Understanding the OSCE

The Objective Structured Clinical Examination (OSCE) is a vital part of the Nursing and Midwifery Council (NMC) registration process for international nurses aiming to work in the UK. It assesses practical nursing skills through a series of stations that replicate real-life clinical scenarios.

Eligibility and Requirements

To be eligible for the OSCE, candidates must:

1. Pass the Computer-Based Test (CBT). see our CBT bank of practice questions
2. Receive an Authorization to Test (ATT) letter or portal confirmation from the NMC.

The OSCE is mandatory for non-EEA nurses and those re-entering the register after a break.

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Exam Structure

The OSCE consists of 10 stations, divided into:

1. APIE Stations: Assessment, Planning, Implementation, Evaluation.
2. Clinical Skills Stations: Practical nursing skills.
3. Professional Behavior Stations: Communication, professionalism, and evidence-based practice.

These stations reflect real-life clinical scenarios that nurses may encounter.

Preparation and Resources

Preparation is crucial and can involve:

1. Mock Exams and Workshops: Simulate the OSCE environment.
2. NMC Resources: Utilize the OSCE information booklet and other materials.
3. Online Courses and Study Groups: Engage with peers and online resources.

Key focus areas include communication, clinical skills, ethical practice, and patient care.

Exam Centers and Fees

The OSCE is conducted at the following approved centers:

• Oxford Brookes University
• University of Northampton
• Ulster University
• Northumbria University
• Leeds Teaching Hospitals NHS Trust

The exam fee is £794. If retaking, the fee is £397 for up to seven stations and £794 for eight or more stations.

Passing the OSCE

Passing the OSCE is essential for practicing as a nurse in the UK. If a candidate fails, they can retake the exam with detailed feedback provided for improvement.

Tips for Success

1. Prioritize Communication Skills: Clear and compassionate communication is essential.
2. Understand Each Scenario: Read and interpret each station's requirements thoroughly.
3. Maintain Professional Conduct: Adhere to hygiene and safety protocols.
4. Seek Patient Consent: Always ensure patients' consent before any procedure.
5. Practice Regularly: Regular practice of clinical skills and scenarios will build confidence.

Conclusion

The OSCE is a critical step for international nurses aspiring to join the UK nursing workforce. Thorough preparation and a clear understanding of the exam structure are key to success. For more detailed information and resources, visit the NMC OSCE webpage.