Psych · CASC / OSCE

CASC / OSCE

283 units across 193 domains — CASC / OSCE communication and clinical stations with assessor keys.

283Units

193Domains

communication

Breaking the news of a dementia diagnosis — CASC communication station

MRCPsych/FRANZCP-style station: break the news of a dementia diagnosis using SPIKES, manage emotion and the spouse dynamic, address driving honestly, and close with a checkable plan.

Open

Domain

Old age psychiatry — capacity, guardianship and end of life

communication

Capacity for treatment refusal and goals of care — CASC communication station

MRCPsych/FRANZCP-style CASC: goals-of-care and capacity-sensitive communication with patient (and optionally brief spouse joining).

Open

MRCPsych/FRANZCP-style CASC: explain CBT collaborative empiricism, five-area map for social anxiety, drop safety behaviours concept, design a small behavioural experiment, address medication questions briefly, and check understanding.

Open

MRCPsych/FRANZCP-style communication station: explain DSM-framed ASD without jargon overload, early supports, no-core-drug principle, risperidone/aripiprazole only for severe irritability with monitoring, and hope with realistic supports.

Open

communication

Explain language disorder and the school plan to parents — CASC communication station

MRCPsych/FRANZCP-style communication station: explain language disorder/DLD, correct bilingual and autism myths, outline SLT-first care and school strategies, and set realistic prognosis.

Open

MRCPsych/FRANZCP-style communication station: explain rumination mechanism, discrimination from BN/GORD, breathing training, baclofen as possible later adjunct, and safety-netting.

Open

MRCPsych/FRANZCP-style communication station: explain partial psychosis/Othello risk, engagement principles, medication rationale, partner safety-netting, and check understanding.

Open

communication

Explain first-episode psychosis and treatment — CASC communication station

MRCPsych/FRANZCP-style communication station: explain FEP diagnosis in plain language, outline antipsychotic and psychosocial plan, discuss early intervention, address cannabis, and check understanding.

Open

MRCPsych/FRANZCP-style communication station: explain insomnia model, CBT-I components, limits of chronic hypnotics, and collaborative taper/safety plan.

Open

communication

Explain delayed sleep-wake phase disorder and timed melatonin/light plan — CASC communication station

MRCPsych/FRANZCP-style communication station: reframe DSWPD as timing disorder, explain light/melatonin timing, negotiate school/uni plan, avoid colluding with open-ended hypnotics.

Open

communication

Explain OSA, CPAP, and sedative risks to a patient with depression — CASC communication station

MRCPsych/FRANZCP-style communication station: explain OSA–mood link, need for sleep testing, CPAP rationale, deprescribing temazepam, driving safety, collaborative plan.

Open

communication

Explain RLS diagnosis, iron, and treatment switch after dopamine-agonist augmentation — CASC communication station

MRCPsych/FRANZCP-style communication station: explain melancholic vs atypical feature specifiers, treatment intensity differences, ECT thresholds, MAOI safety concept, and safety-netting.

Open

communication

Explain psychotic depression and combination treatment — CASC communication station

MRCPsych/FRANZCP-style communication station: explain psychotic depression without stigma, combination AD+AP rationale, monitoring, continuation after remission, ECT as contingency, and differential from schizophrenia.

Open

communication

Explain treatment-resistant depression and next-step options — CASC communication station

MRCPsych/FRANZCP-style communication station: explain VCI phenotype, secondary prevention as the main lever, modest drug evidence, safety-net for delirium/new stroke, and check understanding.

Open

communication

Explain young-onset dementia diagnosis and plan to patient and partner — CASC communication station

MRCPsych/FRANZCP-style communication station: explain YOD vs EOAD, outline work-up and genetics sensitively, discuss donepezil if AD pathway, safety-net work/driving/family, and check understanding.

Open

Domain

Addiction psychiatry — behavioural addictions

communication

Explain gambling disorder, CBT, and naltrexone — CASC communication station

MRCPsych/FRANZCP-style communication station: explain GD as a medical behavioural addiction, CBT and harm reduction first-line, realistic off-label naltrexone counselling, suicide-debt risk, and collaborative work with family without collusion or moralising.

Open

Addiction psychiatry

Addiction in older adults — CASC communication station

Benzodiazepine dependence counselling — CASC communication station

Explaining alcohol withdrawal, seizures, DT, and thiamine — CASC communication station

Explaining alcohol withdrawal, thiamine, and recovery medications — CASC communication station

Explaining anti-craving medicines after detox — CASC communication station

Explaining Wernicke, Korsakoff, and long-term supports — CASC communication station

foundations — advanced EBM and evidence synthesis

Advanced journal club facilitation — CASC/teaching station

Public and community psychiatry — school and workplace mental health

Advise a school and employer on mental health pathways — CASC communication station

Emergency psychiatry — suicide risk

Assess and safety-plan after suicidal ideation — CASC communication station

Consultation-liaison — capacity and consent

Assess capacity for treatment refusal — CASC communication station

Emergency psychiatry — self-harm and crisis

Assess self-harm and co-create a crisis safety plan — CASC communication station

Emergency psychiatry — violence risk

Assess violence risk and explain the plan — CASC communication station

Consultation-liaison psychiatry

Breaking the news in a rapidly progressive dementia — CASC communication station

Explaining delirium and the care plan to a family member — CASC communication station

Explaining dementia diagnosis, BPSD plan, and antipsychotic caution to family — CASC communication station

Explaining demoralisation, adjustment, and mood treatment in medical illness — CASC communication station

Explaining depression treatment and tamoxifen antidepressant choice — CASC communication station

Explaining HD irritability, depression, suicide risk, and tetrabenazine to a spouse — CASC communication station

Explaining lupus-related psychosis to a partner — CASC communication station

Explaining MS depression, PBA, and treatment choices to a partner — CASC communication station

Explaining PD psychosis, agonist ICD risk, and treatment choices to a spouse — CASC communication station

Explaining possible normal pressure hydrocephalus and realistic hope — CASC communication station

Explaining post-ACS depression and the care plan to a family — CASC communication station

Explaining post-stroke depression and the care plan to a family — CASC communication station

Explaining postictal psychosis and depression treatment to a partner — CASC communication station

Explaining postpartum psychosis and infant safety on the maternity ward — CASC communication station

Explaining somatic symptom disorder and a collaborative pain plan — CASC communication station

Explaining steroid psychosis and thyroid screening in medical illness — CASC communication station

Explaining suspected autoimmune encephalitis to parents — CASC communication station

Explaining TBI personality change and the care plan to a partner — CASC communication station

The patient who has been disbelieved — long COVID CASC communication station

Ward explanation of FND and team alignment — CASC / C-L station

Professional practice

Breaking the news of a dementia diagnosis — CASC communication station

Old age psychiatry — capacity, guardianship and end of life

Capacity for treatment refusal and goals of care — CASC communication station

Psychotherapy

CASC: Behavioural activation — evening withdrawal in depression

CASC: Supportive psychotherapy — demoralisation after job loss

Explain ACT and set a values-based action — CASC communication station

Explain CAT and negotiate a time-limited reformulation plan — CASC communication station

Explain couples therapy and negotiate a safe dual-client plan — CASC communication station

Explain group CBT and limited confidentiality — CASC communication station

Explain IPT and choose a focus — CASC communication station

Explain MBT and negotiate structured care — CASC communication station

Explain schema therapy and negotiate structured care — CASC communication station

Foundations — cognitive psychology / psychological therapies

CASC: Explaining cognitive maintenance of panic and setting a behavioural experiment

Foundations — behavioural science / psychological therapies

CASC: Explaining exposure and dropping safety behaviours in panic

Foundations — social psychology / early psychosis

CASC: Explaining family EE and stigma after first-episode psychosis

Foundations — personality science

CASC: Explaining personality traits, functioning, and dimensional diagnosis

Psychotherapy — communication and psychoeducation

CASC: Family psychoeducation after first-episode psychosis

Professional — communication and psychological therapies

CASC: Motivational interviewing — alcohol cut-down in dual diagnosis

Psychotherapy — behavioural therapies

CASC: Negotiate first ERP session for contamination OCD

Child and adolescent psychiatry — child protection for psychiatrists

Child protection disclosure — CASC communication station

Psychopharmacology — atypical and multimodal antidepressants

Choosing bupropion after SSRI sexual dysfunction (CASC)

Professional — formulation

Co-construct a formulation with the patient — CASC communication station

Child and adolescent psychiatry — children of parents with mental illness

COPMI family discussion — CASC communication station

Psychopharmacology — pregnancy and lactation

Counselling psychotropics in an unplanned pregnancy (CASC)

Consultation-liaison — hepatic encephalopathy and advanced transplant psychiatry