Abstract

Why do we continue to examine GP trainees at 10 minutes when the RCGP itself has called for longer GP consultations? The recently announced changes to the MRCGP in response to the COVID-19 pandemic has seen the replacement of the Clinical Skills Assessment (CSA) with the Recorded Consultation Assessment (RCA).1 Yet the guidance on the length of the face-to-face consultations to be submitted in the assessment remains at 10 minutes — even for complex cases. Arguments put forward in the past suggest that the 10 minutes examination exists because: 1. The exam only assesses the face-to-face element of the consultation and not those activities that take place either side of the consultation such as preparation and documentation 2. The exam must prepare the candidate to practice …

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