Sir,
Objective Structured Clinical Examinations (OSCEs) have been used increasingly in recent years to assess competence in practical skills. In 1996 we adapted the system for pre-registration house officers at Frenchay Hospital, Bristol, UK, and found them extremely valuable as a learning tool and for increasing confidence and competence in practical skills. The first year after qualification is often very stressful, with young doctors being expected to undertake procedures for which they have had little training. The introduction of our clinical skills laboratory has helped enormously to bridge the gap between undergraduate and postgraduate practice.

OSCEs are arranged for the house officers mid-way through their post and all are invited to participate. Although attendance is not compulsory, in fact there has been 80% participation each time, the other 20% being on either annual leave, night duty or on-take. Using the Clinical Skills Laboratory, work stations are set up where doctors can . . . [Full text of this article]