top of page


Understanding Dizziness: A Comprehensive Guide for IMGs Preparing for the SCA Exam
Dizziness is one of the most common presentations in primary care, and getting it right starts with one skill: characterising it precisely. BPPV is the most frequent cause — benign, treatable, and very possible to manage well in a GP consultation with the right approach.
4 min read


The 'Must Have' in your consultations
There are certain elements that, if you consistently include them, will almost guarantee you a stronger score in the SCA.
3 min read


Consultation Guide: Suspected Epilepsy – First Seizure
Learn how to confidently manage a first seizure in general practice. Our expert GP consultation guide for the RCGP SCA exam covers seizure differentials, red flags, referral pathways, and patient-centred phrases to secure a clear pass.
6 min read


How GP Trainees Can Give Credible Assurance in Consultations.
Learn how IMG GP trainees can develop credible assurance during NHS consultations using clinical expertise, pattern recognition, and data gathering. Practical tips, phrases, and real-life insights to help you pass the SCA exam and consult with confidence.
6 min read


Consultation Guide: Professional Conversations with Healthcare Colleagues.
In clinical practice, you may be presented with a consultation where a nurse, social worker, or another colleague seeks your input about a patient. This consultation guide walks you through how to handle such professional conversations with clarity, respect, and clinical safety. Learn how to gather key information, explore both patient and staff concerns (ICE), and avoid common pitfalls examiners look out for.
7 min read


Consultation Guide: Gender Dysphoria. With Video
Learn how to confidently manage consultations on gender dysphoria in primary care. This expert guide for GP trainees covers risk assessment, cultural sensitivity, safeguarding, consultation phrases, and exam-ready strategies for the RCGP SCA.
11 min read


Consultation Guide: Opioid Dependency, With Video.
This guide explores the difficulties encountered during consultations and provides useful phrases for impactful discussions around opioid abuse with patients. To help SCA candidates structure their consultation, we have included exam-ready, culturally appropriate words to use while assessing opioid dependency and abuse.
4 min read


Consultation Guide: Confidentiality in Primary Care.
Master confidentiality in UK general practice. Learn key consultation phrases, scenarios & portfolio tips for the SCA exam. Tailored for IMG GP trainees.
7 min read


Consultation Guide: Paternity Testing Requests in Primary Care.
Master sensitive paternity test consultations. A practical guide for IMG GPs preparing for the RCGP SCA exam with ethical tips, legal advice, and phrases.
10 min read


Consultation Guide: Down Syndrome Test Request in Primary Care.
This guide is designed to help you not only understand what is expected of you in the RCGP SCA exam but also to support your development into a culturally competent and ethically aware GP.
8 min read


Consultation Guide: PTSD
PTSD is a condition that may present in subtle ways. It is vital that the GP recognises the pattern, explores gently, and responds with clarity and empathy.
6 min read


Consultation Guide: Male Circumcision.
In the UK, the context, indications, and access to circumcision are significantly different, guided by evidence-based medical practice, safeguarding standards, and NHS policy.
7 min read


Distraction Techniques as Part of Holistic Clinical Management.
Failure occurs when candidates adopt a narrow biomedical focus, overlooking essential psychosocial elements. Simply put, neglecting holistic care in mental health consultations can turn an "easy pass" into a critical fail.
6 min read


Comprehensive Guide: Diabulimia. With Video.
This condition demands sensitive exploration of mental health, disordered eating, and diabetes control in a compassionate, non-judgemental way.
6 min read


SCA Consultation Guide: Post - Orchidectomy Care. With Video
Orchidectomy, while often a necessary and life-saving procedure, can have far-reaching implications that go beyond the operating theatre.
5 min read


Consultation Guide: Safeguarding Discussions in Children.
Safeguarding is not about punishment or blame—it is about early support, safety, and collaboration. While these conversations can be emotionally charged and culturally complex, they are also deeply rewarding and vital to good primary care.
6 min read


Consultation Guide: Vasectomy Referral. With Video
A comprehensive consultation must explore motivations, ensure fully informed consent, and manage both clinical and psychosocial elements.
6 min read


Comprehensive Guide: Female Genital Mutilation. With Video
Dealing with cases of FGM can be challenging, but by applying a structured and compassionate approach, GPs can ensure that they provide the best care while protecting those at risk.
7 min read


Consultation Guide: PSA Test Request.
For IMGs, navigating this type of consultation within a British cultural framework can feel unfamiliar at first — but with the right strategies, you can approach it with clarity and confidence.
6 min read


Consultation Guide: Menopause & HRT Request. With Video
Discussing Hormone Replacement Therapy (HRT) can feel daunting. Sharing simple, patient-friendly ways to introduce HRT, explore treatment options, and provide reassurance during your consultation.
5 min read


Domestic Abuse III: Tutorial Lecture. With Video
Domestic violence remains a difficult conversation to have and GP trainees should approach each case with care and ethical understanding.
3 min read


Domestic Abuse II: Domestic Violence in Pregnancy. With Video
Clinical Scenerio - A pregnant woman has disclosed domestic abuse and is worried about the safety of her baby. How do you manage this case?
4 min read


Domestic Abuse I: Consultation Guide for GP Trainees.
Missing cues or handling a disclosure poorly may cost marks. This guide helps you structure safe and empathetic consultations.
4 min read


Taking Ownership in Clinical Management.
Taking ownership in clinical management is not about disregarding patient autonomy—it is about guiding patients with the right decisions.
3 min read
bottom of page