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April 2021.

APPENDIX 1
Objective Structured Clinical Examination (OSCE) Scenarios and Tasks

Station 1: Ultrasound-guided Regional Anesthesia No known drug allergies. PMHx: Seasonal allergic rhinitis,
(Live Model) on singular.
Scenario Physical exam:
A 31-year-old Operator is presenting status post gunshot in- GCS 15. BP 85/40mmHg, HR 125/min, Sao 92% on Fio
2
2
jury to the right forearm. He had QuikClot Kerlix used on 1.0, RR 28 shallow.
the wound with good hemostasis. He is complaining of 9/10 Bruising to chest bilaterally, tender, R > L.
pain and has a concomitant head injury, so you want to avoid No flail segment or open wound.
altering his mental status after neurosurgeon consultation at a Breath sounds indistinct bilaterally.
Role 2. There are no contraindications for an upper extremity Heart sounds rapid and faint.
block.
Tasks
Tasks Most appropriate probe selected (Please write which probe
Probe selection (linear) was selected by the trainee)
Yes ( ) No ( ) Yes ( ) No ( ) Probe selected: ______________
Adequate depth setting (<6 cm) Probe orientation with marker cephalad
Yes ( ) No ( ) Yes ( ) No ( )
Acceptable gain setting Image optimization
Yes ( ) No ( ) Yes ( ) No ( )
Apply gel Identification of locations for lung examination
Yes ( ) No ( ) Yes ( ) No ( )
Probe placement on adequate anatomical location Please perform a lung ultrasound and identify the following
Yes ( ) No ( ) structures:
Probe orientation Visceroparietal pleural interface
Yes ( ) No ( ) Yes ( ) No ( )
Identify the brachial plexus at interscalene level Ribs
(ASK SPECIFICALLY) Yes ( ) No ( )
Yes ( ) No ( ) Identify the presence of lung sliding
Identify the brachial plexus at supraclavicular level Yes ( ) No ( )
(ASK SPECIFICALLY) Select M-mode and place cursor at appropriate location
Yes ( ) No ( ) between the ribs (ASK SPECIFICALLY)
Yes ( ) No ( )
Station 2: Lung Ultrasound (Live Model)
Station 3: Transthoracic Echocardiography (TTE)
Scenario (Simulator)
A 28-year-old male Operator presented after a blow to the
right chest after being struck by large rocks to the right flank Scenario
after an IED roadside explosion. A 32-year-old Operator presents after driving an HMMWV
that resulted in a rollover accident during low visibility. Initial

60 | JSOM Volume 21, Edition 4 / Winter 2021