Table 1 Number of questions devoted to each clinical diagnosis skill and OSCE station

Abdominal Pain

Role play

History, review of systems Pain and differential diagnosis of subacute abdominal pain

Alcohol / Abdominal Examination

Human model

Examining abdomen of normal Abdominal individual, stating potential Examination findings in an alcoholic patient

Arthritis¹

Videotape

Describing and identifiying hand and forearm findings in osteo- and rheumatoid arthritis

Breast

Silicone model

Examination technique, and detecting 5 lumps of varying sizes

Calf Pain

Question and answer

Describing findings relevant and answer to differential diagnosis of calf pain

Ear

Model, 35 mm slides

Otoscopy, and identifying 35 mm slides normal, bulging, and perforated drums

Headache

Role play

History, review of systems and differential diagnosis for environmental cause of headache

Heart

CD-ROM

Describing and identifiying aortic stenosis and mitral regurgitation

Hemoptysis

Question and answer

History, review of systems, and answer differential diagnosis

Knee

Human model

Performing knee exam on normal individual and describing potential findings

Lung

Audiotape

Identifiying wheezes and rhonchi, describing associated findings

Mental Status

Role play

Probing at least 5 domains of cognitive and affective function

Presentation

Question and answer

Orally presenting the history and answer and differential diagnosis from abdominal pain station

Rectal / Prostate

Plastic model

Verbally identifying possible /Prostate rectal conditions, and tactily identifying prostate findings

Skin

35 mm slides

Describing and identifiying psoriasis, melanoma and basal cell epithelioma

Thyroid

Patient

Describing and performing the thyroid exam in a patient with findings

TOTAL No. % of questions