MedDigest is a simulator, not a question bank. Twelve minutes of live voice consultation with a patient who makes you earn every fact, then marking in the exam’s three domains that names the moment it turned, and the words that would have turned it back.
A resit costs £1,207. Finding your weak domain costs £19.99.
Practise where failing is free.
RCGP SCA examination fee, correct as at August 2026. MedDigest is independent and not affiliated with or endorsed by the RCGP.
Ask a chatbot anything and it answers. Practise on that for months and you train the one habit the SCA punishes: expecting the patient to do the work. Our patient behaves like a trained role-player. The agenda stays hidden, cues are dropped rather than signposted, and nothing is volunteered until you ask well. The skill that unlocks this patient is the one the exam actually marks.
Smooth is not the same as listening. Candidates walk out of the SCA feeling it went beautifully, then lose Relating to Others to a script they didn't know they were running. So before your empathy is graded, the simulator asks the question that matters: were you responding to this patient, or performing lines you'd have said to anyone? If it finds a script, it tells you. Better to hear it here than on results day.
"Explore ICE more." "Safety-net better." You've heard the advice a hundred times; no one shows you what it sounds like. Our worked consultations replay a case's decisive moments with borderline handling beside passing handling, in the actual words, three different ways, with the principle underneath. So when the moment comes in a case you've never seen, you're not reaching for a memorised line. You know the move.
Facts unlock when you ask a competent question. Any competent question, no magic words. Nothing is volunteered, nothing is handed over, and the patient says “I’m not sure” to things a real patient wouldn’t know.
Every case is engineered to the RCGP’s published case blueprint and the standard of a newly qualified GP: a genuine discriminator you must uncover, decoys that punish lazy questioning, real ICE, real cues, real red flags.
Before your empathy is graded at all, the marking checks: were you responding to this patient, or running lines? Warm, fluent and rehearsed is how well-prepared candidates lose Relating to Others. We look for it first, and we tell you.
Not “good rapport, work on your structure.” When the clock stops you get your grade in each of the three exam domains, the fact you never found, the moment the consultation turned, the words a passing candidate would have used, and the three things to fix before your next attempt. And it plays fair: no credit for what you didn’t say, no penalty for a cue the patient never gave, and never a mark lost to your accent or a misheard word.
After each attempt, the worked consultation shows how a borderline candidate handles each decisive moment beside how a passing candidate does: three phrasings and the principle, so you learn the move, not the line.
MedDigest was built by a practising UK GP who prepared for the SCA the way you are now: weekly practice cases, a colleague playing the patient, a Training Programme Director giving the feedback. The marking here is modelled on those debriefs: the moment, the miss, the words. Every case is written from named national guidance, safety-checked before it goes live, and re-checked when guidance changes.
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Built by a GP who sat this exam
Before MedDigest existed, its founder prepared for the SCA the way most registrars do: weekly practice cases, a colleague playing the patient, a Training Programme Director giving the feedback afterwards. Not “well done”. The moment it went wrong, why, and what to say instead. That is the model for the simulator’s marking: the moment, the miss, the words.
To give every registrar the practice loop that used to depend on luck: a good TPD, a free Friday, a colleague willing to play the patient. Here it's twelve minutes, marked, whenever you want it.
To support the continuous professional development of healthcare professionals and students by providing clear, concise, and accessible formats for revising UK primary care guidance.