This didn't happen in my SCA. When I was not sure of the diagnosis and ruled out the red flags and the sinister causes, I got clear fail in the case 😢

@MentorMRCGP_AKT_RCA_SCA

7 ай бұрын

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!