
- Ram's top tips for the CSA - part 1
- Ram's top tips for the CSA - part 2
- Ram's 'on the day' rules for the CSA
- CSA Preparation - by Tomson and Rughani
- CSA guidance - how to succeed
- CSA - how not to fail (powerpoint with slide notes)
- 'Arghhh, I've failed' - how to make effective use of your feedback
- CSA - the way I did it (a trainee's perspective)
- CSA feedback statements from the RCGP
- Examiner's feedback statements - why people fail (brief)
- Examiner's feedback statements - why people fail (detailed)
- Practising for the CSA - role playing scenarios
- CSA - case example and examiner's marking crib (1)
- CSA - case example and examiner's marking crib (2)
- CSA cases and confidentiality - everyone must read this
Scripts:
- Scripts for Ideas, Concerns and Expectations
- Scripts for Psycho-Social-Occupational Enquiry
- Scripts for Explanation (Diagnosis)
- Scripts for Formulating a Management Plan
- Scripts for Checking Understanding
..click here for more MRCGP resources
..click here for e-portfolio help files
..IMG specific section click here
If you find anything you feel would be helpful to others, please email me here.
What's Being Assessed & How?

3 opportunities to sit each year
For the foreseeable future all CSA exams will be in Croydon
How Can I Prepare For It?
* Our training programme will run mock CSAs twice a year to help you get practice and help you become familiar with what is expected. You must avail yourself of this opportunity.
* There's a DVD out by the RCGP called: MRCGP DVD – the CSA. A guide to the Clinical Skills Assessment (CSA). For all doctors teaching or preparing for the new Clinical Skills Assessment (CSA) of the MRCGP. It costs around £20. Go to their website to purchase it: http://www.rcgp.org.uk/acatalog/
* Don't forget: they are testing communication skills AS WELL AS clinical skills; 3 stations will involve clinical examination
* Clinical management includes synthesis, diagnosis, appreciation of co-morbidity, flexibility and sharing management options with the patient.
* Interpersonal skills include, communication, respect for others, professionalism and other behavioural indicators
* And finally, always safety net! (ask your trainer if you don't know what this means)

Any Other Advice?
- Some cases require examination: bring your normal doctor’s bag & equipment with you
Some Scenarios to Consider
- Doctor behaviours
- Breaking bad news
- Motivational interviewing
- Proxy consultations
- Confidentiality
- Patient behaviours
- Aggressive patients
- Manipulative patients
- Negotiation
- Patients who request a test
- Patients who want antibiotics
- Non-compliant patients
- Somatising patients
- Patient problems
- Joint pains
- Non-specific abdo pain
- Backache
- Diarrhoea
- Dyspareunia
- Tired all the time
- Cystitis
- Relationship break up
- Anxiety/panic attacks
- Recurrent sore throat
- Non-specific chest pain








