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Psych CASC / OSCEProfessional — teaching and supervision skills

Psych CASC / OSCE · Professional — teaching and supervision skills

Give challenging educational feedback to a registrar — CASC communication station

MRCPsych/FRANZCP-style CASC: educational feedback, alliance, underperformance, patient-safety framing, and learning plan negotiation.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A likeable psychiatry registrar has incomplete risk documentation and a disorganised MSE on observed assessment; you must give specific, respectful feedback, negotiate a learning plan, address overnight independent cover, and avoid collusion or humiliation.

Station brief

Format. Communication station, approximately 7–10 minutes after reading. You are a psychiatry consultant / educational supervisor meeting a registrar for mid-term feedback. [1][5]

Candidate instructions. Your registrar is hardworking and well liked. Observed assessment shows a disorganised MSE; risk documentation after self-harm cases has been incomplete. They are rostered for independent overnight emergency cover tomorrow. Give feedback that is specific and non-humiliating, explore their reaction, agree a learning plan, and address patient safety regarding overnight cover. Do not collude with “everyone gets a pass,” and do not invent legal or college form section numbers. [1][2][4]

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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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References5ShowHide
  1. [1]Ende J Feedback in clinical medical education JAMA, 1983.PMID 6876333
  2. [2]Sargeant J, Lockyer J, Mann K, et al. Facilitated Reflective Performance Feedback (R2C2) Acad Med, 2015.PMID 26200584
  3. [3]Neher JO, Gordon KC, Meyer B, Stevens N A five-step "microskills" model of clinical teaching J Am Board Fam Pract, 1992.PMID 1496899
  4. [4]Yepes-Rios M, Dudek N, Duboyce R, et al. The failure to fail underperforming trainees in health professions education Med Teach, 2016.PMID 27602533
  5. [5]Kilminster S, Cottrell D, Grant J, Jolly B AMEE Guide No. 27: Effective educational and clinical supervision Med Teach, 2007.PMID 17538823
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