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  1. Mastering RTO: Relating to Others in the SCA
  2. /
  3. Module 4: Risk, Safety-Netting, Time and Audio Consultations

Mastering RTO: Relating to Others in the SCA

Course Progress
0 of 51 lessons completed (0%)
Module 1: Listening, Cues and the Patient’s Agenda
6
Module 2: Explaining and Deciding Together
4
Module 3: Challenging Consultations
4
Module 4: Risk, Safety-Netting, Time and Audio Consultations
4
Lesson 4.1 — Risk, Uncertainty and Reassurance
Lesson 4.2 — Safety-Netting as Communication
Lesson 4.3 — Time Pressure Without Sounding Rushed
Lesson 4.4 — Telephone and Audio RTO
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

Lesson 4.4 — Telephone and Audio RTO

Lesson 4.4 — Telephone and Audio RTO

Without facial expression or body language, tone, pacing, verbal acknowledgement and explicit checking become more important. RCGP notes that audio consultations make cues easier to miss and may require more deliberate verbal facilitation.

Audio-Specific Habits

  • Use a warm tone and avoid speaking over the patient.
  • Acknowledge pauses or changes in tone when relevant.
  • Verbalise transitions: “I’m just going to ask a few questions about…”
  • Use silence carefully; on audio, prolonged silence may be interpreted as disconnection.
  • Check that the patient has heard and understood key plans.
  • Be explicit about follow-up and how to access help.

“You’ve gone a little quiet there. What’s going through your mind?” can be more useful than carrying on with the next question.

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