information or exam questions online. Any breach in confidentiality of exam material may lead to disciplinary and legal measures. 8
  9. 9. © NAC | MCC 2019 Conflict of interest A conflict of interest can be defined as a situation, whether actual or perceived, where the personal, professional, or business interests of a Person (including their family members, friends or colleagues) may conflict with the interests of the MCC. • In case of conflict, stop the station and leave, notify staff immediately and you will do the station with another examiner or SP when time allows. • Simply knowing an examiner/SP or having had a previous student/supervisor relationship is not considered a conflict of interest. 9
  10. 10. © NAC | MCC 2019 Professionalism • You are expected to uphold the standards of the medical profession by modelling appropriate behaviour throughout the exam process • Lapses in professional behaviour (inside and outside of the stations) will result in an incident report, and may be subject to disciplinary actions 10
  11. 11. © NAC | MCC 2019 Clock in the station • A clock will be in each station for pacing purposes. It is not intended to time the patient encounter; candidates should listen for the signals at the 8-minute and 11-minute marks • If you need to check a patient’s vital signs, an alternate timing device (with seconds) will be provided in the station 11
  12. 12. © NAC | MCC 2019 Signals A signal indicates the beginning and the end of each station. • Some signals may be a sound and others may be a verbal announcement, depending on which exam site you are at The 8-minute warning signal will indicate: • EITHER that your time with the patient is over and the physician examiner will begin to ask you questions • OR if there are no questions (as indicated on the candidate instructions), that you still have 3 minutes with the patient After each final signal, you will have 2 minutes to move to the next station and read your instructions. Please note, you cannot leave the station until this final signal. 12
  13. 13. © NAC | MCC 2019 Candidate Instructions At each clinical station, there is a written statement (CANDIDATE INSTRUCTIONS) that: • Introduces a clinical problem • Directs the candidate to appropriately interact with a standardized patient (SP) • Specifies the task such as: ◦ obtaining a focused history ◦ conducting a focused physical examination ◦ conducting a combined history/physical ◦ addressing the patient’s concerns • Indicates whether there are examiner oral questions at the 8-minute signal A copy of the instructions will be available inside the room for your reference. 13
  14. 14. © NAC | MCC 2019 Candidate Notebook • Do not open until the exam begins • Inside, you will find a sheet of bar code ID labels and 16 blank pages for your use during the exam • You will be given 1 notebook ̶ additional pages CANNOT be added • Hand it back intact at the end of the exam • Keep the label backing sheet intact • Do NOT tear out any pages 14 2018
  15. 15. © NAC | MCC 2019 Labels, Physician Examiners and SPs • Hand 1 bar code label to the examiner as you walk into the room as per the instructions on the door 15 • Examiners observe and assess your performance with preset rating sheets Standardized patients (SPs) are trained to simulate patients’ signs and symptoms in a reliable and consistent manner Treat them as you would a real patient Your are not expected to shake hands with the SPs
  16. 16. © NAC | MCC 2019 Physical examinations • You will be expected to use the hand sanitizer that will be available in every physical examination station. You may be prompted by the examiner • Use the physical examination kit available in every station at your discretion. This kit includes items such as gloves, tongue depressors, sensory testing supplies etc. • Be sure to drape the standardized patients (SPs) appropriately • Carry out any maneuvers necessary for assessing the presenting problem  Examiners only give credit for tasks completed satisfactorily! 16
  17. 17. © NAC | MCC 2019 Physical examinations Examiners may intervene to: • Ask you to reread the instructions ◦ The intent is to remind you to refocus on the task and to save you time • Stop you from performing genital, rectal, vaginal, breast or other invasive examinations ◦ If such examinations are appropriate, all you need to do is clearly inform the examiner 17 Help the examiner score by: • Telling the examiner what you are doing (e.g., inspection) • Describing any findings ◦ Include findings that are normal
  18. 18. © NAC | MCC 2019 Examiner oral questions at 8 minutes Physician examiner oral questions may follow the warning signal. They are: • Related to the patient you just saw • Regarding matters like diagnosis, management decisions, and/or your response to an ethical issue Candidate instructions on station doors will indicate whether there are oral questions at the 8-minute signal. • Once an oral question is answered and the next question has been asked, you cannot go back and modify your answers • If you decide to skip a question, you cannot go back and answer it at a later time • You cannot interact with the SP after the warning signal in stations where there are oral questions If there are no oral questions, you will have the full 11 minutes with the patient. 18
  19. 19. © NAC | MCC 2019 Sequestering Candidates may be required to remain on site before or after the exam for security reasons. • The length of time depends on the time zone • There is no access to personal belongings or telephones during this time • Talking with other candidates will not be allowed during post-exam sequestering 19 REMEMBER: Breaking confidentiality can lead to a denied standing on the exam and/or being barred from taking MCC exams in the future.
  20. 20. © NAC | MCC 2019 Reporting concerns If you encounter issues during the exam that you believe may significantly affect your results, you MUST: 1. Immediately communicate your concern to a Senior Staff member or the Chief Examiner, and complete an incident report. 2. Submit a message through your physiciansapply.ca account detailing the incident immediately following the exam. An MCC review of concerns is possible only if candidates provide notification of the concern/problem in this manner. Please visit MCC’s website for more information 20
  21. 21. © NAC | MCC 2019 Review of important points  Read the instructions carefully  Complete the specified task  Demonstrate your clinical skills  REMEMBER: once an oral question is answered and the next question has been asked, you cannot go back and modify your answers. If you decide to skip a question, you cannot go back and answer it at a later time  You cannot interact with the SP after the warning signal in stations where there are oral questions  Treat the SPs as real patients  DO NOT leave without signing out  DO NOT divulge or disseminate any exam content, even after the exam is over 21
  22. 22. © NAC | MCC 2019 Reminders • Your badge has a station number that indicates your start station • Candidate instructions are posted outside each station • READ everything carefully • Pay attention to the statement which explains your task • A copy of the instructions will be available inside the room for your reference
  23. 23. © NAC | MCC 2019 IMPORTANT Before you start the exam: • If you are unwell or have extenuating circumstances that might negatively affect your performance today, and want to withdraw from the exam, please notify a staff member as soon as possible • If you choose to start the exam, it may count as an attempt, even if you cannot finish 23
  24. 24. © NAC | MCC 2019 Results Results will be made available to you in your physiciansapply.ca account. • Results will be available mid-may 2019 Through your physiciansapply.ca account, you will be able to: • view your results documents • share them with other organizations 24
  25. 25. © NAC | MCC 2019 Preparation resource: OSCE orientation Please visit our OSCE Orientation located under the Examinations tab on mcc.ca