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  1. Mastering RTO: Relating to Others in the SCA
  2. /
  3. Module 1: Listening, Cues and the Patient’s Agenda

Mastering RTO: Relating to Others in the SCA

Course Progress
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Module 1: Listening, Cues and the Patient’s Agenda
6
About This Course
Lesson 1.1 — Stop Performing RTO
Lesson 1.2 — The Cue Is Your Doorway
Lesson 1.3 — ICE Without Asking for ICE
Lesson 1.4 — Empathy Without a Script
Lesson 1.5 — Psychosocial Context That Actually Matters
Module 2: Explaining and Deciding Together
4
Module 3: Challenging Consultations
4
Module 4: Risk, Safety-Netting, Time and Audio Consultations
4
Module 5: Traps, Walkthroughs and the Exam Toolkit
6
Module 6: Case Lab — 24 RTO Scenarios
7
Module 7: The RTO Masterclass — Mapping the Consultation
3
Module 8: 12 Timed SCA RTO Mocks
12
Module 9: Coaching, Feedback and Advanced Drills
5

About This Course

Module 1: Listening, Cues and the Patient’s Agenda

About This Course

Relating to Others (RTO) is not a separate two-minute section of an SCA case. RCGP describes it as a domain that runs throughout the consultation. At passing level, candidates are expected to communicate in a person-centred way, show ethical awareness, and adapt their consultation approach to reach shared understanding.

This course does not give you a script to memorise. The example phrases are options. Your goal is to understand the function of the response, then say it in language that sounds like you.

The SimsBuddy RTO Rule

Listen to the story. Notice the cue or preference. Explore what it means. Respond to the person, not the checklist. Then use what you learned when you explain, negotiate and plan.

What Examiners Are Broadly Looking For

  • Active listening and appropriate responses to verbal and non-verbal cues.
  • Curiosity about the patient’s agenda, beliefs, preferences and psychosocial context.
  • Explanations adapted to the patient rather than delivered as a generic lecture.
  • Respect, sensitivity, non-judgement and awareness of autonomy.
  • Ownership of decisions while recognising limitations and involving the patient appropriately.
  • Flexible communication rather than a rigid consultation formula.

RCGP’s 2024/25 annual report also shows why this deserves deliberate practice: RTO feedback commonly concerned insufficient exploration of agenda/preferences, inadequately shared or adapted explanations, and insufficient communication skills including cue response and active listening.

Educational resource for SCA preparation. Not an official RCGP publication. Clinical decisions should follow current guidance and local pathways.