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  • Dr T. Sami

The First & Only Text for the RCA

I wanted to share something from the introduction of this new text. It's a reflection about what it was like being in the first batch for the RCA.


Coronavirus has certainly changed the world. During my GPST3 I was scheduled to sit the Clinical Skills Assessment (CSA): it is often known by GPs as the “last exam you will ever do”. That was cancelled. It heralded a whirlwind of emails and meetings to explain what was to come. There were constantly talks and rumours about what would happen next. We heard about the possibility of bypassing any exam format completely to finish the year; another suggestion was continuing to GPST4. Neither of these proposals made it very far


The recorded aspect was something new for most of us. Most of us have not had the experience of recording our consultations during our training. Most of our assessments throughout medical school and later have come through Case-Based Discussions (CBDs), Clinical Examinations (CEXs) and Workplace Based Assessments (WPBAs). Only later did we all see that recording consultations is incredibly worthwhile.



This book answers a number of frequently asked questions. It leaves you with a clear plan that you can discuss with your trainer about steps forward. It covers:

• Outlining the format of the RCA

• The difference between the RCA, its predecessor the CSA and real life

• Common pitfalls within the recording process

• Clear guidance about which cases to submit

• How to book the examination

• How to record consent appropriately

• How to structure your work week and interact with your trainer

• How to prepare pre-consultation

• How to conduct yourself during the consultation

• How to upload the recording post-consultation and finally, how to submit.


Buy The Essential Guide to the RCA for the MRCGP

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