毎年9月下旬頃に実施され、日本語での「読む・話す・聞く・書く、そして診察する」を調査するもので、日本の医学生が受験するPre-CC OSCE に該当する試験です。概要(厚生労働省HPより)としては、「日本語を用いて診察するために十分な能力を有しているか否かを調査する。具体的には、現病歴や身体所見等の医療情報の収集、検査や治療の計画策定及び診断書の作成等について、日本の医学校において医学の課程を修めた者と同等の能力を有するか否かを調査する。合計点が100点満点換算で60点以上であり、かつ各調査委員の評価に0点の項目がないことを要する。」
This examination is the fastest one to pass the national examination. This examination is in September at the university of ….This examination will test the ability of the applicant to perform a medical consultation in Japanese. The examination is divided in three parts, 2 consultations and one physical examination.The consultation part last around 10 min. It is divided in 3 parts:
The patient part: In 4min 30, the candidate will perform a consultation with a mock patient (member of the ministry). The consultation is performed with the OSCE Model. The candidate must be able to obtain the anamnesis. The physician part: During 1min 30, the candidate asks to another member of the staff about which symptoms are observed in the physical examination. The writing: In 5 min, the candidate writes all the obtained information. The writing has to be in the form of the SOAP model.
The physical examination is a 10 min long examination. The candidate has to perform in 6 min a physical examination in a safe environment for the patient and himself. At the beginning the patient must read a text about the patient medical history. Then perform the examination. In the examination room, there is a bench examination, two garbage can (one for normal detritus, one for contaminated), and a table. On the table there are different tools to perform the consultation. There is a reflex hammer, a tuning fork, alcohol disinfectant wipes, hand sanitizer gel, lamp, tongue depressor. The candidate writes his answer with SOAP model. But the student only writes the OA part.
Mock patients are like patients that can be encountered in emergency department. Every candidate has to manage one general case (such as chest pain, belly pain), and one case of gynaecology or paediatrics. The physical examination covers every type of complaints (vertigo, chest pain, …).
This examination is long. It is recommended to eat well before the examination. There are 2 sessions everyday (one in the morning, one in the afternoon). Between each mock patient candidates wait in a room for one hour, without windows, chatting is forbidden. Usually, the morning session start around 9h00 and finish around 12h30. The afternoon starts around 13h30 and finish around 17h-18h00.
You have to bring a lab coat, and a stethoscope for the examination. It is recommended to wear a suit for the examination. No need to bring a pen. There is a pen in each room.