Passing NZREX

Step By Step Guide To Mastering The Osce

A Step By Step Guide To Mastering The Osce And Patient Clinical Encounters. Easily Solve The Short Osce Exam Time Dilemma By Simply Practicing the Focused Organized Step By Step Osce home Systematic Approach Flowcharts for Osce Exams Scenarios Achieving Outstanding Scores Stress Free. Seriously . Safe your Efforts and Time . Use Oscehome Systematic Approach Flowcharts to practice Osce Stations' Checklists in your Osce Exam Preparation and Perfect both your Clinical Skills and Communication Skills. The Systematic Approach To Achieving Excellence In Clinical Patient Encounters And Clinical Skills Assessment Medical Osce Exams! Ebooks: 1) A Step By Step Guide To Mastering The Osces & Clinical Patient Encounters, 2) How To Unlock Difficult Medical Encounters, 3)Ecg Interpretation, 4) Chest X-ray Interpretation, 5) Abdominal X-ray Interpretation, 6) Orthopedic X-Ray Interpretation, 7) CT in Head Trauma, 8) Sample Mock Osce Stations To Practice, 9) Calgary Cambridge Guide To The Medical Interview, 10) Clinical Mnemonics, 11) Symptoms & Topics To Study For Osces, 12) C Spine X-ray Interpretation

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Clinical Examination OSCE

This test in the form of an Objective Structured Clinical Examination. The short form is OSCE. The total duration will be approximately 90 minutes. We have covered OSCE in different chapters in United States section and United Kingdom section. If you read them carefully, you will have more information on stations.

What are Usmle Tests

USMLE, The United States Medical Licensing Examination, is a single, three-Step exam for medical licensure in the United States. USMLE provides a common system to evaluate applicants for medical licensure. You have to pass Step 1 and Step 2 for ECFMG certification purposes. You can take Step 1 and Step 2 in either order. whether students graduates of foreign medical schools are eligible to take USMLE Step 1 and Step 2 and

During OSCE

You will be provided with all the materials you need during the OSCE. You may not use or refer to any other materials. Taking into the OSCE any materials or aids. Using, attempting to use, assisting another to use or attempting to assist another to use any other unfair, improper or dishonest method to gain advantage in any part of the OSCE process. Conduct in an OSCE centre which is causing disturbance to other candidates or affecting the proper running of the OSCE. Communicating or attempting to communicate with any other candidate during the course of an OSCE. Removal from the OSCE centre any papers, answer sheets or other OSCE materials. The theft or concealment of any material which is the property of the General Medical Council or the OSCE

What is NZREX

Most overseas doctors need to pass the NZREX to obtain registration with the Medical council of New Zealand. NZREX tests clinical skills and knowledge at the level required of the sixth year student (trainee intern) on graduation from a New Zealand medical school. In many cases, the overseas doctors need to pass NZREX and be eligible for registration before they can apply for Permanent Residence in New Zealand under points system.

Overseas Training

The chapter USMLE gives a general idea about USMLE. The chapters USMLE-Step1 , USMLE-Step 2 and USMLE-Step 3 explains everything related to USMLE Step 1, USMLE Step 2 and USMLE Step 3 respectively. The chapter USMLE Resources gives you a list of resources that can help you in USMLE preparation.

Time Limit and Attempts

Although there is no limit on the total number of times you can retake a Step you have not passed, the USMLE program recommends to medical licensing authorities that they If you pass a Step, you are not allowed to retake it, except to comply with the time limit of a medical licensing authority for the completion of all Steps or a requirement imposed by another authority recognized by the USMLE program.

Exam Preparation Sample Test Materials

The best preparation for the USMLE is a general, thorough review of the You should also review the sample test materials, available on the USMLE There are no test preparation courses affiliated with or sanctioned by the USMLE program. We have given a list of USMLE resources in a separate chapter that may be helpful to you.

Practice at Prometric Test Centres

If you wish to experience some of the conditions of test administration for any Step, you may schedule time to review sample test materials at a Prometric test centre for a fee. Although shorter than an actual USMLE Step and containing the same sample test materials provided by the USMLE registration entities and at the USMLE website, this option allows you to experience USMLE sample test materials in the same environment as your actual test. Instructions for this service are provided in USMLE application materials and at the USMLE website. After your registration for a Step is complete and you have received your Scheduling Permit, you may register for a practice session for that Step.

Test Centres and Testing Conditions

USMLE Step 1 and Step 2 are given at Prometric test centres around the These centres provide the resources necessary for secure administration of the USMLE, including video and audio monitoring and recording, and use of digital cameras to record the identity of examinees. The USMLE program has established rules to govern administration of the examinations to ensure that no examinee or group of examinees receives unfair advantage on the examination, inadvertently or otherwise.

Score Reporting Examination Results

USMLE score reports and transcripts show your scores and an indication of whether you passed or failed. The same information is sent to medical licensing authorities for their use in granting the initial license to practice medicine. To receive a score, you must complete the entire test. You must begin and either exit from or run out of time for each block of the test. If you begin but do not complete a Step, no scores are reported, and the incomplete examination attempt appears on your USMLE transcript. If you register for but do not take a Step, no record of the test will appear on your transcript. If your examination is incomplete, you may request that a score be calculated and reported, with all missed test items scored as incorrect. This score is likely to be lower than the score you would have achieved had you completed all sections of the examination. If you decide to request calculation and reporting of your score, the score will appear on your USMLE transcript as though it...

Minimum Passing Scores

The USMLE program recommends a minimum passing score for each Step. Medical licensing authorities may accept the recommended pass fail result, or they may establish their own passing score. Recommended performance standards for the USMLE are based on a specified level of proficiency. As a result, no predetermined percentage of examinees will pass or fail the examination.

Step 3 Score Reporting

You must make your request to the FSMB. You may not request a duplicate score report earlier than six weeks after your test date. If more than 90 days have passed since your test date, scores will be reported to you only in the form of a USMLE transcript after you submit a written request and pay the required fee.

Minimum Passing Score

A minimum score is required to pass USMLE Step 1. The minimum passing level is reviewed periodically and may be adjusted at any time. The USMLE program recommends a minimum passing score for each Step. Medical licensing authorities may accept the recommended pass fail result, or they may establish their own passing score. At present, minimum passing score is 182. While the percentage of correctly answered multiple-choice items required to pass varies from form to form, typically you must answer 55 to 65 percent of items correctly to achieve a passing score.

Sample Test Materials

You must practice with the exam software before taking the exam. One way to do this is to use the Step 1 Step 2 sample test materials that are available on the USMLE web site and on the USMLE CD. ECFMG provides copies of the CD containing the sample test materials to foreign medical schools, U.S. embassies and consulates, overseas educational advising centres and a variety of other international organizations. The sample test materials may be available to you through one of these organizations.

Royal College of Obstetricians and Gynaecologists

Both the Overseas Doctors Training Scheme and the Double Ended Sponsorship Scheme were abolished in February 2000. A new scheme is under development. Until such time when the requirements for the new scheme are approved by the Department of Health, the College will not be able to sponsor new doctors for exemption from the General Medical Council's PLAB test. In the meantime, if doctors wish to apply for the proposed new sponsorship scheme, they can contact the College and details will be sent to them as soon as they become available.

Transitional Provisions

Since the format of the AMC clinical examination will change after 1 July 2001, it will not be possible for candidates to carry forward into the new format exemptions awarded under the current clinical examination format in the Medicine and Surgery Short Cases components and in the Obstetrics, Gynaecology and Paediatrics component. Exemptions awarded in the Medical Surgical Consulting Skills component of the current format can be carried forward into the new format, since there will be no change to the format and content of the Medical Surgical Consulting Skills assessment.

Restrictions Temporary Registration

Temporary registrants are expected to leave New Zealand at the expiry of the Temporary Registration (with the exception of those under the short-term transition arrangement who have passed NZREX during that time). The New Zealand Registration Examination (NZREX) will not be required for entry to Temporary Registration. While you are holding Temporary Registration you cannot appear for NZREX examination.

Providing Scores to Third Parties

If you want to send your USMLE scores to a third party, you must submit a written request and pay a fee. Your scores will be provided in the form of a USMLE transcript. Examination data (including score information) from USMLE Steps may be used by the USMLE program or made available to third parties for you must advise the USMLE Secretariat in writing. Except as described in this bulletin, USMLE scores will not be reported to Your USMLE transcript includes the following notation of any actions taken against you by medical licensing authorities or other credentialling entities that have been reported to the FSMB Board Action Databank. To obtain your USMLE transcript or have it sent to a third party, you must contact the ECFMG, FSMB, or NBME. Which entity you contact depends on which Steps you have taken and where you want your transcript sent. Contact the FSMB if you want your transcript sent to a medical licensing authority at any time. If you have not taken Step 3 and want your...

Test Centre

Step 1 and Step 2 are delivered worldwide by Prometric test centres. USMLE Scores A minimum score is required to pass USMLE Step 1 and Step 2 for ECFMG certification. The minimum passing level is reviewed periodically. The scores for Step 1 and Step 2 will be available for mailing three to four weeks after the exam date. If you begin but do not complete a Step, no scores are reported, and the incomplete examination attempt appears on your USMLE transcript. If you register for but do not take a Step, no record of the test will appear on your transcript. If your examination is incomplete, you may request that a score be calculated and reported, with all missed test items scored as incorrect. This score is likely to be very low and the score will appear on your USMLE

Former Examinations

The NBME certifying examinations, Part I, Part II, and Part III, and the Federation Licensing Examination (FLEX) Components 1 and 2 are no longer administered. Use of the former NBME Parts or FLEX Components to fulfil eligibility requirements for Step 3 is no longer accepted. Because SMBs make decisions regarding use of USMLE results, you should contact the jurisdiction where you intend to apply for licensure to obtain complete information. You can contact FSMB for general information on medical licensure. You must always obtain the most recent information to ensure a correct understanding of the USMLE, as the procedures may change from time to time.

Emergency Medicine

For this very competitive specialty, strive for USMLE Step I scores above 220. If your results are low, program directors recommend taking Step II early during senior year and earning higher scores. During the clinical years, earn high grades in medicine and surgery. Competitive candidates should then complete at least two rotations in emergency medicine one at their home institution, the other at an audition hospital. The most desirable away rotations fill up quickly, so plan these fourth-year electives very early.


This specialty is becoming more popular among medical students. During medical school, research experience in neurology (either clinical or basic science) is very helpful, though not required. Your extracurricular activities are less influential factors, but you should try to score well on the USMLE Step I. In the clinical years, honors grades in neurology clerkships and subinternships are essential for matching at your top choice program. To prove your interest and commitment to neurology, get as much clinical experience as possible.


Historically, this extremely competitive specialty has always attracted the very best and brightest medical students. Get involved with the department at your medical school early on. During the preclinical years, study hard so that you will be prepared for the USMLE Step I examination. Neurosurgery residency programs often have cut-offs for academic credentials. Although earning a top score of 270 does not necessarily guarantee a Match, it will certainly keep you in the pool of highly sought after candidates. You should aim for a score in the mid-240s.

Orthopedic Surgery

This very competitive specialty requires a great deal of planning for success in the Match. Medical students need to work hard throughout all 4 years to achieve the best academic record possible. Earn stellar grades in all of your classes and rotations (especially the surgical ones ), because many competitive programs screen out candidates who have not been elected to AOA. Meaningful research projects, especially in orthopedics, can look very good on your application and will boost your credentials. Programs really put a lot of emphasis on having high board scores, so it is important to do well on the USMLE Step I. Although there is no magic number for making the cut for an interview, aim for a ballpark range around 230.

Practice Session

You must pay a fee to Prometric for this service. The materials used for the practice sessions at Prometric test centres are the same sample test materials available on the USMLE web site and on the USMLE CD. No new material will be presented during the Prometric practice sessions. You can buy a new or second hand computer and practice at home.


You should, of course, strive for high grades in gross anatomy. Program directors also widely use the USMLE Step I score to screen out applicants. The average score for matching in radiology is reportedly around 220 to 230, with scores higher than 240 necessary for the higher caliber programs. During the clinical years, you should try to earn stellar grades in all of your clinical rotations. Many programs eliminate candidates who have not achieved AOA status. In general, audition rotations do little to improve your chances at matching at that particular program. Unlike in other specialties, as a student, it is difficult to impress radiology attendings and residents with your knowledge and work ethic. At application time, apply to as many programs as you can possibly afford. Most candidates submit between 30 and 50 applications.

Application Form

Registration for CSA should be done by submission of the CSA application Form 706. This Form is included in the ECFMG Information Booklet and may also be downloaded from the ECFMG web site. To register for CSA, you must complete Form 706 and send it, with full payment of the assessment fee, to ECFMG by mail (or courier service), following the mailing instructions on the application form. If your application is not complete, it will be returned to you. If ECFMG does not have your USMLE Step 1 or English language proficiency test score at the time your CSA application is received, the application will be returned to you.


Persons who are not EEA nationals but who have obtained their primary medical qualification in an EEA country will be eligible for limited registration. They may be required to fulfil all the conditions for obtaining limited registration including passing the PLAB test. The majority of overseas-qualified doctors coming to the United Kingdom for training will have qualifications which are accepted for the purpose of limited registration only.


Part 1 of the PLAB test is in Extended Matching Question (EMQ) format. The emphasis of the test is on clinical management and includes science as applied to clinical problems. It is the theory part of the test. It will contain 200 questions, divided into a number of themes.For each group of questions there will be a list of options. Candidates are required to select the most appropriate option for each question. Candidates will be required to enter their responses on special answer sheets which can be read by an optical mark reader.

Arrival at Centre

In the letter offering you a place you will be given a time for arrival at the centre. You will be tested in the morning or in the afternoon. Some candidates will be asked to arrive at the centre in the morning but will not be tested until the afternoon. This is to ensure that no candidate feels disadvantaged because he or she thinks that candidates taking the OSCE in the afternoon have prior knowledge of the stations. If you are being tested in the afternoon, the letter offering you a place will clearly state this fact. As a consolation, you will get a sandwich lunch. You may wish to bring some reading material to occupy you while you wait and or your own lunch.


The Qualifying Examination Part II is scored independently of the Qualifying Examination Part I i.e., the scores are not combined for the purpose of awarding the Licentiate of the Medical Council of Canada (LMCC). The candidate must pass both Part I and Part II to become LMCC The purpose of the Objective-Structured Clinical Examination (OSCE) is achieved by using standardized guidelines for the administration of the examination, training of physician examiners, training of standardized patients, and using predetermined station content checklists. OSCE scores given to the candidate are granted by physician examiners on the basis of the candidate's performance at each station. The total score for the examination is the sum of the station scores. A candidate must achieve a predetermined score overall as well as pass a set number of stations. The predetermined Pass Fail cut point scores are set by the Examination Board.

Preparing for AMCE

The questions in the MCQ examination are oriented towards the more common clinical applications, differential diagnosis and therapeutics.For the AMC clinical examination, the candidates should undertake a comprehensive review of clinical skills and differential diagnosis. A review of journals that contain articles dealing with common clinical conditions in the Australian community will be more effective in preparing for the clinical examinations than spending too much time with reference books.

Examination Grades

NZREX Clinical is a test of overall clinical competence. It does not consist of stand alone examinations in each of the six disciplines. Each of the disciplines will be considered under the headings of skills in history taking, the technique and interpretation of physical examination, the appropriate use of investigations, the diagnosis and management plan, and communication skills.

General Suggestions

Bring a watch to assist in pacing the examinations. Clinical skills, application of medical knowledge and communication skills are all tested. Your ability to communicate with the patient (or patient's guardian) is an important part of NZREX. The Council recommends that you practise your English as part of preparing for NZREX.

Surgery Cases

Orthopaedics in the previous NZREX in different combinations. Breast Lump (Cancer Fibro Adenoma Etc) Upper GI Tract Bleeding Lower GI Tract Bleeding Surgical Jaundice Cholelithiasis Acute Abdomen Cancer Colon Rectum Colonic Polyps Cancer Stomach Cancer Esophagus Prostatic Hyperplasia Prostate Cancer Thyroid Nodule Thyroid Cancer Renal Stones Cancer Pancreas Swelling In The Perianal Region Skin Cancer

Validity of Scores

The USMLE program assures the validity of scores reported for USMLE Steps by every means available. Your scores may be classified as indeterminate if the USMLE program cannot certify the scores as representing a valid measure of your knowledge or competence as sampled by the examination. You will be provided with a copy of the USMLE Procedures Regarding Indeterminate Scores, which describes the process for reaching final decisions. You will have an opportunity to provide information that you consider relevant. Scores classified as indeterminate will not be reported to anyone. Anyone who has received a report of scores that are later classified as indeterminate will be notified of the indeterminate classification. The USMLE Procedures Regarding Indeterminate Scores describe the circumstances in which information about the indeterminate classification will be provided to entities which receive or have received your USMLE transcript.

Irregular Behaviour

If you have information or evidence indicating that any type of irregular behaviour or any infringement of legal rights has occurred, you should submit a written report to or telephone the USMLE Secretariat or the registration entity. falsifying information on application forms, Scheduling Permits, or other USMLE documents failing to adhere to any USMLE policy, procedure, or rule, including instructions of the test centre staff You will be provided with a copy of the USMLE Procedures Regarding Irregular Behaviour, which describes in detail the process for reaching final decisions regarding irregular behaviour. If it is determined that you engaged in irregular behaviour, information regarding this determination becomes part of your USMLE record. Your score report (if applicable) and USMLE transcript will contain a notation regarding the irregular behaviour. Information about the irregular behaviour will be provided to third parties which receive or have received your USMLE transcript....

Primum CCS

The patient's chart contains, in addition to the order sheet, the reports resulting from your orders. By selecting the appropriate chart tabs, you can review vital signs, progress notes, nurses' notes, and test results. You may care for and move the patient among the office, home, emergency department, intensive care unit and hospital ward. Practice time with the Primum software is not available on the test day. So, you must review the Primum CCS orientation materials and practice with all the sample cases well in advance of your testing day to have a thorough understanding of how the CCS system works. CCS sample cases are provided to Step 3 applicants on the USMLE CD and are available at the USMLE website.