
Consult in 12 Minutes
Are your consultations running late? Time management is a major challenge..

Fix the Blind Spots
If you’ve failed the SCA more than once, the problem is rarely effort. It’s the absence of a blueprint..

Negotiation skill
You’re eight minutes into your SCA case. Mr Smith is pushing hard for a scan. You know it’s not indicated..
ICE in the MRCGP SCA: The Mistakes Costing GP Registrars Marks
“I asked about Ideas, Concerns and Expectations. So why did I still lose marks?” I hear this frequently from GP registrars preparing for the MRCGP SCA. It feels confusing. You followed the framework. You asked the questions. You ticked the boxes. Yet the result came back with poor marks in Relating to Others. Here is…
MRCGP SCA: How an IMG Scored 84 (First Attempt)
A GP trainee’s journey from anxiety and self-doubt to passing the MRCGP SCA exam with a score of 84 on his first sitting. Who is this article for? This is for GP trainees in the UK preparing for the MRCGP SCA (Structured Consultation Assessment). Specifically those who are: Sitting the SCA for the first time…
From 20-Minute Consultations to 94.5 in the SCA
How She Transformed Her Consulting Skills Six months before her SCA exam, Dr Laura had a problem that many GP trainees struggle with. Her consultations were taking 20 minutes. She knew the medicine. Her clinical reasoning was sound. Yet when it came to explaining diagnoses clearly and managing the consultation structure, things began to drift.…
“I’m Going to Show Them What Kind of Doctor I Am”
https://youtu.be/agTYjqrKvvc This IMG Overcame Burnout, 2 AKT Failures and Scored 99 in the SCA There is a moment many GP trainees never talk about. The moment after you fail. You log out of FourteenFish.You sit in silence.And then, the next morning, you’re back in clinic: smiling at patients, making safe decisions, doing the job while…
12 Tips to Consult in 12 Minutes
How successful SCA candidates manage time Time management is one of the most common issues I see in GP trainees preparing for the SCA. Their consultation loses direction, decisions are delayed and management starts too late. If you often: reach 8 minutes and feel pressure rising rush management or miss safety-netting leave a station thinking…
Why Asking ICE Isn’t Enough to Pass the MRCGP SCA
(And what examiners are actually looking for) One of the most frustrating experiences for GP trainees preparing for the MRCGP SCA is this: I asked about Ideas, Concerns and Expectations… so why did I still fail? Here’s the short answer: Most GP trainees elicit ICE.But not everyone ask ICE in context and integrate it in…
