RCA guidance on utilisation of feedback statements

Feedback is generated in an entirely different and separate way from marking cases. The examiner, in giving feedback for that case, will pick the most applicable items from a list of 24 pre-formed feedback statements given below focussing on where they think you might best focus your learning to continue to improve your consulting skills or demonstration of them. 

The feedback statements are not performance indicators and play no part in the marking process for the examination. They are not designed to provide a justification of your mark per se and may be offered to passing candidates. 

Many of the statements overlap slightly, some may seem at odds with one another. For example, you may find that exploring the patient’s concerns takes time, which in turn might lead to your not being able to complete the consultation in the ten minutes. It is important to remember that the RCA is a test of your ability to integrate and apply your clinical skills to the specific consultation that you have chosen so that in order to do well you need to be able to manage the tensions between different aspects of good consulting. 

The primary purpose of feedback is to improve future performance and we would encourage you to share this feedback with your supervisor to inform future learning/examination preparation.

For each of the statements, there is a corresponding note below, intended to help you assess your learning needs and build on what you can already do. Please remember, when the statement reads, “does not...” this should be taken to mean “does not sufficiently...” or “does not always...” 

Where you have had feedback that identifies areas for improvement, read the text below and, where improvement is needed, look closely at the suggestions that are offered.

Read the feedback statements below or download the RCA feedback statements and how to use them document (363 KB PDF).

Global

Data gathering, technical and assessment skills

Decision Making and clinical management

Interpersonal skills

Breaches in examination regulations

The following four feedback statements are all related to breaches in examination regulations. These cover mandatory case selection criteria, mandatory guidance on recording of clinical examination and pauses in recording or editing of consultations. Guidance on all these topics is in the RCA Policy Document on the website. Please refer to these if you need to sit the RCA examination again prior to submission on FourteenFish.

Single case – no marks:

One of your cases has not met the mandatory case selection criteria selected by you at the time of your submission. No other consultations submitted were deemed to have met the missing mandatory case selection criteria. Zero marks were therefore awarded for this consultation under the sanctions for breach of the rules on mandatory criteria.

In reaching this decision, the consultation was reviewed by a Panel including the RCA Clinical Lead and a Lay Representative, and then discussed in the RCA Examination Board.

The RCA Examination Board's decision is final, and no appeal is permitted under MRCGP regulations. 

Two cases – whole submission rejected:

Two or more of your cases have not met the mandatory case selection criteria selected by you at the time of your submission. No other consultations submitted were deemed to have met the missing mandatory case selection criteria. Your whole submission is therefore declined and re-application for next diet is advised as per the sanctions for breach of the rules on mandatory criteria. In reaching this decision, the consultation was reviewed by a Panel including the RCA Clinical Lead and a Lay Representative, and then discussed in the RCA Examination Board.

The RCA Examination Board's decision is final, and no appeal is permitted under MRCGP regulations.

Case involving a breach in guidance of visual recording of examination of the “swimsuit area” as defined in the RCA policy and Handbook - no marks:

This case has breached the guidance on a Submission that visibly records exposure of skin in the "swimsuit" area as defined in the RCA Policy and outlined on the RCGP website. Zero marks were therefore awarded for this consultation under the sanctions for breach of the rules of the RCA. In reaching this decision, the consultation was reviewed by a Panel including the RCA Clinical Lead and a Lay Representative, and then discussed in the RCA Examination Board.

The RCA Examination Board's decision is final, and no appeal is permitted under MRCGP regulations.

Case involving a ‘pause in recording’ or any editing as defined in the RCA policy and Handbook - no marks:

This case has breached the guidance on a submission that includes a 'pause in recording' or any editing as defined in the RCA Policy and outlined on the RCGP website. Zero marks were therefore awarded for this consultation under the sanctions for breach of the rules of the RCA. In reaching this decision, the consultation was reviewed by a panel including the RCA Clinical Lead and a Lay Representative, and then discussed in the RCA Examination Board.

The RCA Examination Board's decision is final, and no appeal is permitted under MRCGP regulations .

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