OSCE Mismanaged Fracture


An OSCE case involving a five-year-old boy whose supracondylar fracture was misdiagnosed as an elbow sprain and discharged without analgesia. Candidates must conduct open disclosure with the child’s mother, demonstrating empathy and professionalism, organise appropriate fracture management, acknowledge and document the missed diagnosis, and outline follow-up actions such as incident review, staff feedback, and system improvement processes.