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so in this session were going to look at the first five minutes of the CSA consultation and were very lucky to have Omar here who is one of the highest scoring csa candidate for the Penn ice cream in the history of the Pennine scheme so were going to really just pick your brains as to what were your key tips about managing those crucial first five minutes so what would you be how do you begin are you beginning you need a very good introduction in the actual exam stand up greet the patient shake their hand guide them to the check next thing would be to actually start the actual information gathering yeah and the way you do that is to ask a very open question so my question you used to be you know how could I help you today the patient will give you an opening line and after that I would ask them to tell me more about it this is then were on to the quarter minute which is really important during the golden minute you say as little as possible yeah you facilitate the golden minute an