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You are working in an outpatient clinic and are about to see 23-year-old cricketer Mr Tommy Beans. Mr Beans presents with low mood following an unexpected mistake in a pivotal cricket match. He has refused to play for the team since this time and is expressing a number of cognitive distortions.
Psychiatry trainees (and others intending to sit the CASC) are a highly diverse group of people, and it is not our intention in writing this book to suggest to you that we know the “best and only” way to prepare. Some trainees may choose to read this book with many months to go and follow our advice religiously, whereas some may choose to pick it up the night before the exam, scouting for extra tips. You’ll find no judgment here! By this stage of your careers, those of you sitting this exam will have passed many exams before. It is our firm opinion that you know your strengths and weaknesses and will have a good idea yourself of how long you personally want and need to allocate for preparation. Trust yourself and trust your instincts. Still – in the interest of helping to shape those instincts, we would like to pass on some wisdom that we have gained whilst preparing for and sitting the exam, and to make some gentle suggestions about how we believe that you can best prepare for success. It is the collective experience of this book’s authors that a successful preparation should ideally bear in mind four primary considerations: fluency, criticism, momentum, and kindness.
This chapter has two main aims. First, it holds a spotlight to the ongoing discrepancy between observed and expected scores for Black, Asian, and Minority Ethnic (BAME) candidates in this exam – and the actions the RCPsych is taking to address this. Second, it describes the challenges specific to graduates of non-UK medical schools taking the RCPsych CASC, offering them pertinent practical advice. Our hope is that this chapter will empower such candidates, as well as senior clinicians who would like to support them. The information provided here has been gathered from previous international medical graduate (IMG) CASC candidates, CASC tutors, and personal experience.
Written by graduates of the internationally renowned Maudsley Training Programme, who have all recently sat the CASC examination, this book provides clear, practical guidance to passing the Royal College of Psychiatrists' CASC. Divided according to psychiatric subspecialties, each chapter includes practice clinical scenarios. These clinical scenarios are broken down into candidate instructions, actor instructions and constructive candidate feedback. This enables candidates to practice not only with their clinical peers, but with friends and family as well. An additional chapter is dedicated to practical information about the exam and tips for the day to further equip readers in what to expect, and reduce anxieties about the exam itself. Another chapter is specifically devoted to addressing the needs of international and BAME medical graduates. Relevant and reliable throughout, this is a must-have resource for psychiatric trainees looking to improve their clinical skills and gain their MRCPsych qualification.
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