Objective Structured Clinical Examination (OSCE) is a modern type of examination often used in health sciences. It is part 2 of the Test of Competence (ToC) of the Nursing and Midwifery Council (NMC) registration process for nurses and midwives trained outside of the European Union (EU)/ European American Area (EAA). The OSCE will simulate a clinical environment and patient scenarios which Registered Nurses and Midwives are likely to encounter when they assess, plan, implement, and evaluate care. Candidates are expected to utilize a contemporary evidence base and effectively demonstrate the safe practical application of nursing and midwifery skills. The OSCE is made up of six separate stations using simulated patients in a clinical setting. Four stations are designed to test the candidate’s knowledge and understanding of assessment, planning, implementation, and evaluation of care, and the remaining two stations test clinical skills. Each separate clinical examination is known as a station and candidates will visit all the stations within a set time. The test of competence is based on current UK pre-registration standards wherein applicant nurses are set to demonstrate safe and effective practice. In a controlled manner, OSCE presents all candidates with the same clinical tasks, in the same amount of time and marked using a structured checklist. Typically OSCE comprises at least 10 individual assessments or timed ‘stations’. Therefore each candidate will have at least 10 examiners form an opinion on their clinical performance. Stations sample a wide range of competencies such as:
Communication & explanation skills
Clinical reasoning skills
Each station may last from 5 to 20 minutes and will have either a real patient with real clinical signs or a simulated patient. Candidates read the instructions then enter the station and proceed to perform the clinical task. Examiners observe the candidates performing the clinical task and their performance is scored using a predefined checklist. After candidates have finished in the defined period of time they all then rotate onto the next station in sequence.
Since it is the second part of the Test of Competence of the NMC of the United Kingdom, candidates are allowed to appear for the OSCE only after successfully completing their CBT, receiving the decision letter from NMC, and a visa clearance to travel, work and stay in the UK. Benz Academy stand guides the students to gain the required English language scores and helps to appear for the CBT and OSCE with confidence.