Clinical Skills Examination (CSE) (NRE Step-2)

# of stations

Medicine and allied

7

Surgery and allied

7

Obstetrics & Gynaecology

2

Paediatrics

2

Ophthalmology (Eye)

1

Otorhinolaryngology (ENT)

1

Total stations

20

SKILLS AND COMPETENCIES REQUIRED OF AN MBBS GRADUATE AND A HOUSE OFFICER BY THE END OF THE HOUSEJOB / INTERNSHIP / FOUNDATON YEAR

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 and administering injectable (intramuscular, subcutaneous, intravenous) drugs
21. Injecting or topically applying local anesthetics
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 BMI, 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 otoscope 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