I was an assessor at the ST3 mock CSA we had a Normanton on Tuesday. The case I was assessing was easy and staightforwards. It was a 35 year old taking microgynon who had had it stopped by the practice nurse because she was a smoker. She came to discuss alternatives.
However, of the eight doctors we assessed only three reached the end of the consultation and one of the doctors who gave her a prescription gave her the wrong advice about how to take it.
The main issue was TIME. Most doctors were very thorough but they simply spent too long on the consultation and never concluded it. They would have failed because they did not reach the management stage of the consultation.
The take home message I have is that you only have 10 minutes, you need to be consulting at 10 minutes and you need to have some impetus to get to the end! To pass CSA you need to be patient centred, with evidence based options and do it in 10 minutes - easy !!!!
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