The OSCE requires you to have expert knowledge, targeted and effective clinical examination skills as well as being an outstanding communicator.
When people fail the Written exam, it is usually a knowledge issue, not necessarily a technique issue. Knowledge is the key, there is no magic, there is no shortcut!
In the OSCE, having the knowledge is one thing, having the skill to demonstrate it in cases-led discussion or showing empathy and understanding, is something we do anyway, however we must demonstrate this in specific ways in the exam. It can be taught.
Taking a good history and communicating with the examiners, seems easy, but getting the speak right is a skill.
The clinical examination, requires the performance of a focused examination, that is appropriate for the context presented. It’s not just about performing an exam, it’s about knowing what you’re looking for.