My blog has started to get a bit more traffic recently, mostly due to people looking for advice, practice exams, and other information relating to Ontario’s OSCE and MCQ exams for Massage Therapy. Rather than reply to each email and comment I’ve received, I will instead put up a general post for those looking for such information.

First: You need to be aware that per CMTO policy, I am not allowed to give you any precise information about the exams. I cannot tell you exactly what I got in a station or how I decided to approach the information provided on the stem. What I can do is give you some general advice that might help you focus your attention for studying for the exam.

  1. - If you have been the ‘last minute’ sort when studying all through massage school, do not do that now! You absolutely need to put in the hours for these exams. I went a bit over board and studied almost every day for nine weeks straight for my school board exams (which are a school-created test run of the MCQ and OSCE), and then continued to study at least 3-4 days per week for my real MCQ and OSCE, which I wrote at the end of May and beginning of June, respectively. You don’t need to be quite as crazy as I was, but you do need to put in the hours.
  2. - When studying, focus on what you don’t know, not on what you know. Seems simple, right? But the truth is, when faced with a huge exam like this, people tend to just choose some areas to study and ignore the rest. While I do think that there is no way anyone could possibly review all 2 or 3 years of their education in a few short weeks, I also believe you need to study the most difficult stuff, and use your memory on the easier things. In my case, I spent a lot of my time studying the nervous system (anatomy and physiology, as well as treatment), because that was what I found the most difficult. Things like the effects of certain techniques or how to apply stretches clinically, that I didn’t study at all, because I knew it from doing it so many times.
  3. - If your school uses Rattray’s ‘Clinical Massage Therapy’ book, study it cover to cover. I’m not joking. It’s like the CMTO bible for the OSCE.
  4. - For the MCQ: read each question carefully, and remember, if it seems hard, you’re probably doing well! Easy questions are usually only given if you answered the previous question incorrectly. If you’ve been getting a lot of correct answers, you’re going to have a lot of hard questions.
  5. - For the OSCE: Read the stem VERY carefully. They are precise about what it is they want you to do. You might have been taught a treatment/assessment/interview questions/etc a certain way at school, but you MUST do what the stem is telling you to do! I spoke with a number of people after my own OSCE and found that they had not done a number of things their stem had asked them to do. Instead, they just did things from memory. The CMTO is asking for specific things for a reason, so make sure you do them!
  6. - Keep your stress level down. I know, easier said than done, right? Just remember that you’ve been studying hard for the last few years, you know your stuff, you just need to be able to spit it out for the examiners to grade it. If you make a mistake, just correct it and move on (or ignore it and move on, depending on the situation). If you leave a station feeling like you just bombed it, take a deep breath and remember that failing one station will not usually cause you to fail the entire OSCE.
  7. - Both orthopedic and non-orthopedic conditions will be tested. If your school has told you otherwise, they need to be updated to the latest exam model.

Good luck!

This entry was posted on Thursday, August 3rd, 2006 at 6:39 pm and is filed under General, Massage. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Pinging is currently not allowed.

29 Responses to “The OSCE and MCQ: Advice for the new graduate”

recent grad Says:

Hi! I’m a recent grad from Algonquin College and I wanted to thank you for putting this up! I did my MCQ today and passed.

I love that you blog about Massage Therapy. Thanks!

Candice Says:

Hi recent grad! Glad you enjoyed this post and like my blog. I wish more RMTs would write about their experiences in a format such as this.

Congrats on being done your MCQ! One down, one to go. Good luck!

Amanda Says:

Could you go into detail a bit more about the non-orthopedic conditions? My school really did not mention that and my OSCE is soon. Just a few examples would be great.

Candice Says:

Hi Amanda,

Non-orthopedic conditions are those that aren’t your typical musculoskeletal issues (strains, sprains, fractures, dislocations, disc herniations, etc). There are a number of non-orthopedic conditions we studied at my school. Here’s a list of a few of them.

- Depression and Anxiety
- Cancer
- Fibromyalgia
- Breathing conditions (bronchitis, asthma, etc)
- Constipation and other bowel issues

As I mentioned, the Clinical Massage Textbook is very helpful for studying for the OSCE, as it covers a wide range of conditions, including non-orthopedic ones. If you don’t own a copy, here is the table of contents, so you can at least see what is covered in it:

http://www.clinicalmassagetherapy.com/talusbookcontent.html

Good luck on your OSCE!

Vicky Says:

Hello! I think it’s great that you decided to create a blog for massage therapists! I did my OSCE this passed weekend on sat.21st. I know confidence and professionalism wasn’t an issue although, there are a few things I didn’t do completelty correctly and sometimes things were left out that needed to be said, but I would remember it at the end of the station and say it before the buzzer went..not in the typical order it would be in a practice. I hope I did well, I relize there is a 30% margin of error and would not be surprised if I did pass. I did a lot of talking and explaining of what I was doing, never looking at the examiner. I’m just wondering what the most important points are. One thing I am worried about is that I wasn’t able to redrape my client because the buzzer went. so i left the leg undraped. Oh gosh..I bet that cost me marks!!

Candice Says:

Vicky: I don’t know what the most important points are, because even once you’ve become an RMT, you don’t find out! The whole point is that the CMTO doesn’t share its marking scheme or exam details with anyone except those working at the exam. The rest of us only know what our personal experiences with the OSCE were and any stories friends and colleagues might have shared with us.

What I can say is this: The CMTO is looking to make sure you are going to be safe working with the public. They want to make sure you meet the basic requirements for *entrance to practice*. And that’s the key here. They don’t care how advanced your techniques are, they only care that you know the fundamentals of the conditions you were faced with and how to treat them in a safe and effective way. Chances are good that if you’re anything like the students from my own graduating class, most of what you said in the exam room were extras (which are probably worth some points!) and you covered the conditions sufficiently overall. They really are just looking for ‘does this person know the basics and can they apply them safely?’.

And a story to share with you from my own OSCE: I forgot to wash my hands before I started one treatment station. Sure, I had just washed them when I left the previous station, but the examiner in the treatment room wouldn’t have seen that! And yet, I still passed. So you leaving the leg undraped due to the buzzer going probably won’t cost you the entire exam, unless you were doing very poorly.

Good luck! I hope you get some good news in a couple of weeks.

Vicky Says:

Thanks a lot for the advice :). I’m so nervous to find out, and hope i didn’t do very poorly. AHH!

Partha Says:

Hi
I need a lot of advice to prepare for the MCQ. I did my OSCE and am waiting for the result and getting more nervous as each day passes. What areas ( like neuro, Path etc) do you suggest to focus on for the MCQ?
Thanks for the blog. Keep up the good work.

Candice Says:

Partha:

The MCQ draws questions from ALL areas in the list they give you (I think it’s in the document called ‘candidate handbook’ now, and I suggest you take a look at it). Furthermore, because the test is adaptive, the exact questions you get depend on how you answer the previous questions in the list.

My advice would be to focus on the area(s) you are having the most trouble with. Spend lots of time on those, and only spend a short amount of time on reviewing things you know well.

Good luck!

Partha Says:

Hi Candice
Thanks for the advice.

chantal Says:

Hi Candice..
I did my OSCE and passed, but can’t seem to get the MCQ done. I have taken it twice and got 69% both times, which is infuriating, since it seemed to me as though the second exam was harder than the first one :S.. (what is even more frustrating is that everytime I look-up a question I though gave me trouble, I find out that I had the right answer). Now , i will admit that I am guilty of going back on my answers, instead of just getting on with the exam which I was told might be a very bad thing to do.. but.I’m not sure if this has anythign to do with it or not.

Also,I have heard that if you fail it twice, then you may be intitiled to see where you went wrong. Is this right??

Frustrated feeling very, VERY sick!!

Ashley Says:

I just found out a few weeks ago that i passed OSCE(I went Aug 18th), and now i’m studying for MCQ…but i am feeling overwhelmed with all of the material….can anyone give me some advice…tips….anything! Thanks! Also i am planning to move to Alberta in the spring(i am from Windsor, Ont). Has anyone been there or know someone who has been there to work as a RMT?

Ashley Says:

Hi Chantal, i just read about your MCQ experience, and that has happened to ALOT of people from my class(more than 5 people), all have failed with 69%, and they also said there was alot of material we did not learn. I really understand your fustration :( It makes you wonder how the test is marked, or why all these people fail by ONE percent! But just keep on studying, and believe in yourself! Good luck studying!!!

Candice Says:

Chantal: I don’ t know if you are entitled to see your exam once you’ve failed twice. I would get in touch with the CMTO to confirm that. I remember that when I was in school they told us that if you fail the OSCE three times, they will give you some one on one tutoring to help you figure out where you are going wrong. But I can’t say if that is actually the official policy or not.

chantal Says:

Just a note for those wondering on what to study for the MCQ.. Read Rattray.. from cover to cover.. and make sure you understand and remember everything that is in there!

Candice Says:

Chantal and everyone else: Yes, Rattray is important. It’s mentioned as point #3 in the main blog post above! ;)

Ashley Says:

Hi Candice,

I wanted to say thanks for creating this website/blog. :O)

My boyfriend saw my struggle both with massage therapy school and then during the process of doing my provincial exams. He knew how anxious and upset i was after doing the OSCE, and wanted to help in any way he knew how. So he searched for help on the internet and found your blog. He sent me the link, and i have to say, reading about your experience certainly put me at ease.

I certainly could have done ALOT better technically, especially in the assessment stations, but what mattered most to them, in my opinion, was commuicating with the client and showing care and concern.

I am happy to report I passed both exams and am now embarking on the beginning of a new and exciting chapter in my life.

Wishing you all the best!

Candice Says:

Ashley: I’m glad you enjoyed my blog posts and found them helpful for easing your mind! Congrats on having passed your exams and best of luck with your new career!

Derek Says:

Candice,
my wife is currently waiting to write her MCQ for the third time. She flew through school with 80s n 90s and passed her OSCE on the first time, but she is having a very hard time with the MCQ. She knows her stuff but she just cant pass it. Is there anything i could do to help her or tell her to make her feel better. She is very scared because she does not want to fail a 3rd time, especially with the baby on the way. I am also on edge because of this and that there woulnt be time for another 2 years of school n not to mention the fees. Also, could you let me know where to find that Rattrey’s book. I have looked for it on ebay and amazon but can not find it.
Thanks.
Any input would be greatly appreciated

Candice Says:

Hi Derek,

I assume your wife is writing her exams in Ontario?

Rattray’s book can be hard to find. I know my school sells it, and the local RMT schools where ever you are might as well. In most cases you don’t need to be a student to walk into the book store and buy things.

Otherwise, it appears to be available from the publisher: http://www.clinicalmassagetherapy.com/talusorder.html

Without knowing your wife I can’t give you any more useful help than what my original blog post gives. How close has she been to passing? It sounds like maybe she’s very nervous during the test and that isn’t helping with her comprehension of the questions. I’m not saying she doesn’t know her stuff, I’m saying her nerves are making her brain go ‘aaahhh!’ during the test. ;)

The only focus advice I can give is take each question on its own merits and try to forget about the rest of the exam. Each time she loads a new question, read it slowly and carefully and pretend like it is the only question on the exam (unless, of course, the question asks you to refer to previous questions!).

Good luck to her!

Candice Says:

I also found the book on Massage Therapy Supply Outlet. I have ordered stuff from them before and they are reputable.

http://www.mtso.ab.ca/product_info.php?cPath=24&products_id=243

Partha Says:

Hi Candice
Thanks for the support and advice I got from your blog. I passed the MCQ in my first attempt.
I did not get many questions from anatomy. There were a lot from the RHPA and ethics. I dont even remember studying most of the questions in the course. I also left comments for a number of questions.
Like you said I took the time to go through each question thoroughly to comprehend it properly and a lot of times used my common sense to answer them.
My advice to the students attempting the MCQ is Please do not go BACK and change the answers. If you are in doubt go with your first instinct and PROCEED.
All the best.

Candice Says:

Partha: Thanks for the update and congrats!

Just for the FYI of everyone else: I did get a lot of Anatomy questions on my own MCQ, so the exam really does vary from person to person and day to day.

Richard Says:

RE: entitled to see exam

To anyone wondering about seeing your exams, if you look on the CMTO website it says that the MCQ and OSCE are the property of the CMTO so that means they won’t let you see them. Also the exams are marked on a scale so some questions are worth more than others so a 69% doesn’t really indicate that you only failed by 1 mark. The vague and unhelpful letter you get telling you that you failed is pretty much all you’ll get from the CMTO. That being said I say study your Rattray

Jen Says:

I just took the OSCE the other day, along with my friends, and we all felt like we were in limbo with trying to judge what they are marking. When I took my comprehensives at school, I did very well on all the stations except techniques and Treatmenyt plan and consent. We got our marking sheets for them back so we could see where we went wrong, but it was frustrating because we were marked opn things we were not told to say. So I practiced for the OSCE with the exam sheets and felt more confident going in to the exam. The only thing is that, you know that they mark it with a computer so i could hear the clicking, and somethines when I thought that I was saying the right things I did not hear any clicking. Also I was so nervous in the treatment plan and censent station at the OSCE’s that I forgot to actually ASK for consent. Do you think that that would make me fail the whole station? I feel very much in Limbo and so do the rest of us, also because we went to a brand new school and are the first graduating class. I still have to take the MCQ and feel so very overwhelmed. Thanks for listening, any advise would be appreciated.
Thanks,

Candice Says:

Hi Jen,

First, I just wanted to assure you that the feeling of being in limbo is really normal. Nearly everyone feels that way after their OSCE. I joke that it is the CMTO’s way of scaring us into being good therapists, but really it is the process in place to help ensure the integrity of the exams. If OSCE candidates knew what they were marking, it would be easier to try to cheat. Or, some people would just go in and do ONLY what is being marked and nothing else. They don’t want that, because that would be too easy and not give a clear picture as to how you really are as a therapist.

That said: No school truly knows what is on the OSCEs and how they are marked. So you aren’t really missing much by having chosen a new school, at least as far as that goes. Instructors can only speculate based on feedback from former students.

With the computerized marking, I’m not sure how it works exactly, as they were doing it on bubble sheets back in 2006 when I did my exam. Those sheets were then fed into a machine and the results tallied up. However, if your exam was anything like mine, I wouldn’t worry too much if you didn’t hear tons of clicking. They may have been clicking and you didn’t notice, or they may have filled in a few more sections after you left the room. It is also possible that the exam sheet only had 3 or 4 things to click at all! So try not to stress about that aspect of it.

As for your consent to treatment station, I can’t say whether that would cause you an automatic fail. It is completely possible that you said enough other things that you’d pass the station. Overall, they are looking to see if you’re going to be safe with the general public. I don’t know if they require on the OSCE for you to say precisely ‘Do I have your consent for treatment(assessment)?’ in order to pass the station. And ultimately it is a human marking the exam. If they felt you said enough and it was just nerves, that might be enough. And even if it wasn’t — one station wouldn’t fail you the entire OSCE. :)

With the MCQ, are you already registered for it? If not and you are feeling really stressed and overwhelmed, what I would do is register for it for sometime after you’ll get your OSCE results. That way by then you’ll know either way, and not have the the ‘what if?’ looming over your head. MCQ results get returned to the CMTO pretty quickly, so you could possibly be ready to start work by the end of July as an RMT.

My biggest piece of advice right now would be to take a deep breath and try to think about all the awesome things that you did right during the OSCE. I stressed myself out like crazy for the 2 weeks it took to get our results. But in the end, even though I wasn’t perfect and forgot to do some things, I still passed.

Good luck! Let me know how it goes!

- Candice

Jen Says:

Hey,

Im a massage therapist in Manitoba and my husband may need to transfer to Toronto for work. Im trying to get ahead of the 8ball and start preping myself for the boards. I took your advice and ordered the clinical massage book you suggested (we didn’t use this book at our college) and I noticed you mentioned something (somewhere in this blog! Lol) about practice exams. This would be awesome if you have something that i could use and see where I need to focus my energy. Our provinces are very diffrent as far as legislation goes and I know im a great therapist I just wanna be sure it’s up to snuff for Ontario. Can you help me?

Candice Says:

Hi Jen,

The only practice exams I had available to me were the ones I got in school, or the ones that fellow classmates and I made up to test ourselves. Unfortunately, it’s been 2 years since I graduated and I no longer have any of those things available electronically, and the paper copies are currently in storage.

However, good to know: If you haven’t already checked the website for the College of Massage Therapists of Ontario, they have information available for out-of-province therapists wanting to get registered here. Because you are not coming from a regulated province, chances are they will require some form of upgrading courses before you are able to write the CMTO exams: http://www.cmto.com/CPLA/CPLA.htm

My advice would be to contact them ASAP to get an idea of whether or not you’d be immediately eligible to write the CMTO exams, and if not, what sort of upgrading you’re going to be in for.

Best of luck!

Nicoleta Says:

Hi Candice,
I am a new RMT, I passed my OSCE and MCQ without any problems. I did not find any of them too hard, it’s just the nerves that can get you. After 2 years in school, I believe that everyone knows enough to pass the registration if they will keep there cool. I found the school exams much harder than OSCE or MCQ. You were right, you have to read the scenario very carefully and do what they ask you to do for each station, even if is not like in oral practical exams in school. They ask for specific thinks and, we have to be specific in explanations.They do not try to trick you and, is really straight foreword. Thank you for your nice words and advice on this blog. You are doing a great, great job!!!

Leave a Reply

XHTML: You can use these tags: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <code> <em> <i> <strike> <strong>