1. The CSA
Dr Hasan Chowhan

2. 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….

3. The CSA

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

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

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

7. Preparation

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

9. What’s in the clinical Domains?

10. Data gathering

20. 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

21. 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!

22. 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