Essential Guide to the RCA for the MRCGP

Talha Sami

Price: £18.69 , $28.04, €22.43

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Format: Ebook

Publication date: January 15, 2022

Pages: 182 pages

ISBN: 9781914961021 Related titles:

Other editions available: Paperback


The Recorded Consultation Assessment (RCA) represents a significant change for a generation of doctors used to taking practical exams featuring actors. The RCA exam is based on recordings of your telephone and video consultations with genuine patients, but of course patients don’t present or respond quite like actors do!

This full-colour book provides a practical guide to help nervous candidates, and particularly International Medical Graduates (IMGs), prepare effectively, with useful advice on:

  • Common pitfalls
  • Working with your practice team to identify the patients you need
  • Obtaining consent
  • Differentiating between low and high challenge cases, and which topics to avoid
  • Setting up the technology for telephone, video and face-to-face consultations
  • How to perform well in each of the core domains

In addition, the book takes you through all aspects of using the FourteenFish platform to record, assess and submit your consultations, with screenshots used to illustrate every step.

If you need help to prepare from someone who passed the exam as part of the first cohort, who has run RCA exam preparation courses, and who has checked what is required with trainers and programme directors, then you need this book!

  • Really packed with practical and clinical tips
  • Covers everything you need to know before submitting
  • A stress-free way to prepare for the exam

Acknowledgements; Preface; About the authors

PART I: Introduction to the Recorded Consultation Assessment (RCA)
1 Introduction

2 What is the RCA?
2.1 Policies
2.2 Marking
2.3 New changes
2.4 Breaches

3 The differences between the RCA, the CSA and real-life consultations
3.1 The linear path of a consultation
3.2 Technology
3.3 Pre-consultation
3.4 Your communication style
3.5 The third wheel
3.6 Multiple problems leading to multiple paths
3.7 Information-gathering routes
3.8 That golden minute
3.9 Time difference

4 Common pitfalls
4.1 Feedback by domain
4.2 Global feedback
4.3 Data gathering, technical and assessment skills
4.4 Interpersonal skills
4.5 Clinical management
4.6 Your pitfalls

5 Which cases to submit? (contributing author: Pernia Javid)
5.1 Is it appropriate?
5.2 Telephone, face-to-face or video?
5.3 Domains
5.4 Clinical topics
5.5 Appropriate challenge cases
5.6 The workbook
5.7 Your logbook

6 Preparing for and booking the RCA
6.1 Identifying your weaknesses
6.2 When to sit the exam?
6.3 Teamwork
6.4 The triage system
6.5 Recording
6.6 A preparatory checklist
6.7 Booking the RCA
6.8 Using the FourteenFish system
6.9 Planning how to get ready for the RCA checklist

PART II: How to record for the RCA
7 Consent
(contributing author: Abraham Thomas)
7.1 How can you obtain consent?
7.2 How FourteenFish records consent
7.3 Showing consent for a recording made outside of FourteenFish
7.4 How will the recordings be stored?

8 How to set up the technology
8.1 Signal and internet
8.2 What you need to know before recording
8.3 What you need for a telephone consultation
8.4 What you need for a video consultation
8.5 What you need for a face-to-face video consultation
8.6 Uploading from outside the FourteenFish platform
8.7 Deleting the file
8.8 How to record checklist

PART III: The consultation
9 Pre-consultation
(contributing author: Rakin Anwar)
9.1 Everyday routine
9.2 Images
9.3 Patient research

10 Interpersonal skills (contributing author: Rohan Lakhani)
10.1 How do you act?
10.2 Covid-specific communication challenges

11 Data gathering (contributing author: Rakin Anwar)
11.1 Introduction for a telephone/video consultation
11.2 Introduction for a face-to-face recording
11.3 Structured history
11.4 Special circumstances
11.5 General examination
11.6 Examination when remote consulting

12 Clinical management (contributing author: Rakin Anwar)
12.1 How to explain the management plan
12.2 Making it patient-centred
12.3 Logistics
12.4 Prescribing
12.5 Health promotion
12.6 Safety-netting
12.7 Consenting again

PART IV: The final steps to submit for the RCA
13 The workbook

13.1 Workbook examples
13.2 Mandatory criteria

14 The final steps to submit through FourteenFish (contributing author: Abraham Thomas)
14.1 Verification of cases by your trainer
14.2 Checking the final 13 cases
14.3 The final submission

Comprehensive guide
'This book by Dr Sami is a very comprehensive guide to the RCA. It covers every aspect of the RCA exam including the structure of the exam, differences from the CSA, preparation, pitfalls, technology and submission; as well as in depth guidance on consultation structure. The useful screenshots and checklists are very helpful, and the chapter on case selection is essential reading.'
Amazon reviewer

Excellent book for a new trainer
'I recently completed my approval as a GP trainer. This book has been a very valuable resource in helping me as a trainer feel more prepared for some of the challenges trainees have faced over the changes of the last 2 years. The breakdowns and technology section are extremely informative. I have already recommended the book to trainees in my practice.'
Amazon reviewer

Takes you every step of the way!
'Thorough, comprehensive and concise. Takes you from the beginning of thinking about sitting the exam all the way to the end of the submission pathway. Everything that you need to know to pass this exam!
Amazon reviewer

A Comprehensive Guide
'A thorough guide on the RCA, a must-have for those of us who are looking to improve our ability to apply clinical, professional, and practical skills for general practice.' Amazon reviewer

Very informative and helpful for exam and future practice
‘Really liked the parts on consultation and preparation for exam. Looking forward to Dr Talha’s next book.' Amazon reviewer

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