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Clinical Skills Assessment

Clinical Skills Assessment. The Exam. How Do You Feel Now?. Ideas. Something you have got to do No way of getting out of it How soon to do it- should you put it off or do it early Would be better to revise in group Going to take a lot of preparation

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Clinical Skills Assessment

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  1. Clinical Skills Assessment The Exam

  2. How Do You Feel Now?

  3. Ideas • Something you have got to do • No way of getting out of it • How soon to do it- should you put it off or do it early • Would be better to revise in group • Going to take a lot of preparation • Fit it in with everything else I need to do

  4. Common Concerns mentioned by GPSTs • I‘m really scared • I don’t want to travel to London • How will I pay for it ? • How will I pay for the re-sit? • I’ll never be prepared for it/good enough • Is November too early? • How do I book it? • Where do I start revising • Do I need to go on more courses? • Have I given myself enough time to revise?

  5. Expectations Try and reflect as much as it could a normal surgery session.

  6. Reality • It is a pain going to London • It is expensive • It is scary BUT • They are not trying to trick you • Everybody is very pleasant and they try to put you at ease. • Get into the swing of it really quickly

  7. The Exam

  8. Booking it • RCGP website • MRCGP heading and click on csa, then click on the apply for CSA ,this will give you the dates for when the exam is, • 4x a year September, November, February and May • Taking in November you can apply from 4th October • Taking in Feburary can apply from 6th December • This year costs £1525, have to pay in 1 instalment • Website can be slow dates first open

  9. Where • Purpose built building in Euston • 30 Euston Square, London NW1 • https://maps.google.co.uk/maps?hl=en&q=30+euston+square&ie=UTF-8 • Euston Mainline and Euston Square tube station 5 mins on foot away. • Don’t go by car – no parking! • Arrive by 9:00 or 12:15 for am and pm sittings • Usually leave around 1pm and 5pm respectively

  10. Structure • Arrive, sign in, show your ID ( passport or photo driving licence) and hand in your mobile • Put in a room with everyone else- given a brief • Once everyone arrives taken to your floor • Put your things in your locker and go to your room with doctors bag • Need BNF, stethoscope, ophthalmoscope, auroscope, thermometer. Patella hammer, tape measure, peak flow and mouth pieces • Remain in same room for whole exam unless home visit or telephone consult • On desk will be an iPAD with all the cases for that session as well as peak flow chart, prescriptions, med 3s, tuning fork and tongue depressors. • Examination couch as well • Buzzer rings to mark start and end of consultation • 2 minutes between each case • Break of 10-15 minutes after 7 cases, water coffee and tea. With all other candidates and cannot speak about exam • At the end they will knock on your door and leave.

  11. Thing you must bring • BNF • Stethoscope • Ophthalmoscope • Auroscope • Thermometer • Patella hammer • Tape measure • Peak flow meter and disposable mouthpieces (N.B. These must be EU standard)

  12. Marking schedule • 13 cases- change each day • All of them count • Marked on the 3 domains of data gathering, clinical management and interpersonal skills. • Each domain has an equal numerical score • Marked as clear pass ( 3), pass ( 2), fail (1) and clear fail (0) • Total 9 for each case- 117 overall • Examiner also marks whole case as pass, fail or borderline • For borderline cases score is added and averaged • Based on this they will integrate the scores and produce the pass mark

  13. Actually doing it/ How did it feel • Worst bit was the waiting • No surprises • Nothing came up which you wouldn’t expect in a normal surgery in fact probably a lot more straight forward i.e patient only had 1 problem • Be yourself • Don’t panic even if you muck up a case • If you don’t know something admit this to a patient • Don’t waste time writing prescriptions/ sick notes

  14. On reflection • What went well • never too early to start revising • Get a revision group together- minimum 3 • Have a consultation plan • Videoing • Practising cases with your trainer • Courses: Harrogate, RCGP, HDR mock CSA • Cases- look at general topics and write your own • Picking morning session • Going to the exam with other people- not necessarily on the same floor!! • Watch where you stay • 0% interest credit card

  15. KM’s reflections cont • What went less well • Books- • cases fairly complicated and not all have marking schemes • Make sure you don’t all have the same ones!! • Make sure you are consultating at 10 minutes • What I would change • Attend the mock CSA- need as much practise as possible- I always put it off • Don't be afraid to ask other people for revision sessions • Don’t talk about it once you are out

  16. Any Questions

  17. What do YOU need to do now? • When are you going to take it (may have already booked it) • Revision groups- how many? Where? When? • Resources you will need/use • Courses • Using your revision to also buff up your e portfolio

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