Question: We always end up just chatting in my Clinical Skills Assessment (CSA) study group, should I prepare for the exam on my own instead?
Answer: CSA study groups can be a very effective learning tool allowing revision in an informal supportive environment. However, the study sessions need to be focused, relevant and meet the learning needs of all the individuals involved. When setting up a group, write down a list of ground rules to identify how the sessions will progress, what each member hopes to achieve and how to create a confidential ‘safe’ environment for learning. If case study based ensure all members of the group rotate through each of the roles (patient, doctor and examiner) and that each case and feedback session are timed allowing each candidate equal time. Ensure feedback is objective, constructive and mapped to the three CSA mapping domains (data gathering, interpersonal skills and clinical management skills). If the group is losing its way, try and revisit the ground rules.
We all learn in different ways, working in groups is not for everyone and some groups can be dysfunctional. If you decide not to work in a group, make sure that you take every opportunity to be directly observed consulting with patients through joint surgeries, videoing consultations or revision courses. Consulting with patients in your day-to-day surgeries is an invaluable means of CSA preparation in itself.
Remember, also, that the GP ST3 year can be stressful and chatting to peers can be an important means of relaxation, which may not necessarily negatively impinge on the learning process.
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