ICM2 OSCE Final

Student Report
Academic Year 2013-2014

Tu, Michael
Introduction: The ICM2 Final OSCE score is comprised of four sections. This report
provides you with your score for each section along with any feedback provided by
either the standardized patient or preceptor.
Each section is worth a certain
percentage of the total score. These calculations are found at the end of the report.
Any questions you may have should be forwarded to Dr. Jennifer Schwartz, ICM2
Statewide Course Director (jeschwar@iu.edu).
Section 1: Physical Exam Skills. This score is based on responses from a checklist
completed by the standardized patient regarding your ability to accurately perform
the physical exam skills. This section is worth 35% of the total ICM2 Final OSCE
score.
Points
Possibl
e

Physical Exam

Your
Point
s

Preceptor Comments

41

Student only examined one side of the

thyroid with a command to swallow.
Student did not examine lower lymph
nodes under jaw bone and above collar
bone, only examined around ears and
sides of neck. Student did not perform
mouth and throat exam. Student only
auscultated in 2 locations on the anterior
chest instead of 3 or more. Student did
not perform liver palpation. Student did
not ask patient to raise eyebrows in
cranial nerve test. Student did not have
patient lying down while he assessed
carotid pulse.

48

Section 2: Written H&P. This score is based on the Written History and Physical
Grading Rubric you were provided for ICM2. A preceptor or course director within
the state, not necessarily your own center, graded your write-up and has provided
you with scores for the individual categories in the rubric along with written
comments. This section is worth 35% of the total ICM2 Final OSCE score.

Patient Data
Chief Concern
History of Present Illness*
ICM2 Final

Points
Possibl
e
4
4
8

Your
Point
s
3
3
8

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Preceptor Comments

ICM2 OSCE Final

Student Report
Academic Year 2013-2014
Past Medical History
Family Medical History
Social History
Preventive
Review of Systems
Physical Exam*
Differential Diagnosis*
Problem List/ Therapeutic
Plan*
TOTAL
* Weighted Score

4
4
4
4
4
8
8

4
4
4
4
4
8
8

60

58

Section 3: Communication Checklist from Focused OSCE Cases: This score is based
on responses from a checklist completed by the standardized patient addressing
your communication skills. The average of the two cases is worth 5% of the total
ICM2 Final OSCE score.
Points
Possib
le

Your
Points

Focused Case # 1

13

Focused Case # 2

13

10

Preceptor Comments
Exam for eyelid pallor not conducted
eventhough patient mentioned paleness;
notecard not given. Questioning for history
started out okay but as we went on and I
was asked to further explain my condition.
The student asked me questions about the
information I just gave him. "I don't have
much of an appetite" followed by "Have you
noticed a change in your appetite?" Eye
contact was minimal, and the
physical
examination insofar as technique was
alright.
Student was understandably nervous, It
seemed on many occassions that he didnt
know what to check.... Alot of akward
pauses.... Student was very polite but didnt
give me an opportunity to ask questions or
pretty much just said thank you, shook my
hand & departed the room~ Just need a
little work on closing & relaxing~

Section 4: Focused OSCE case write-up. This score is based on your post-encounter
note written after each of two patient encounters. A preceptor or course director
within the state, not necessarily your own center, graded your post-encounter note
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ICM2 OSCE Final

Student Report
Academic Year 2013-2014
using a rubric that included three categories: Clinical Data, Differential Diagnosis
and Supporting Data, and Diagnostic Work. The average of the two post-encounter
notes is worth 25% of the total ICM2 Final OSCE Score.
Points
Possi
ble
9

Case # 1
Clinical Data
Differential Diagnosis
Diagnostic Work
TOTAL

Case # 2

Clinical Data
Differential Diagnosis
Diagnostic Work
TOTAL

Your
Points

Preceptor Comments

8
Ensure that you prioritize your differential
diagnoses.

9
27

8
24

Points
Possib
le

Your
Points

Preceptor Comments

Did not ask about any other bleeding sites.

Did not get history of previous cancer in the
patient. Did not perform a cardiac
examination.

9
9
27

8
8
21

ICM2 Final OSCE Score:

Section
Section
Section
Section

1:
2:
3:
4:

85.4%
96.7%
73.1%
83.3%

x
x
x
x

35%
35%
5%
25%

ICM2 Final OSCE Score: 88.2%

IUSM Class of 2016 Average: 84.5%
Any student who scored below 72% will be required to retake the ICM2 Final OSCE to achieve a
satisfactory grade in the basic clinical skills competency for ICM2. Students will be contacted
regarding the date of the repeat OSCE.

ICM2 Final

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