Top 1% CASC Operating System

A complete, step-by-step walkthrough of the exact system Dr Tobias Fox used to score 1346/1600 (84.13%) and pass all 16 stations in the MRCPsych CASC exam — built and sat entirely outside the core training pathway.

This isn't a station question bank. It's the full operating system behind the result: how the exam was approached, structured, and prepared for from the eligibility application through to walking into the exam hall.

What's inside:

• Applying to sit CASC — eligibility criteria, building an assessment portfolio without core training, securing sponsorship, and the alternative certificate of eligibility process
• Understanding the exam — the CASC blueprint, station breakdown, marking criteria, and how scores translate into a pass
• Building a revision strategy — how to plan preparation time realistically, resource selection, and a phase-by-phase timeline
• Core frameworks — standardised, principle-based structures for every station subtype (psychiatric history, physical health history, MSE, cognitive exam, risk assessment, capacity assessment, explaining diagnosis, explaining treatment, and more)
• Diagnostic checklist system — converting ICD criteria into fast recall using trigger cues and a memory technique for instant access under pressure
• Communication techniques — the WCCC tone framework, a tested station introduction, a four-part empathy framework, signposting, paraphrasing, and a structured method for handling resistant or hostile actors
• Practice strategy — how to structure solo rehearsal, apply frameworks in real clinical work, and get the most from mock exams
• Exam day preparation — mindset, visualisation, how to use reading time effectively, and real-time pacing during stations

Includes the supporting resources referenced throughout — portfolio tracker template, full station list, diagnostic criteria document, and communication phrase bank.

Who it's for: Psychiatry trainees and non-trainees preparing to sit CASC, especially anyone sitting it through the alternative (non-core-training) pathway who needs a structured, repeatable system rather than scattered resources.