Physician Associate Registration Assessment - OSCE Sample Scenarios - Scenario 1 - Candidate Instructions

Sep 20, 2026

Uploaded by Sarah

Physician Associate Registration Assessment OSCE sample scenarios showing example candidate instructions and an examiner marksheet. Scenario 1 places a physician associate in the emergency department after a laceration from old chicken wire, with instructions covering consent, suturing using the provided skin pad with three interrupted sutures, and patient advice. It also includes a detailed marksheet assessing identification, informed consent, pre-procedure checks, correct needle and reef-knot suturing technique, post-care guidance, and professionalism.

LanguageEnglish

CategoryExam

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Scenario 1

Candidate Instructions

Marksheet

Scenario 2

Candidate Instructions

Marksheet

The Spine 2 Paddington Village, Liverpool L7 3FA T +44 (0)151 318 2020 [www.rcp.ac.uk](www.rcp.ac.uk) Physician Associate Registration Assessment OSCE Sample Scenarios Please note that the Physician Associate Registration Assessment (PARA) sample OSCE scenarios are designed to provide the following: 􀀡 An example of how candidate instructions are presented during the PARA OSCE 􀀡 An example of the marksheet used by examiners when assessing a candidate’s performance (candidates do not see marksheets at any point before, during or after their OSCE) . Publishing of these sample scenarios should not be seen as an indicator as to the content or standard of historical and/or forthcoming PARA OSCEs. © Royal College of Physicians 1 Registered charity no 210508 Physician Associate Registration Assessment-OSCE Sample Scenarios Scenario 1 Candidate Instructions You are a physician associate working in the emergency department. The next patient cut their arm on some old chicken wire whilst gardening. Their wound has already been irrigated and anaesthetised with lidocaine. TASKS • Obtain appropriate consent from the patient • Suture the laceration (use the skin pad provided), placing three interrupted sutures • Provide any appropriate information/advice to the patient (you may do this whilst suturing) . © Royal College of Physicians 2 Registered charity no 210508 Physician Associate Registration Assessment-OSCE Sample Scenarios Marksheet | | Marks | | --- | --- | | Introduction | | | Introduces self (full name) and role | 1 | | Checks patient’s name | 1 | | Additionally, confirms identity using hospital armband | 1 | | Explanation of procedure and informed consent | 3 | | Pre-procedure Checks | | | Hand hygiene | 1 | | Checks and gathers all required equipment including checking expiry date on sutures | 2 | | Opens suture pack and needle onto paper in no-touch manner | 2 | | Puts on gloves | 1 | | Checks wound is anaesthetised BEFORE suturing (does = 2, not done = 0) | 2 | | Placing Sutures | | | Safely mounts needle on needle holder | 1 | | Passes needle through both sides of the wound holding needle at 90 degrees to skin edge at appropriate distance from skin edge. Everts wound edge with forceps | 3 | | Ties at least one well tensioned “reef knot”: 2 x 1 x 1 throws | 2 | | Cuts ends of each thread leaving trail of approximately 1 cm | 1 | | Inserts 2nd and 3rd stitches with all knots on the same side of the wound at appropriate distance from skin edge (one point each stitch and one point for knots on same side of wound) | 3 | | Post Procedure Care | | | Clears up and disposes of needle in sharps bin | 2 | | Indicates that they would apply dry dressing | 1 | | Enquires about tetanus and realises patient might need tetanus jab | 1 | | Advises:
• Keep wound clean, dry and covered
• Advice about signs of infection
• Remove sutures 7-10 days | 3 | | Professionalism and Communication | | | Good communication throughout procedure | 2 | | Demonstrates empathy and sensitivity | 2 | | Total | 35 | t title © Royal College of Physicians 3 Registered charity no 210508 Physician Associate Registration Assessment-OSCE Sample Scenarios Scenario 2 Candidate Instructions You are a physician associate working in general practice. Robbie Maddison, aged 2, was seen over the weekend by an out of hours doctor for poorly controlled eczema. Robbie scratched incessantly at night and in the morning several of the rashes had become open and weepy with yellow crusts over the neck and elbows. Robbie’s mother, Sharon Maddison, was given a prescription for Eumovate ointment and Flucloxacillin elixir to use in addition to medication that she has at home. She is here today to get information regarding the treatments prescribed to her son. The full list of prescriptions given can be found on the accompanying sheet. TASKS • Explain the prescription to Mrs Maddison including how and when t

FAQs

What does the PARA OSCE sample scenario material aim to demonstrate?

It provides an example of how candidate instructions are presented and how the examiner marksheet is used during assessment.

In Scenario 1, what are the candidate’s main tasks?

Obtain appropriate consent, suture the laceration using the provided skin pad with three interrupted sutures, and provide appropriate patient information or advice.

How does the Scenario 1 marksheet assess suturing and post-procedure care?

It scores performance across identification and consent, pre-procedure checks (including anaesthesia status), correct needle technique and tensioned reef knots, safe disposal, dressing advice, tetanus consideration, infection signs, and suture removal timing.

Sep 20, 2026

Uploaded by Sarah