Mentor MRCGP Courses - Dr Nigel Giam. AKT | SCA | CSA preparation videos. Dr Nigel Giam | HEE Accredited AKT | SCA | RCA | CSA Trainer | Lead GP TPD | ARCP Chair For more info www.mentormeducation.com or join us at Facebook and Twitter @ Mentor MRCP. All videos on this channel are copyrighted to Mentor Medicine LTD.
Yeah I was wondering should we arrange for neuroimaging as the cause for it , is a bit unclear.. I will be more comfortable not to proceed with any imaging, if she had like herpes zoster or history of burn or trauma before.however, in this case, I am wondering why suddenly she got it?
This is by the far the best (and most comforting) advise I have encountered for the exam. You deserve all the success, Faisal! Thank you both for sharing.
Thanks to I Nigel I passed my RCA have been enjoying gp locum life for a year now. Absolutely the best in the business and just a nice human being as well. Could not recommend him more.
what was your management plan? the SCA blueprint specifies there always be cases where there is no CLEAR diagnosis. One cannot wait upon examination | investigation before commiting to a managament plan which is reactive to risk. There needs to be a clear and reactive management plan in place which is reactive to both risk | the patient's narrative | situation, independent of the symptom | diagnosis. If this has not been percieved by the examiner, if all that has happened is an examination and investigation, or I am unable to commit, I must speak to specialist first, then you are not in the clinical management section and a fail is inevitable given the weighting of the clinical management section. Being risk averse is not the same as being safe. Physical examination carries no marks in the SCA as per RCGP blueprint. In addition, you have to look at breakdown of the marks in the 3 domains for that case. For clinical management - You must commit!
Great vid and congratulations! I took the CSA back in 2012 and passed on my second sitting. Passed the AKT well first time. Always felt the fact I needed to repeat the CSA impacted my confidence in my clinical consulting ability despite 10 years of good appraisal and revaluation feedback. Would be nice to finally be able to put it behind me, any advice! Thanks!
Thanks for reaching out. The CSA was never a truly valid reflection of one's consultation abilities. You passed it and you are still here consulting. That in itself is worth celebrating. Never doubt yourself. Best wishes. Nigel
@@MentorMRCGP_AKT_SCA hi Nigel, thanks for your reply - I appreciate your thoughts. I’ve recently started doing some locum work after leaving a partnership which has given me more time to really look at my consulting style and hopefully develop it further. Kind regards
As a Student in Australia Srudying Mental Health and AOD counselling this was so well explained , ftom start to finished. I actually believed it was real such good acting. The Dr was clear and what could have esculated was de esculated and the father was explained of policy,procedure and the complaints handling. The honesty where he said Dr Smith was a good Dr I thought about it. It could have been an ethical dillimma ? If Dr Smith didn't carry out correct procedure then how do two collegues get along. Reallyy well done and informative.
Thank you very much. It's a valid comment with regards to when we pass opinion of our colleagues onto patients. Ultimately it is about supporting both our collegaues and patients in equal measure.
Cant we say after the patient is calmed down that not every sore throat need antibiotics and we really cant predict when a sorethroat might lead to meningitis
It is not in what you say, but how you say it. Will it be recieved by the patient or will it inflame the situation even further. Put yourself in the patient's shoes and think about how you would receive the message.
How would you calculate the Number need to harm? Would that only be possible if there were the green crossed out faces? as in 100 divided by no. of green crossed out faces?
Hi Nigel, I'm a bit confused, at 7:16 you explain the ARC, which is the control event rate as patients who are NOT on a statin (red plus yellow faces), however yellow faces are defined as people saved from a CV because the have taken a statin. Can you please explain? thanks
seriously , this simulation is extremely real , I salute the one who acted like a parent , and also the doctor resembles best example of conflict resolution .
