This book has been compiled comprehensively with recent updates for all medical students preparing for MD, DNB and MRCPCH examinations. The content has been updated with 36 chapters, including the most important chapter “Observe OSCE”. OSCE examination is the most important part to clear any examination and its similar pattern to measure clinical skills of any student to achieve a high standard of care—a quick and evidence–based examination system. Key features 1. Focuses on developing skills to clear OSCE examination. 2 .High value data, replete with tables and pictures for spotter examination. 3 .Easy to understand the methodology of OSCE examination. 4. Aims to infuse profound confidence in the candidate to clear the examination just after 3–4 revisions. 5 .Covid, NEOPOCUS related OSCE and theory added. 6 .PALS, NALS and immunizations given as per the updated guidelines.