Table 2

Comparison of pre-registration house officers (PRHOs) and medical students in performing a screening locomotor examination

OSCE marking scheduleNo of candidates achieving a pass (%)
PRHOsMedical students
Inspects the patient from the front, back, and side 1 (5)2-150 150 (62)
Asks the patient to walk and inspects their gait 8 (36)2-150 237 (98)
Asks the patient to show their hands, inspects and palpates MCP2-151 joints11 (50)2-150 204 (84)
Asks patients to make a power and precision grip 8 (36)2-150 212 (88)
Assesses radioulnar joints and elbow extension 9 (41)173 (71)
Asks patient to put their hands behind their neck with elbows back to assess shoulders14 (64)193 (80)
Checks hip internal rotation while patient lies on the couch 2 (9)2-150 175 (72)
Looks for knee swelling, checks knee flexion, and feels for crepitus 1 (5)2-150 169 (70)
Has a quick look at the ankles and checks for MTP2-151 joint tenderness/swelling 0 (0)2-150 174 (72)
Asks patient to bend forward and checks for lumbar flexion 2 (9)2-150 223 (92)
Checks for neck lateral flexion 2 (9)2-150 207 (86)
  • 2-150 PRHOs performed significantly worse than students (χ2 p<0.05, with Bonferroni correction).

  • 2-151 MCP = metacarpophalangeal; MTP = metatarsophalangeal.