CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible

Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400

Individualised feedback from course facilitators & CSA actors on your performance

QUICKREFERENCE: Introduction,Openquestionsandfocusquestions
ByNazmul&MuhammedAkunjee

QUICKPOINTERS
Standupandapproachthepatientastheyentertheroom
o Do not remain sitting in your chairs in the CSA exam. Stand up and meet the patient half way offering a smileandgentlehandshakeifappropriateandgesturingthemtotheirchair

Starteveryconsultationwithasimpleeasilyrememberableintroductorystatement
o o Doctorsunwittinglysometimesforgettointroducethemselvestothepatient Do not greet the patient by their first name only as Mr, Miss or Mrs Surname. Ask permission if you want tocallthembytheirfirstname.DoyoumindifIcallyouJack.Isthatalright?

Useopenquestionstopermitthepatienttoexpressthemselvesfreely
o o Itmaybenecessarytoaskone,twoorrarelyeventhreeopenquestionstostarttheconsultationgoing Open questions often shorten consultation times as patient tell you much of the history and prevents unnecessarylonglistedclosedquestionconsultations

ShowactivelisteningintheGoldenMinute
o o Allow the patient to speak without interruption for as long as possible only interjecting with facilitatory comments:yes,Isee,goon,umm(nodding),ok Adopt an open body language with a friendly welcoming facial expression. Consider altering this to a concernedfrownwhenthepatientrevealssomesensitivehistoryorsymptoms

Askaselectionoffocusedquestionstoobtainfurtherclaritytothehistory

2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: csaprep123@gmail.com visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011

CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible

Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400

Individualised feedback from course facilitators & CSA actors on your performance o Use only a few closed questions. These may include red flag symptoms to rule out serious causes. Having too many close questions will make the consultation appear rigid and unnatural Do you have chest pain? yes. Is it worse in the morning? no. Is it worse at night? yes. Do you get pain when you breath in? no. Closedquestionsincludeaskingthepatientsdrughistory,pastmedicalhistory,andfamilyhistory Asking the patients past medical or family history can be asked to appear open instead of always asking exclusivelists:Doyousufferfromanymedicalproblems?Doesanyoneinyourfamilysufferfrommedical problems?

o o

INTRODUCINGYOURSELF
HellomynameisDrHowcanIhelpyoutoday? Howwouldyoulikemetohelpyoutoday?

OPENQUESTIONS
Canyoutellmemoreaboutthat? Tellmehowdiditallbegin? Exactlyhowdiditstart? Howdiditcomeon? Youmentionedaboutitearlier,tellmemore? Whatwereyoudoingatthetime?

2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: csaprep123@gmail.com visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011