1️⃣ Structure Every Answer

Everything you say should follow a clear structure or framework.

Structure keeps you focused, lets the examiner follow your thought process, and shows that you can prioritise under pressure.

2️⃣ Think in Trunk, Branches, and Leaves

Start with the trunk - broad categories or headlines - before expanding into branches (key points) and leaves (fine detail).

This helps you speak logically and avoid losing sight of the big picture.

If you end up in the leaves in the first 10 seconds of an answer you've probably gone too deep to quickly.

3️⃣ Signpost Your Plan

Tell the examiner and confederate what you’re going to cover, before you get into it.

Signposting demonstrates control, helps the examiner relax, and gives them permission to redirect you if needed.

4️⃣ Stay Scenario-Specific

Avoid cookie-cutter answers.

Use your frameworks to tailor what you say to the exact context of the question - the patient, the setting, and the domain being tested.

5️⃣ Don’t Enter the OSCE Room Not Knowing What You’ll Find

Use your reading time wisely.

Before you walk in, be absolutely clear on what’s being asked of you and who is in the room - is it the examiner and a patient, or a colleague, or a family member?

Know your task: are you explaining, performing, resuscitating, or managing a conflict?

When you enter with purpose, you start strong.

Confidence and clarity in those first 10 seconds set the tone for the whole station.

6️⃣ Predict What’s Coming

During reading time, ask yourself.

“Where could this station go next?”

Could the patient deteriorate? Refuse care? Need a capacity assessment?

Anticipating transitions helps you adapt smoothly.

7️⃣ Read the Room

Pay attention to body language.

If the examiner or confederate looks like they want to speak, pause.

They may be trying to stop you going off on a tangent and redirect you to where the marks are.

8️⃣ Target the Domains

Check the marking domains before you start.

No Scholarship and Teaching? Don’t waste time teaching.

Health Advocacy listed? Don't forget you have to bring this in. Look for a "secret story" you need to sensitively uncover.

9️⃣ Remember - You Can Always Score Something

Even if you hit a completely unfamiliar topic.

Don't freeze - use your structures and general principles.

You’ll still collect marks for process, communication, and safety.

🔟 Find What Works for You

Everyone you practise with will give you different advice. This gets overwhelming. Take the best bits. Don't be led to believe there is only one “right” way to do a station - choose the style that feels right for you, and practise until it’s natural.