NRE Step 2: the Clinical Skills Examination

About 20 OSCE stations covering history, examination, procedures, counselling and management. Practise out loud, with a timer and a partner.

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Format

  • About 20 OSCE stations, roughly 8 minutes each with a short changeover.
  • Stations across medicine, surgery, gynaecology, paediatrics, eye and ENT.
  • Pass mark reported as 60%, with certain mandatory stations that must be passed individually.

Confirm the current format on nre.pmdc.pk.

Station types

  • History taking.
  • Physical examination.
  • Procedures on manikins: cannulation, catheterisation, suturing, BLS.
  • Data interpretation: ECGs, X-rays, blood gases, lab results.
  • Counselling and communication: breaking bad news, consent, explaining a diagnosis.
  • Management of emergencies.

Preparation

  • Practise with a partner and a timer every day for 3–4 weeks.
  • Speak out loud. Examiners mark what they hear and see.
  • Introduce yourself, confirm identity, get consent and wash hands at every station.
  • Learn BLS thoroughly; it's commonly tested.

Our ward procedures guides describe each procedure step by step.

Frequently asked questions

Can I sit NRE Step 2 before passing Step 1?

No. Step 1 must be passed first.