In the Intercollegiate MRCS OSCE Exam, the ‘Clinical and Procedural Skills’ component, making up about 15-20% of the total marks, will test the candidate’s capacity to apply sound basic science/clinical knowledge in a practical context. The candidate’s ability to perform practical tasks related to surgery that requires manual dexterity, hand-eye coordination and visual/spatial awareness will be assessed. In addition, it will also test aspects such as capacity, consent, theatre safety, WHO checklist and principles of safe surgery. This intensive hands-on practical skills course will take the candidate through all the procedures that have been examined in the recent years, allows practice in realistic exam conditions and will provide structured feedback for further development. Candidates will be provided with their scores and will have the opportunity to discuss specific practical aspects with the examiners and recent successful candidates.HighlightsPractical course with a high tutor-to-participant ratioHands-on sessions with scenarios simulating the real exam Individual feedback and scoresExamples of topics to be covered include:Surgical scrubbingSafe use of local anaesthesiaSuturing techniquesKnots and tying at depthSurgical excision of a cutaneous lesionUrinary catheterisationConsent and CapacityCannulation and venepuncture of high-risk patientsEpidural techniqueLumbar punctureOrganising a theatre listAppropriate radiology requestingDischarge letterTransfer documentationPerforming an FNAInsertion of a chest drain