Teaching consultation skills in general practice has always been a challenge. A particular area that doctors in training consistently seem to struggle with is in regularly completing high quality consultations in 10 minutes. It has always been important that a GP Registrar at the end of their training year can consult at 10-minute intervals. Ten minutes is the mean rate of consultation most practices will expect a locum, salaried doctor or new partner to consult at and is the fundamental tool of a GP's trade. The 10-minute consultation has however become more important to work to under the nMRCGP as the tasks in the Clinical Skills Assessment (CSA) must be completed within 10 minutes. ‘Shows poor time management’ is a reason a candidate can be failed at a CSA station. The CSA will be stopped after 10 minutes and, if candidates have not worked through the full consultation process in this time, marks are lost and this very expensive assessment can be failed. This article describes a new model to help trainers lead their trainees towards this 10-minute goal which is now so vital for them to achieve before the CSA is sat in their ST3 year. Trainers generally allow their GP registrars longer consultation times at the start of their GP training year while they learn, explore, and experiment with long-standing concepts such as establishing rapport, noting opening gambits, hidden cues, the golden 60 seconds at the start of the consultation of not interrupting, eliciting ideas, concerns, expectations, summarising, handing over, checking understanding, safety netting, patient involvement in decisions and choices, and other tasks described in the now standard consultation texts of Roger Neighbour,1 Pendleton,2 Stott and Davies,3 Calgary-Cambridge,4 and others. The old summative assessment videos and RCGP video could be passed by identifying and …