Psych CASC / OSCE · Consultation-liaison — transplant and ICU psychiatry
Post-ICU PTSD and transplant clinic avoidance — CASC communication station
MRCPsych/FRANZCP-style CASC: empathic trauma-aware interview for post-ICU PTSD symptoms, link to adherence after transplant, capacity/collaborative planning, family involvement with consent, and clear safety netting without invented legal sections.
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Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar embedded in the transplant clinic. [1]
Candidate instructions. Explore why the patient has avoided clinic after ICU. Screen sensitively for PTSD symptoms (intrusions, nightmares, avoidance, hyperarousal) and depressive symptoms. Link avoidance to graft risk without coercion or shame. Collaborate on a graded return plan, psychological therapy options, medication review if appropriate, and family support. Check safety (suicide). Avoid inventing legal section numbers. [1][2][3]
References5ShowHide
- [1]Parker AM, Sricharoenchai T, Raparla S, et al. Posttraumatic stress disorder in critical illness survivors: a metaanalysis Crit Care Med, 2015.PMID 25654178
- [2]Davydow DS, Gifford JM, Desai SV, et al. Posttraumatic stress disorder in general intensive care unit survivors: a systematic review Gen Hosp Psychiatry, 2008.PMID 18774425
- [3]Dew MA, DiMartini AF, De Vito Dabbs A, et al. Rates and risk factors for nonadherence to the medical regimen after adult solid organ transplantation Transplantation, 2007.PMID 17460556
- [4]Jones C, Bäckman C, Capuzzo M, et al. Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial Crit Care, 2010.PMID 20843344
- [5]Davidson JE, Jones C, Bienvenu OJ Family response to critical illness: postintensive care syndrome-family Crit Care Med, 2012.PMID 22080636