April 23, 2026
N. Boeckx
16 years teaching experience for the RCGP consulting exams
* Open first
* Spot ICE early
* Signpost clearly
* Move to management by 6–7 mins
* Name red flags and urgency
* Explain the plan in plain English
* Safety-net every time
That is the kind of consulting style repeatedly associated withstronger SCA performance in the exam
1. open questions,
2. active listening,
3. empathy ,
4. response to cues
Do you have these habits?
1. interrupt early,
2. switch too quickly to closed questions,
3. and don’t give the patient enough space to tell their story
Are your consultations like this? 😪
Instead of asking the specifics early :
“Is it painful? Anybleeding? Any discharge? Any fever?”
Frame the story you want:
“Tell me what’s been happeningright from the start through till now”
Then pause and give your full attention. 🌟
Open starts help you:
- pick up cues
- hear the agenda
- build rapport
- avoid missing key context
- to be very time efficient
“What’s worrying you most about this?”
That one question often gives you:
- their concerns
- their expectations
- emotional content
- risk clues
Look at your consulting patterns in the Clinitalk app. Do you listen or do you interrupt early. Do you leave at least 5 minutes for clinicalmanagement (the pink zone)???
Have a great day recording, and improving your skills. 🤩
Author
N. Boeckx
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