The CASC
The CASC rewards more than knowledge. It rewards organised thinking, human connection, self-awareness, and consistent performance under scrutiny.
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Over years of teaching and observing candidates, clear patterns emerge in who passes and who does not. Strong candidates prepare across specific domains, not just topics.
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This CASC Blueprint captures those domains. It is a simple but powerful framework to guide your preparation and help you perform as a safe, thoughtful, and senior clinician on exam day.
The CASC Blueprint
The CASC Blueprint is built around four core domains. Together, they reflect what examiners consistently look for in successful candidates and what strong real-world clinicians demonstrate in practice.
Clinical Acumen
Perform as a safe
and senior clinician.
Communication Skills
Build rapport and complete the task at the same time.
Psychological Readiness
Develop awareness of your mindset, attitude and biases.
Exam Performance
Deliver consistently high performance with good stamina.
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Identify the core task and any additional tasks in order to avoid deviation.
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Prioritise risk and safeguarding so this can be managed clearly.
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Adopt a structured and logical clinical approach with good range and depth.
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Make clear decisions showing the ability to consider multiple variables.
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Utilise the final minute to complete the task, summarise if needed and safety net.
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Use a mix of open and closed questions demonstrating genuine empathy.
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Observe non-verbal communication, tone of voice and body language.
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Be warm, curious and respectful as well as boundaried where needed.
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Build rapport quickly and effectively with a focus on interpersonal skills
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Avoid complex language and jargon and check understanding of explanations.
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Be aware of your counter-transference feelings and their impact.
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Remain grounded and self-confident under pressure.
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Display cognitive flexibility and a thoughtful approach.
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Use a relational approach to understand your consultation skills.
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Manage self-limiting beliefs and cognitive biases effectively.
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Employ strong and effective station openings and endings.
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Have internal time awareness and progression of station.
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Maintain physician and mental stamina throughout the exam.
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Perform fluently and consistently regardless of examiner scrutiny.
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Reset between stations and recover quickly from poor performance.
