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MRCGP SCA Cases: How to Practise Cases for the Exam
A source-checked guide to MRCGP SCA cases: how GP trainees can choose practice cases, cover marking domains, review feedback, and avoid memorising scripts.
Practise by domain, not just by diagnosis
RCGP marking is organised around data gathering and diagnosis, clinical management and medical complexity, and relating to others. After each case, tag which domain felt weakest before choosing the next case.
Rotate common and awkward presentations
Build a case mix across mental health, paediatrics, cardiovascular, respiratory, dermatology, prescribing, ethics, safeguarding, women's health, men's health, and older adult care. Include cases where the presenting complaint changes direction or the patient has a hidden concern.
Use timed attempts before reading model answers
Reading can help after the case, but checking notes before every attempt makes the station easier than the exam. Use a twelve-minute attempt to expose what you can do without prompts, then check guidance and feedback statements afterwards.
Turn each case into one next action
After each practice case, write one behaviour to repeat in the next case. Useful actions include summarising earlier, naming uncertainty, checking understanding, giving a specific safety-net, or explaining why one management option is safer than another.
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