MRCPsych CASC (Clinical Assessment of Skills and Competencies) is the final part of the MRCPsych examination series. More specifically, the CASC tests your clinical skills in a range of clinical situations.
The CASC format is like an OSCE (Objective Structured Clinical Examination).
The CASC is made up of two circuits of individual stations which will test your clinical skills:
The sixteen CASC station exam is made up of:
Circuit 1 (the morning section) consists of the following:
Circuit 2 (the afternoon section) consists of the following:
CASC Candidates should be able to demonstrate the skills of history taking, examination and management in scenarios with patients of any age or developmental ability in the following categories:
• Organic, including symptomatic, mental disorders (includes dementias and delirium)
• Mental and Behavioural Disorders due to psychoactive substance use
• Schizophrenia, schizotypal or delusional disorders
• Mood (affective) Disorders
• Neurotic, stress related and somatoform disorders (includes anxiety disorders, OCD, dissociative
(conversion) and somatoform disorders)
• Behavioural syndromes associated with physiological disturbances and physical factors (includes
Eating Disorders and disorders associated with the puerperium)
• Disorders of adult personality and behaviour (includes personality disorder and gender identity
disorder and disorders of sexual preference)
• Disorders of psychological development (including pervasive developmental disorders, autism)
• Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
(includes Hyperkinetic disorders and tic disorders)
Please see updated CASC marksheets:
For some useful information about the stations, the role players and how you will be assessed, see the CASC candidate guide.
To see a CASC station brought to life, watch videos of sample stations from a face-to-face examination. The principles will remain the same for online exams.
Read about the measures we take to ensure CASC provides a valid and reliable assessment of your knowledge and clinical skills – see the CASC quality assurance process (PDF).
After taking CASC, candidates are invited to complete a questionnaire providing feedback. Read a round-up of recent feedback.
See the CASC Blueprint (PDF).
Download the IT requirements to take the CASC online (PDF)
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