The universal GP Training website for everyone, not just Bradford.   Created in 2002 by Dr Ramesh Mehay

The biggest CSA resource on the web


These CSA tools

Here are some tools for both trainers and their trainees.   I have divided them into three sections

  1. Marking cribs for practising CSA  cases
  2. Marking cribs for assessing COTS via CSA (good for trainers)
  3. Templates to help you develop your own CSA cases

These CSA tools will help you enormously when practising CSA cases especially either with your trainer or in small CSA groups or at Half Day Release.      If you have another tools that you develop yourself that you don’t mind sharing with others, please email them to me.  Likewise, if you develop some CSA cases of your own, email me those too.  Please contribute to others as I have for you.

Thanks xxx  

Marking your CSA practise performance

Please do not role-play CSA scenarios without properly marking them using the marking framework above.   Do not offer feedback in the form of something generic and vague like “yeah, I think that was good enough for the CSA’.   Instead, break down the marking into the 3 domain and give a mark out of 3.

  1. Data Gathering
  2. Clinical Management
  3. Interpersonal Skills
By breaking down the feedback into the three areas allows the CSA performer to reflect and see whether there are specific CSA themes or areas that are common to them in terms of where they need to improve.  

In case you've forgotten - here's the scoring guide

Each CSA is marked out of 9.    There are 3 marks for each of the three domains – Data Gathering (DG), Clinical Management (CM) and Interpersonal Skills (IS).

  • Clear Pass (CP) is equal to 3 points
  • Pass (P) is equal to 2 points
  • Fail (F) is equal to1 point
  • Clear Fail (CF) is equal to 0 points

Here are the descriptions for each of these grades which might help you understand how a CSA examiner will decide what grade you will get

Clear Pass

The candidate demonstrates sound performance in the domain both in principle and in detail, operating clearly above the level for safe independent clinical practice. Performance is fluent although not necessarily sophisticated. Positive behavioural indicators of performance are consistently and proficiently met and on balance any negative behaviours observed are not thought to be of concern.


The candidate's performance shows ability but overall is below the level for safe independent clinical practice. The positive behavioural indicators are not demonstrated to a consistently adequate standard and negative behaviours may be of concern.


The candidate has a sound grasp of the principle of the domain more so than the detail, operating at or just above the level for safe independent clinical practice. Positive behavioural indicators are consistently met, although performance may not be fluent. On balance any negative behaviours observed are not thought to be of concern.

Clear Fail

The candidate performs well below the level for safe independent clinical practice. The range and depth of the positive indicators are poorly demonstrated and performance may be inconsistent. Negative behaviours may be of concern.

Please leave a comment below if you have any words of wisdom to help others or if you have any questions you wish to ask…

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Bradford VTS was created by Dr. Ramesh Mehay, a Programme Director for Bradford GP Training Scheme back in 2001. Over the years, it has seen many permutations.  At the time, there were very few resources for GP trainees and their trainers so Bradford decided to create one FOR EVERYONE. 

So, we see Bradford VTS as  the INDEPENDENT vocational training scheme website providing a wealth of free medical resources for GP trainees, their trainers and TPDs everywhere and anywhere.  We also welcome other health professionals – as we know the site is used by both those qualified and in training – such as Associate Physicians, ANPs, Medical & Nursing Students. 

Our fundamental belief is to openly and freely share knowledge to help learn and develop with each other.  Feel free to use the information – as long as it is not for a commercial purpose.   

We have a wealth of downloadable resources and we also welcome copyright-free educational material from all our users to help build our rich resource (send to

Our sections on (medical) COMMUNICATION SKILLS and (medical) TEACHING & LEARNING are perhaps the best and most comprehensive on the world wide web (see white-on-black menu header section on the homepage).

4th February 2024 


Here are some updates planned over the next 6 months

  1. Updating the SCA exam pages with cases and videos.
  2. Clinical Specialty areas all being updated with current guidance and easy to understand diagrams and flow charts.
  3. Videos being created for some of the pages for those of you who prefer to watch than read.
  4. We’ve got some bradfordvts helpers to contribute and develop their own pages or areas of interest.  If you would like to be a bradfordvts helper, email me
  5. We provide all of this for free. But it costs us money to run.  If you could kindly donate something, that would be great.  We do all of this for you.   Please hit the button below. xxx