Blueprinting
Blueprinting is a powerful tool which helps to focus the OSCE designers on the exact nature of what they wish to test and to relate this to the learning outcomes (Table 2).
Table 2
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Once the blueprint or framework for an OSCE is agreed (Figure 1), the individual stations can domains be planned and classified according to this blueprint. This ensures adequate sampling across subject area and skill, in terms of numbers of stations covering each skill and the spread over the subjects/systems of the course being tested.
Figure 1 Example of an objective structured clinical examination blueprint
| System | History | Explanation | Examination | Procedures |
| Cardiovascular | Chest pain | Discharge drugs | Cardiac | Blood pressure management |
| Respiratory | Haemoptysis | Respiratory | Peak flow | |
| Gastrointestinal | Abdominal pain | Gastroscopy | Abdominal | Rectal examination |
| Reproductive | Amenorrhoea | Abnormal smear | Cervical smear | |
| Nervous | Headache | Eyes | Ophthalmology | |
| Musculo-skeletal | Backache | Hip | ||
| Generic | Pre-op assessment | Consent for post-mortem | IV cannulation |
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