Part II (OSCE)

The PEBC Pharmacist Qualifying Examination – Part II (OSCE) takes place in all exam centres on the same day across Canada. Candidates are randomly assigned to either the morning (AM) or afternoon (PM) exam sitting. Start times vary by time zone to maintain exam security. The exam day schedule is the same for all centres and sittings. Expect to be at the exam centre for 6.5 hours (all times approximate):

To be admitted to the examination, you must bring the following two pieces of identification:

• PEBC Admission Card
• Government-Issued Photo ID

Exam personnel check both pieces of ID to verify your identity. Both pieces of ID must be a likeness of your current physical appearance. The names on your PEBC Admission Card and government-issued photo ID must reasonably correspond.

PEBC Admission Card:

• PEBC emails it to you 3 weeks before the examination.
• Print it on white paper and bring it to the exam (electronic copies not accepted).
• On arrival, present it to exam personnel.
• At registration, exchange it for your PEBC Identification Badge.

Original, Valid Government-issued Photo ID (one of the following):

• Canadian or International Passport
• Canadian Provincial Driver’s Licence
• Canadian Provincial Photo Health Card
• Canadian Permanent Resident Card

You must appear at the location and time listed on your PEBC Admission Card:

• Do not attempt to enter the exam centre early. You are not permitted to enter early for any reason, including to use the washroom.
• If you arrive later than 30 minutes after the scheduled time, you may not be permitted to enter that examination.
• Unless otherwise authorized by PEBC or the Chief Administrator, only exam personnel and candidates scheduled for the examination who present their PEBC Admission Card and government-issued photo ID are permitted to enter the exam centre. Family members and friends are not permitted to enter the exam centre.

If a female candidate cannot be identified due to a veil covering her face, two female exam personnel take the candidate to a private area where they confirm the candidate’s identity.

Candidates must bring and wear a plain lab coat, dispensing jacket, uniform or scrubs with any logos or identifiers (e.g. school, employer, name) removed or covered in opaque (duct) tape.

Although PEBC attempts to ensure the comfort of all candidates and exam personnel, conditions may be beyond our control, e.g. temperature fluctuations. You are strongly encouraged to dress for fluctuating temperatures in examination stations.

Note:

• There is no smoking on examination premises.
• Please do not wear scented cosmetics, perfumes or clothing, as some individuals are very sensitive to such substances and you may be refused entry to the examination.

PEBC policy determines which personal items candidates are and are not allowed to bring into the secure examination area. The secure examination area is any area at the exam centre from where you first show your PEBC Admission Card and government-issued photo ID to the exit at final dismissal.

At registration, you must check in all prohibited personal items for secure storage. Items are stored in a supervised location or locked room and returned after the examination. Do not bring suitcases or large bags as exam centres are not able to store them.

Candidate Personal Items List of common examples for each group (A, B, C):

Guidelines

Follow these steps when bringing Permitted Items and/or Prior Approval Items to the examination:

1. Bring all items in one clear, re-sealable plastic bag, e.g. Ziploc.
2. Larger items such as medical devices can be brought without a bag.
3. Remove all packaging/boxes, paper wrappers, labels and inserts from each item unless required for certain medications.
4. Show your items to exam personnel for inspection when you register.
5. For Prior Approval Items, bring the letter from PEBC authorizing the item(s).

Carrying Items

Exam personnel carry or store your personal items during the examination. You may request to carry non-snack items yourself.

Water and Snacks

You are encouraged to eat well before arriving. Water and a light snack are provided by PEBC during the Mid-Session Break. Water is also provided at rest stations and other breaks upon request. You may bring your own snacks into the secure examination area, carried by exam personnel. You may not bring your own water or other beverages. Candidates who have dietary restrictions of any kind are advised to bring their own snacks.

Notes on Personal Items and Jewelry

Candidates are strongly advised not to bring personal items or wear jewelry to the examination.

The Chief Administrator and exam personnel have the authority to:

• inspect any personal item and piece of jewelry
• instruct you to remove your jewelry for inspection
• disallow any piece of jewelry into the secure examination area
• deny you entry into the secure examination area if you do not comply with instructions

Inspecting jewelry and wearing jewelry during the metal detector screening process:

• slow down registration significantly
• disrupt other candidates

PEBC and exam centres are not responsible for lost or damaged personal items including jewelry that are stored at the exam centre for the duration of the exam period.

Inspecting Items and Metal Detector Wanding

The Chief Administrator and exam personnel have the authority to:

• inspect all pockets on clothing
• inspect any materials brought into or used during the examination
• request candidates to remove outerwear
• request candidates to roll up their sleeves and pant legs to permit inspection

Candidates may be individually scanned using an electronic and/or metal detector, randomly or otherwise, before admission and/or during the examination. Candidates who have any prohibited items with them, whether identified by scanning or by exam personnel, may be removed and may forfeit the examination.

The exam centre may be electronically scanned for the duration of the examination to determine whether any prohibited electronic devices are present or in operation by anyone in the examination.

Exam personnel will confiscate any devices or materials not handed in at registration that may compromise the administration or security of the examination. Confiscated items are sent to PEBC for inspection, together with a report of the incident, and will be kept until any investigation is completed.

The Chief Administrator (or representative) gives candidates an orientation including exam day schedule, and a review of the rules of conduct and exam procedures found on the PEBC website. They will not answer questions about exam content or what to do inside examination stations.

There may be a wait time of up to 60 minutes before starting the examination. You are allowed a washroom break before the examination begins.

Exam personnel escort you to the exam track and station where you begin the examination.

Before the examination begins, exam personnel explain the station timings and give a demonstration of the actual timing signals so you can hear them.

You are not permitted to communicate with anyone outside the exam centre at any time while you are in the secure examination area, e.g. by cell/smart phone, text, etc.

An emergency contact name and telephone number are included in the Location Information document provided with your PEBC Admission Card. This information may be given to whom it may concern, in order to contact you in the event of an emergency during the examination. Only emergency messages, received in English (or French, at a bilingual exam centre) will be relayed.

You must make all arrangements such as transportation or meeting time and place, before entering the secure examination area. When arranging a meeting place, it must be outside of the exam centre building.

All materials essential for the examination are provided to you at registration or in the examination stations.

When you register for the examination, exam personnel sign you in at the registration desk and give you the following materials to carry with you during the examination:

• PEBC Identification Badge and Badge Holder
  • You must sign your name on your Identification Badge, attach one barcode label and place your Identification Badge in the badge holder with photo facing out to wear throughout the examination.
  • Your Identification Badge is coloured to match your exam track. Exam personnel identify you by your track colour and PEBC Identification number.
• Candidate’s Agreement
  • You must read, sign and hand in 2 copies of the Candidate’s Agreement.
  • One signed copy is returned to you before you leave the exam centre.
  • If you have any questions or concerns about this agreement, you must contact PEBC before exam day.
• Candidate Notebook with an attached sheet of barcode labels
  • The Candidate Notebook contains blank pages to make notes for your own reference during the examination.
  • You receive only one Candidate Notebook.
  • You may write or erase in your Candidate Notebook at any time.
  • The barcode labels contain your PEBC Identification number. You must check the barcode labels to ensure that they match your PEBC Identification number on your Identification Badge.
  • Sign the Candidate Notebook cover to confirm that the barcode labels match.
  • You must keep intact the whole Candidate Notebook with the attached sheet of barcode labels throughout the examination and return it intact at the end of the examination, including the cover pages, inside pages and barcode label sheet with any unused barcode labels.
• Pencil with eraser

References are provided in some stations only when they are deemed essential in allowing candidates to meet the objectives of the station, i.e. solving the problem. References are not necessarily provided when the station is based on knowledge and skills that candidates are expected to possess at entry to practice.

Candidates should become familiar with the listed references in order to use them efficiently when provided. For a list of references that may be provided, please see Part II – References in Stations.

Photocopied reprints or excerpts of specific chapters or sections of references are made with permission, under licence by Access Copyright.

All the station materials and references you require to complete the task are provided in each station. No other materials may be used at any time at the exam centre while in the secure examination area under exam conditions.

You are not allowed to write on, mark or deface station materials and references. This includes writing, circling or underlining any words or numbers. It also includes making any pencil marks anywhere on the pages. Writing on station materials and references is a breach of exam rules.

A sheet of barcode labels is attached to your Candidate Notebook. The barcode labels contain your unique PEBC Identification number. Barcodes identify you when assessor scoring sheets and candidate answer sheets are scanned to ensure you receive credit for your own performance in each station.

Do not remove the sheet of barcode labels or any unused barcodes from your Candidate Notebook. You must return all unused barcodes, the backing sheet the barcode labels are attached to and the entire Candidate Notebook intact at the end of the examination. Do not write on the barcode labels.

In this example of a barcode label, A means you are scheduled in the AM (morning) exam session, 123456 is your PEBC ID number and 10 is your first station.

You may write only on the following materials provided by PEBC: Candidate Notebook, Candidate Answer Sheets provided in some stations and Candidate Feedback Questionnaire provided at the end of the examination.

You must not take station/reference/exam materials including pages from your Candidate Notebook:

• to the washroom
• from one exam section to the other
• at end of exam session to sign out
• out of the secure examination area; off the exam centre

The Pharmacist Qualifying Examination – Part II (OSCE) consists of 13 examination stations plus rest stations. The 13 examination stations consist of:

• 10 interactive stations
• 2 non-interactive stations
• 1 pretest station (interactive or non-interactive)

Stations are set up in individual rooms or behind privacy screens if in a hallway or a large room. Each station is furnished with a desk/table, chairs and the station materials and references required to complete a task. In some stations, you will find a magnifying sheet to assist you. Do not take it out of the station.

Each station consists of a task or problem to complete within 7 minutes. Tasks are not complex scenarios. For example, you may be instructed to perform only specific components of the patient care/dispensing process, e.g. take a medication history, evaluate the appropriateness of the prescription, resolve a drug therapy problem, check dispensed medication, counsel, provide follow-up, etc.

You may start the examination in an examination station or rest station. Stations are numbered and you follow them in numeric order. The timing signal system tells you when a station starts, when there are 2 minutes remaining in the station and when the station finishes and you must move to the next station.

Before each station begins, you have 2 minutes to move to the next station and read the Candidate’s Instructions posted outside the station. The same instructions are also provided inside the station so you do not need to copy them in your Candidate Notebook. Candidate’s Instructions provide you with some information about the station and list the station materials and references provided in the station. When you hear the station start signal, enter the station immediately and begin. For interactive stations, close the door behind you. For non-interactive stations, keep the door open.

After 5 minutes, a warning signal tells you there are 2 minutes remaining. You must remain in the station for the full 7 minutes even if you finish early.

When you hear the station stop signal, the station is finished and you must move to the next station. Ask exam personnel to direct you to the next station if you do not see it immediately.

You must follow the timing signals exactly. Disrupting the exam process by not following the timing signals or exam personnel instructions is a breach of exam rules.

In interactive stations, you interact with a Standardized Participant (SP). SPs portray one of the following:

• patient
• client, e.g. parent or caregiver of a patient, etc.
• health professional (portrayed by a professional working in a relevant field), e.g. physician, nurse, etc.

An assessor is present to observe the interaction and assess your performance using a scoring sheet. Some stations have more than one assessor for quality assurance purposes.

Before entering the station, peel off one barcode label from the sheet attached to your Candidate Notebook. Peel off two barcode labels for stations where a sign is posted outside the station indicating there are two assessors. As you enter the station, give one barcode label to each assessor. If there is also a Candidate Answer Sheet provided in the station, attach a barcode label in the space provided.

Stations are assessed by pharmacists who are trained to observe and assess your performance. Assessors use standardized scoring criteria and scoring sheets. Assessment procedures are designed to ensure that the scoring is objective and based on examination criteria only. Assessors are instructed not to talk with you during the examination, so please do not talk to them. If you have any questions, direct them to exam personnel, not to assessors.

On the desk/table, there are station materials and references available for your use. You may use the references provided at any time during the interaction. You are not allowed to write on or mark station materials or references. This includes writing, circling or underlining any words or numbers. It also includes making any pencil marks anywhere on the pages. Writing on station materials and references is a breach of exam rules.

Where a folder reading For Staff Only is posted on the door of the station, do not take any paper from the folder. If you do, you are in breach of exam rules.

Some interactive stations may contain a small selection of non-prescription medications, a medication device and/or a labelled prescription container. When medications are provided in the station, you must select from those provided if you want to recommend self-treatment with a non-prescription medication. They may not have any actual drug product in them, unless the station task requires you to check the product. Disregard all expiry dates on station medication materials.

During the interaction, the SP may seek your assistance, offer information, etc. SPs follow a written script and are well-trained to perform in a standardized way that is consistent from candidate to candidate. The interactions are designed to support the station objectives. During the interaction, information may be volunteered by the SP or provided on the patient record/profile or other station materials. You may ask SPs any additional information you need in order to meet the objectives of the station. Proceed as you would in practice.

You may choose to sit or stand when interacting with SPs, positioning yourself where you prefer to be in relation to the SP. Do not shake hands with SPs or assessors as some people prefer not to.

The SP typically enters the station after 20 seconds, giving you time to review the station materials and references. In select stations, the SP may already be in the station when you enter. Begin the interaction when you are ready.

The SP typically leaves the station when the interaction is finished, even if there is still time remaining before the 7-minute stop signal. After the SP leaves the station, you cannot ask the SP to return for further consultation. When you hear the 7-minute stop signal, you must stop immediately and leave the station even if you have not finished. In select stations, the SP may stay in the station for the entire 7 minutes until the stop signal. In these stations, you may consult with the SP at any time.

Do not take station materials or references out of the station.

Some interactive stations may be video-recorded for PEBC’s use for quality assurance purposes. The Candidate’s Agreement includes acknowledgement of this procedure. In these stations, the assessor will ask you for an extra barcode label when you enter.

Non-interactive stations do not involve an SP so you are alone in the station. Non-interactive stations require you to respond in writing and/or fill in bubbles corresponding to your answers on a Candidate Answer Sheet, e.g. identify errors or problems on prescriptions, answer a drug information request, etc.

Before entering a non-interactive station, take one Candidate Answer Sheet from the red For Candidates Only folder and read the Candidate’s Instructions – both are posted outside the station. Attach one barcode label to the Candidate Answer Sheet in the space provided. You may begin reading and writing on the Candidate Answer Sheet immediately.

When you hear the start signal, enter the station, find the station materials on the desk/table and begin immediately.

For Candidate Answer Sheets that require you to fill in a bubble, record your answers on your answer sheet. Instructions inside your Candidate Notebook show how to blacken the bubble completely. Do not use checkmarks, exes, dashes, dots, etc. Do not fill in the bubble partially or lightly. Do not make marks outside the bubble. If automated scoring cannot read your answer, you may not get awarded a point.

Use clear, legible handwriting when you are required to write an answer.

If you want to change your response, completely erase the bubble or written answer. Then, blacken the new bubble completely or write your new answer using clear, legible handwriting.

One of the 13 examination stations is being pretested for possible use in future examinations. The station is conducted and assessed in the same way as scored stations for station evaluation purposes. Your performance is not used to calculate your exam result. You will not know which station is the pretest station.

The OSCE also includes rest stations. During rest stations, you may ask exam personnel for water or to use the washroom. You may not have snacks during rest stations except for medical reasons and with the approval of the Chief Administrator.

Half-way through the examination, there is a longer Mid-Session Break during which you remain in the station you just completed. Exam personnel provide you water and a snack. During the Mid-Session Break, washroom use is reserved for assessors and SPs; you may only use the washroom in an emergency.

On a washroom break, exam personnel accompany you to the washroom. Exam personnel take your Candidate Notebook and pencil before you enter the washroom. After using the washroom, exam personnel verify your identify, return your materials and accompany you back. Candidates are responsible to confirm that they collected their own Candidate Notebook and barcode labels.

You are under exam conditions in rest stations, on breaks and when using the washroom and may not communicate with other candidates. If you do, you are in breach of exam rules.

After the examination finishes, you are signed out and continue to be under exam conditions until you are dismissed and leave the secure examination area. During sign out, you must:

After the examination finishes, you are signed out and continue to be under exam conditions until you are dismissed and leave the secure examination area. During sign out, you must:

• complete the Candidate Feedback Questionnaire
  1. you must report or describe anything that may have affected your performance
  2. PEBC will not consider anything that you report later
• hand in the following materials:
  1. completed Candidate Feedback Questionnaire
  2. Identification Badge and badge holder
  3. intact Candidate Notebook with attached barcode sheet
  4. pencil
  5. any other item in your possession
• dispose of remaining snacks or tissues
• collect one signed copy of your Candidate’s Agreement
• sign out on the candidates’ register to indicate that you completed the exam stations in accordance with exam procedures and returned all exam materials
• retrieve any personal belongings that were checked in

The Chief Administrator or representative announces when you are allowed to leave the exam centre. You:

• are not allowed to leave early except for medical emergencies
• may be sequestered and have to wait for a period of time after signing out before being permitted to leave
• must leave the exam centre immediately when instructed
• are not allowed to remain at the exam centre or near its exits
• must not re-enter the exam centre for any reason, e.g. to wait for rides, use washrooms, etc.

After leaving the exam centre, you must continue to maintain exam confidentiality at all times as you agreed to in the Candidate’s Agreement.