OSCE A GO GO
Had more OSCEs today. Thought that was over with, actually. What does OSCE stand for, you may wonder? OsteopragmatipathSomethingClinicalExamination. Sounds about right. Had these on a regular a basis in medical school. Standardized patients, who are trained to act in a certain way and function as if they were a living "Choose Your Own Adventure" book, in that what I do or don't ask them determines how the visit goes. We're videotaped. We're given feedback from the standardized patients about every little thing we did. Of course, the more dramatic the more tempting the scenario is to set-up. I had to deal with an actress sitting in front of me reacting to the news that her pregnancy was culminating in a baby who would have no brain -- anencephaly -- and she had no idea before I sat down. The SP is able to cry on demand; it was impressive and believable. Another young lady had a history of trauma, was seeing me for a sprained wrist and would not make eye contact and