Chest Pain History Taking – How to Structure an OSCE History | OSCE Talk
OSCE Talk5 Loka 2025

Chest Pain History Taking – How to Structure an OSCE History | OSCE Talk

In this episode of OSCE Talk, Matthew and Peter walk through a full example of how to take a chest pain history — putting into practice the frameworks and skills discussed in earlier episodes.

We show how to structure questions, explore symptoms, and think through different causes while keeping communication clear and patient-centred. This episode is designed to help you visualise what an organised, effective OSCE history sounds like.


Key Takeways

  • Follow a clear, logical structure when approaching chest pain.

  • Use open questions early to let patients describe their symptoms.

  • Always ask about associated and relieving factors.

  • Remember family history and modifiable risks.

  • ECG and troponins are key early investigations.

  • Summarise and explain your plan in plain language.

  • Practise aloud — hearing the flow builds real confidence.


00:00 – Introduction to Chest Pain History Taking
06:10 – Conducting a Patient Interview
09:01 – Differential Diagnosis and Investigations
10:07 – Conclusion and Next Steps

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