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The Clinical Assessment of Skills and Competencies (CASC) is the final examination towards obtaining the Membership of the Royal College of Psychiatrists (MRCPsych). It assesses skills in history taking, mental state examination, risk assessment, cognitive examination, physical examination, case discussion and difficult communication. 1 The CASC is the only clinical examination, having replaced the earlier format, which had clinical components at two stages.

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Various Soul Of Haringey