Senior OSCE


The Senior OSCE is held in the mornings in July/August of the senior year and students can register for their session via a weblink in May. Students are strongly encouraged to take the Senior OSCE prior to USMLE Step 2 Clinical Skills.


The Senior OSCEs rely on the ICM II Benchmarks and the Pocket Guide to the Physical Examination as well as principles identified in the goals and objectives of the required clinical clerkships.

As for the Second-Year OSCE, particular attention should be given to the content below, available on the ICM2 Core Clinical Skills Canvas.

  • ICM 2 Physical Exam Benchmarks
  • Medical Interviewing/Communication Benchmarks
  • Appendix A of the Communication and Medical Interviewing Skills
  • Cultural Communications Guideline
  • Professionalism Benchmarks
  • Ethics Benchmarks


Senior OSCE cases differ from Second-Year OSCEs in that they ask students to integrate history and examination skills with development and documentation of a logical differential diagnosis and plan. This format is similar to that of the USMLE Step 2 Clinical Skills Examination required for licensing. Please refer to the USMLE Step 2 CS website for more information about CS-style notes.

Senior OSCEs may include:

  • History and physical exams with standardized patients
  • Examination of mannequins
  • Computerized cases
  • Phone cases
  • Test Interpretation
  • Order writing
  • Patient education/counseling

Most cases are 25 minutes long, with 2 minutes to read instructions, 14 minutes with the patient, and 9 minutes for write-up or feedback. Some cases require a write-up that is graded at a later time while others allow for an observer to give immediate feedback to the student. There are a total of 9 stations.

Grading and Remediation

Students and their College Mentors will be notified of the results via email after all students have completed the exam. Successfully completing the Senior OSCE is a graduation requirement, so those students who need further development will need to undergo a remedial exam in October after meeting with their College Mentor to review their test materials. If a student fails the Remedial OSCE, the case is remanded to the Student Progress Committee for deliberation and recommendation. Senior OSCE scores are not recorded in the MSPE.