SCA Cases: Which Clinical Areas Are Hardest?
We used the GP trainer feedback request rate as a proxy for trainee confidence across 30 clinical specialties. The areas where trainees most often seek expert review are the areas they find hardest.
9 min read · Reviewed by Dr. Li Low, MRCGP
Key Takeaways
- Risk Assessment cases have the highest expert feedback request rate at 48.6%, nearly double the platform average.
- End of Life Care (45.8%) and Care of the Elderly (43.6%) round out the top three.
- Mental Health is the most practised clinical area overall (766 sessions), followed by Women's Health (726) and Neurology (510).
- The most practised individual case is Complaint About Another GP (223 sessions, 195 unique trainees).
What You Will Learn
- Risk Assessment cases have the highest expert feedback request rate at 48.6%, nearly double the platform average.
- End of Life Care (45.8%) and Care of the Elderly (43.6%) round out the top three.
- Mental Health is the most practised clinical area overall (766 sessions).
- The most practised individual case is Complaint About Another GP (223 sessions, 195 unique trainees).
Frequently Asked Questions
Which SCA clinical area is hardest?
Based on expert feedback request rates, Risk Assessment is the hardest clinical area at 48.6%, followed by End of Life Care at 45.8% and Gastroenterology at 43.9%. The platform average is 35.8%.
Which clinical area is most practised?
Mental Health is the most practised area with 766 completed sessions across 182 unique trainees, followed by Women's Health (726 sessions) and Neurology (510 sessions).
Should I focus on my weakest areas or practise broadly?
Both. Start with broad coverage across all 12 RCGP clinical experience groups to identify your gaps. Then increase the proportion of practice in your weakest areas.
Why is the Complaint About Another GP case so popular?
With 223 sessions from 195 unique trainees, it is the most practised case because it combines a strong patient agenda, emotional complexity, and clinical governance issues.