Domain Based Marking

Examiners to use their judgment in rating the overall ability a candidate demonstrates in various elements (“Domains”) of a task

Need consistency amongst examiners marking the same station on different days

Follow station instructions for marking standards

There are 7 domains across each MRCEM OSCE station

Clinical reasoning/ Decision making Practical/Pinnacle skills
Communication skills (incl. conflict) Teaching skills
History taking/Information gathering Organisation/Prioritisation
Clinical examination skills