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.
Mental health module

Psychiatry

Mental-status examination, risk assessment, capacity and safe disposition.

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

Complete topic guide

Depression and suicide risk

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Psychosis and mania

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Anxiety and panic

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Substance use and withdrawal

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Delirium versus dementia

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Eating disorders

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Agitation and behavioural emergency

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Capacity and treatment refusal

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Trauma and grief

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →

Expected station skills

  • Structured mental-status examination
  • Direct suicide and violence questions
  • Substance and medication history
  • Capacity assessment
  • Collaborative safety planning
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

  • Active suicidal intent
  • Command hallucinations
  • Severe agitation
  • Delirium
  • Withdrawal complications
  • Inability to care for self

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