You will be graded on 12 assessed cases with an overall pass or fail. You are also given 'formative' feedback to improve your consulting. Rather than individual reviews, the RCGP gives generic feedback using statements that relate to 16 areas of performance. See the RCGP website for a comprehensive list of statements (www.rcgp.org.uk).
How CSA feedback is generated
Examiners indicate areas of sub-standard performance. If the candidate obtains three ticks by three different examiners against a particular feedback statement, that statement is automatically flagged as an area for improvement.
Most common reasons for failure
The four most common areas of failure are performance areas '6, 8, 10 and 14'.
6. Does not develop a management plan (including prescribing and referral) that is appropriate and in line with current best practice or make adequate arrangements for follow-up and safety netting.
8. Does not identify patient's agenda, health beliefs and preferences and does not make use of verbal and non-verbal cues.
10. Does not develop a shared management plan or clarify the roles of doctor and patient.
14. Does not recognise the challenge (such as the patient's problem, ethical dilemma, etc).
- Using the feedback statements to prepare
6. Give the patient a concise summary of your management plan. Check that your management plan is correct and safe and that you explain the investigations to the patient.
8. When doing joint surgeries with your trainer, ask for feedback on your ability to identify the patient's ideas, concerns and expectations. Observe your trainer consulting and identify how she or he responds to verbal and non-verbal cues.
10. Evaluate whether you incorporate the patient's agenda into the management plan and whether you specifically check the patient's understanding and agreement.
14. If you finish a case too quickly, or feel a lack of rapport with the patient, assess whether you missed the focus of the case.
- The 16 RCGP feedback statements.
- Joint surgeries with your trainer.
- Management plan - is it correct, safe and understood by the patient?
- Feedback from trainer.