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🗞️A quick SCA upgrade for this week

Before every practice case, remind yourself:

* 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

 

Passing candidates 😊 are repeatedly described as using

1. open questions,

2. active listening,

3. empathy ,

4. response to cues

 

Do you have these habits?

 

Failing candidates often:

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? 😪

 

Try 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. 🌟

 

Why this matters:

Open starts help you:

- pick up cues

- hear the agenda

- build rapport

- avoid missing key context

- to be very time efficient

 

A good follow-up:

“What’s worrying you most about this?”

 

That one question often gives you:

- their concerns

- their expectations

- emotional content

- risk clues

 

✅ SCA habit: Start open, stay open.

You might need to stay open a bit longer than feels comfortable at first. t

 

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

16 years teaching experience for the RCGP consulting exams

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