Secrets of the MRCGP SCA: Unlocking Success for GP Trainees

July 07, 2023

Secrets of the MRCGP SCA: Unlocking Success for GP Trainees

written and collected by Mohamed Hassan

Disclaimer

You have to check the up-to-date information about the topic
also, review the local legal regulations

Introduction:

The MRCGP SCA (Simulated Consultation Assessment) is an exciting new assessment that is set to replace both the RCA (Recorded Consultation Assessment) and CSA (Clinical Skills Assessment). Designed to challenge and evaluate the skills of GP trainees, this assessment offers a unique opportunity for growth and development. In this article, we will delve into the secrets of the MRCGP SCA, uncovering its structure, expectations, and tips for success.

Embracing the New Assessment:

The MRCGP SCA allows GP trainees to participate from ST3 or later, with the flexibility of up to four attempts in exceptional circumstances. The assessment comprises 12-minute simulated consultations, accompanied by a 3-minute interval for reading and reviewing patient notes on a computer. The convenience of remote assessment in a local practice adds a novel aspect to this evaluation.

Exam Structure and Variations:

Approximately nine out of the twelve cases will be conducted via remote video, while the remaining three will be conducted over the telephone, with slight variations possible. This diverse approach ensures trainees are equipped to handle different modes of communication effectively.

Timing and Availability:

Results for the MRcGP SCA will be available nine times a year, spanning from November to June. It is important to note that no sittings will be conducted in December, July, and August. While the first exam may take slightly longer due to its initial implementation, the results will be delivered in a timelier manner compared to previous assessments.

Capacity and Scheduling:

The RC GPs anticipate accommodating around 960 candidates in each of the largest settings during March and April 2024. November offers ample availability for candidates, as the next academic year is still under development. Many individuals seek to complete their CCT (Certificate of Completion of Training) early, creating greater capacity during this period.

Detailed Schedule:

The assessment consists of two sittings each day, with the morning session commencing at 9:00 AM and ending at 12:40 PM (standard) or 1:20 PM (extended). The afternoon session starts at 1:40 PM (standard) and concludes at 5:20 PM or 6:00 PM (extended). It is worth noting that the morning session is live invigilated by an RC GPs examiner.

Precise Time Management:

During each case, trainees have 3 minutes to review patient notes and 12 minutes to conduct the consultation. The examiner closely observes to ensure candidates refrain from looking up information during the allotted consultation time. Although standard timings are encouraged, an additional 40-minute window until 1:20 PM allows for contingencies like internet connection issues or the inclusion of extra stations.

Comprehensive Assessment Domains:

The MRCGP SCA covers a broad range of knowledge across the curriculum and incorporates diverse patient scenarios. Trainees will encounter both high and low-challenge cases, including interactions with simulated patients, relatives or carers, and colleagues. Notably, the domains assessed align closely with those of the CSA and RCA, with slight adjustments to data gathering, diagnosis, management, and medical complexity.

Striving for Success:

Examiners evaluate recordings against the expected standards for a fully qualified GP who can practice independently and safely. It is crucial to approach each case holistically, addressing the main problem, following guidelines, considering safety netting, and managing associated risks. Going beyond the basics, such as tackling additional risks, enhances the likelihood of achieving a clear pass.

Understanding Feedback and Improvement:

If a trainee receives a fail or clear fail, examiners are obliged to provide additional feedback. The assessment incorporates 26 feedback statements that serve both formative and summative purposes, influencing the number of passes and clear passes awarded. Even successful candidates can benefit from feedback on specific areas for improvement, reinforcing the continuous learning approach in general practice.

Diversity of Case Categories:

The MRCGP SCA encompasses 12 different areas, with each candidate experiencing cases across a variety of domains. Examples include child health, long-term conditions, mental health, urgent and unscheduled care, health disadvantage and vulnerability, safeguarding, new presentations, complex prescribing, investigation and results, and professional conversations or dilemmas. Preparing extensively across these areas is vital to avoid surprises on the day.

Conclusion:

The MRCGP SCA presents an exciting opportunity for GP trainees to showcase their skills and knowledge in a simulated setting. By understanding the assessment's structure, expectations, and tips for success, trainees can embark on their journey towards becoming competent and confident GPs. Remember, the MRCGP SCA is a stepping stone to continuous growth in the dynamic field of general practice. Embrace the challenge, unlock the secrets, and pave your way to success.

Links you should not miss :

The new MRCGP SCA Exam: What we know so far