The CSA and "revision"
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csa,
eportfolio,
nMRCGP
I hear of GPRs "revising" for the CSA. I wonder what they are doing in that learning space. The CSA is testing what the GPR does on a day-today basis in the consultation. It strikes me that the best way to pass this exam is to see patients, reflect on the process, define the learning needs, address those needs, then try them out - the learning cycle. Becoming competent requires this upward learning spiral, and the eportfolio makes the process explicit. I'm not sure that "cramming" is going to help.
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4 comments:
I disagree here to some extent. Unfortunately the College have created an assessment technique which relies heavily on the trainee being able to elicit the correct history, plan the correct examination, take in all cues and develop and agree upon an action plan in just 10 mins...there aren't many of us can perfect that in 10mins in the real world. I agree work in practice is the best experience, but I do think getting a study-buddy and practising in 10mins seems to be of help (our ST3 recently di, and passed with flying colours; he said a stopwatch which vibrates at 9mins also helped!) Hoep you don't mind some healthy debate!
In the old MRCGP video - I used to set the monitor screensaver at 9 mins which helped to time myself in the consultation.
yes even though real consultations can help, there is no subsitute to practising according to need of CSA. The reason being CSA cases are scripted to check specific skills in 10 mins- which in real life will take 15 or more-
Yes, the CSA scenarios are not real consultations, they are explicitly designed to elicit behaviour to confirm competencies. If the GPR is able to handle the average GP consultation effectively, they will easily handle what is thrown at them in the CSA. If the GPR is going to try to rehearse to do the CSA differently to what he/she normally does, then they may not show themselves in their best light. The GPR is rehearsing consultations 20 times a day (overall thousands of rehearsals), whereas a CSA revision session will only allow rehearsal a couple of times.
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