Transcript CASC Training

CASC Training
Dr Claire Dibben
Dr Seshni Moodliar
CASC Introduction
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One circuit consists of 8 individual stations
Each 7 minutes, plus 1 minute preparation
Other circuit 4 pairs of linked stations
Each station 10 minutes, plus 2 minutes
preparation
CASC Introduction
• Need to pass 12/16
• Each is marked as: severe fail/clear
fail/fail/pass/clear pass
• Physical station-don’t forget hand gel
• What is the task?
• Communication skills
Common Tasks
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Information Gathering
History
Collateral history
Risk assessment
Physical examination
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Information Giving
Diagnosis
Management
Prognosis
Discuss with
professional or family
etc
Reasons to fail
• Poor management of interview-lack of focus,
over or under control and lack of fluency
• Poor communication skill- jargon-without
explanation, lack of empathy, closed or multithemed questions, failure to pick up cues,
body language
Reasons to fail
• Significant deviation from task-content, lack of
recognition of important aspects, omission
• Lack of professionalism- inappropriate,
dismissive, rudeness
• Limited depth and range to task- elicited
symptoms but not explored in depth
Single Station
• Volunteers please:
• Candidate
• Time Keeper- 7 minutes, plus 1 minute
warning
1. Psychosis-Assess
• The GP has referred a university student to
you. She has come back home from the
university complaining that there is a plot
against her.
• Assess psychotic symptoms.
• Do not assess aetiology, risk or prognosis.
Coffee Break!
Linked Station
• Your choice-one candidate or two
• Time Keeper-10 minutes, plus 1 minute
warning
2A. Overdose-Assess
• Please assess Sarah Swallows, a 30-year-old
woman who is on a medical ward after taking an
overdose of 80 tablets of paracetamol tablets.
She is still receiving medical treatment.
• Please assess the overdose and perform a risk
assessment.
• The patient’s friend is waiting at the next station
to speak to you to find out about diagnosis and
management plan.
2B. Overdose-Discuss with friend
• You have assessed Sarah Swallows, a 30-year-old
woman who is on a medical ward following an
overdose.
• Her best friend demands to speak to you.
• Discuss with the friend the diagnosis, and
management and answer any questions they have.
• The patient has given you permission to speak to her
friend.
Coffee Break!
3A. Paralysis of Legs-History
• Mrs. Legg, a 30 year old married female was
admitted to the neurology ward yesterday
with a one-day history of weakness of her
legs. The neurologists could not find anything
wrong physically.
• Assess the patient’s current problems and
their aetiological factors.
• Her husband is waiting at the next station to
talk to you.
History
• Mrs Legg is 35 years old
• Yesterday woke up couldn’t move her legs
admitted to hospital, no organic cause found
therefore called psychiatry
• Hates her job as secretary, relationship with
husband superficially ok but underlying issuesshe wants her child he does not, financial
worries, mother in law moved in, own mother
has dementia she is sole carer.
3B. Paralysis of Legs-Explain
• Please discuss your assessment of Mrs. Legg
with her husband and answer any questions he
may have.
• Explain diagnosis, management and prognosis
of her condition.