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Goodbye OSCE, hello CASC: a mock CASC course and examination

  • Paul Whelan (a1), Geoffrey Lawrence-Smith (a2), Laurence Church (a3), Claire Woolcock (a3), Maja Meerten (a4) and Ranga Rao (a3)...

Summary

The Clinical Assessment of Skills and Competencies (CASC) is the latest change to the MRCPsych examination. the CASC is a complex version of an Observed Structured Clinical Examination (OSCE) format, with paired stations, and is now the only clinical component in the MRCPsych examination. We describe how to organise a relatively inexpensive and workforce-light 1-day course and mock CASC examination by adapting a previously described method for running an OSCE workshop. We also evaluate the acceptability to trainees of a mock CASC examination and course, and describe their views on this new clinical examination format.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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Benning, T. & Broadhurst, M. (2007) The long case is dead – long live the long case: loss of the MRCPsych long case and holism in psychiatry. Psychiatric Bulletin, 31, 441442.
Hodges, B., Regehr, G., Hanson, M., et al (1998) Validation of an objective structured clinical examination in psychiatry. Academic Medicine, 73, 910912.
Hodges, B., Regehr, G., McNaughton, N., et al (1999) OSCE checklists do not capture increasing levels of expertise. Academic Medicine, 74, 11291134.
Naeem, A., Rutherford, J., Kenn, C. (2004) The MRCPsych OSCE workshop: a new game to play? Psychiatric Bulletin, 28, 6265.
Pryde, I., Sachar, A., Young, S., et al (2005) Organising a mock OSCE for the MRCPsych Part 1 examination. Psychiatric Bulletin, 29, 6770.
Thompson, C. (2009) Will the CASC stand the test of time? A review and criticalevaluation of the new MRCPsych clinical examination. Psychiatric Bulletin, 33, 145148.
Whelan, P. & Church, L. (2005) The first cohort of OSCE Part 1 candidates reaching Part 2 (letter). Psychiatric Bulletin, 29, 353.
Whelan, P., Jarrett, P., Meerten, M., et al (2007) MTAS fiasco: lessons for psychiatry. Psychiatric Bulletin, 31, 425427.
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Goodbye OSCE, hello CASC: a mock CASC course and examination

  • Paul Whelan (a1), Geoffrey Lawrence-Smith (a2), Laurence Church (a3), Claire Woolcock (a3), Maja Meerten (a4) and Ranga Rao (a3)...

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Goodbye OSCE, hello CASC: a mock CASC course and examination

  • Paul Whelan (a1), Geoffrey Lawrence-Smith (a2), Laurence Church (a3), Claire Woolcock (a3), Maja Meerten (a4) and Ranga Rao (a3)...
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