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MRCPSYCH: Passing the CASC (Clinical Assessment of Skills and Competencies) Exam

The establishment of professional guilds between 1100 and 1500 led to setting standards for training and assessment. National standards measure the quality of training and examinations. In 2005, when the Postgraduate Medical Education Training Board (PMETB) was set up, as one of its early tasks the Board produced standards of assessment. All medical Royal Colleges had to comply with these standards. All examinations had to meet these criteria. Consequently, the Royal College of Psychiatrists, in line with other medical Royal Colleges, modified its assessment systems, introducing Work Place Based Assessments. The MRCPsych examination was also modified radically. Among the changes was the introduction of CASC (Clinical Assessment of Skills and Competencies) component at the old level of MRCPsych Part II examination. This also replaced OSCEs and the uncertainty of seeing a long case under examination conditions. CASC assesses competencies and skills in a structured way so that as far as possible like is compared with like.

Dr Sauer has produced a lucid book which the trainees taking the exam will find helpful in their preparation. The structure - using case vignettes, setting the scene, possible questions and additional information with references – is clearly expressed. The CASC or ‘Clinical Assessment of Skills and Competencies’ is a series of complex OSCE scenarios and this book guides you through over 100 stations, coaching you along the way.

Trainees will find this book useful in their preparation. This book is a vital resource for candidates preparing for the Clinical Assessment of Skills and Competencies (CASC) part of the new, revised MRCPsych examination. It contains a wealth of information on a large range of topics, enabling the candidate to approach the MRCPsych with confidence. Written by a team of experienced authors, this book is the most up-to-date revision guide available covering the MRCPsych in its new form. It is easy to use, clearly laid out and offers both breadth and depth of coverage of the MRCPsych curriculum.

Key Features
  • Compiled by a team representing expertise in all the major subspecialties of psychiatry.
  • Up-to-date and relevant to the new, revised version of the MRCPsyc examination.
  • Contains more than 80 OSCE-type scenarios, with full explanations of what examiners will be looking for.
  • Boxes in each chapter containing additional tips to impress examiners help boost marks.

Exam guidance
1 General adult psychiatry
  • Stations
  • Answers
  • Bipolar disorder
  • Bipolar management
  • Mood history
  • Atypical depression
  • First-onset psychosis
  • Discussion with relative
  • Hoarding
  • Hoarding management
  • Post-traumatic stress disorder (PTSD)
  • Treatment-resistant schizophrenia
  • Folie à deux
2 Old age psychiatry
  • Stations
  • Answers
  • Depression – treatment resistance
  • ECT
  • Memory loss
  • Frontal/temporal/parietal lobes
  • Wandering
  • Testamentary capacity
  • Cognitive assessment
  • Behavioural and psychological symptoms of dementia (BPSD)
3 Neuropsychiatry
  • Stations
  • Answers
  • Assessment of a head injury
  • Assessment of a head injury
  • Assessment of non-epileptic seizures
  • Assessment of non-epileptic seizures
  • Unusual behaviour in PD
  • Unusual behaviour in PD
  • Assessment of tics
  • Movement disorder in schizophrenia
  • Medically unexplained symptoms
  • Low mood in MS
4 Child and adolescent psychiatry
  • Stations
  • Answers
  • School refusal
  • Explaining a diagnosis
  • Mood disturbance
  • Explaining treatment and prognosis
  • Self-harm
  • Engaging a parent
  • Learning disability
  • Autism spectrum disorder
  • Medically unexplained symptoms
  • Attention deficit hyperactivity disorder
5 Learning disability psychiatry
  • Stations
  • Answers
  • Down’s syndrome
  • Down’s syndrome
  • Behavioural disturbance
  • Fragile X syndrome
6 Liaison psychiatry 
  • Stations
  • Answers
  • Psychiatric lupus
  • Psychiatric lupus
  • Risk and consent to treatment
  • Risk and consent to treatment
  • Dissociative (conversion) disorder
  • Dissociative (conversion) disorder
  • Alcohol problems on a surgical ward
  • Management of alcohol problems on a surgical ward
  • Acute confusional state
  • Anxiety and HIV
7 Forensic psychiatry 
  • Stations
  • Answers
  • Risk assessment in a police station
  • Risk assessment and advice on management
  • Duty to warn
  • Duty to warn
  • Prison assessment
  • Prison assessment
  • Fire-setting
  • Dissocial personality disorder
  • Delusional jealousy
  • Abnormal sexual behaviour
8 Psychotherapy 
  • Stations
  • Answers
  • Psychotherapeutic techniques in patient management
  • Assessment for psychodynamic psychotherapy
  • CBT first session
  • CBT follow-up session
  • Overdose in A&E
  • Borderline personality disorder
  • PTSD – treatment options
  • Psychodynamic psychotherapy
  • Managing anger
  • Psychodynamic interpretation
9 Personality 
  • Stations
  • Answers
  • Borderline personality disorder (BPD)
  • BPD management
  • Paranoid personality
  • Personality assessment
10 Perinatal psychiatry  r
  • Stations
  • Answers
  • Postnatal depression
  • Discussion with partner
  • Puerperal psychosis
  • Management plan
  • Bipolar disorder and pregnancy
  • Baby blues
11 Addictions 
  • Stations
  • Answers
  • Opioid dependence
  • Discussion with probation officer
  • Physical examination of drug intoxication/withdrawal state
  • Discussion with the consultant
  • Cannabis and schizophrenia: discussion with family
  • Cannabis and schizophrenia
  • Alcohol dependence history
  • Alcohol dependence management
  • Benzodiazepine (BZD) misuse
  • Motivational interviewing (MI)
  • Substance misuse management in pregnancy
12 Anxiety 
  • Stations
  • Answers
  • Generalized anxiety disorder
  • Generalized anxiety disorder – aetiology
  • Specific phobia
  • OCD
13 Eating disorders
  • Stations
  • Answers
  • History of anorexia nervosa
  • AN on the medical ward
  • Dietary and weight history (AN)
  • Bulimia nervosa
14 Physical examination
  • Stations
  • Answers
  • Alcohol examination
  • Eating disorder
  • Extrapyramidal side effects (EPSE)
  • Thyroid dysfunction
  • Lower limbs
  • Upper limbs
  • Cranial nerves
  • Cardiovascular
  • Eye examination
  • BLS
15 Investigations and procedures
  • Stations
  • Answers
  • Advising an intravenous drug user (IVDU) on injection technique
  • Abnormal blood results in an alcoholic patient
  • Physical examination and laboratory investigation of eating disorders
  • Basic ECG interpretation
  • Initiation and monitoring of clozapine
  • Interpreting thyroid function tests
  • Interpretation of lithium levels
  • Interpretation of laboratory results (metabolic syndrome)
  • Diagnosis and management of neuroleptic malignant syndrome
  • Diagnosis and management of serotonin syndrome
16 Miscellaneous
  • Stations
  • Answers
  • Gender reassignment
  • Grief reaction
  • SSRIs and sexual dysfunction
  • Body dysmorphic disorder
  • Seasonal affective disorder

Product Details 
  • Paperback: 288 pages
  • Publisher: Oxford University Press, USA; 1 edition (August 3, 2009)
  • Language: English
  • ISBN-10: 0340981946
  • ISBN-13: 978-0340981948
  • Product Dimensions: 9.1 x 6.1 x 0.8 inches
List Price: $49.95 
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