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TitreDateDurée
Seizure/Status Epilepticus: A-E Assessment & Management | OSCE Talk16 oct. 202600:06:54

🎧 Subscribe to OSCE Talk Premium here 👇⁠⁠https://members.spotify.com/to/osce-talk⁠⁠

Seizure and status epilepticus is common, especially in medical exams and in hospital inpatients.

This episode looks at assessment and treatment of status epilepticus.

• Early simple measures such as the recovery position, airway adjuncts, oxygen.

• Importance of timing the seizure and being aware that treatment will be required at 5 minutes

• Treatment using IV benzodiazepines, often lorazepam, and that this may need repeated. Consideration if anaesthetic input is required.

• Differentials for the cause of seizure are covered.


📚 More revision resources at OSCETalk.com

🍎 Apple Podcasts → oscetalk

▶️ YouTube → / @oscetalkpod

📸 Instagram → / oscetalk_

🎵 TikTok → / oscetalk_OSCE Talk


OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations and medical school applicants prepare for interviews. Episodes focus on key, exam-relevant and salient points and are not intended to provide a complete or exhaustive review of clinical management.

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

Always refer to appropriate guidance when making clinical decisions or caring for patients.

Alcohol Use History, CAGE/AUDIT Questions | OSCE Talk06 oct. 202600:09:38

🎧 Subscribe to OSCE Talk Premium here 👇⁠https://members.spotify.com/to/osce-talk

This episode explores how to take an alcohol use history!

This includes Who,what,why,when,where questions.

CAGE and AUDIT Questions to screen for addicition and abnormal drinking behaviours.

Symptoms of addiction and dependence including psychological and physical symptoms.

How to medically manage these patients and offering B1 replacement and medications to help stop drinking and reduce withdrawal side effects.

📚 More revision resources at OSCETalk.com

🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations and medical school applicants prepare for interviews. Episodes focus on key, exam-relevant and salient points and are not intended to provide a complete or exhaustive review of clinical management.Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.Always refer to appropriate guidance when making clinical decisions or caring for patients.

Difficult Communication with Patients & Staff | OSCE Talk 01 oct. 202600:04:18

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Difficult communication stations can feel unpredictable, but having a simple framework can help you stay calm and structured.

In this episode, we work through the LEAPS approach:

• Listen – let them explain what has happened from their point of view
• Empathise – acknowledge how the situation has affected them
• Apologise – where appropriate, without automatically accepting blame
• Paraphrase – check that you have understood their main concerns
• Summarise – bring everything together and agree a realistic next step

We also cover:

• Avoiding defensiveness and arguments
• How to de-escalate a difficult interaction
• Managing conflict with patients, relatives or colleagues
• What to say when you are unsure exactly what has happened
• Why you shouldn’t make promises you cannot keep
• When threatening behaviour means you should step away and seek help

The key principle: you don’t have to agree with everything someone says, but they should feel that you have listened, understood their concerns and taken them seriously.

📚 More revision resources at OSCETalk.com

Explaining Type 1 Diabetes in an OSCE19 sept. 202600:10:50

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Type 1 diabetes counselling can cover a lot, so having a clear structure makes the station much easier.

In this episode, we talk through how to explain type 1 diabetes clearly and safely to a patient, including:

• What type 1 diabetes is and why insulin is needed
• Common symptoms at diagnosis
• Insulin treatment and blood glucose monitoring
• Recognising and treating hypoglycaemia
• Sick day rules and diabetic ketoacidosis
• Long-term complications and routine monitoring
• Exercise, alcohol, driving, work and everyday life
• How to reassure and safety-net the patient without overwhelming them

A useful approach is to explain what normally happens with glucose and insulin first, then describe what changes in type 1 diabetes before moving on to treatment and safety-netting.

🎧 Full episode available on OSCE Talk
📚 More revision resources on the OSCE Talk website


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations and medical school applicants prepare for interviews. Episodes focus on key, exam-relevant and salient points and are not intended to provide a complete or exhaustive review of clinical management.

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

Always refer to appropriate guidance when making clinical decisions or caring for patients.

Acute Coronary Syndrome: A–E Assessment | OSCE Talk14 sept. 202600:07:26

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Chest pain is one of those presentations where having a clear structure really matters.

In this episode, we work through how to assess and initially manage a patient with suspected acute coronary syndrome (ACS) using an A–E approach — including:

Recognising pulmonary oedema and when oxygen is needed
ECG changes, troponins and ACS bloods
Initial treatment including aspirin, GTN and analgesia
STEMI vs NSTEMI vs unstable angina
When to escalate urgently to cardiology
Important alternative causes of chest pain not to miss

The key principle: treat problems as you find them, reassess after every intervention, and call for help early if the patient is deteriorating.

Arterial Blood Gas Interpretation! OSCE Talk 🎙️17 août 202600:12:01

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Today we review arterial blood gas analysis.

We take it step by step looking at CO2/O2, pH, bicarbonate and acid base balance overall. We look at the causes of respiratory and metabolic acidosis/alkalosis and how these patients can present.

This can feel like a complex topic so we go through some worked examples to give some interpretation practice.

We finish with real world applications and how this will be needed in everyday life as a Doctor.


🎧 Listen & Follow:

🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....


Website → https://www.oscetalk.com/


🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....


▶️ YouTube → / @oscetalkpod


📸 Instagram → / oscetalk_


🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Confusion, Delirium & Dementia History Taking | OSCE Talk 🎙️23 juil. 202600:10:19

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Please subscribe on Spotify for more premium content in the future, £1.99 will help us produce more of these videos!


Today we discuss history taking and investigation of confusion, including acute confusion, alongside gradual loss of memory and function at home.

We consider differentials of delirium, dementia, and other organic causes such as stroke, tumour, trauma.

Medications are a key cause in many patients.


Investigations may be required such as bloods, imaging, or even more invasive testing.


We discuss the 4AT and MMSE in identifying delirium and dementia.


Look out for the OSCE Talk website coming soon!


🎧 Listen & Follow:

🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....


🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....


▶️ YouTube → / @oscetalkpod


📸 Instagram → / oscetalk_


🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Vaccinations, Misinformation, and Paediatric Counselling | OSCE Talk 🎙️12 juil. 202600:09:00

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


Peter and Matthew discuss vaccinations in this episode, specifically a clear patient focussed approach to explaining what these are, how they work, and what protection they offer, including concepts of herd immunity and common side effects to vaccines.


We cover the issues in the media and vaccine hesitancy, alongside false links to autism with the MMR vaccine and how to discuss this sensitively and to try and provide accurate information to patients and their families.


We briefly cover the vaccine schedule for children and what the main vaccines are to highlight in this.


Look out for the OSCE Talk website coming soon!


🎧 Listen & Follow:

🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....


🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....


▶️ YouTube → / @oscetalkpod


📸 Instagram → / oscetalk_


🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Hormone Replacement Therapy (HRT) Explained! | OSCE Talk 25 juin 202600:11:30

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


This episode gives an overview of Hormone Replacement Therapy or HRT. Its replacement of progesterone/oestrogen levels which fall during the menopause. What symptoms it can help to manage.

We give practical advice on options from combined, continous, cyclical, tablet and patch options, to help best counsel patients on what will benefit them the most.

We cover contra indications and the risk/benefit decision when starting a patient on HRT.

Peter completes this episode with a sample explanation and the key aspects to cover in a Medical School Examination.


This episode closely links with the podcast on the menopause!

🎧 Listen & Follow:🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Prostate Cancer Diagnosis, Screening & PSA Testing | OSCE Talk 🎙️08 juin 202600:09:49

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


This episode Peter & Matthew look at Prostate Cancer, specifically focusing on risk factors, diagnosis, and utility of the PSA blood test.

Prostate Specific Antigen (PSA) is a hot topic in the media, however it is not guaranteed to be raised in prostate cancer, and many other conditions and factors can impact on the level of this in the blood.

We also look at the need for onward referral to Urology, MRI and biospy as a definitive diagnosis as well as Gleason Scoring.

Finally Peter explains what needs to be included in discussion with a patient requesting for PSA testing.

🎧 Listen & Follow:

🎙️ Spotify → ⁠https://open.spotify.com/show/01yz38z..⁠.

🍎 Apple Podcasts → ⁠https://podcasts.apple.com/us/podcast..⁠.

▶️ YouTube → / @oscetalkpod

📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Meningitis Overview | OSCE Talk13 mai 202600:09:11

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


This episode we focus on meningitis in both adult and paediatric populations, we look at the microbiology, common ways this presents, red flag features, important diagnostic tests and interpretation of these.

Antibiotic treatment focussed on coverage of listeria and the consideration of steriods in patients.

We finish with untreated complications and the need for contact tracing and possible prophylaxis for close contacts.

🎧 Listen & Follow:

🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Chronic Kidney Disease (CKD) Explained | Causes, Symptoms, Staging & Management (OSCE Guide)11 avr. 202600:11:53

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we break down Chronic Kidney Disease (CKD) in a clear, structured, and clinically relevant way.

We cover what CKD actually is, how to recognise it, and—most importantly—how to approach it safely as a medical student or junior doctor.

We start with the definition of CKD and why it matters, before working through the most common causes, including diabetes, hypertension, and nephrotoxic medications.

We then explain the underlying pathophysiology, including nephron loss, hyperfiltration, and why proteinuria develops—linking this directly to key treatments like ACE inhibitors and SGLT2 inhibitors.

We also cover how CKD presents in real life, from asymptomatic early disease picked up on routine bloods, to advanced uraemia, fluid overload, and complications like anaemia and bone disease.

From there, we go through a practical and safe approach to:

  • Investigations (eGFR, ACR, bloods, imaging)
  • Staging (GFR + albuminuria)
  • Management (blood pressure control, diabetes optimisation, medication choices)
  • Complication management (anaemia, bone disease, electrolyte imbalance)

We also touch on end-stage kidney disease, including dialysis (haemodialysis and peritoneal dialysis) and renal transplant.

Finally, we finish with a clear, structured approach to explaining CKD to a patient in an OSCE, using a simple framework you can apply in exams and clinical practice.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Hyperkalaemia Emergency Management | OSCE Talk 10 avr. 202600:10:33

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


This episode focusses on hyperkalaemia and its emergency management.We work through the common causes of hyperkalaemia including renal disease, medications, DKA, burns and rhabdomyolysis.

Alongside this we review common ECG changes of peaked T Waves, flattened P waves, and broad QRS segments.

We look at the need for calcium gluconate, insulin, dextrose, salbutamol and potassium binders to prevent arrest in these patients.
🎧 Listen & Follow:🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Ectopic Pregnancy Overview, History, and Counselling | OSCE Talk 🎙️ 30 mars 202600:11:36

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode we focus on the pathophysiology of ectopic pregnancy, alongside risk factors, and clinical presentation. We discuss what investigations are required, how to manage ectopic pregnancies that are stable vs emergency management and the need to get senior obstetrics/gynaecology input early.

Peter talks through how to counsel patients sensitively on this condition also. We finish with a mock example history going through the key signs and symptoms to pick up on in these patients. 🎧 Listen & Follow:🎙️ Spotify → ⁠⁠https://open.spotify.com/show/01yz38z....🍎 Apple Podcasts → ⁠⁠https://podcasts.apple.com/us/podcast....▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Schizophrenia OSCE: First Rank Symptoms Explained (Psychiatry History Guide)11 mars 202600:09:56

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk

In this episode of OSCE Talk, we cover schizophrenia and Schneider’s First Rank Symptoms, one of the most important concepts for psychiatry OSCEs and medical exams.

Schizophrenia rarely begins suddenly. Many patients experience a prodromal phase first, where family members may notice social withdrawal, reduced motivation, changes in behaviour, sleep disturbance and declining daily functioning. Over time this can progress into psychosis, where patients may develop hallucinations, delusions and disturbances in thought.

In this episode we break down Schneider’s First Rank Symptoms of schizophrenia, explaining what they are, how they present clinically, and how to explore them safely during a psychiatric history.

We also discuss the positive, negative and cognitive symptoms of schizophrenia and how they affect patients’ ability to function day-to-day.

• Auditory hallucinations (voices commenting or discussing the patient)
• Command hallucinations
• Thought insertion
• Thought withdrawal
• Thought broadcasting
• Passivity phenomena (external control of thoughts, actions or emotions)
• Delusional perception

Symptoms added to normal experience:
• Hallucinations
• Delusions
• Thought disorder
• Disorganised behaviour

Loss of normal functioning:
• Reduced motivation (avolition)
• Social withdrawal
• Reduced speech (alogia)
• Flattened emotional expression
• Reduced engagement with daily activities

• Impaired working memory
• Reduced concentration
• Executive dysfunction
• Difficulty with organisation and decision-making

When assessing a patient with schizophrenia or psychosis it is essential to evaluate:

• Risk to self (including suicidal thoughts)
• Risk to others
• Command hallucinations
• Vulnerability and exploitation
• Self-neglect
• Ability to function independently

Collateral history from family or carers can often be essential because patients may lack insight into their symptoms.

Psychotic symptoms can also occur in:

• Bipolar disorder (mania)
• Psychotic depression
• Delirium
• Drug-induced psychosis
• Alcohol withdrawal
• Neurological or organic brain disease

Organic causes should always be considered and may require investigations such as CT brain, MRI brain or EEG.

Management of schizophrenia often involves:

• Antipsychotic medications (e.g. olanzapine, risperidone, clozapine)
• Psychological therapies
• Community mental health team follow-up
• Inpatient psychiatric care if risk is high

In OSCE stations, it is important to explain schizophrenia in simple terms:

Schizophrenia affects how the brain processes information and filters thoughts and perceptions. This can lead to hearing voices, developing strong beliefs that don’t match reality, or finding it difficult to organise thoughts. Treatments are available that help manage symptoms and improve quality of life.

🎧 Listen on:
Apple Podcasts
Spotify
YouTube

Follow OSCE Talk for practical OSCE teaching, psychiatry revision and clinical explanations for medical students.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Lithium Counselling Made Clear! OSCE Structure, Monitoring & Toxicity Explained21 févr. 202600:06:50

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode, we break down lithium — how it works, when it’s used, how to monitor it safely, and how to counsel a patient in an OSCE station.

Lithium is one of the most effective long-term treatments for bipolar disorder and significantly reduces suicide risk — but it requires careful monitoring and patient education.

We cover:

• Indications for lithium (bipolar disorder & treatment-resistant depression)
• How lithium stabilises mood
• Therapeutic range and toxicity levels
• Baseline investigations (U&Es, TFTs, calcium, ECG)
• Ongoing monitoring schedule
• 12-hour lithium level timing
• Common side effects
• Lithium toxicity signs and triggers
• Drug interactions (NSAIDs, ACE inhibitors, diuretics)
• Pregnancy risks and counselling
• OSCE counselling structure

This episode is ideal for:

  • Medical students

  • OSCE preparation

  • Psychiatry placements

  • Foundation doctors

  • GP rotations

Lithium is powerful — but only safe when monitored correctly. This episode helps you understand both the science and the counselling.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Paediatric History Taking Overview | OSCE Talk 🎙️14 févr. 202600:12:37

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we break down how to take a structured paediatric history We walk through the basics of a paediatric history, including who the patient has brought with them mum, dad , or grandparent.The episode also highlights the importance of a clear systematic approach using a head to toes overview to cover all basic symptoms.

We go through the importances of birth, feeding, growth, development, and vaccine history.

This episode is designed to help medical students improve their basics whilst taking a paediatric history. 🎧 Listen & Follow:🎙️ Spotify → https://open.spotify.com/show/01yz38z...🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Psychiatric History Taking Explained | OSCE Talk 🎙️07 févr. 202600:12:06

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we break down how to take a clear, structured psychiatric history.

We walk through core psychiatric symptoms not to miss including screening for depression, anxiety, mania, psychosis, schizophrenia and OCD.

The episode also highlights the importance of understanding psychiatric terminology, and going through the importance of RISK in psychiatry.

This episode is designed to help you sound confident, organised, and clinically safe when faced with pyschiatric history stations.

🎧 Listen & Follow:🎙️ Spotify → https://open.spotify.com/show/01yz38z...🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...▶️ YouTube →    / @oscetalkpod  📸 Instagram →   / oscetalk_  🎵 TikTok →   / oscetalk_  


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Hypothyroidism Explained | Levothyroxine Counselling for OSCEs & Clinical Exams20 janv. 202600:02:52

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of Osce Talk, we break down hypothyroidism and how to counsel a patient starting levothyroxine, with a clear focus on OSCEs and clinical exams.

We cover:

  • What hypothyroidism is and why it occurs

  • Common symptoms and how it presents in exams

  • How to explain levothyroxine in clear, patient-friendly language

  • Dosing, side effects, monitoring, and pregnancy considerations

  • High-yield counselling points examiners expect

This episode is ideal for medical students, OSCE preparation, and clinical exam revision.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

How to Counsel a Patient on Asthma & Inhaler Technique | OSCE Talk05 janv. 202600:06:28

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we walk through how to counsel a patient on asthma, using clear, patient-friendly explanations that score marks in OSCEs.

We cover:

  • How to explain asthma simply (reversible airway disease)

  • Common triggers and why symptoms fluctuate

  • Holistic management including lifestyle and vaccinations

  • Preventer vs reliever inhalers and when control is poor

  • Step-by-step inhaler technique, including spacers

  • Red flags and when to attend A&E

  • Key OSCE tips and guideline updates (including MART regimens)

This episode is ideal for medical students and foundation doctors preparing for OSCE stations involving asthma counselling, inhaler technique, or respiratory education.

🎧 Listen alongside our Asthma History Taking episode for full exam preparation.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropriate guidance when making clinical decisions or caring for patients. 

Patient Counselling in OSCEs | Explaining Diagnoses & Medications | OSCE Talk21 déc. 202500:15:11

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we focus on one of the most important — and often underestimated — OSCE skills: patient counselling and communication.

We break down a simple, repeatable structure for counselling patients about new diagnoses and medications, helping you explain conditions clearly, confidently, and without jargon. The episode covers how to assess a patient’s prior knowledge, address concerns, link symptoms to the underlying condition, and check understanding throughout the consultation.

You’ll also learn how to stay flexible during patient interactions, adapt your explanations when patients interrupt or ask unexpected questions, and maintain confidence even when the condition is unfamiliar.

This episode is essential for OSCE stations involving explaining a diagnosis, starting a medication, or discussing management plans.

  • A clear structure for patient counselling stations

  • How to introduce yourself and set the agenda confidently

  • How to assess a patient’s prior knowledge

  • Techniques for explaining conditions without medical jargon

  • How to address common patient concerns about medications

  • The “Normally, we can probably manage” explanation structure

  • How to link disease mechanisms back to patient symptoms

  • When and how to adapt your explanation mid-consultation

  • How to check understanding and encourage questions

  • How to remain calm and professional in OSCE scenarios


    Disclaimer

    OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

    ​

    Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

    ​

    Always refer to appropiate guidance when making clinical decisions or caring for patients. 


Dermatology History Taking | Skin Lesions, Cancer Risk & OSCE Frameworks | OSCE Talk17 déc. 202500:09:06

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we break down how to take a clear, structured dermatology history, with a particular focus on skin lesions and suspected skin cancer.

We walk through a practical approach using the OPERA framework, discuss key skin cancer risk factors, and explain how to assess lesions safely and systematically using the ABCDE framework. The episode also highlights the importance of understanding dermatological terminology, recognising the mental health impact of skin disease, and asking the right background questions in OSCEs and real clinical settings.

This episode is designed to help you sound confident, organised, and clinically safe when faced with dermatology history stations.

  • How to structure a dermatology history using OPERA

  • Key skin cancer risk factors, including skin type and sun exposure

  • Why sunbed use significantly increases melanoma risk

  • How to assess skin lesions using the ABCDE framework

  • The Three S’s for lesion examination (sight, size, shape)

  • Essential dermatology terminology to improve communication

  • The relevance of drug history, family history, and steroid use

  • How skin conditions can impact mental health and daily life


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

How to Take an Eye (Ophthalmology) History | Red Flags & OSCE Tips17 déc. 202500:12:16

🎧 Subscribe to OSCE Talk Premium here 👇
https://members.spotify.com/to/osce-talk


In this episode of OSCE Talk, we break down how to take a clear, structured ophthalmology history for OSCEs and real clinical practice.

We cover the key eye symptoms you must ask about, how to use a simple framework to avoid missing red flags, and how to recognise ophthalmological emergencies such as sudden vision loss, flashes, floaters, and diplopia.

Using a practical case example, we guide you through differentiating common causes of visual disturbance, including macular degeneration, glaucoma, and retinal pathology — helping you sound confident, systematic, and safe in exams.

Whether you’re revising for OSCEs or starting clinical placements, this episode gives you a repeatable structure you can use in any eye history station.

  • A clear framework for ophthalmology history taking

  • How to assess visual disturbance effectively

  • Key red flags that require urgent referral

  • How to localise vision loss (central vs peripheral)

  • Common differential diagnoses in eye presentations

  • When to escalate to eye casualty


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

Medicine MMI Explained | How Interviews Really Work16 déc. 202500:06:14

Welcome to Osce Talk 👋

In this episode, we break down Medicine MMI (Multiple Mini Interview) interviews and explain how they really work, based on our own experiences getting into medical school and sitting MMIs ourselves.

We cover:

  • What an MMI actually is

  • Why MMIs are used instead of traditional interviews

  • Common MMI station types (role play, ethics, communication, prioritisation)

  • What medical schools are really looking for

  • How to approach stations when you’re unsure

  • Practical tips to improve your confidence and structure

This series is aimed at students applying to medicine, particularly those preparing for MMIs, but it’s also useful for anyone wanting to improve communication, ethical reasoning, and interview technique.

📌 Future episodes will include:

  • Ethics stations explained

  • Role-play examples

  • Communication stations

  • Real MMI practice scenarios

🔔 Subscribe to Osce Talk for practical, exam-focused and interview-focused medical education.

How to Take a Collapse History | OSCE Talk07 déc. 202500:15:45

In this episode of OSCE Talk, Matthew and Peter break down how to take a structured collapse history, one of the most important and high-stakes presentations in emergency and general medical practice.

They guide you through the essential Before–During–After framework, helping you differentiate between causes such as seizures, vasovagal episodes, cardiac arrhythmias, and functional collapses.

You’ll learn how to ask the right questions, what contextual clues matter most, and how to safely assess a patient after a collapse — including when driving restrictions and safeguarding concerns are relevant.

This episode is packed with practical, OSCE-ready teaching and real-life clinical reasoning.

  • Use the Before–During–After structure to organise your collapse history.

  • Open questions help clarify unclear or unwitnessed events.

  • Past medical history and medications (e.g., antihypertensives, anticonvulsants) may reveal the cause.

  • Social history — alcohol, drugs, stress, sleep — is essential.

  • Consider seizure if there is tongue biting, incontinence, or post-ictal confusion.

  • Consider cardiac causes (arrhythmia, structural disease) if sudden and unprovoked.

  • Vasovagal collapses often have triggers like pain, emotions, or prolonged standing.

  • Always ask if they hit their head or suffered injury.

  • Patient safety is crucial — including driving advice after episodes of unexplained loss of consciousness.

  • Collapse histories are extremely common across emergency, GP, and inpatient care.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational purposes only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

Headache History Taking – Key Questions, Red Flags & Migraine Features | OSCE Talk07 déc. 202500:18:41

In this episode of OSCE Talk, Matthew and Peter break down how to take a structured headache history — one of the most common and important presentations in OSCEs and clinical practice.

We explore the different headache types, how to use the SOCRATES framework effectively, and the key associated symptoms you must always ask about.
You’ll also learn how to spot migraine aura, identify dangerous red flags, and recognise signs of raised intracranial pressure.


Key Points

  • Most headaches are benign, but red flags must be recognised early.

  • Use the SOCRATES structure for clear, systematic history taking.

  • Ask about associated symptoms using a head-to-toe approach.

  • Migraine aura can mimic stroke → take a clear timeline.

  • Past medical and drug history are essential in diagnosis.

  • Red flags include fever, weight loss, neurological deficits, immunosuppression, and sudden onset.

  • Chronic headaches can relate to raised intracranial pressure.

  • Weight and lifestyle factors influence headache patterns.

  • Family history may help differentiate migraine types.

  • Always consider the impact on daily functioning.


    Disclaimer

    OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

    ​

    Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

    ​

    Always refer to appropiate guidance when making clinical decisions or caring for patients. 

Thyroid History Taking: Hyper vs Hypo | OSCE Talk07 déc. 202500:10:48

🎙️ Episode – Thyroid History Taking: Hyper vs Hypo | OSCE Talk

In this episode of OSCE Talk, Matthew and Peter take a deep dive into how to take a structured thyroid history — a topic many students find challenging due to vague and non-specific symptoms.

We break down the key features of hyperthyroidism and hypothyroidism, how to differentiate them clinically, and the important red flags you must not miss, including thyroid storm and malignancy concerns. The discussion also covers autoimmune associations, postpartum thyroid disease, and how patients often present in subtle ways that require attentive, structured questioning.

By the end of the episode, you’ll have a clear framework for approaching thyroid histories in OSCEs, along with practical tips on patient interaction and clinical reasoning.

  • Thyroid symptoms can be vague and easily overlooked — structure is essential.

  • Hyperthyroidism can mimic anxiety, agitation, or other mental health conditions.

  • Hypothyroidism often presents subtly with fatigue, weight gain, or mood changes.

  • Always keep thyroid storm in mind as a dangerous hyperthyroid presentation.

  • Consider thyroid cancer red flags such as neck lumps or compressive symptoms.

  • Autoimmune thyroid disease commonly clusters with other autoimmune conditions.

  • Thyroid dysfunction can develop post-pregnancy.

  • Patients frequently present non-specifically, making good history taking vital.

  • Stick to your structure — it will help you identify patterns and red flags confidently.


    Disclaimer

    OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

    ​

    Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

    ​

    Always refer to appropiate guidance when making clinical decisions or caring for patients. 


Type 2 Diabetes History – Key Questions & Management | OSCE Talk07 déc. 202500:13:20

In this episode of OSCE Talk, we break down Type 2 diabetes — one of the most common and important long-term conditions you'll encounter in both exams and clinical practice.
We cover the underlying insulin resistance, the key symptoms and diagnostic thresholds, major risk factors, and how to take a focused diabetes history in an OSCE.

You'll also learn the stepwise approach to management, including lifestyle changes, metformin, and newer agents like SGLT2 inhibitors and GLP-1 agonists.
We also discuss the impact of chronic hyperglycaemia on patients and healthcare systems, and why Type 2 diabetes is becoming increasingly prevalent.

This episode includes practical explanations, exam-relevant tips, and memorable frameworks to help you confidently assess and manage patients with Type 2 diabetes


🎙️ Spotify → https://open.spotify.com/show/01yz38z...


🍎 Apple Podcasts → https://podcasts.apple.com/gb/podcast/osce-talk/id1845051423


▶️ YouTube →    / @oscetalkpod  


📸 Instagram →   / oscetalk_  


🎵 TikTok →  / oscetalk_  



Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 



Type 1 Diabetes – Symptoms, Diagnosis & Management | OSCE Talk07 déc. 202500:14:48

In this episode of OSCE Talk, Matthew and Peter break down Type 1 diabetes — a lifelong autoimmune condition in which the body destroys its own insulin-producing beta cells.

We explore its pathophysiology, how to recognise the early clinical signs, and the essential diagnostic criteria you need to know for exams and real-world practice. The discussion covers day-to-day management, insulin therapy, the role of technology such as continuous glucose monitors, and the short- and long-term complications clinicians must watch for.

A structured approach to patient interaction ties the theory together, helping you feel confident taking a Type 1 diabetes history in your OSCEs.

  • Type 1 diabetes is a lifelong autoimmune condition leading to absolute insulin deficiency.
  • Insulin is vital for glucose uptake — without it, hyperglycaemia develops.

  • Classic symptoms follow the four T’s: thirsty, toilet, thin, tired.

  • Viral infections and genetics are common triggers.

  • Patients are at increased risk of infections.

  • Diabetic ketoacidosis (DKA) is a medical emergency — recognise it early.

  • Blood sugar monitoring and insulin adjustment are essential to safe management.

  • CGM devices and technology improve long-term outcomes.

  • Complications divide into microvascular (retinopathy, nephropathy, neuropathy) and macrovascular disease.

  • Autoimmune conditions often cluster — family history matters.

🎧 Listen & Follow:

🎙️ Spotify → https://open.spotify.com/show/01yz38z...


🍎 Apple Podcasts →

https://podcasts.apple.com/gb/podcast/osce-talk/id1845051423


▶️ YouTube →    / @oscetalkpod  


📸 Instagram →   / oscetalk_  


🎵 TikTok →   / oscetalk_  

Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 



How to Take a Urinary History – Key Symptoms & Red Flags | OSCE Talk07 déc. 202500:19:43

In this episode of OSCE Talk, Matthew and Peter break down how to take a clear, structured, and sensitive urinary history — one of the most commonly examined presentations in OSCEs and everyday clinical practice.

We explore the key voiding and storage symptoms, how to approach more delicate topics such as incontinence, sexual health, and prostate symptoms, and the significance of red flags like hematuria. The episode also highlights relevant past medical history, family history, and the essential investigations used to guide diagnosis.

A practical example ties everything together, helping you understand how to structure your questions confidently and communicate with patients respectfully.

  • A structured urinary history is essential for accurate diagnosis.

  • Voiding symptoms include hesitancy, straining, weak stream, and incomplete emptying.

  • Storage symptoms include frequency, urgency, nocturia, and urge/stress incontinence.

  • Hematuria is a major red flag — always take seriously.

  • Sexual history and STI risk should be approached sensitively and professionally.

  • Past medical history may reveal diabetes, neurological disease, or prostate issues.

  • Family history can signal increased prostate cancer risk.

  • Urine dipstick testing provides rapid, valuable diagnostic information.

  • Know when to refer to urology for further assessment.

  • Clear communication is crucial, especially with sensitive symptoms.


    🎧 Listen & Follow:

    🎙️ Spotify → https://open.spotify.com/show/01yz38z...


    🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...


    ▶️ YouTube →    / @oscetalkpod  


    📸 Instagram →   / oscetalk_  


    Disclaimer

    OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

    ​

    Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

    ​

    Always refer to appropiate guidance when making clinical decisions or caring for patients. 

    🎵 TikTok →   / oscetalk_  

Gastrointestinal History Taking | OSCE Talk07 déc. 202500:13:18

In this episode of OSCE Talk, Matthew and Peter break down how to approach gastrointestinal (GI) presentations, with a focus on understanding abdominal pain — one of the most common and challenging complaints in both OSCEs and real clinical practice.

We explore how to differentiate visceral vs. somatic pain, how pain location guides diagnosis, and the key symptoms and red flags you must not miss. The episode also clarifies the differences between IBS and IBD, highlights high-yield investigations such as Q-fit testing, and explains how a detailed medical history helps identify causes ranging from adhesions to inflammatory bowel disease.

This structured approach will boost your confidence in OSCEs and help you communicate clearly and safely with patients presenting with abdominal concerns.

  • GI symptoms include nausea, vomiting, weight loss, altered bowel habits, and more.

  • Pain location and quality are essential for narrowing your differential.

  • Visceral pain is vague and poorly localized; somatic pain is sharp and specific.

  • Classic appendicitis begins centrally and moves to the right iliac fossa.

  • GI red flags can be nonspecific but are vital to identify early.

  • Q-fit testing is key when assessing lower GI bleeding or colorectal symptoms.

  • IBS is a functional syndrome; IBD (Crohn’s/UC) is an inflammatory disease.

  • Always explore previous surgeries, as adhesions can cause recurrent pain.

  • Rectal bleeding should prompt careful assessment for serious pathology.


🎧 Listen & Follow:🎙️ Spotify → https://open.spotify.com/show/01yz38z...🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...▶️ YouTube →    / @oscetalkpod  📸 Instagram →   / oscetalk_  🎵 TikTok →   / oscetalk_  


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

MSK History Taking: Osteoarthritis vs Rheumatoid Arthritis | OSCE Talk27 nov. 202500:19:37

In this episode of OSCE Talk we focus on the history and clinical presentation of both rheumatoid and osteoarthritis, alongside its impact on patients.


Key aspects to highlight in this episode include:


  • Joint pain in osteoarthritis worsens with activity, while in rheumatoid arthritis, it can occur at rest.
  • Morning stiffness in rheumatoid arthritis lasts longer than in osteoarthritis.
  • Physical activity with weight loss can help manage osteoarthritis symptoms.
  • Diagnosis of osteoarthritis is often clinical, alongside using XRay to visualise the joint space.
  • LOSS mnemonic- loss of joint space, osteophytes, subchondral cysts, subchondral sclerosis.
  • Rheumatoid arthritis requires aggressive treatment to prevent joint damage, often requiring methotrexate, steroids and other DMARDs
  • Associated factors in RA include uveitis, urinary tract symptoms, gastrointestinal symptoms.
  • Family history plays a significant role in both conditions.
  • Management of osteoarthritis focuses on maintaining function and pain relief.


🎧 Listen & Follow:
🎙️ Spotify → 
🍎 Apple Podcasts → 
▶️ YouTube → 
📸 Instagram → 
🎵 TikTok → https://www.tiktok.com/@oscetalk_


💬 Tell us which OSCE topic you’d like covered next — and don’t forget to subscribe for weekly, structured exam prep and clinical tips.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

Anaemia History Taking – How to Diagnose & Manage in OSCEs | OSCE Talk09 oct. 202500:15:51

In this episode of OSCE Talk, Matthew and Peter explore anaemia — one of the most common presentations in clinical medicine and a frequent OSCE topic.

You’ll learn how to take a focused anaemia history, recognise key symptoms and red flags, and confidently approach diagnosis and management in both exams and real-life settings.

We cover the main types of anaemia — microcytic, normocytic, and macrocytic — along with essential investigations and a step-by-step approach to managing iron deficiency anaemia. The episode ends with a realistic case example to help you structure your answers and boost OSCE confidence.

  • Understand how anaemia presents and why it’s important in OSCEs.

  • Use a structured approach to history taking and investigation.

  • Recognise common causes like iron deficiency, chronic disease, and B12/folate deficiency.

  • Identify red flags such as bleeding, weight loss, or unexplained fatigue.

  • Know your core investigations – FBC, MCV, ferritin, and reticulocytes.

  • Learn the management steps for iron deficiency anaemia.

  • Apply your knowledge with a case-based example for practical learning.

00:00 – What Is Anaemia?
02:44 – Causes of Anaemia
05:34 – How to Take an Anaemia History
08:41 – Investigations and Diagnosis
11:51 – Management Strategies
14:45 – Case Study Example

🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast/osce-talk/id1845051423
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Tell us which OSCE topic you’d like covered next — and don’t forget to subscribe for concise, high-yield clinical exam tips every week.

Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 

Asthma History Taking & Management | OSCE Talk07 oct. 202500:14:07

🎙️ Episode 6 – Asthma History Taking & Management | OSCE Talk

In this episode of OSCE Talk, Matthew and Peter take a deep dive into asthma — one of the most common and high-yield respiratory conditions in both OSCEs and clinical practice.

We discuss how to take a clear, structured asthma history, identify common triggers, and assess control. You’ll also learn how to explain inhaler use effectively and manage acute exacerbations using a logical, stepwise approach. A short case example ties everything together — from history taking to diagnosis and treatment planning.

Whether you’re revising for exams or building confidence in clinical placements, this episode gives you a concise, practical framework to approach asthma with confidence and professionalism.


Key Takeaways

  • Asthma is a chronic inflammatory airway disorder causing reversible obstruction.

  • Common triggers include allergens, cold air, and exercise.

  • Always assess symptom pattern, control, and impact on sleep or activity.

  • Check inhaler technique at every review — errors are common.

  • Acute asthma attacks require immediate oxygen, bronchodilators, steroids, and escalation if severe.

  • Family and allergy history often provide valuable context.

  • Use peak flow monitoring to assess control and response to treatment.

  • Patient education and written asthma action plans are key to long-term management.

  • Encourage regular follow-ups to adjust therapy and reinforce good habits.


00:00 – Understanding Asthma: Definition and Overview
02:15 – Diagnosis and Management of Asthma
05:07 – Asthma Attacks: Emergency Management
07:42 – Patient History: A Case Study
12:27 – Treatment Recommendations and Conclusion

🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Let us know which OSCE scenario you’d like covered next — and don’t forget to subscribe for concise, high-yield clinical exam guides every week.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 



Respiratory History Taking: Spotting Red Flags | OSCE Talk05 oct. 202500:14:28

In this episode of OSCE Talk, Matthew and Peter focus on how to take a structured respiratory history — and how to recognise red flags that could indicate serious underlying disease.

We guide you through the OPERA framework, highlight key symptoms to explore (including cough, hemoptysis, and weight loss), and discuss how to sensitively approach difficult topics such as smoking history or suspected lung cancer.

You’ll also hear an example of a red flag respiratory history, with practical advice on how to keep your consultation empathetic, focused, and clinically safe.


Key Takeaways

  • Begin with the OPRA framework for structure and clarity.

  • Always ask about cough duration, hemoptysis, and weight loss.

  • Include social history — smoking, occupation, and exposures.

  • Night sweats and fever are important red flags.

  • Recurrent infections may suggest a chronic or serious condition.

  • Chest pain in respiratory cases should always raise suspicion.

  • Show empathy and listen to patient concerns carefully.

  • Maintain a solid structure to guide your diagnosis.

  • Keep differentials in mind — TB, bronchiectasis, and malignancy.

  • Stay up to date with guidelines for investigations.


00:00 – Introduction to Respiratory History Taking
02:26 – Key Red Flags in Respiratory History
04:58 – Differential Diagnoses and Investigations
06:29 – Example of a Red Flag Respiratory History
12:25 – Summary and Key Takeaways

🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Let us know which OSCE scenario you’d like us to cover next — and don’t forget to subscribe for weekly, practical exam guidance.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 




Heart Failure: How to Take a History & Management |OSCE Talk05 oct. 202500:16:30

In this episode of OSCE Talk, Matthew and Peter discuss heart failure — a core topic in cardiology and a common OSCE presentation.

They explore the key differences between left- and right-sided heart failure, how to recognise acute versus chronic cases, and what to ask during a focused patient history. You’ll also learn about diagnostic tests such as BNP and echocardiography, plus the four pillars of heart failure management that every student should know.

A simulated patient history helps bring the theory to life, showing how to structure your questions and interpret findings in real time.


Key Takeways

  • Heart failure presents in a variety of ways — think beyond breathlessness.

  • Left-sided HF causes pulmonary symptoms; right-sided HF leads to peripheral oedema.

  • Myocardial infarction is a major risk factor.

  • BNP and echocardiograms are essential for diagnosis.

  • Management includes ACE inhibitors, beta blockers, and diuretics.

  • Ask about orthopnoea and paroxysmal nocturnal dyspnoea (PND).

  • Use the NYHA classification to assess functional severity.

  • Acute pulmonary oedema is a medical emergency — act fast.

  • Communicate clearly to reduce patient anxiety and improve understanding.

00:00 – Introduction to Heart Failure
02:20 – Understanding Heart Failure Types and Causes
02:58 – Diagnostic Criteria for Heart Failure
05:40 – Management and Treatment of Heart Failure
08:00 – Patient History Simulation for Heart Failure
11:57 – Clinical Examination and Investigations
15:04 – Chronic vs Acute Heart Failure


🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Want to hear us cover another cardiology topic? Let us know below — and subscribe for weekly, practical OSCE guides.

Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 



Chest Pain History Taking – How to Structure an OSCE History | OSCE Talk05 oct. 202500:09:39

In this episode of OSCE Talk, Matthew and Peter walk through a full example of how to take a chest pain history — putting into practice the frameworks and skills discussed in earlier episodes.

We show how to structure questions, explore symptoms, and think through different causes while keeping communication clear and patient-centred. This episode is designed to help you visualise what an organised, effective OSCE history sounds like.


Key Takeways

  • Follow a clear, logical structure when approaching chest pain.

  • Use open questions early to let patients describe their symptoms.

  • Always ask about associated and relieving factors.

  • Remember family history and modifiable risks.

  • ECG and troponins are key early investigations.

  • Summarise and explain your plan in plain language.

  • Practise aloud — hearing the flow builds real confidence.


00:00 – Introduction to Chest Pain History Taking
06:10 – Conducting a Patient Interview
09:01 – Differential Diagnosis and Investigations
10:07 – Conclusion and Next Steps

🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Tell us which OSCE scenario you’d like to hear next — and don’t forget to follow for weekly, practical exam tips.


Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 


Mastering Patient History Taking | OSCE Talk05 oct. 202500:15:01

In this episode of OSCE Talk, Matthew and Peter dive into one of the most important skills in medicine — taking a great patient history.

We explore how to make strong first impressions, communicate effectively, and structure your consultations using proven frameworks like SOCRATES, OPERA and ICE. From open-ended questioning to summarising and showing empathy, this episode is packed with practical tips to help you shine in your OSCEs and real-world clinical practice.


Key Takeaways

  • First impressions are crucial — greet patients with confidence and warmth.

  • Always seek informed consent before beginning.

  • Encourage patients to share their concerns fully.

  • Use open-ended questions to guide the conversation naturally.

  • Frameworks like SOCRATES and ICE help structure your approach.

  • Summarising reinforces understanding and builds trust.

  • Don’t forget social history — it’s vital for holistic care.

  • Check medication compliance and show genuine empathy throughout.


00:00 – The Importance of First Impressions
05:00 – Understanding Patient Concerns
10:20 – Frameworks for Effective History Taking
13:14 – Summarising and Closing the Consultation


🎧 Listen & Follow:
🎙️ Spotify → https://open.spotify.com/show/01yz38zJwwHIk6lEdEtIs3?si=6ada2aec3b834e77
▶️ YouTube → https://www.youtube.com/@oscetalkpod
📸 Instagram → https://www.instagram.com/oscetalk_/
🎵 TikTok → https://www.tiktok.com/@oscetalk_

💬 Drop your OSCE questions or scenarios you’d like covered next — and don’t forget to subscribe for more clinical exam tips every week!

Disclaimer

OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management.

​

Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications.

​

Always refer to appropiate guidance when making clinical decisions or caring for patients. 


Welcome to OSCE Talk: Mastering Clinical Exams05 oct. 202500:05:03

In the very first episode of OSCE Talk, Matthew and Peter — two newly qualified doctors from Queen’s University Belfast — share why they created this podcast and how it can help you ace your OSCEs.

We break down what makes OSCEs so challenging, how to prepare effectively, and why practicing with structure and feedback is the secret to success. From understanding mark schemes to building real confidence in your clinical skills, this episode sets the tone for a series designed to make exam prep smarter, not harder.

🎧 Listen if you want to:

  • Understand how top students approach OSCEs

  • Learn efficient study and practice strategies

  • Start building confidence for your next exam ,


    🎓 Key Takeaways

    • OSCEs can feel daunting, especially at the start — but structure brings confidence.

    • Understanding the exam format and mark schemes is essential for success.

    • Practicing with friends helps build both skill and confidence.

    • Start your preparation early — repetition is key to mastery.

    • OSCEs test communication as much as knowledge — speak clearly and confidently.

  • The next episode dives into how to take a great history in your exams.


    💬 Sound Bites

    “Repetition is key for doing well.”
    “OSCEs are a verbal exam, not written.”
    “Good luck in your revision!”


    ⏱️ Chapters

    00:00 – Introduction to OSCE Talk
    02:19 – Understanding OSCEs: The Basics
    05:07 – Preparation Strategies for OSCEs


    ▶️ YouTube → https://www.youtube.com/@oscetalkpod
    📸 Instagram → https://www.instagram.com/oscetalk_/
    🎵 TikTok → https://www.tiktok.com/@oscetalk_

  • © My Podcast Data · Projet indépendant · Données issues d'Apple & Spotify