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

Candidates will have to pass both the theory and the CSE components separately in order to be declared successful in NRE. The minimum pass percentage in the theory (MCQs) component is 60% and the minimum pass percentage of Clinical Skills Examination (CSE), including mandatorystations is 600/o- Angoffs method will also be adopted for standardization of NRE Examination.
There will be three mandatory stations in the CSE. Candidate must clear all three mandatory stations in order to be declared to pass in the CSE. lf a candidate obtains an aggregate of 60% or above in the CSE yet fails even one mandatory station, s/he will be declared as fail in the entire CSE. There will be no negative markings in both components of the NRE.
Candidates who pass the theory (MCQs) component but fail the CSE will have to r+’appear in the CSE component only. Such candidates will re-register for the CSE only. lf a candidate fails in three (03) consecutive attempts of the CSE, h/se will have to appear in both the theory (MCQS) and CSE components on the fourth attempt. That is, after every three failed attempts at the CSE, candidates will have to sit the entire NRE.

Distribution of disciplines for CSE:

Distribution of disciplines for stations for CSE will be as follows:

Demo Lecture Of NRE Step-2



# of stations
Medicine and allied
Surgery and allied
Obstetrics & Gynaecology
Ophthalmology (Eye)
Otorhinolaryngology (ENT)
Total stations


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