Objective Structured Clinical Exam (OSCE)

IUSM students participate in both formative and summative OSCEs throughout their four years of medical school. OSCEs are administered at the Indianapolis campus at the Simulation Center-Fairbanks Hall or at center campuses that have OSCE facilities and standardized patients available.

History Taking OSCE

Students will participate in a mid-year and final history taking OSCE in association with their ICM 1 class. The mid-year history taking OSCE is designed for the student to conduct a 25 minute patient encounter with verbal feedback from the standardized patient and ICM 1 preceptor. Students also receive a score based on checklist items scored by the standardized patients in the categories of Communication and Interpersonal Skills and History.

The final history taking OSCE is also a 25 minute patient encounter. Students receive a score based on checklist items completed by the standardized patients. Students with a score below the cut score will complete a remediation program and a retake OSCE before the start of their second year.


Students will participate in a three part OSCE for ICM2. First, students will conduct a complete head to toe physical examination in a 50 minute patient encounter. This will be followed by an one hours station to write a history and physical exam write-up based on the patient encounter. The last station is comprised of two focused OSCEs. Students will have 15 minutes to conduct a focused history and physical exam. Students will then have ten minutes to write the post encounter notes for each of the two cases. The score from this OSCE is included in the student’s final ICM2 course grade.

End of Third Year OSCE

Fourth year medical students must pass the End of Third Year OSCE as a graduation requirement. This comprehensive summative examination accesses the Level 2 requirements of the IUSM competencies. Students complete several standardized patient stations. Students are assessed through the checklist items completed by the standardized patients and the post encounter notes graded by IUSM faculty. The post encounter note follows the format of the NBME Step 2 CS post encounter notes. Students receive scores on their skills in Data Gathering, Data Interpretation Skills, Fostering the Relationship, Gathering Information, Making Decisions, Providing Information, and Supporting Emotion.

Information and Resources

Sample Post Encounter Note
Student Assessment OnCourse website

EO3Y OSCE Handout Class of 2014

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