MD Acumen · MRCGP SCA course · free practice resources
MRCGP SCA course · Station 3
Station 3 · Headache
A 36-year-old on the combined pill has daily headaches, takes painkillers most days, and the nurse has found a blood pressure of 168/104.
Reviewed and kept current
Video consultation · Undifferentiated presentation · Prescribing · Gender, reproductive and sexual health · 12-minute case · 3 min reading · Last editorial review: 11 October 2026 · Next scheduled refresh: 11 April 2027 · Clinical content signed by Course Director, 11 October 2026.
Candidate instructions
Read this as you would outside the room
Read the brief as you would in the examination (RCGP: twelve consultations with simulated patients, each lasting twelve minutes, with 3 minutes' reading at the start of each). There is no reference material. Everything below the brief is folded until the consultation is over.
| Information | |
|---|---|
| Frame | You have 3 minutes to read, then 12 minutes. Video consultation. Everything below this brief is folded away until the consultation is over. |
| Your role | Salaried GP at a suburban practice, holding the morning's video list. |
| Patient | Priyanka Mehta, 36. |
| Reason for consultation | “Headaches most days; the nurse would not re-issue my pill.” Booked by the patient; the practice nurse added a note this morning (below). |
| Format | Video. You can see her face and shoulders; she is at her desk at work with the door shut. You cannot examine her; you may ask what she would be able to check. |
Information available
The records extract, printed as it appears. Results carry units and reference ranges where they exist.
| Nurse note, today | Pill check: BP 168/104 and 164/102 (seated, five minutes apart). Please review before re-issuing. |
| Problem list | Migraine without aura, diagnosed at 24. No other entries. |
| Repeat medication | Combined pill: ethinylestradiol 30 micrograms / levonorgestrel 150 micrograms, one daily, 12 years. Allergies: none recorded. |
| Over-the-counter use | Not recorded. |
| Last blood pressure | Two years ago: 128/82 (reference below 140/90 in clinic). |
| Family history | Father: high blood pressure. |
| Other | BMI 24. Non-smoker. No headache review recorded. |
Your task
•
Assess her headaches and the blood pressure readings.
•
Reach a working diagnosis for each problem and explain it.
•
Agree a management plan, including what happens to her contraception today.
•
Address her concerns.
Folded away
For the role player and the observer
Open these after the consultation, or during it if you are observing. The role-player script and every marking section are public (D-76): this is practice material, not an examination.
1 · Role-player script — opening line, story, ICE, hidden facts and triggers (examination findings last)
Candidates: do not open until you have consulted.
Persona and manner
- Priyanka Mehta, 36, a commercial solicitor; married; precise, courteous and slightly tense; used to being in control. You check the time on your phone once, at about minute five.
- On video from your office with the door shut. At minute four a colleague knocks; you say “two minutes” and turn back.
- Not hostile, but you resist being told to stop the pill: it has worked for twelve years and you have a heavy caseload.
Opening line (verbatim)
- “The nurse said my blood pressure was high and she couldn't give me my pill until I'd seen a doctor. I'm also getting headaches most days, which is why I came in — I need something stronger than what I'm taking.”
The story
- “The headaches have been there most days for about four months: a dull, pressing pain across the forehead, worse by the evening. On top of that, about twice a month, I get a real migraine: one side, throbbing, I feel sick with it and I have to lie down.”
- “I take paracetamol and codeine most days, sometimes twice, and ibuprofen on top when it's bad. I've kept them in my desk drawer for months.”
- “I've had the migraines since I was 24. Never any zig-zags or flashing lights, never any warning: it just arrives.”
- “Work is intense at the moment. A big case, long hours, screens all day, coffee constantly, and I'm sleeping five or six hours.”
- “The nurse took my blood pressure twice this morning and it was high both times. Two years ago it was fine. Nobody has ever said it was high before.”
- “I've been on the same pill since university. I take it because I've always taken it. We're not planning children for two or three years.”
- If asked about a different method: “I'd consider something that doesn't mess with my periods.”
- Period two weeks ago, regular on the pill; certainly not pregnant. Non-smoker. No recreational drugs.
- Mood: stressed, not low. You sleep badly because of work, not your mood, and you enjoy the weekends.
Ideas, concerns and expectations
- Idea: “Stress headaches from the case, and my blood pressure's up for the same reason.”
- Concern: Your father's stroke at 62 (only if the doctor asks what worries you, or about the family). Losing the pill you rely on.
- Expectation: Stronger painkillers and your pill re-issued today.
Impact
- Work: the case goes to trial in six weeks; you cannot take time off; twice a month you have had to lie down in the office and go home early.
- Home: your husband is supportive but you are short-tempered in the evenings; you drink to switch off.
- Driving: you drive to court; the headaches have not affected your driving. Money: no concern.
Red flags
- Absent: No thunderclap or sudden-onset headache; nothing that reached its worst within minutes.
- Absent: No headache that wakes you or is worse on waking; not worse on coughing, straining or bending.
- Absent: No visual loss, weakness, numbness, speech difficulty, fits or unsteadiness; no change in personality or memory.
- Absent: No fever, neck stiffness, rash or head injury.
- Absent: No palpitations, sweating episodes, flushing, chest pain, breathlessness or ankle swelling; your husband says you do not snore.
Hidden facts and their triggers
- Painkillers on 18 to 20 days a month, for at least three months — released only if asked to count the days in a month rather than “how often”
- Your father's stroke at 62 after years of high blood pressure — released only if asked what worries you, or about the family
- Two or three glasses of wine most evenings, more at the weekend — released only if asked directly about alcohol
- Five or six coffees a day; five or six hours' sleep — released only if asked about caffeine or sleep
- You need another method today: you will not risk pregnancy and will not use condoms indefinitely — released only if the doctor says the pill must stop
Behaviour
- Minute 1: tap the desk once and say, “I really can't afford to be ill right now.”
- Minute 3: “My dad had a stroke, so I do know about blood pressure.” Say it briskly and move on.
- Minute 6, if told the pill must stop: “And then what? I'm not getting pregnant.”
- If the doctor explains three linked problems and offers a bridging contraceptive today, home or ambulatory monitoring, a short stop of the codeine with a warning that the headache gets worse before it gets better, and a review date: frustrated, then engaged. Ask, “So the tablets are causing the headaches?” and “What's the quickest option for contraception?”
- If the doctor prescribes stronger painkillers and re-issues the pill: thank them and leave.
- If the pill is stopped and nothing is offered in its place: “So you're leaving me with nothing?”
- If a term is used without explanation: “Sorry, what does that mean?”
- If rushed or lectured: shorter answers; look at your phone.
Examination findings, if the candidate states what they would examine and why
- Video consultation: no examination findings to give today.
- If the candidate states that blood pressure, fundoscopy and a neurological examination would be done face to face, and why: you can come in tomorrow at eight. If asked to count your pulse: 76, regular.
- If asked for the nurse's readings again: 168/104 and 164/102, seated, five minutes apart.
2 · Examiner mark sheet — generic SCA scheme plus the key facts for this case
Domain grades — with the key facts that earn a clear pass at this station
| Domain (RCGP wording) · key facts for this case | CF (0) | F (1) | P (2) | CP (3) | Score |
|---|---|---|---|---|---|
1 · Data gathering and diagnosis
| ☐ | ☐ | ☐ | ☐ | /3 |
2 · Clinical management and medical complexity (×1.5)
| ☐ (0) | ☐ (1.5) | ☐ (3) | ☐ (4.5) | /4.5 |
3 · Relating to others
| ☐ | ☐ | ☐ | ☐ | /3 |
| Case total | /10.5 |
Global rating (recorded, not added to the total): ☐ Fail ☐ Bare Fail ☐ Bare Pass ☐ Pass
The domain grades (RCGP descriptors): CP clear pass — above the standard of a newly qualified, independent GP · P pass — sufficiently demonstrated at the standard · F fail — insufficiently demonstrated at the standard · CF clear fail — clearly demonstrated below the standard.
The RCGP grades each domain CF, F, P or CP and weights clinical management and medical complexity against the other two domains; the examination's maximum is 126 over twelve cases, which is 10.5 per case. The RCGP does not publish the mark each grade carries. MD Acumen's training sheet uses CF 0 · F 1 · P 2 · CP 3, with clinical management weighted ×1.5 (0 · 1.5 · 3 · 4.5), so that a case is marked out of 10.5 and a twelve-case circuit out of 126. A P in all three domains is 7.0; MD Acumen treats that line as the training standard for a case. The examination's pass mark is set by borderline regression for each diet and is published in the RCGP's diet summary reports; it is not a fixed fraction of 126.
Weighting rationale, in the RCGP's words: “To reflect the capability coverage within the clinical management and medical complexity domain this is weighted in comparison to the other two domains.”
3 · Expanded station standard — what earns a clear pass, pass, fail and clear fail here
Written to the standard of a newly qualified independent GP; the clear-pass row describes practice above that standard. It is a debriefing aid, not a checklist: the grade is a judgement that the essentials, the italic key facts on the mark sheet, were done well, at the patient's pace and in plain language. MD Acumen training standard; the RCGP does not publish case mark sheets.
| Grade | Data gathering and diagnosis | Clinical management and medical complexity | Relating to others |
|---|---|---|---|
| CP | Opens the two headache patterns and the blood pressure as three problems in the first two minutes and says so. Counts analgesic days in a month, asks specifically about aura because it changes the pill decision, dates the change in blood pressure against the normal reading two years ago, and screens the secondary causes of hypertension in a young woman without lengthening the history. | Prioritises aloud: safety first, the pill today; then the headache plan; then confirming the blood pressure. Names the uncertainty about the diagnosis of hypertension and the plan that resolves it. Individualises the method to her periods preference and her timetable, chooses the review date around the trial, warns about the withdrawal month honestly, and owns the decision rather than deferring it to the nurse or a specialist. | Hears the tap on the desk and the time pressure and offers a sequence she can accept. Names the hidden worry, control, and hands some back: home readings, the diary, a choice of method. Links the explanation to her father without alarm. Checks understanding by asking her to say what changes tomorrow morning, and leaves her with the sense that the doctor is on her side of the desk. |
| P | Characterises both headache patterns, quantifies the painkiller days in a month, screens the red flags for a secondary headache, takes the pill and pregnancy-intention history, asks about alcohol, caffeine and sleep, and uses the nurse's readings and the family history. Reaches a working diagnosis for each problem with the alternatives justified in a sentence each. | Stops the combined pill because the readings exceed the eligibility limit and offers a progestogen-only method today with the long-acting options mentioned. Withdraws the codeine and limits acute painkillers with a warning about temporary worsening. Arranges ambulatory or home monitoring, urine albumin, bloods and an ECG, with no antihypertensive until confirmed. Gives a specific safety-net and a review in two weeks. | Acknowledges the time pressure and the trial, responds to the father's stroke when it is raised, explains the pill decision as a safety decision and not a punishment, shares the choice of contraception, and checks her understanding of the analgesic plan. Uses plain words for the overuse headache and the monitoring; apologises when the colleague knocks and keeps the thread. |
| F | Takes the headache history but does not count the painkiller days, or asks “how often” and accepts “most days”. Treats the blood pressure as the nurse's problem or leaves it until the last minute. Does not ask about aura, pregnancy intention or alcohol. Red flags asked as a single compound question or after the plan has been given, so that the examiner cannot see the secondary headache excluded. | Re-issues the pill or gives a stronger opioid for the headache. Stops the pill without offering a method today, or offers one without saying how to start it. No plan to confirm the blood pressure, or starts an antihypertensive on two clinic readings. Safety-net generic: “come back if it gets worse”. No review date, or one that ignores the withdrawal month. | Lectures about the pill or about painkillers so that she stops contributing. Misses “I really can't afford to be ill right now” and the father's stroke, or hears them and moves on. Uses the eligibility categories, the overuse headache or the monitoring as labels without explaining them. Does not ask what she thinks is going on, or asks and does not use the answer. |
| CF | No systematic headache history; no red-flag screen at all; the painkiller use never explored; the blood pressure readings not mentioned or dismissed as stress. Or the history is so disorganised that the examiner cannot identify any working diagnosis at the end of twelve minutes, with the nurse's note and the records extract never used. | Unsafe: the combined pill re-issued at this blood pressure; a stronger opioid prescribed for daily headache; or the patient falsely reassured that nothing needs to change. No plan for contraception, no plan for the blood pressure and no safety-net, so that she leaves with the same risks she arrived with and a prescription that increases them. | Dismissive or rude: “it's just stress”, “you'll have to manage without”. Talks over her, ignores the knock and the phone, and ends without checking that she has understood anything. A judgemental approach to the wine or the pill shown in words or tone. No sense of partnership: decisions imposed, or abandoned to her, with no explanation either way. |
Where candidates lose this station
- Accepting “most days” as a frequency and never counting the days in a month, so the overuse headache is missed and the plan is painkillers (statement D6)
- Stopping the pill as an instruction without a method to start today, which the role player meets with “So you're leaving me with nothing?” (statement C8)
- Running out of time with the blood pressure unaddressed, because the three problems were taken in the order she raised them rather than by risk (statement C9)
What the examiner is listening for in the last four minutes
By 8:00 the three working diagnoses should have been stated and justified. The examiner is now listening for: the plan in her order of priority (contraception today, the codeine stopped, the painkiller limit, the blood pressure confirmed by monitoring with urine, bloods and an ECG); a safety-net that names the symptoms (thunderclap, weakness, speech or vision change, a reading over 180/120 with symptoms) and the action; a review date that fits the withdrawal month and the trial; and a check of understanding in her words, not “is that OK?”.
4 · RCGP feedback statements — where underperformance was identified — with case-specific examples
The ten statements below are postulated: the feedback an examiner would most likely attach at this station, chosen from the RCGP's standardised list of 26 feedback statements that applies to every SCA case and spans the three marking domains (Data Gathering and Diagnosis; Clinical Management and Medical Complexity; Relating to Others). They are a prediction from the case content, its complexity and the marks that matter, not an examiner's record: any statement on the full list can be attached to any case, and feedback plays no part in the mark. Record the statements that applied in the practice log.
| RCGP feedback statement (postulated top ten) | Underperformance it signals (generic) | Station-specific example |
|---|---|---|
| D1 · Data gathering was insufficient to enable safe assessment of the condition/situation Data gathering and diagnosis · Data gathering and interpretation | History too thin to decide safely: the presenting problem not characterised, the essential negatives not asked. |
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| D6 · The implications of relevant findings identified during the data gathering were insufficiently recognised or understood Data gathering and diagnosis · Data gathering and interpretation | A finding or result is elicited but its meaning is not recognised or not followed up. |
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| D7 · Differential diagnoses or hypotheses were inadequately generated or tested Data gathering and diagnosis · Making diagnosis/decisions | One diagnosis assumed; alternatives not generated, or generated but not tested with a question. |
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| C2 · The management plan relating to prescribing of medication was inappropriate or not reflective of current practice Clinical management and medical complexity · Clinical management | A drug started, continued or stopped against current guidance, or without the checks it needs. |
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| C5 · The plan relating to the medical management of risk was inadequate or inappropriate Clinical management and medical complexity · Clinical management; Organisation, management and leadership | Clinical risk left unmanaged: no plan for the thing that could go wrong, or the risk not weighed. |
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| C8 · Inappropriate or inadequate arrangements for follow-up, continuity and/or safety netting Clinical management and medical complexity · Clinical management | No follow-up, continuity or safety-net, or one too vague to act on. |
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| C9 · Time management in the consultation was ineffective Clinical management and medical complexity · Clinical management; Managing medical complexity; Communication and consultation skills | The consultation runs out of time before the plan, the safety-net or the check of understanding. |
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| R2 · The person's agenda, health beliefs and/or preferences were insufficiently explored Relating to others · Communication and consultation skills; Practising holistically, promoting health and safeguarding | What the person thinks is wrong, fears, or wants is not asked, or not used in the plan. |
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| R4 · Explanations were inadequately shared or adapted for the person's needs Relating to others · Communication and consultation skills | Explanation in jargon, at the wrong pace, or not adapted to the person's level and concerns. |
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| R7 · Ownership or responsibility for decision-making was inadequate or inappropriate Relating to others · Fitness to practise; Making diagnosis/decisions; Maintaining an ethical approach | Decisions deferred, delegated or left to the patient when the doctor should own them. |
|
The full list of 26 statements, with the generic meaning of each, is on the exam and the mark scheme.
5 · Examiner points of fact and guidelines
Points of fact the examiner should have to hand
Each statement is drawn from the named guideline, in its current version, with the date it was checked. The examiner marks against these facts; the candidate is not expected to quote them.
- Medication overuse headache: be alert in people with headache on 15 or more days a month who have used triptans, opioids, ergots or combination analgesics on 10 or more days a month, or paracetamol, aspirin or an NSAID on 15 or more days a month, for more than three months. NICE — CG150 Headaches in over 12s: diagnosis and management, section 1.3, medication overuse headache, updated December 2021, checked 10 Oct 2026
- Management of medication overuse headache: advise stopping the overused medication abruptly for at least one month and explain that the headache may worsen before it improves; review at four to eight weeks and treat any underlying primary headache. NICE — CG150 Headaches in over 12s: diagnosis and management, section 1.3, medication overuse headache, updated December 2021, checked 10 Oct 2026
- Features that call for further investigation or referral: worsening headache with fever; sudden onset reaching maximum within five minutes; new neurological or cognitive deficit; personality change; impaired consciousness; recent head trauma; headache triggered by cough, Valsalva or exertion; orthostatic headache; symptoms of giant cell arteritis or acute angle-closure glaucoma; a substantial change in the headache's character. NICE — CG150 Headaches in over 12s: diagnosis and management, section 1.2, assessment, updated December 2021, checked 10 Oct 2026
- Acute treatment of migraine: offer an oral triptan with an NSAID or paracetamol, taking the person's preference, co-morbidities and the risk of adverse events into account; consider an anti-emetic; do not offer ergots or opioids for the acute treatment of migraine. NICE — CG150 Headaches in over 12s: diagnosis and management, section 1.3, migraine with or without aura, acute treatment, updated December 2021, checked 10 Oct 2026
- Combined hormonal contraception is UKMEC category 4 (an unacceptable health risk) with consistently elevated blood pressure of systolic 160 mmHg or more or diastolic 100 mmHg or more; migraine without aura is category 2 to initiate and 3 to continue; migraine with aura at any age is category 4. FSRH — UK Medical Eligibility Criteria for Contraceptive Use (UKMEC), tables: hypertension; headaches, 2016, amended September 2019, checked 10 Oct 2026
- The progestogen-only pill can be started at any time if it is reasonably certain the woman is not pregnant; if started on days 1 to 5 of a natural cycle no additional precautions are needed, otherwise condoms or abstinence for 48 hours. The progestogen-only methods (pill, implant, injectable, intrauterine system) are UKMEC category 1 or 2 with hypertension and with migraine without aura. FSRH — Clinical guideline: Progestogen-only pills, starting the POP; switching methods, August 2022 (amended July 2023), checked 10 Oct 2026
- Hypertension is diagnosed with clinic blood pressure of 140/90 mmHg or higher confirmed by ambulatory monitoring (or home monitoring if ambulatory is unsuitable); stage 2 is a clinic reading of 160/100 or higher with a daytime average of 150/95 or higher. Offer drug treatment to adults of any age with stage 2 hypertension; for adults under 40, consider seeking specialist evaluation of secondary causes. NICE — NG136 Hypertension in adults: diagnosis and management, sections 1.2 and 1.4, diagnosis and starting treatment, 2019, last updated February 2026, checked 10 Oct 2026
- At diagnosis, assess target-organ damage and cardiovascular risk: urine albumin:creatinine ratio and dipstick for haematuria, HbA1c, electrolytes, creatinine and eGFR, total and HDL cholesterol, fundoscopy and a 12-lead ECG. Refer for same-day specialist assessment if clinic blood pressure is 180/120 or higher with retinal haemorrhage or papilloedema, or with life-threatening symptoms. NICE — NG136 Hypertension in adults: diagnosis and management, sections 1.3 and 1.4, assessing target organ damage; same-day referral, 2019, last updated February 2026, checked 10 Oct 2026
- Topiramate is contraindicated in pregnancy and in women of childbearing potential unless the conditions of a pregnancy prevention programme are fulfilled; it is not a first choice for migraine prevention in a woman of 36 who may conceive within the next few years. MHRA — Drug Safety Update: topiramate, new safety measures including a pregnancy prevention programme, June 2024, checked 10 Oct 2026
- The UK Chief Medical Officers' low-risk drinking guideline is not more than 14 units a week, spread over three or more days; two or three 175 ml glasses of 13% wine most evenings is 25 to 35 units a week. NICE CKS (citing the UK Chief Medical Officers' 2016 guideline) — Alcohol, problem drinking, background: the low-risk drinking guideline and unit calculation, current online version, checked 10 Oct 2026
- Offer topiramate or propranolol for the prophylaxis of migraine after discussing benefits and risks and the person's preference and co-morbidities; advise a woman of childbearing potential that topiramate carries a risk of fetal malformation and can reduce the effectiveness of hormonal contraception. Consider amitriptyline, and a course of up to 10 acupuncture sessions if both drugs are unsuitable or ineffective; riboflavin 400 mg a day may help some people. Review the need for prophylaxis six months after starting it. NICE — CG150 Headaches in over 12s: diagnosis and management, section 1.3, migraine with or without aura: prophylactic treatment, updated December 2021, checked 10 Oct 2026
- The 2024 ESC guideline defines hypertension as an office blood pressure of 140/90 mmHg or higher, confirmed by out-of-office measurement (ambulatory or home monitoring) wherever feasible, and adds an 'elevated blood pressure' category of 120 to 139 mmHg systolic or 70 to 89 mmHg diastolic. It recommends a treated systolic target of 120 to 129 mmHg where tolerated, and screening for secondary hypertension in adults whose hypertension begins before the age of 40. ESC — 2024 ESC Guidelines for the management of elevated blood pressure and hypertension, definition and classification; diagnosis; treatment targets; secondary hypertension, 2024, checked 10 Oct 2026
- The Neurology Topic Guide expects the GP to diagnose and manage the common primary headaches, including medication overuse headache, to recognise the red flags of a secondary headache, and to prescribe safely. The Cardiovascular health Topic Guide expects the GP to diagnose hypertension to the NICE standard with out-of-office monitoring and to assess cardiovascular risk and target-organ damage; the Sexual health Topic Guide expects the GP to apply the UK Medical Eligibility Criteria when choosing contraception. RCGP — GP curriculum: Neurology, headache; Cardiovascular health Topic Guide: hypertension; Sexual health Topic Guide: contraception, Being a GP, 2025 curriculum, checked 10 Oct 2026
Working references for this station
| Issuer | Document | Version | Checked |
|---|---|---|---|
| NICE | CG150 Headaches in over 12s: diagnosis and management | updated December 2021 | 10 Oct 2026 |
| FSRH | UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) | 2016, amended September 2019 | 10 Oct 2026 |
| FSRH | Clinical guideline: Progestogen-only pills | August 2022 (amended July 2023) | 10 Oct 2026 |
| NICE | NG136 Hypertension in adults: diagnosis and management | 2019, last updated February 2026 | 10 Oct 2026 |
| MHRA | Drug Safety Update: topiramate, new safety measures including a pregnancy prevention programme | June 2024 | 10 Oct 2026 |
| NICE CKS (citing the UK Chief Medical Officers' 2016 guideline) | Alcohol, problem drinking | current online version | 10 Oct 2026 |
| ESC | 2024 ESC Guidelines for the management of elevated blood pressure and hypertension | 2024 | 10 Oct 2026 |
| RCGP | GP curriculum, Topic Guides: Neurology · Cardiovascular health · Sexual health | Being a GP, 2025 curriculum | 10 Oct 2026 |
13 statements, 723 words. Every statement is signed by the Course Director before it is published; a station whose facts have changed since signature carries no signature line until it is signed again.
This case's topic and its signed Golden Triangle, for review after the station.
Golden Triangle
Migraine (uncomplicated)
Knowledge Green · Evidence Green · Real-world Amber
Not yet at the Equinox · UK (NHS England) · as of 7 October 2026 · How the triangle works
6 · RCGP curriculum tags for this case
| RCGP curriculum (2025) | This case |
|---|---|
| Topic Guide(s) | Neurology · Cardiovascular health · Sexual health |
| Core capabilities | Data gathering and interpretation · Decision-making and diagnosis · Clinical management · Medical complexity |
| SCA Clinical Experience Group(s) | New presentation of undifferentiated disease · Prescribing · Gender, reproductive and sexual health, including women's, men's, LGBTQ+, gynae and breast |
| AKT blueprint clinical area | Neurology (moderate representation) |
| Case type | undifferentiated |
| Modality | video |
7 · My marks and reflection — practice log form
Record your three domain grades, your case total out of 10.5, your global rating, the RCGP feedback statements that applied, and what you will keep and change. The form is already labelled with this case and its web address; a copy of your entry is emailed to you, so your practice log builds up in your inbox and can be downloaded.
Record my marks and reflection for SCA-03
Revision link for this case: mdacumen.com/sca-station3-headache
Independence & scope. Formative training material from MD Acumen Ltd; not a prediction of exam performance. Not affiliated with, endorsed by, or delivered on behalf of the Royal College of General Practitioners; the marking domains and feedback statements are the RCGP's published ones, and every descriptor on this page is an Acumen training tool calibrated to them. Clinical content reflects UK guidance at the date of editorial review — always check the current guideline. All patients are fictional.
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