Nottingham Vocational Training Scheme

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The Clinical Skills Assessment

Example questions from the CSA

How the CSA Exam is run

Online booking via RCGP

Cancellation and refunds policy

GPStRs will be eligible to take the CSA when they are within twelve months of the expected date of completing their training.

The CSA will be February, May and October every year. The assessment centre is located in Croydon.

Format of the assessment

Each candidate is allocated a consulting room and has 13 consultations, each of 10 minutes. Twelve of these are assessed; the 13th is a pilot case. Patients are played by role-players who have been trained and calibrated to perform their role in a consistent manner. Candidates’ performance on each consultation is graded 1) Clear Pass, 2) Marginal Pass, 3) Marginal Fail or 4) Clear Fail by assessors who observe the consultations. Assessors are also trained and calibrated.

The CSA will test mainly from the following areas of the curriculum:

  • Primary Care Management - recognition and management of common medical conditions in primary care.

  • Problem Solving Skills - gathering and using data for clinical judgment, choice of examination, investigations and their interpretation. Demonstration of a structured and flexible approach to decision making.

  • Comprehensive Approach - demonstration of proficiency in the management of co-morbidity and risk.

  • Person-centred Care - communication with patient and the use of recognised consultation techniques to promote a shared approach to managing problems.

  • Attitudinal Aspects - practising ethically with respect for equality and diversity, with accepted professional codes of conduct.

The CSA will also test:

  • Clinical Practical Skills - demonstrating proficiency in performing physical examinations and using diagnostic/therapeutic instruments.

Applying to sit the CSA

Trainees who have registered with the RCGP and are eligible to sit the CSA (i.e. they are within the last twelve months of training) can apply online for a morning or afternoon session on a particular date. Dates will be offered until fully booked, after which further dates will be offered. Fees must be paid at the time of applying.

Candidates wishing to change or cancel their booking should refer to the cancellations and refunds policy that applies to nMRCGP. Applications are confirmed in an automatically generated email. A further email with more detail about taking the CSA will be sent nearer the time.

Disabilities and reasonable adjustments

Candidates have the opportunity at the application stage to register any disability and request a reasonable adjustment. The assessment centre is DDA compliant, but additional appropriate arrangements will be made for candidates with disabilities or special needs, as far as these are needed and can be accommodated. The CSA will comply with all relevant UK legislation in this respect, but candidates should notify the RCGP of any special requirements at the earliest possible opportunity.

Equipment

Candidates are required to bring to the CSA their normal doctor’s bag. The specific equipment required will be notified to candidates in good time before they attend for their assessment.

Video recording

Consultations may be recorded as part of quality control and for training purposes for both assessors and role players. They are not used to assess performance.

Non-disclosure

The CSA assessment material is confidential and copyright to RCGP. By applying to take the CSA candidates agree not to pass on knowledge of any of the cases. In addition, candidates taking the CSA are required to sign a non-disclosure agreement.

Results and feedback

Results will be provided as grades on the twelve assessed cases and an overall pass or fail. Quantitative and qualitative feedback is given to all candidates