The CSA Dr Hasan Chowhan

Aim of the session Brief overview of the exam What do I need? What can I expect? How will I get marked? How do I prepare? The secret formula….

The CSA http://www.rcgp.org.uk/training-exams/mrcgp-exams-overview/mrcgp-clinical-skills-assessment-csa.aspx

The CSA 13 Ten minute consultations Clinic Telephone Home visit (Remember the dress code)

Equipment BNF BNF for children Stethoscope Ophthalmoscope Auroscope Thermometer Tape measure Peak flow meter and disposable mouthpieces

The assessment Clinical Domains Data gathering Clinical management Interpersonal skills Grade descriptors Clear pass (3) Pass (2) Fail (1) Clear fail (0)

Preparation

Preparation Consult! Read Practice 15 mins/10 mins? Books CKS/Guidelines/EKU Practice with colleagues With trainer – supervised surgeries Remember home visits/telephone

What’s in the clinical Domains?

Data gathering

Role playing Split in to groups of 3 Doctor Patient Observer

Feedback Look for the most recent assessment report 2014/15 The six Curriculum areas with the lowest average scores were: Care of People with Eye Problems Genetics in Primary Care Care of People with Intellectual Disability The GP Consultation in Practice Care of People with ENT, Oral and Facial Problems Care of People with Skin Problems

Feedback Too much time was spent on Data Gathering. Complete the case! Maybe the diagnosis is uncertain? Not enough flexibility in Management was demonstrated. Guidelines are guidelines… Include the pt! Missing out safety netting. Don’t forget! Red flags/follow up!

Feedback Feedback Statement 7 - Does not develop a management plan (including prescribing and referral) reflecting knowledge of current best practice Feedback Statement 2 - Does not recognise the issues or priorities in the consultation Eg. the patient’s problem, ethical dilemma etc. Feedback Statement 10 - Does not demonstrate an awareness of management of risk or make the patient aware of relative risks of different options