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Psych CASC / OSCEProfessional — doctor health, burnout and impairment

Psych CASC / OSCE · Professional — doctor health, burnout and impairment

Support a burned-out colleague and hold a safety frame — CASC communication station

MRCPsych/FRANZCP-style CASC: doctor-as-patient communication, suicide enquiry, duty fitness, stigma-sensitive support, and patient-safety framing.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A junior doctor colleague discloses exhaustion, cynicism, a near-miss error, and passive suicidal ideation after a complaint; you must respond with empathy, assess risk, plan safety and support, and outline organisational next steps without shaming or colluding.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are a psychiatry registrar speaking with a junior doctor colleague who has asked to talk after handover. [3]

Candidate instructions. Your colleague is exhausted, cynical, made a near-miss error, and has passive suicidal thoughts after a complaint. Respond with warmth and professionalism, normalise help-seeking without minimising risk, assess suicide risk sensitively, discuss fitness for remaining duties, offer concrete support pathways (GP, doctor health service/PHP, supervisor), and name organisational factors without dumping all responsibility on the individual. Do not shame, lecture, or invent legal section numbers. [2][3]

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You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship library.

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References4ShowHide
  1. [1]Maslach C, Schaufeli WB, Leiter MP Job burnout Annu Rev Psychol, 2001.PMID 11148311
  2. [2]Schernhammer ES, Colditz GA Suicide rates among physicians: a quantitative and gender assessment (meta-analysis) Am J Psychiatry, 2004.PMID 15569903
  3. [3]Brooks SK, Gerada C, Chalder T Review of literature on the mental health of doctors: are specialist services needed? BMC Med, 2011.PMID 21275504
  4. [4]West CP, Dyrbye LN, Erwin PJ, Shanafelt TD Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis Lancet, 2016.PMID 27692469
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