The Clinical Skills Examination (CSE) is designed to assess a candidate’s competence at skills essential for a safe general physician.

Following are the competencies expected by graduating house officers and will be used to develop the Clinical Skills Examination (CSE) in conjunction with the theory syllabus above

Clinical Skills list:

1. Obtaining an appropriate and relevant history and identifying the main findings.
2. Performing systemic and mental state examination along with appropriate documentation.
3. Establishing a differential diagnosis.
4. Measurement of temperature, respiratory rate, pulse rate, blood pressure, oxygen saturations, NG output and urine output.
5. Taking samples of venous blood to test for the growth of infectious organisms in proper culture bottles.
6. Carrying out arterial blood gas and acid base sampling from the radial artery in adults.
7. Perform essential lifesaving procedure (Basic Life Support, tracheostomy, endotracheal intubation and chest intubation).
8. Carrying out nasogastric tube placement.
9. Measurement of central venous pressure (CVP).
10. Performing airway care including simple adjuncts (oro-pharyngeal airway or laryngeal masks, naso-tracheal airway).
11. Carrying out venepunctures.
12. Measuring capillary blood glucose.
13. Carrying out a urine multi-dipstick test
14. Carrying out a 3- and 12-lead electrocardiogram.
15. Use the correct technique to apply sterile swabs to the nose, throat, skin and wounds.
16. Requesting and interpreting the results of appropriate investigations to confirm clinical findings.
17. Interpretation of X-rays of upper and lower limbs, chest, abdomen and pelvis.
18. Setting up an infusion.
19. Prescribing and administering oxygen.
20. preparing ind administering injectable (intramuscular, subcutaneous, intravenous) drugs.
21. lnjecting or topically applying local anaesthetics.
22. Carrying out intravenous cannulation.
23. Carrying out safe and appropriate blood transfusion.
24. Carrying out male and female urinary catheterization.
25. Carrying out wound care and basic wound closure and dressing.
26. Applying splint for fractures.
27. Performing surgical scrubbing up.
28. Performing digital rectal examination and Proctoscopy.
29. Performing and interpreting peak flow using simple devises.
30. Calculating BMl, carrying out nutritional assessment of patients and guiding them according to their caloric requirements.
31. Performing basic ophthalmoscopy and identifying common abnormalities.
32. Performing basic oto-scopy and identifying common abnormalities.
33. Demonstrating that they are good communicators.
34. Communicating with patients about the procedures.
35. Demonstrating that they are sensitive (empathetic) and respond to the needs and expectations of patients irrespective of their caste, gender and economic status.
36. Using the correct techniques for moving and handling patients, including those who are frail.
37. Asking for patient’s informed consent
38. Instructing patients in the use of devices for inhaled medication.
39. Prescribing medicines safely and effectively and giving clear explanations to patients.
40. Demonstrating an understanding of the safety procedures involved in prescribing controlled drugs.
41. Demonstrating sound knowledge concerning confidentiality and anonymity.
42. Introducing themselves to patients and colleagues with appropriate confidence and authority-ensuring that patients and colleagues understand their role, remit and limitations.
43. Demonstrating respect for patients’ rights to refuse treatment or take part in teaching or research.