OSCE dilemma sorter: Dilemma 4

In this clip you are the examiner and a candidate has been asked to examine a patient's blood pressure. You observe this station as it is about to finish...

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As an examiner how would you manage this situation?

Reveal answer

In this station the student has left the station but suddenly remembered they should have washed their hands. She informs the examiner that she 'would have washed my hands!'. In physical examination stations there are usually marks for hand hygiene. However in this situation the candidate didn't actually wash her hands - she just mentioned that she would have.

OSCEs aim to assess 'doing skills' - this did not occur in this situation so she should not receive a mark for this. If she actually came back into the station and washed her hands (and she was still within her allotted time) then she should be awarded a mark.