Undergraduate medical education in Manchester is undergoing wholesale
revision, with the introduction of problem-based learning (PBL) in eac
h successive year of the curriculum, as the cohort of students who joi
ned the faculty in 1993 advances through the course, This cohort has n
ow entered year 3, which is primarily hospital-based, In preparation f
or this, we have explored the development of an OSCE, not only to asse
ss core interpersonal skills such as history taking, clinical examinat
ion, and the ability to explain things to patients, but also to integr
ate the examination of important skills relating to investigational sc
iences, These include the correct choice of laboratory tests, accurate
interpretation of data, and appropriate selection of clinical respons
es to test results. (C) 1998 John Whey & Sons, Ltd.