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Hi, I’m Trish from Speedwell.

In this clip, we see how a candidate takes a remote osce exam with one examiner present and uses a shared image.  In this remote osce the candidate and examiner will be using their mics and webcams so they can talk to and see each other whilst in the stations. The candidate will sign in early and wait for the exam to start. There will be reading time before station 1, which is a dialogue with one examiner.

Then there is waiting time and reading time before station 2, where the examiner will also share an image with the candidate. They will both mark the image and see the updated image at the same time.

The candidate will need the URL and their unique username and password details. They will browse to speedwell esystem delivery and sign in with username and password here.

The exams delivery screen loads when they sign in. The candidate should have already run the remote osce computer check (there is a separate clip for that). In the banner at the top, on the right the sign in details are displayed. This candidate screen shows that there is one exam ready to take.

Each exam is dated and timed and the candidate and the can check the details here. And go back to exams.

The candidate enters the exam using this button. As the candidate has entered the exam early they will need to wait for the exam to start.  The candidate webcam loads on the right, and in the banner at the top left we can see the exam timer. This will count down to the start of the exam, then count down through any allocated candidate reading time, then, count down through the remaining station time.

For the next station, it will count down through any station waiting time, any reading time, the remaining station time and so on until the exam has finished.

The candidate can choose font and screen options here.  And we can see the exam and station details on the top right.  The candidate reads the customised “waiting for exam” instructions whilst they are waiting for their exam to start.

Once the candidate has finished the whole exam they will leave the event using this button.

On the right, the candidate can load and use an onscreen chat facility to get help from the exam administrator by clicking here.

They can also change their settings for the mic and webam using this button if they have alternatives available.

When it is time for the exam to start, the first station reading time begins, and the instruction are displayed.   When reading time is over, the station starts and the examiner joins with their webcam showing at the top, and candidate webcam repositions at the bottom. The station has begun, the candidate and examiner can see and hear each other.

If a floating examiner is observing, this icon shows at the bottom. The observer can’t be seen or heard but can see and hear everyone else. The icon disappears once the observer has moved to a different station. The station finishes, the examiner cam disappears and the candidate is now in the waiting room for the next station, and can see the customised “waiting room” instructions.

After waiting time is over the candidate has some reading time for the next station.  The candidate can click the image, which is part of the instructions for the station.  The candidate can look more closely at the image by clicking it and resizing. When the reading time comes ends the candidate will automatically join the next station and see the next examiner webcam repositioning at the top.

During this station, the examiner would like to share the image with the candidate, and wants the candidate to explain a chest exam using the image.  The candidate clicks the image and can resize it for a closer look. The candidate places a marker on the image, it’s a C marker.

Here on the left is an example of what the examiner sees, and here they have already placed their E marker on the image.   The candidate sees the same screen and is placing their own C markers.  Both can see and interact with exactly the same screen, placing their own markers (C for candidate, E for examiner). They can both see all markers.

Back to our exam and this candidate has clicked on the image (we can see their C marker). The examiner places a marker when they want the candidate to continue and the candidate places their markers on the image whilst describing the procedures for the chest exam. This simultaneous screen sharing and interaction is very useful for detailing and clarifying discussion points.  OSCE stations can contain multiple shared images, which can be used by examiners, candidates and simulated patients as well.

When the candidate and examiner have finished this procedure, the image is closed and the station continues. This station has nearly finished and it is the last station in this osce exam. Once the station ends, only the candidate webcam is on now, and the timer at the top display the Exam finished notification. The candidate leaves the exam buy clicking leave at the bottom. This will take them back to the exam screen.

They have taken their osce exam and will need to sign out at the top left.