OSCE Talk

Osce Talk

OSCE Talk is a podcast designed to help medical students feel more confident in clinical exams. Hosted by UK resident doctors, each episode focuses on one condition or station, breaking down what to ask, what to look for, and what matters in your OSCE. Fast, practical, and exam-focused.

🔗 Follow us:
🎙️ Spotify: OSCE Talk
🍏 Apple Podcasts: OSCE Talk
Instagram: https://instagram.com/oscetalk_
TikTok: https://tiktok.com/@oscetalk_
YouTube → https://www.youtube.com/@oscetalkpod

Subscribe Listen in podnod RSS feed Show website

60 episodes
Updated July 23

Episodes60

Newest first

February 21 · 6 min
Lithium Counselling Made Clear! OSCE Structure, Monitoring & Toxicity Explained
In this episode, we break down lithium — how it works, when it’s used, how to monitor it safely, and how to counsel a patient in an OSCE station. Lithium is one of the most effective long-term treatments for bipolar disorder and significantly reduces suicide risk — but it requires careful monitoring and patient education. We cover: • Indications for lithium (bipolar disorder & treatment-resistant depression) • How lithium stabilises mood • Therapeutic range and toxicity levels • Baseline investigations (U&Es, TFTs, calcium, ECG) • Ongoing monitoring schedule • 12-hour lithium level timing • Common side effects • Lithium toxicity signs and triggers • Drug interactions (NSAIDs, ACE inhibitors, diuretics) • Pregnancy risks and counselling • OSCE counselling structure This episode is ideal for: Medical students OSCE preparation Psychiatry placements Foundation doctors GP rotations Lithium is powerful — but only safe when monitored correctly. This episode helps you understand both the science and the counselling.
February 21 · 12 min
Eating Disorder History Taking Made Clear! OSCE Structure, Red Flags & Refeeding Syndrome
In this episode, we break down how to take a safe, structured history from a patient with a suspected eating disorder. This is a high-yield OSCE station and a clinically important skill — anorexia nervosa has the highest mortality of any psychiatric illness, often due to cardiac complications, electrolyte disturbances and suicide. We cover: • How to sensitively approach eating disorder histories • Anorexia nervosa, bulimia nervosa and binge eating disorder • Weight history and body image assessment • Restriction, bingeing and compensatory behaviours • Physical symptoms and red flags • Suicide and risk assessment • The SCOFF mnemonic • When admission is required • Baseline investigations • Refeeding syndrome explained clearly This episode focuses on safe clinical practice, structured assessment and recognising when a patient requires urgent medical admission. Ideal for: Medical students OSCE preparation Psychiatry placements GP and emergency medicine rotations Foundation doctors If this topic is sensitive for you, please seek appropriate support.
February 20 · 6 min
Antidepressant Overview, SSRI Conselling | OSCE Talk 🎙️
In this episode of OSCE Talk, we focus on SSRI antidepressants: sertraline, citalopram, fluoxetine. We walk through the mechanism of these medications, their common side effects. The need to monitor for suicide risk in the under 25s. What medications interact with SSRIs. The importance of these medications alongside proper cognitive behavioural therapy in the management of depression. We finish with an example of how to counsel this to a patient in an effective and concise manner. 🎧 Listen & Follow: 🎙️ Spotify → https://open.spotify.com/show/01yz38z... 🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast... ▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_
February 14 · 12 min
Paediatric History Taking Overview | OSCE Talk 🎙️
In this episode of OSCE Talk, we break down how to take a structured paediatric historyWe walk through the basics of a paediatric history, including who the patient has brought with them mum, dad , or grandparent.The episode also highlights the importance of a clear systematic approach using a head to toes overview to cover all basic symptoms. We go through the importances of birth, feeding, growth, development, and vaccine history. This episode is designed to help medical students improve their basics whilst taking a paediatric history. 🎧 Listen & Follow:🎙️ Spotify → https://open.spotify.com/show/01yz38z...🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_
February 7 · 12 min
Psychiatric History Taking Explained | OSCE Talk 🎙️
In this episode of OSCE Talk, we break down how to take a clear, structured psychiatric history. We walk through core psychiatric symptoms not to miss including screening for depression, anxiety, mania, psychosis, schizophrenia and OCD. The episode also highlights the importance of understanding psychiatric terminology, and going through the importance of RISK in psychiatry. This episode is designed to help you sound confident, organised, and clinically safe when faced with pyschiatric history stations. 🎧 Listen & Follow:🎙️ Spotify → https://open.spotify.com/show/01yz38z...🍎 Apple Podcasts → https://podcasts.apple.com/us/podcast...▶️ YouTube → / @oscetalkpod 📸 Instagram → / oscetalk_ 🎵 TikTok → / oscetalk_
January 20 · 3 min
Type 2 Diabetes & Metformin | OSCE Counselling for Clinical Exams
In this Osce Talk episode, we show you exactly how to counsel a patient with type 2 diabetes, followed by a clear, OSCE-ready explanation of metformin. This episode is designed for OSCEs and clinical exams, using simple language, logical structure, and the key points examiners expect. We cover: How to explain type 2 diabetes and insulin resistance to patients Short- and long-term complications (heart, kidneys, eyes, nerves) Lifestyle management and monitoring Metformin counselling: action, dosing, side effects, sick-day rules What to monitor (HbA1c, renal function) Common OSCE pitfalls and scoring points Perfect for medical students, OSCE revision, finals, and early foundation training.
January 20 · 2 min
Hypothyroidism Explained | Levothyroxine Counselling for OSCEs & Clinical Exams
In this episode of Osce Talk, we break down hypothyroidism and how to counsel a patient starting levothyroxine, with a clear focus on OSCEs and clinical exams. We cover: What hypothyroidism is and why it occurs Common symptoms and how it presents in exams How to explain levothyroxine in clear, patient-friendly language Dosing, side effects, monitoring, and pregnancy considerations High-yield counselling points examiners expect This episode is ideal for medical students, OSCE preparation, and clinical exam revision.
January 18 · 4 min
Addisons Disease and Steroids: Counselling Patients and Steroid Side Effects | OSCE Talk
In this episode of OSCE Talk, we discuss Addisons disease, and the use of steroids as long term treatment.We cover the general presentation and mechanism of Addisons disease, and the risk of addisonian crisis.We focus on steroids their side effects, both short and long term, and the importance of doubling these whilst unwell. This episode is ideal for medical students, OSCE preparation, and foundation doctors who want a simple, structured approach to counselling.🎧 Listen now and build confidence for OSCE stations and real patient conversations.
January 16 · 3 min
Osteoporosis and Bisphosphonates: Patient Counselling and Management | OSCE Talk
In this episode of OSCE Talk, we break down how to counsel a patient on osteoporosis and its management with bisphosphonates.This includes risk factors for osteoporosis.The FRAX risk scoring system and interpreting DEXA scan results.Basic management and lifestyle changes to improve bone health.What bisphosphonates are eg: alendronic acid.Common side effects, rare risks, and safety-netting.This episode is ideal for medical students, OSCE preparation, and foundation doctors who want a simple, structured approach to counselling.🎧 Listen now and build confidence for OSCE stations and real patient conversations.
January 8 · 7 min
Statin Counselling Explained: High Cholesterol & QRISK | OSCE Talk
In this episode of OSCE Talk, we break down how to counsel a patient with high cholesterol, focusing on statins, QRISK, and clear patient-friendly explanations for OSCEs and clinical practice. We cover: What cholesterol is and why it matters How to explain QRISK and cardiovascular risk to patients When to start statins and why lifestyle changes alone may not be enough How statins work (in simple terms patients understand) Common side effects, rare risks, and safety-netting Addressing patient concerns and misinformation about statins This episode is ideal for medical students, OSCE preparation, and foundation doctors who want a simple, structured approach to statin counselling. 🎧 Listen now and build confidence for OSCE stations and real patient conversations.
January 5 · 6 min
How to Counsel a Patient on Asthma & Inhaler Technique | OSCE Talk
In this episode of OSCE Talk, we walk through how to counsel a patient on asthma, using clear, patient-friendly explanations that score marks in OSCEs. We cover: How to explain asthma simply (reversible airway disease) Common triggers and why symptoms fluctuate Holistic management including lifestyle and vaccinations Preventer vs reliever inhalers and when control is poor Step-by-step inhaler technique, including spacers Red flags and when to attend A&E Key OSCE tips and guideline updates (including MART regimens) This episode is ideal for medical students and foundation doctors preparing for OSCE stations involving asthma counselling, inhaler technique, or respiratory education. 🎧 Listen alongside our Asthma History Taking episode for full exam preparation.
January 4 · 6 min
How to Counsel a Patient on Heart Failure | OSCE Talk
In this episode of OSCE Talk, we walk through how to counsel a patient diagnosed with heart failure, a common and high-yield OSCE and clinical scenario. Using a realistic doctor–patient role-play, we cover: How to explain heart failure in clear, patient-friendly language Linking symptoms such as breathlessness, orthopnoea, and oedema to the underlying condition Common causes of heart failure, including myocardial infarction Lifestyle advice, including fluid restriction, salt intake, smoking, and alcohol An overview of management, including medications, diuretics, and specialist follow-up Addressing patient concerns, prognosis, and safety-netting This episode is designed to help medical students and junior doctors feel confident counselling patients with heart failure in both OSCEs and real clinical practice.
January 4 · 6 min
First Seizure Explained | History, Red Flags & Patient Counselling | OSCE Talk
In this episode of Osce Talk, we cover how to take a focused first seizure history and how to explain a seizure to patients in clear, patient-friendly language. We walk through: How to structure a first seizure history (before, during, after) Key red flags you must not miss in OSCEs How to explain what a seizure is (and why it’s not always epilepsy) Immediate seizure first aid advice for patients and families Driving advice and DVLA rules you need to mention When to refer for neurology follow-up, EEG, and imaging This episode is ideal for: Medical students preparing for OSCEs Foundation doctors in A&E or GP Anyone needing a clear framework for first seizure counselling 🎧 Listen alongside our Epilepsy History episode for a complete approach.
January 4 · 5 min
How to Counsel a Patient on Migraine | OSCE Talk
In this episode of OSCE Talk, we cover how to counsel a patient with migraine — a common OSCE and clinical scenario. We walk through: How migraine typically presents (with and without aura) Common triggers and red flags you must not miss How to explain migraine in clear, patient-friendly language Step-by-step management: lifestyle advice, acute treatments, and prevention When to escalate, safety-net, and refer This episode builds on our headache history episode and focuses specifically on clear, structured counselling, helping you feel confident explaining migraine to patients in OSCEs and real-life practice. Migraine is usually a unilateral, throbbing headache that can be severe and disabling Migraine may occur with or without aura (visual, sensory, or nausea symptoms) Common triggers include alcohol, chocolate, caffeine, stress, and poor sleep Migraine with aura is a contraindication to the combined oral contraceptive pill Conservative management focuses on trigger avoidance and lifestyle modification First-line treatment includes simple analgesia (paracetamol, NSAIDs) Triptans (e.g. sumatriptan) can be used for acute attacks Preventative options may include beta-blockers or specialist therapies Always safety-net worsening headaches, neurological symptoms, fever, or sudden onset
January 2 · 9 min
How to Counsel a Patient on Eczema & Psoriasis | OSCE Talk
In this episode of OSCE Talk, Peter and Matthew talk through how to counsel a patient with eczema and psoriasis, with a strong focus on clear, patient-friendly explanations and practical management advice. We start by breaking down eczema as a chronic atopic condition, explaining the skin-barrier problem in simple terms that patients can understand. We discuss common triggers, the relapsing–remitting nature of eczema, and how it often sits alongside asthma and hay fever as part of the atopic triad. The episode then moves into practical counselling, covering the core principles of management — emollients and topical steroids — including how to reassure patients about steroid use, how to explain potency, and how to encourage long-term prevention rather than repeated flares. We also highlight the mental health impact of chronic skin conditions, the importance of screening for infection during flares, and when to escalate care or refer to dermatology for specialist treatments. This episode is ideal for OSCE counselling stations, medical students, and foundation doctors looking to improve confidence in explaining dermatological conditions in a structured, empathetic way.
January 2 · 7 min
How to Counsel a Patient on Warfarin | OSCE Talk
🎙️ How to Counsel a Patient on Warfarin | OSCE Talk In this episode of OSCE Talk, Peter and Matthew walk through how to counsel a patient on Warfarin, focusing on the key differences compared with DOACs such as Apixaban. We cover when Warfarin is indicated, including mechanical heart valves, rheumatic heart disease, and antiphospholipid syndrome, before breaking down INR monitoring, dose adjustment, and practical safety advice that frequently comes up in OSCEs. The episode emphasises a structured counselling approach, highlighting bleeding risks, drug and food interactions, pregnancy advice, and when patients should seek urgent medical attention. We also discuss reversal with vitamin K and prothrombin complex concentrate (PCC) and outline how Warfarin counselling fits into the wider anticoagulation framework. This episode is ideal for OSCE medication counselling stations, foundation doctors, and anyone needing a clear, practical refresher on Warfarin. Warfarin is a vitamin K antagonist used for anticoagulation Common indications include mechanical heart valves, rheumatic heart disease, AF, VTE, and antiphospholipid syndrome Unlike DOACs, Warfarin requires regular INR monitoring INR targets vary depending on indication and patient risk Doses are adjusted frequently using different tablet strengths Patients should carry a Warfarin (yellow) booklet Major risks include bleeding, especially GI bleeding and intracranial haemorrhage Warfarin interacts with many medications and foods (e.g. antibiotics, NSAIDs, St John’s wort, green leafy vegetables) Alcohol and cranberry juice can affect INR Warfarin is contraindicated in pregnancy Reversal involves vitamin K and PCC in severe bleeding
Dec 28, 2025 · 11 min
How to Counsel a Patient on Apixaban | OSCE Talk
In this episode of OSCE Talk, we break down how to counsel a patient on Apixaban — a common anticoagulant used for stroke prevention in atrial fibrillation and for the treatment and prevention of DVT and PE. We cover what Apixaban is, why it’s prescribed, and how to clearly explain benefits, bleeding risks, and safety advice to patients in an OSCE-friendly way. You’ll learn how to structure anticoagulant counselling, including dosing, missed doses, interactions, red flags, and when patients should seek urgent help. This episode is ideal for medical students preparing for OSCEs, foundation doctors, and anyone wanting to improve real-world medication counselling skills. ✅ KEY TAKEAWAYS Apixaban is a factor Xa inhibitor used for anticoagulation Common indications include AF-related stroke prevention, DVT, and PE Explain stroke risk vs bleeding risk clearly to patients Unlike warfarin, Apixaban does not require routine INR monitoring Patients must take it twice daily at the same time each day Missed doses should be taken as soon as remembered (same day) Major bleeding and head injury require urgent medical attention Avoid NSAIDs and inform healthcare professionals before procedures Apixaban is contraindicated in pregnancy Clear counselling improves adherence and patient safety
Dec 21, 2025 · 9 min
How to Explain Atrial Fibrillation to Patients | OSCE Talk
In this episode of OSCE Talk, Peter and Matthew break down atrial fibrillation (AF) — one of the most common and clinically important cardiac arrhythmias you’ll encounter in OSCEs and practice. We explore what AF is, the different types of atrial fibrillation, and why it significantly increases the risk of stroke. The episode then walks through AF management, including rate vs rhythm control, the role of cardioversion, and how to assess stroke risk using the CHA₂DS₂-VASc score. To bring it all together, we role-play a doctor–patient counselling scenario, demonstrating how to explain AF, anticoagulation, and treatment options clearly, calmly, and safely — exactly what examiners look for. This episode is ideal for OSCE stations involving cardiology, chronic disease counselling, anticoagulation, or arrhythmia management. What atrial fibrillation is and how it affects heart rhythm The three types of AF: paroxysmal, persistent, and permanent Why AF significantly increases stroke risk How and when to use the CHA₂DS₂-VASc score Principles of rate control vs rhythm control When anticoagulation is indicated How to explain anticoagulation risks and benefits to patients What cardioversion involves and how to counsel patients about it Common patient concerns and how to address them How to structure an OSCE-safe AF counselling station
Dec 21, 2025 · 7 min
ACE Inhibitor Counselling (Ramipril) | Side Effects, Monitoring & OSCE Tips | OSCE Talk
In this episode of OSCE Talk, we break down how to counsel a patient starting an ACE inhibitor, with a specific focus on Ramipril, one of the most commonly prescribed antihypertensives in clinical practice. We cover when ACE inhibitors are indicated, how to explain their benefits in simple, patient-friendly language, and how to counsel safely on side effects, monitoring, and red flags. The episode also explores NICE guidance, patient selection, and what to do if patients cannot tolerate ACE inhibitors — including when to consider an ARB. Using a simulated patient interaction, we demonstrate how to structure an OSCE-safe counselling conversation, address common concerns, and ensure patients understand when to temporarily stop their medication. This episode is ideal for OSCE stations involving hypertension management, medication counselling, or cardiovascular risk reduction. What ACE inhibitors are and why Ramipril is commonly prescribed How to explain ACE inhibitors clearly without medical jargon NICE-based indications for starting Ramipril Key contraindications and cautions Common side effects (dizziness, dry cough) Serious but rare risks (renal impairment, hyperkalaemia, angioedema) Why kidney function and potassium must be monitored Sick day rules and when to stop the medication When to switch to an ARB How to structure an OSCE-ready medication counselling station
Dec 21, 2025 · 6 min
How to Counsel a Patient with Hypertension | OSCE TALK
In this episode of OSCE Talk, we focus on how to counsel patients with hypertension, one of the most common and important conditions you’ll encounter in OSCEs and clinical practice. We break down what hypertension is, why it’s often called the “silent killer”, and how to communicate risk effectively to patients who may feel completely asymptomatic. The episode covers key risk factors, long-term complications, and how to structure a clear, patient-centred counselling conversation. You’ll learn how to discuss lifestyle changes, explain when medication is indicated, and help patients understand why managing blood pressure is essential for preventing stroke, heart attack, and cardiovascular disease. This episode is ideal for OSCE stations involving chronic disease counselling, cardiovascular risk, or lifestyle advice. What hypertension is and why it’s often asymptomatic How to explain the concept of the “silent killer” clearly to patients Diagnostic thresholds and how hypertension is confirmed Key modifiable and non-modifiable risk factors How to structure a hypertension counselling station The role of lifestyle changes (diet, exercise, smoking, alcohol, stress) When medication may be needed How patient education improves long-term outcomes How to encourage engagement without being patronising How to keep counselling clear, calm, and OSCE-safe