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Comprehensive Training for CASC Candidates: Improving Interview and Assessment Skills

Join us for an intensive CASC training day designed for psychiatry candidates. Begin with an introductory lecture at 9:15 AM, followed by interactive workshops in small groups (limited to six participants) at 9:45 AM. Engage in a mock exam with tailored feedback at 1:00 PM. This program emphasizes overcoming psychological barriers and enhances essential communication skills critical for success in the CASC exam. Participants will explore psychological factors impacting performance, receive constructive feedback, and gain insights into case management and assessment.

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Comprehensive Training for CASC Candidates: Improving Interview and Assessment Skills

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  1. Intensive CASC training day An introduction

  2. 9:15 Introductory lecture/discussion 9:45 Workshops – Dr's mess (groups of 6; switch at half time) 12:15 Lunch 13:00 Mock exam Linked > feedback > single > feedback Today.....

  3. A/B : Appeared rather ill-at-ease. Dressed in formal suit/two piece (?with shoulder pads). Appearing uncomfortable in such formal attire. Avoiding eye contact. Somewhat preoccupied with sympathy, empathy, etc. Extremely apologetic and obsessed with social convention (asked how I wished to be addressed), told me that they were “sorry to hear” of my woes and unnecessarily apologetic throughout our encounter S: Hesitant, difficulty in maintaining goal direction, appears to communicate in a “tick box”/robotic fashion and lose focus when challenged to move “outside the box” M : clearly anxious, restriction of affect noted (as if our encounter had been repeated many times before…..) R :Denies suicidal ideation but intimated that life has not been worth living for the past two months T : Expressing paranoid ideas about a certain Royal College; Claims that the college are trying to “control” them and is forcing them to conform to a stereotypical psychiatrist (Caucasian, public school educated, speaking BBC English, Maudsley trained, etc.) P : Admits to a persecutory voice in the third person commenting on their “interview skills” I : Partial insight into the impact of a significant psychosocial stressor and the effect of being judged, humiliated and scrutinised. ?learned helplessness Mental State Examination of a CASC candidate

  4. The bigger picture…. • RCPsych is probably not trying to fail candidates • Unlikely to generate much of a profit • GMC places pressure on all colleges to standardise the assessment process • CASC not geared up to look for exceptional candidates • Levels of competency must be defined in the curriculum • Its not an OSCE!

  5. Spectrum of station failure Psychological factors Competency factors

  6. Worry/rumination Emotionality Task generated interference / “choking” Study skills deficits Rx Repetition/exposure - graded Feedback and its acceptance/use Use of video/audio Curriculum coverage Don’t relax too much! Psychological factors

  7. Knowledge base • The essential reading • Icing on the cake • Techniques • PSE/SCID/SCAN/CAPS • Standardised clinical assessment • Safety • K.I.S.S.

  8. Areas of concern • Poor management of interview/discussion • Poor communication skills • Significant deviations from the task • Lack of professionalism • Limited depth and/or range to the task

  9. The “borderline” CASC candidate (please see hand-out)

  10. Scenario Types • History • Mental state • Formulation/synthesis/prioritisation • +/- Risk assessment • +/- Integrative management plan • “Address concerns” • Negotiation/information giving • Physical/cognitive examination

  11. Official college advice!

  12. Advice • Preparation time • The curriculum • Who writes the scenario? • Use video/audio • On groups….. • Hassle senior clinicians

  13. Procedure for workshops • Scenarios (material) • Planning time • Hot seat • Group facilitators • Live supervision • Pause and play • Facilitated discussion • Video

  14. Mock CASC Format6 single & 3 pairs of linked stations Time / mins 7m (single), 10m (linked) 0 1-2m 1-2m Read Think Read Move Read Think Read Scenario

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