Pharmacy OSCEs: A revision guide

Product Information

a b c Amin, Zubair; Eng, Khoo Hoon (2009). Basics in Medical Education (2ed.). WORLD SCIENTIFIC. doi: 10.1142/7044. ISBN 978-981-283-538-3.

Just like the technical aspects of prescribing, what can be prescribed will depend on where you are working and your level of training. Some medications can only be prescribed by healthcare professionals that are authorised to do so. This is typically the case for very expensive medications or very dangerous medications, such as chemotherapy or intravenous immunoglobulin. Authoring Team: The task of developing OSCE stations can be started after deciding on the examination content and should be undertaken by pharmacy faculty well acquainted with the curriculum and its objectives. Detailed explanations and guidelines that have been reviewed, edited, and agreed upon by the coordinating committee should be given to authors for different stations. Nocturnal penile tumescence testing (NPT): used to distinguish between organic vs. psychogenic ED. The patient wears the NPT device overnight, measuring number, tumescence and rigidity of erections. Past medical history: previous sexual dysfunction, cardiovascular disease and previous pelvic surgery. If you’re free typing/handwriting in paper notes, try and include the super six pieces of information for each medication as a minimum as well as your short and long-term plan of action.The International Index of Erectile Function (IIEF-5) is an objective 5-item questionnaire frequently used by urologists to assess the severity of a patient’s ED. The tool asks patients to consider the following five questions on a scale of one to five over the last 6 months: 13 Parks, R; Warren, P M; Boyd, K M; Cameron, H; Cumming, A; Lloyd-Jones, G (2006). "The Objective Structured Clinical Examination and student collusion: Marks do not tell the whole truth". Journal of Medical Ethics. 32 (12): 734–738. doi: 10.1136/jme.2005.015446. PMC 2563344. PMID 17145916. This is a particularly useful consideration for treatments that can cause dependence such as opioids, benzodiazepines, z-drugs, gabapentinoids as well medication where long-term use can lead to complications (e.g. corticosteroids) or resistance (e.g. antimicrobials). Interactions

Criscione-Schreiber, Lisa (2020). "Turning Objective Structured Clinical Examinations into Reality". Rheumatic Disease Clinics of North America. 46 (1): 21–35. doi: 10.1016/j.rdc.2019.09.010. PMID 31757285. S2CID 208234190.

During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?

This seems like a pretty obvious one but you’ll be surprised how often it gets missed. The pronunciation of drug names varies greatly so you may need to think outside the box when the patient tells you they’re taking a product that you’ve never heard of. Patients might also describe their medication based on colour, size, the shape of the actual formulation or the container (e.g. “The little red ones that come in the big green box”). 2. What is the medication for? (indication) The examination content must be determined by the coordinating committee. For reliable assessment of clinical competence, curricular material encompassing varying skills (history-taking, physical examination, problem-solving, laboratory data interpretation, etc.) must be broadly sampled, across an adequate number of stations of the same duration usually of 10-minute duration each. Moving time between stations must be accounted for.Broader content coverage: Unlike the conventional short or long case examination format, multi-station OSCE allows broader content and domain coverage.

Referral to a specialist pharmacist, medical consultant, GP or nurse if you have reached your level of competence and require additional input Phosphodiesterase-5 inhibitors (PDE-5 inhibitors). These drugs arrest PDE-5, allowing for the prolongation of cGMP and subsequent relaxation of penile blood vessels (sildenafil, vardenafil, avanafil). Medication can behave differently depending on how it is taken. For example, a medication that is taken with food is absorbed more slowly than medication taken on an empty stomach, or a medication that is taken with milk (or close to breakfast) can chelate and not be absorbed at all. This question should also help you identify if the patient is using a multiple-compartment compliance aid (‘MCCA’, a.k.a. a dosette box, tray, NOMAD, pillbox) which, if not identified, can significantly delay discharge from hospital. This question will also help you to clarify what formulation the medication is (e.g. liquid, capsules, inhaler or subcutaneously injected etc). If issues are identified with the way a patient is taking a medication they can then be educated on how to take the medication appropriately (e.g. inhaler technique). This is not the dose! The strength relates to how much drug is in the formulation you have requested. For example, 10mg tablets or 5mg tablets.Harden, R M; Stevenson, M; Downie, W W; Wilson, G M (1975). "Assessment of clinical competence using objective structured examination". BMJ. 1 (5955): 447–451. doi: 10.1136/bmj.1.5955.447. PMC 1672423. PMID 1115966.