One learner performs. One learner checks the key steps and gives feedback. Then swap roles. This is a practice aid, not an official mark scheme.
Candidate
FRCEM · Paired examination practice
Assess a skin concern using a consenting partner or agreed clinical image. Describe the findings and explain your differential and next steps.
Suggested practice time: 5–7 minutes. This is a practice suggestion, not an official examination timing.
Examiner / observer
Tick the actions you observe. Discuss any step that was not needed for this examination; unchecked boxes are not a score.
Examiner / observer · 1 of 3
Preparation · History and general assessment
Provide a well-lit setting and, if no suitable visible lesion is available, an agreed clinical image with permission for teaching. State which features cannot be assessed from an image. Do not invent a rash or diagnosis.
Examiner / observer · 2 of 3
Describe and examine · Interpretation and management
Examiner / observer · 3 of 3
Finish
How would you describe the skin finding before naming a diagnosis? Uses morphology and distribution, relevant history and actual examination findings; states limitations of image-only assessment.
Which finding would change the urgency? Identifies systemic illness, rapidly progressive pain, blistering or mucosal involvement and the need for prompt assessment.
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