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The Royal College of Psychiatrists Improving the lives of people with mental illness

Preparing for CASC

The Clinical Assessment of Skills and Competencies (CASC) tests the clinical skills of candidates in a range of clinical situations.


What is the format for the CASC?

The CASC format is like an OSCE (Objective Structured Clinical Examination).

Please note the circuit of eight ‘link stations’ which used to take place during the morning session has ceased to exist.

The CASC comprises two circuits of individual stations which will test your clinical skills:

  • The morning circuit will have 4 minutes to read the instructions and 7 minutes to complete the task

  • The afternoon circuit will have 90 seconds to read the instructions and 7 minutes to complete the task.

The sixteen CASC station exam will comprise of:


  • five stations focused on History Taking, including risk assessment
  • five stations focused on Examination - both physical and mental state, including capacity assessment.
  • six stations focused on patient Management
Circuit 1
6 x stations focused on Management 1 x station focused on Examination 1 x station focused on History Taking 4 minutes reading  7 minute task 
Circuit 2    4 x stations focused on Examination 4 x stations focused on History Taking 90 seconds reading  7 minute task 

The College reserves the right to change the order in which the circuits are presented. 


How is the CASC marked?

See the criteria for scoring a pass mark in CASC.

Please see updated CASC marksheets: History Marksheet, Management Marksheet, Examination Marksheet


Guide for CASC candidates

For further information about stations, the role players and how you will be assessed, see the CASC candidate guide.


Further information



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Related links

  • Exam dates

    To find out the examination dates see the 2018 and 2019 Examinations Calendar.