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Station Information Page

OSCE (Objective Structured Clinical Examination)

Topic/System: Developmental Screening
Authors: BNY/WSL

STATION
The mother of this INFANT wants to know whether his/her development is normal

Objectives tested

To perform a developmental screening on an infant

Station requirements

An infant
Cots with sides
Chairs for parents
Toys for infant
Tools for developmental screening
Chair and table for examiner

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Candidates Instructions Page

OBJECTIVE STRUCTURED CLINICAL EXAMINATION
UNIVERSITI TUNKU ABDUL RAHMAN
Academic Session 2014-2015
2nd Professional Examination OSCE

Station:

Instructions for candidate

Scenario:

The mother of this infant wants to know whether his/her development is normal

Your task:
In the next 9 minutes,

Perform a developmental screening on the infant. (max 6 minutes)

Present your findings at completion of the examination

Conclude on this infants developmental milestones

Upon completion of the tasks above, you will be asked TWO (2) questions by the examiner.

You have NINE (9) minutes to complete this task.

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Examiners Instructions Page

OBJECTIVE STRUCTURED CLINICAL EXAMINATION
UNIVERSITI TUNKU ABDUL RAHMAN
Academic Session 2014-2015
2nd Professional Examination OSCE
Station:

Instructions for Examiner

Time: 9 minutes
Scenario:
The mother of this infant wants to know whether his/her development is normal

The objectives of this station:

1.
2.
3.

To assess the students competency in performing a developmental screening in an infant.

To assess the students skill in presentation of the findings.
To assess the students ability to determine the childs developmental milestones based on the findings

Your Task:
1.
2.
3.

Observe the student performing the examination on the child and listen to his/her presentation.
Give the appropriate marks to the student.
Allocate six (6) minutes for the student to complete this exercise. Do not interrupt or prompt the student
during this examination and presentation. If the student has finished performing the examination and
presentation before the allocated 6 minutes, wait for the 6 minutes time limit before asking questions.
4. When the student has finished examining the patient and presenting the findings, proceed to questions:
Q1: What developmental milestones has this infant achieved in 1. gross motor, 2. vision and
fine motor, 3. hearing and speech, 4. psychosocial?
Q2: The child is x months old (age of child), what do you tell the mother about his/her
development?
5. If the student has not completed the physical examination by 6 minutes, the examiner may interrupt the
student and ask the student to start his/her presentation.
6. The examiner may then proceed with the questions.

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*** DO NOT SUM UP THE TOTAL SCORE of the candidate.
*** Please Mark the GLOBAL RATING after the check list.

Station No.: _________________

Marking Check list Station

Candidate ID:__________________

(9 minutes)

Items examine
Building Rapport (Total 4marks)
Greet the parents and introduce self
Ask for parents and infants name
Explain to parents procedure to be done and obtain permission
Wash hands (hand rub)
Techniques: (Total 20 marks)
Assess the psychosocial milestones (5 marks)

Smile and interact with infant and watch responsiveness. (include wave
bye-bye/ clap hands/ plays peek-a-boo in infant >6 months old)

Observe for presence of stranger anxiety/ mouthing/hands and feet regard

/whether child holds milk bottle/ drinks from cup or hide toy partially/
completely to see whether infant can find it
Assess the hearing and speech of the child ( 5 marks)

Conduct distraction hearing test, at ear level, above and below ear level,
and at midline (>6 months) / observe whether infant responds to sound
e.g. turns eyes towards a sound source /change in activity (<6 months)
Observe if infant coos, squeals, babbles, hears and understands
Assess the vision and fine motor (5 marks)

Offer object to infant to see whether infant reaches and grasp object

If infant does not reach for object, place object in infants palm and see
whether he holds it/if infant reaches and grasp object see whether infant
can transfer object from one hand to another

Move object from side to side 180 degree and see whether infant follows
with eyes (<6 months)/ In infant who can transfer object, use small object
to test for presence of mature pincer grip (>6 months)
Assess the gross motor (5 marks)

Observe what the infant can do in gross motor before approaching

him/her
Look/test for head lag/control
In prone position see whether infant supports on forearms/palms; crawls
In sitting position see whether infant sits with straight back/
unsupported/pivots
In standing position see whether infant is able to bear
weight/cruises/walks

Report On Findings of examination (Total 16 marks)

Report Findings of psychosocial milestones achieved (4 marks)
Responsiveness
Stranger anxiety mouthing, hands and feet regard, holds milk bottle,
drinks from cup, demonstrate object permanence
Report Findings of hearing and speech (4 marks)
Hearing: response/distraction test
Speech: sounds, words

Marks allocated
1
1
1
1

3
2
(Any 2)

2
2
1

1
1
1
1
1

2
2
(Any 2)
2
2

Marks awarded

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Report Findings of vision and fine motor milestones achieved (4 marks)
Follows object/pincer grip
Reaches or not reaches for object, holds/transfers
Report Findings of gross motor milestones achieved (4 marks)
Head control
Prone position
Sitting position
Standing position
Examiners questions (Total 10 marks)
What are the milestones this child has achieved in
Gross motor?
Vision and fine motor?
Hearing and speech?
Psychosocial?

2
2
1
1
1
1

2
2
2
2

This child is x months old (age of child), what do you tell mother about his/her
development?

Appropriate /delayed for his age

Total

/50

Any comments: ______________________________________________________________________

____________________________________________________________________________________
Global Rating: Irrespective of the marks awarded, grade the candidate using the category shown below by circling the
appropriate features observed in the student:
Poor /Fail

Distinction

Approach

No consent, awkward, uses jargon, no interaction

or acknowledgement of patient. Being rough and
Rude to the patient or family members.

Full greeting and introduction, appropriate level of

confidence,
Putting patient and parents at ease. Manner &
language adjusted to suit the child

Patient physical
comfort

Inattentive to patients comfort or dignity e.g. no

draping and/or causes pain unnecessarily.

Consistently attentive to patients comfort and dignity.

Shows compassion and caring attitude.

Organisation of
examination

Scattered, not-systematic, patient moved

unnecessarily. Wrong technique, use of wrong
testing materials, inadequate or incomplete
physical examination.

Structured & systematic approach, clear instruction

to child, select & use of appropriate testing materials,

Presentation
skills

Not systematic and haphazard.

Out of context with the patients real problems.

Presents in a systematic and organized manner.

Demonstrate good clinical correlation.

Diagnosis

Unable to identify or incorrect identification of

normal and abnormal development, incorrect
conclusion

Accurate identification of normal and abnormal

development, correct conclusion of childs status

Overall

Fail

Pass

Borderline

Distinction

(Please Tick one most appropriate category for the candidate)

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Examiners name ______________________Signature:_________________ Date: ______________Time:__________