Year 3 Formative OSCE 2018 Station 1 - Psychiatric History and Risk Assessment

Sep 20, 2026

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Year 3 Formative OSCE 2018 Station 1 provides candidate instructions for a clinical encounter in the GCUH emergency department. The scenario centers on Elliot, a 26-year-old with schizophrenia presenting with new command auditory hallucinations involving “bikies,” escalating distress, and suicidal statements without intent to harm others. The task is to take a focused psychiatric history within eight minutes and deliver a risk assessment and immediate management plan to the registrar after seven minutes of uninterrupted history-taking.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Candidate Instructions

Clinical Scenario

Task

Simulated Patient Information

Presenting Complaints and History

Risk Indicators and Context

Examiner Instructions

Year 3 Formative OSCE 2018 Station 1 Year 3 Formative OSCE 2018 Reading for Station 1 Candidate Instructions Clinical Scenario You are an intern in the GCUH ED. Elliot is a 26-year-old man who was diagnosed with schizophrenia 5 years earlier and has presented to the emergency department complaining of hearing voices. Task In a total of eight (8) minutes: • Take a focussed history regarding Elliot’s presentation to the ED • Provide a risk assessment and immediate management plan to the registrar The examiner will assume the role of the registrar in the scenario. You will be interrupted after 7 minutes to provide the risk assessment and immediate management plan. Year 3 Formative OSCE 2018 Station 1 Simulated Patient Information The candidate has the following scenario and task Clinical Scenario You are an intern in the GCUH ED. Elliot is a 26-year-old man who was diagnosed with schizophrenia 5 years earlier and has presented to the emergency department complaining of hearing voices. Task In a total of eight (8) minutes: • Take a focussed history regarding Elliot’s presentation to the ED • Provide a risk assessment and immediate management plan to the registrar The examiner will assume the role of the registrar in the scenario. You will be interrupted after 7 minutes to provide the risk assessment and immediate management plan. Instructions for simulated patient You are Elliot, a 26-year-old who was diagnosed with schizophrenia 5 years ago. You were hospitalised at this time. Your condition was discovered after you had been fired by your employer, following failure to attend work. Your failed attendance was a result of fearing your life was under threat from bikies who had been stalking your home. Since this point you have been managing successfully in the community with a combination of medication and regular outpatient appointments with a psychologist. Your medication has not changed at all since your diagnosis. As of a week ago voices have started talking to you. They appear to come from the outside, like they are being broadcasted into your head via what you believe is a microchip in your brain. Since they began, they have been mentioning the bikies, which hadn’t crossed your mind for years, but are now causing you constant distress. You hear only a male; whose voice is unfamiliar to you. This voice has become increasingly aggressive and, in the last two days, has been saying you should take your own life to avoid being captured by the bikies. They haven’t told you to hurt anyone else, and you feel no compulsion to do so. You feel in control of your actions, and have thought about how you would end your life but haven’t got access to the necessary equipment yet. You have no history of suicide attempts, however your father, who also had schizophrenia, hung himself when you were five. You have felt afraid to leave your own home over the preceding week due to concern about the bikies. This has caused you to use almost all your sick days at the university you work atas a laboratory assistant, as well as preventing you from grocery shopping. You rent the home you currently live in and are concerned your landlord won’t let you board up your windows. Until three weeks ago you lived with your partner, Mark, who you had been with for 18 months, before he broke off the relationship to pursue a career overseas. He had been essential in helping remind you to collect your medication from the chemist and to take 2 mg of risperidone twice daily. Since he left you haven’t been feeling up to doing much, and Year 3 Formative OSCE 2018 Station 1 along with showering and cooking you have also been forgetting to take your medication. You have a 29 year old brother, Scott, who lives down in Melbourne, and your Mum lives in Perth where you are originally from. Your father had schizophrenia and hung himself when you were 5 . You have been a pack-a-day smoker for seven years, but have thrown ou

FAQs

What is Elliot presenting with in the OSCE scenario?

Elliot presents to the emergency department complaining of hearing voices. The voice has become increasingly aggressive and, in the last two days, has been urging him to take his own life.

What specific task must the candidate complete and when?

In a total of eight minutes, the candidate must take a focused history and then provide a risk assessment and immediate management plan to the registrar after seven minutes.

What risk and management elements should be prioritised for the candidate’s assessment?

Focus on suicidality risk given the command for self-harm, recent worsening of voices, access to means, past suicide history, and protective/contextual factors, then outline immediate management for the emergency setting.

Sep 20, 2026

Upload by Noah