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.
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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]
References4ShowHide
- [1]Maslach C, Schaufeli WB, Leiter MP Job burnout Annu Rev Psychol, 2001.PMID 11148311
- [2]Schernhammer ES, Colditz GA Suicide rates among physicians: a quantitative and gender assessment (meta-analysis) Am J Psychiatry, 2004.PMID 15569903
- [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]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