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TRY SOME OF OUR CSA & RCA CASES IN YOUR RCA GROUPS

Csa Case ScenariosDon't forget to look at Flanagan's CSA consultation model and our other CSA and RCA resources (click) 

Find out when we are running our next RCA course (click) 

In October 2020 the RCGP clarified which competencies fall into which domains (click)

The key clarifications are:
Exploring psycho-social impact is clearly attributed to DG
Exploring ICE is clearly attributed to IP
Recognising the issues and priorities of the consultation is attributed to DG
Appropriate working diagnosis remains in CM

 

Consultation skills, ethics & diversity
A patient request for 'Wundercin' - a case where the GP knows nothing about the drug (Updated 2020)
Patient wanting information about Down Under Syndrome - case relating to how a GP deals with a condition they nothing about - 2019
A complaint re meds & AF 2020
Another complaint 2020
An angry patient 2020
Angry and wanting antibiotics 2020

BBN - breast cancer 2020
BBN (CXR) 2017
BBN (HIV) 2020
Multiple problems 2020
Agenda setting 2017
Request for antx - updated 2017    
Ethics - paternity test
Autonomy/mental capacity - 2017
Ethics & Professionalism 2018
POA
Insulin and Ramadan 2019
FGM 2019 
Assisted suicide 2019
Tele consult - worried about mum 2019
Gender variance/dysphoria 2019

Health Promotion
AAA screening 2020
Bowel screening updated 2017
Obesity 2020
More wine sir? 2017
Request for a health check 2017

Living with chronic disease  
Rheumatoid Arthritis 2020
Diabetic neuropathy 2020
Alzheimer's disease  2020
Bulimia 2020

Genetics
Adult Polycystic Disease 2020
Haemochromatosis 2019

CF pre-conceptual counselling 2017
Antenatal screening for Down's syndrome 2017
Turner's syndrome 2020

HOCM 2019
Marfans syndrome 2020
 

Children & Older adults
Enuresis 2019
Febrile convulsion 2020
Childhood UTI - tele consult 2020
Immunisation & explanation
Autism
Alzheimer's 2017
Dizzy spells requiring examination 2020

Safeguarding
Domestic violence 2017

Women's Health
PMS 2019
Pill start 2017
Tele consult morning after pill 2019
Another tele consult - morning after pill 2017

Urinary incontinence 2017
Stress incontinence 2020
Another stress incontinence case 2018

Cx smear & HPV 2020
Ovarian cancer 2017
Morning sickness tele consult 2017

Pre-eclampsia 2017
Infertility 2017
IMB 2017
POP start 2017
Menorrhagia 2017
HRT 2020

 

Palliative Care
Home visit - symptom control 2019
Another home visit for symptom control 2020  
Home visit for DNR and OOH handover discussion 2020
Palliative Care 2020

Men's Health
Men's Health - 1 (These three scenarios relate to the same patient) 2017
Men's Health - 2 updated 2017
Men's Health - 3 updated 2017
Testicular pain 2020
Testicular lump 2018
Premature ejaculation 2020
Vasectomy request 2020
 
ED case 2020
Another ED case 2017
Another ED case 2018 

Oligospermia 2020

Mental Health, Drugs & Alcohol

Bulimia 2020
OCD 2020
Headache & stress 2017
Tension headache and physical examination 2020
Work Stress 2020
GP with drug problems 2019
Eating disorder
Stressed GP 2020
Depression 2020
Fatigue 2017
Another fatigue (pregnancy) 2020
Alcohol 2020
Alcohol and admission 2020
Alcohol and lifestyle 2020

Cardiovascular

Angina 2019
HF 2017
AF 2020

Hypertension 2017
Familial Hyperlipidaemia 2017
Raised cholesterol/CVD risk 2017
TIA updated 2019
CKD

ENT/Eyes
Dry eye syndrome 2020
Blepharitis 2020
Bell's Palsy 2020

BPPV 2020
Hearing loss 2020

GI
Irritable Bowel Syndrome 2020
Crohn's disease & physical exam 2020
Diverticulitis & physical exam 2020

Metabolic and Endocrine
Diabetes 2020
Diabetes  2017
Gestational diabetes
IGR (pre-diabetes) 2020
Diabetes Rx uptitration
Thyrotoxicosis 2020
Thyrotoxicosis with examination 2020

Neurology & Respiratory

COPD home visit 2018
COPD annual review 2018 
COPD new diagnosis 2019

Asthma 2020
Snoring 2017
MS 2020
PD Updated 2017
Migraine 2017
Headache requiring examination 2019
Headache and angry 2020
Headache and other issues 2020
Epilepsy and contraception 2017
Epilepsy and driving updated Feb 2016
Epilepsy annual review and Rx cessation 2020

MSK
Possible gout 2017
OA hip with examination 2017
OA Knee 2020
Rheumatoid Arthritis annual review 2020
Rheumatoid Arthritis 2020
Tennis elbow with examination 2017
Knee injury with examination 2017  
Another knee pain requiring physical examination 2019
LBP 2020
Sciatica requiring examination 2019
Osteoporosis 2020
Recurrent gout 2017
TA 2017
'LBP' and sicknote request 2020
PMR   2017 
Plantar fasciitis with examination 2020

Dermatology 
Eczema 2017
Acne 2017
Psoriasis updated 2020

 

Keeping up to date

Tips from the 2020 RCGP CSA course (compiled by our GPSTs who attended)

 

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