Home » CSA & RCA resources » RCA resources for Trainers, GPSTs and CSEs

Subject: Changes to RCA

In response to feedback, the college are making some adjustments to the RCA for the September 2021 diet onwards. In summary:

a.           Breast lumps will no longer be considered for the mandatory criteria of maternal and reproductive health unless specifically presented in the post-natal context. 
b.           Clinical examination will no longer be a mandatory criterion; 
c.           Safety-netting will need to be ‘appropriate’ and ‘realistic’.
d.           All submissions will be extended from 10mins to 12mins. 
e.           To support Trainers and Trainees, a document will be created for the training community illustrating the reflections of the examiners about what behaviours and topics do well and vice versa. 
f.            The marking descriptors will be reviewed to ensure that they are still appropriate and if necessary, amendments will be proposed.

These changes are all supported by the GMC and the Academy. Official communications will be issued soon by the RCGP and the changes are due to be published imminently on the RCGP website.


RCGP RCA Handbook June 2020 (click)

RCA changes from June 2021 (click)

RCA Policy Document updated December 2021 (click)

RCA guidance on the level of complexity with examples updated Dec 2020 (click)

Typical low challenge cases which might be best avoided (click)

RCGP FAQs July 2021 click)

RCA mandatory case selection, a summary Jan 2021 (click)

RCGP tips for Trainers (click)

An excellent webinar on the RCA  Jan 2021 (click)

These will be updated with each new release  



CONSENT for recording (click)

How to upload video to 14 Fish (click)

Fourteen Fish Consultation assessment grid for global consultation assessement

GPST RCA domain specific self assessment sheet for review of recordings (click)

GPST - rating your consultation recordings (click)

RCGP Global rating grid for a consultation  (click)

Case selection advice for receptionists and admin (C/O Bradford VTS)

Aspects of the SOX (Support On eXstension for CSA failure) scheme has crossover to RCA (click)

Powered by Intergage