MRCPsych CASC - preparation, guidance and resources

  • March 07, 2022
 

Are you an overseas psychiatrist preparing to take the MRCPsych CASC exam? 

International doctors often have questions about how to prepare for the CASC exam, particularly when there are so many materials and information online which can be overwhelming or mostly geared towards UK applicants and trainees. 

What study materials, courses and support are available for IMGs? Here we have compiled some of the best advice and resources available to help in your preparation for the exam. 

The topics we’ll cover are as follows - skip to one of these sections if you know what you're looking for:

If you’d like an overview of the entire examination series, take a look at the article published in our IMG Library here

What is MRCPsych CASC? 

Let’s begin with a quick recap of the CASC exam. The Clinical Assessment of Skills and Competencies or CASC is a practical exam which takes the format of an OSCE and tests your clinical skills in a range of competencies. 

It is made up of two circuits of individual stations made up of: 

  • Five stations on history taking, including risk assessment 
  • Five stations on examination, including physical and mental state 
  • Six stations on patient management 

For full guidance on the structure of the exam, visit the examination page of the Royal College website or see our detailed blog on the MRCPsych CASC exam here

Getting started with preparation

It can be tough to know the best place to start, and after talking with some psychiatry consultants (both IMGs and UK trainees), the general consensus was that the Royal College website is the best place to begin. There are some great resources on their website to help applicants to prepare for the exam. 

Royal College Materials 

  • Syllabus: this is the best place to start - you should always plan your study and preparation around the topics within the curriculum to start you off on the best path to success. You can find this here
  • CASC candidate guide: this handy guide contains information on domain-based marking, candidate instructions, pass mark, exam criteria and grade descriptors, which you can access here
  • Blueprint: the CASC blueprint is a more detailed breakdown of the skills being assessed within the exam and the categories and stations candidates should expect to find. This is available here
  • Marksheets: copies of the marksheets which are used in the exam are available online for history, management and examination and allow candidates to familiarise themselves with the marksheets in advance, found here.  
  • Sample stations videos: you can watch videos of sample stations from a face-to-face examination – this will be similar to what you can expect on the day as the principles will remain the same for online exams. You can access these here

What other resources are available? 

IMG Connect have a library of written resources geared towards preparation for the CASC exam. If you’re interested in any of these, please get in touch here and we would be delighted to share these with you.  

Other online resources available for the exam include a mixture of paid and free resources. These include: 

Books 

These are the most highly rated books for MRCPsych CASC on Amazon:  

  1. Pass the CASC for MRCPsych – Seshni Moodliar (£34.70) 
  2. Get Through MRCPsych CASC – Melvyn W. B. Zhang (£45)* 
  3. How to Pass the MRCPsych CASC – Andrew Iles (£33.99) 

* Get Through MRCPsych CASC is particularly highly regarded by recent CASC candidates who have passed the exam. 

Other resources 

  • Passing the MRCPsych Exams – an insider’s guide: a useful guide to the MRCPsych CASC exam written by former trainees and members of the Psychiatric Trainees’ Committee (PTC). This can be found here
  • MRCPsych CASC flashcards: flashcards created by a former candidate who has passed the exam. 136 flashcards which cover different aspects of the exam. These are available for free here on Brainscape. 
  • CASC Cluster Cards – Oxfordpsych revision cards written by a consultant psychiatrist in the UK. This is a set of 100 CASC scenarios with instructions and guidance to remember. These can be found here at a cost of £169. 
  • CASC VideosSPMM: 86 exam stations performed by consultants and role players under exam conditions, featuring advice and tips from examiners for each task. 6 months access is priced at £180 and is available on demand. These are available here
  • Oxfordpsych – access to the Oxfordpsych online video bank featuring short and long instruction CASC stations, covering the range of stations and tasks listed in the CASC blueprint. 6 months access costs £169 and £99 for 3 months and can be found here

Online courses 

CASC Prepare mock exam 

This exam consists of 16 stations which have all featured in previous RCPsych CASC exams. The mock will be conducted in the format of the actual exam and detailed written feedback on RCPsych marking sheets will be provided after the exam. Other aspects of the exam such ass time management, and communication strategies will also be discussed. 

Duration 

4 hours 

Cost 

£310 

Next start date 

Ongoing

Website 

https://www.cascprepare.com/mock-exam 

 

Oxfordpsych CASC mock exam 

These online exams are based on the RCPsych CASC blueprint. Candidates take the 16 stations under exam conditions and interview with professional actors with CASC experience. Candidates will receive written feedback for each station. 

Duration 

4 hours 

Cost 

£475 

Next start date 

Autumn 2022

Website 

http://www.oxfordpsychcourse.co.uk/index.php/online-registration 

 

CASC Master mock exam 

This mock exam is carried out over skype or zoom and has 8 continuous stations with one 20-minute break, followed by the final 8 stations. It is set according to the CASC blueprint and is available with or without an actor. 

Duration 

4 hours 

Cost 

£325 

Next start date 

TBC

Website 

https://www.cascmaster.com/skypemockcasc 

 

IMG Psychiatrists MRCPsych CASC Crash Course

This is a tailored MRCPsych CASC course for overseas psychiatrists sitting the CASC exam. This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.

The course is supplemented by additional advice and guidance on MRCPsych as a whole, GMC registration support, as well as guidance and webinars on other topics such as finding work in the NHS, relocation support and specialist registration.

You can access our IMG Psychiatrists CASC Study Course by joining the Facebook group here.

#IMG Tips 

  1. Start your revision early – starting in advance allows you to pace yourself and get ahead of the stresses of last-minute revision and anxiety. 
  2. Find the right materials for you – whether its online courses, books or flashcards, try to figure out what the best materials are to jumpstart your preparation 
  3. Speak to your peers and colleagues – your senior colleagues may have been through this process themselves and may have helpful tips and guidance to share. Or maybe you’ll find a like-minded peer with whom you can be study buddies! Take advantage of those around you to support you on this journey. 
  4. Practise, practise, practise - Our IMGs have shared that it’s crucial that you practice your clinical examinations as often as possible, preferably under the supervision of a senior colleague which will allow you to receive feedback. 
  5. Join our online psychiatry community - for news and updates about all things psychiatry for IMGs, follow IMG Connect on social media and join the conversation. 

I've passed, what’s next? 

Once you’ve passed MRCPsych CASC, you’ve completed the Royal College of Psychiatrists examination suite. Great stuff, this is a massive achievement! Armed with this and your English language test, you are ready to apply for full GMC registration with license to practice.  

You may want to start looking for NHS jobs and with the click of a button, you can receive them directly to your inbox. To receive jobs postings which you can tailor to your desired grade, specialty and sub-specialism, sign up here


If you have any questions about any element of CASC, the Royal College exams as a whole or any other queries related to the processes involved in IMGs coming to the UK to work in the NHS, please get in touch and our psychiatry specialist will be more than happy to assist you. 

For access to a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.  

To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation. 

            

 

Relevant Jobs

105,504 - 139,882

A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in Old Age Psychiatry with a focus on functional illness within inpatient care. The service sits within a well-integrated healthcare system combining mental and physical health services. The post is based on a 22-bed ward, supported by a multidisciplinary team including psychologists, occupational therapists, physiotherapists, and speech and language therapists. This Old Age Psychiatry job is open to both international and UK-based doctors, with MRCPsych or EEA specialist certification most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Consultant level experience in old age psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Consultants with an interest and prior experience in old age psychiatry and inpatient functional illness should apply

  • The salary will be between £105,504 to £139,882 dependent on experience or grade

CORE DUTIES OF THIS ROLE
  • Provide medical oversight and psychiatric input for 22 beds (14 for functional illness, 8 for organic illness) on an inpatient ward

  • Conduct psychiatric assessments, care planning, and contribute to regular MDT reviews

  • Supervise junior doctors and support their training and development

  • Collaborate with community teams including the Crisis Resolution and Home Treatment Team for Older People (CRHTT-OP)

  • Liaise with other services such as social care, physical health teams, and voluntary sector partners to ensure coordinated care

  • Engage in clinical documentation, audits, research, and educational activities

LIFE IN THE REGION

This region offers a balance of vibrant urban living and tranquil countryside settings. From lively city centres with extensive amenities to quiet villages rich in charm, there’s something for everyone. The area benefits from excellent rail and road connections (50 minutes to London) high-performing schools, and a diverse mix of leisure and cultural attractions.

Steeped in history, the region is known for its architectural heritage and community spirit, making it a highly desirable location for professionals and families alike.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new post, including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel arrangements

  • Family support for finding schools and any other aspects of pastoral care

107,144 - 142,369

An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with experience in Old Age Psychiatry to lead an outpatient community team.. The Psychiatry department comprises a team of psychiatrists and multidisciplinary professionals including Nurse Team Lead, Community Mental Health Nurses, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurse, Occupational Therapists, Psychologist, Dementia Post Diagnostic Support, Care managers, DPDS Link Worker, Alzheimer Scotland Link Worker.

This Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych or equivalent are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • Consultant level experience in psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Prior experience in Old Age mental health care.

Anyone with consultant experience in old  age psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical leadership and management in Old Age Psychiatry services.

  • Supervise junior doctors and contribute to their training and professional development.

  • Work closely with multidisciplinary teams to deliver high-quality patient care.

  • Participate in service development and improvement initiatives within the department.

LIFE IN SCOTLAND

This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.
The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel arrangements

  • Family support for finding schools and any other aspects of pastoral care

107,144 - 142,369
An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with an interest in General Adult Psychiatry. The Psychiatry department comprises a team of consultants and multidisciplinary professionals and is supported by a large team of middle-grade doctors. This Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych or equivalent are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Consultant level experience in psychiatry
  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
  • Prior experience in adult community mental health care is desirable.

Anyone with an interest in community or inpatient psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical leadership and management in General Adult Psychiatry services.
  • Supervise junior doctors and contribute to their training and professional development.
  • Work closely with multidisciplinary teams to deliver high-quality patient care.
  • Participate in service development and improvement initiatives within the department.

LIFE IN SCOTLAND

This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.
The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic beauty.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking
  • COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel arrangements
  • Family support for finding schools and any other aspects of pastoral care
105,504 - 139,882

An NHS mental health hospital in the North West of England is looking for a Consultant in Old Age Psychiatry, with an interest in both functional and organic disorders. The Mental Health department is part of a well-established multidisciplinary team, working alongside Consultants, Specialty Doctors, and various healthcare professionals. This psychiatry job is open to both international applicants and UK-based doctors, though those with MRCPsych (Full) or an EEA equivalent qualification are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • Minimum of two years\' experience in old age psychiatry.
  • UK applicants with CTT and S12 and AC status preferred 
  • Be eligible for GMC registration, either with MRCPsych (Full) or an EEA qualification.
  • Prior experience in old age inpatient mental health care is desirable.
  • The salary will be between £105,504 - £139,882 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide psychiatric care and assessments for adult and older adult patients with both functional and organic mental health conditions.
  • Work closely with other Consultants, specialty doctors and the multi-disciplinary team to support care planning and patient management.
  • Run inpatient services and contribute to continuity of care between community and inpatient settings.

LIFE IN THIS UK REGION

This region offers a mix of urban and rural living, with bustling towns and peaceful countryside options for residents. The area boasts excellent transport links, making it easily accessible from major UK cities. There are highly rated schools, a variety of leisure facilities, and plenty of green spaces, making it a great location for professionals and families alike. Historically, the region has played a key role in British heritage, with significant contributions to industry, culture, and transportation.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV preparation with a bespoke session with one of our specialists.
  • Application support with expert knowledge of NHS specialisms & recruitment practice.
  • At least two video calling interview preparation sessions.
  • Contract and offer negotiations for salary, relocation packages, tenure, and more.

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role, including:

  • Document gathering and checking.
  • COS and Visa application support if applicable.
  • Support sourcing short- and long-term accommodation.
  • Travel arrangements and family support for finding schools and any other aspects of pastoral care.
105,504 - 139,882
A mental health service in the UK is looking for a Consultant in General Adult Psychiatry with an interest in crisis intervention and intensive home treatment. The psychiatry team consists of consultants and a multi-disciplinary support staff, working with a caseload of 15–20 patients. Applications are open to both UK and international doctors, with MRCPsych or CESR eligibility being particularly desirable.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCPsych (or equivalent) and be eligible for GMC registration with Specialist Registration in General Adult Psychiatry or within six months of gaining CCT.
  • Prior experience in community or inpatient psychiatry is required.
  • The salary will be between £105,504 - £139,882 per annum, dependent on experience.
CORE DUTIES OF THIS ROLE
  • Provide clinical leadership for the Intensive Service team, ensuring high-quality home-based crisis care.
  • Assess and treat patients referred to the Intensive Team, contributing to care planning and management discussions.
  • Collaborate with inpatient services, community teams, and crisis services to support effective patient care.
  • Participate in the teaching and development of junior doctors and multidisciplinary colleagues.
LIFE IN THE REGION

This region offers a balance of rural and urban living, with access to beautiful countryside, historic landmarks, and well-connected towns. Professionals moving to the area benefit from excellent schools, transport links, and a range of cultural and outdoor activities.

The region has a rich historical significance, featuring historic towns, world-renowned heritage sites, and a vibrant local community. It is a desirable location for families and professionals looking for a high quality of life.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
  • CV Preparation with a bespoke session with one of our specialists.
  • Application support with expert knowledge of NHS specialisms & recruitment practice.
  • At least two video calling interview preparation sessions.
  • Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new role, including:
  • Document gathering and checking.
  • COS and Visa Application support if applicable.
  • Support sourcing short- and long-term accommodation.
  • Travel arrangements.
  • Family support for finding schools and any other aspects of pastoral care.

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