[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-316902-105":59,"doc-detail-316902-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","osce-example-scenarios-revised-january-2023","OSCE Example Scenarios - Revised January 2023","","OSCE example scenarios for Applied Examination-Objective Structured Clinical Examination (OSCE) skills, organized by Communication and Professionalism and by Technical Skills instructions. Scenarios include discussing anesthetic options and obtaining informed consent, addressing a peri-procedural medication error causing sudden tachycardia, and managing perioperative DNR status for urgent surgery. Additional material covers evaluating new-onset atrial fibrillation before elective general anesthesia and determining appropriate postponement steps.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/osce-example-scenarios-revised-january-2023/316902/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/osce-example-scenarios-revised-january-2023/316902.png","ImageObject",300,407,{"name":92,"@type":93},"วิน","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",25,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the candidate expected to do in the informed consent scenario?","Question",{"text":113,"@type":114},"Discuss anesthetic options for the planned procedure with the patient and obtain informed consent. The candidate should not repeat the colleague’s history and physical examination.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should the medication error scenario be handled with the patient?",{"text":118,"@type":114},"Explain the medication error to the patient. The scenario focuses on communication after the event, not on repeating the clinical workup.",{"name":120,"@type":111,"acceptedAnswer":121},"What is the anesthesia plan requirement related to DNR status during the perioperative period?",{"text":122,"@type":114},"Discuss how to manage the patient’s DNR status in the perioperative period. The candidate does not need formal written informed consent for general anesthesia or to cover unrelated aspects of anesthetic care.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},316902,1790160042,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":46,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":31,"preview_page_count":4},2336475104736,"https://ap-avatar.wpscdn.com/avatar/22000c4c5e0e5b17e70?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786591360781797222","OSCE EXAMPLE SCENARIOS  \nRevised: January 2023  \nThis document provides example scenarios for skills described in the APPLIED Examination-Objective Structured Clinical Examination (OSCE) Content Outline.  \nEach example consists of the materials that will be given to the candidate prior to entering the exam room for that skill. For each of the Communication and Professionalism skills, a specific scenario is presented. For each of the Technical Skills, the general instructions for each scenario are presented.  \nDiscussion of Treatment Options and Informed Consent  \nAddison Osce is a 68-year-old patient who is scheduled for an arthroscopic left-sided rotator cuff repair. The patient reports stiffness and pain in the shoulder for the last 6 months.  \nPast medical history is significant for hypertension and mild COPD. No labs were drawn preoperatively. ECG is normal. There is no evidence of heart disease. Patient reports mild shortness of breath with vigorous exertion. Review of symptoms are otherwise negative.  \nMedications include lisinopril (last dose yesterday), PRN albuterol and PRN Vicodin® (hydrocodone and acetaminophen) .  \nPrior surgical history includes an open reduction of a right distal radius fracture 20 years ago.  \nPhysical exam is unremarkable, with a reassuring airway examination Vital signs: HR 85, BP 148/84 .  \nNo allergies.  \nThe patient is appropriately NPO.  \nYour patient has some concerns about postoperative analgesia. The members of your anesthesia group routinely offer general anesthesia and regional anesthesia as part of the anesthetic plan for rotator cuff surgery. You are meeting with the patient in the preoperative holding area.  \nTASK STATEMENT:  \nYour task is to discuss the anesthetic options for the procedure with the patient and obtain informed consent. Your institution does not employ written informed consent (verbal consent is sufficient) . You should NOT repeat your colleague’s history and physical examination.  \nPeri-Procedural Complications  \nYou provided general anesthesia for Peyton Osce, an otherwise healthy patient who received alaparoscopic inguinal herniorrhaphy. The anesthetic was relatively uneventful with the exception that towards the end of the case the surgeon commented that the patient was inadequately relaxed.  \nBoth arms were tucked at the patient’s side, and you monitored neuromuscular function using train-of-four stimulation of the facial nerve. At the time of the surgeon’s comment, all four twitches of the train-of-four were equal, and you administered 20 mg of rocuronium.  \nImmediately after the injection, the heart rate increased from 80 to 128. You examined the syringe that was injected and realized that instead of injecting 2 ml of rocuronium, in the darkened operation room you picked up the wrong syringe and actually injected 2 ml (0.4 mg) of the glycopyrrolate that was drawn up for neuromuscular blockade reversal.  \nYou informed the surgeon that the sudden tachycardia was a result of this medication error. You elected not to administer additional rocuronium. The heart rate slowly returned to baseline, and the rest of the anesthetic was uneventful, as was the PACU course.  \nThe patient is now ready for discharge and is alert and comfortable. The surgeon has informed the patient that there was a medication error, and that you will be discussing this error with the patient.  \nTASK STATEMENT:  \nYour task is to discuss this medication error with the patient.  \nEthical Issues  \nYou are working in the operating room on call and have just started your Sunday evening call shift. You have been assigned to take care of Chris Osce, a patient with suspected acute appendicitis who requires an urgent appendectomy. The patient has multiple serious co-morbidities, including metastatic melanoma, coronary artery disease, and poorly controlled hypertension.  \nIn the past, the patient has expressed wishes to not be resuscitated and a Do-Not-Resuscitate (DNR) status has been in place for one ","cbCaitt8KiPhT2Nf","https://ap.wps.com/l/cbCaitt8KiPhT2Nf","pdf",1462423,"English","# OSCE Example Scenarios\n## Communication and Professionalism: Informed Consent and Anesthetic Options\n## Peri-Procedural Complications: Medication Error Discussion\n## Ethical Issues: Managing DNR Status in the Perioperative Period\n## Communication with Other Professionals: New-Onset Atrial Fibrillation","[{\"question\":\"What is the candidate expected to do in the informed consent scenario?\",\"answer\":\"Discuss anesthetic options for the planned procedure with the patient and obtain informed consent. The candidate should not repeat the colleague’s history and physical examination.\"},{\"question\":\"How should the medication error scenario be handled with the patient?\",\"answer\":\"Explain the medication error to the patient. The scenario focuses on communication after the event, not on repeating the clinical workup.\"},{\"question\":\"What is the anesthesia plan requirement related to DNR status during the perioperative period?\",\"answer\":\"Discuss how to manage the patient’s DNR status in the perioperative period. The candidate does not need formal written informed consent for general anesthesia or to cover unrelated aspects of anesthetic care.\"}]","OSCE Example Scenarios - Revised January 2023 | PDF",1789926053]