Independent NAC OSCE preparation by BoardQBank
Important: Exam dates, fees and policies can change. Verify time-sensitive details on the official Medical Council of Canada website.
Urgent care module

Emergency & Clinical Safety

Immediate stabilization, escalation and prevention of dangerous delay.

Module objectives

By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.

Core presentations

ABCDE assessment

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Shock and sepsis

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Anaphylaxis

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Acute coronary syndrome

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Stroke

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Severe asthma

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Pulmonary embolism

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

GI hemorrhage

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Ectopic pregnancy

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Suicidal crisis

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Acutely ill child

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Expected station skills

  • Call for help early
  • Prioritize airway, breathing and circulation
  • Use monitoring and IV access appropriately
  • Reassess after interventions
  • State disposition and consultation clearly
Module drill: For each presentation, state the leading diagnosis, the dangerous alternative, one discriminating question, one discriminating examination finding and the first action if the patient is unstable.

Red flags and escalation

  • Airway compromise
  • Refractory hypoxia
  • Hypotension
  • Altered mental status
  • Active hemorrhage
  • Time-critical diagnosis

Station rehearsal template

  1. Read the task and identify the required output.
  2. Open professionally and establish the agenda.
  3. Gather focused positive and negative findings.
  4. Summarize and prioritize the differential.
  5. State investigations and management in a safe sequence.
  6. Address the patient’s concerns and understanding.
  7. Close with disposition, follow-up and safety-netting.

Suggested complete 11-minute stations