The Situational Judgement Test (SJT) is widely regarded as the most unpredictable section of the MSRA. At MediWord, we treat it as a clinical skill that can be mastered through consistent logic and professional frameworks.
The Framework
Safety and Stability
Patient safety is non-negotiable. Always the anchor for your ranking.
Manage Locally First
Resolve at the lowest level. Know when to escalate vs. resolve with colleagues.
Acknowledge and Audit
Accountability via Datix reporting and honest senior communication.
Relationships & Respect
Professional dignity with colleagues and patients across every interaction.
Timing & Urgency
Distinguishing between critical clinical needs and standard responses.
Why candidates fail
In a recruitment landscape where clinical knowledge is increasingly standardised, the Professional Dilemmas (PD) paper is the true differentiator. Many high-performing candidates drop deciles not due to lack of knowledge, but due to the absence of a clear, repeatable framework for approaching these scenarios.
Core Insight
The MSRA SJT does not test what you would do. It tests what a professional should do, based on the GMC’s Good Medical Practice. We teach you how to bridge that gap. While other question banks prioritise volume, MediWord focuses on high-fidelity realism. Every scenario reflects the ambiguity and tone of the real exam, with detailed breakdowns of the ethical reasoning behind each option.
800+ Recall Questions
Carefully written high-fidelity recalls that reflect the complexity and ambiguity of the real MSRA SJT paper.
GMC Alignment
Every single explanation includes references to current GMC guidance, ensuring your logic is defensible and consistent.
Live SJT Webinars
Fortnightly live sessions led by experienced clinicians, breaking down SJT strategy, high-yield scenarios, and common pitfalls. All sessions are recorded and available on-demand.
SJT Intensive Courses
Structured, high-yield courses designed to build a repeatable framework for tackling SJT questions with confidence and consistency.
Pricing
Choose the plan that fits your revision schedule.
Plan 1
1 month
£25.00
Plan 2
3 months
£35.00
Plan 3
5 months
£50.00
FAQ
The MSRA (Multi-Specialty Recruitment Assessment) is a computer-based exam used for entry into a range of specialty training programmes in the UK, including General Practice, Psychiatry, Radiology, and more. It tests both clinical problem-solving and professional judgement.
The MSRA consists of two main sections: Clinical Problem Solving (CPS): Assesses clinical knowledge and application. Professional Dilemmas (PD): Assesses judgement in professional and ethical scenarios (similar to an SJT).
Doctors applying to the following specialty training programmes in the UK are typically required to take the MSRA as part of the selection process: General Practice (GP), Clinical Radiology, Clinical Oncology, Community Sexual & Reproductive Health, Core Psychiatry Training, Obstetrics & Gynaecology (O&G), Ophthalmology, Neurosurgery (ST1), Anaesthetics (ACCS Anaesthetics), Core Surgical Training (some routes), Histopathology, Public Health, Oral & Maxillofacial Surgery (OMFS), Neurosurgery, Obstetrics and Gynaecology, Old Age Psychiatry, Child and Adolescent Psychiatry and General Psychiatry. Requirements can change each year and sometimes vary by deanery or specific training post. Always check the latest recruitment guidance for your chosen specialty.
MediWord provides a recall-based MSRA question bank with over 3,000 practice questions, 500+ concise revision notes, and detailed explanations aligned with the latest NICE and GMC guidelines. We also offer mock exams, strategy guides, and targeted practice for the MSRA Professional Dilemmas section.
Our content is continuously updated to reflect the latest exam trends and guidelines, ensuring you’re always revising the most relevant material.
Absolutely. MediWord is more than just a question bank. We offer a supportive online community, regular expert-led webinars, and a Telegram group where you can connect with other candidates, share advice, and get your questions answered.
We periodically offer free webinars, MSRA sample questions, and resources to all users. Check our website or join our Telegram group for the latest updates and opportunities.
MediWord is built by doctors who have recently excelled in the MSRA and know exactly what the exam involves. All our questions are based on real exam recalls, with explanations that are clear, concise, and fully aligned with the latest NICE and GMC guidelines. In addition to high-yield MSRA practice questions with revision notes, we offer a supportive community, regular live webinars, and easy access to expert advice—helping you feel confident and well-supported throughout your MSRA preparation.
MediWord: Built by doctors who’ve consistently scored in the top decile, MediWord offers a comprehensive MSRA question bank with over 3,300 recall-based questions, 630+ Professional Dilemmas (SJT) scenarios, full mock papers, and flashcards — all mapped to real MSRA trends and current NICE/GMC guidelines. No outdated filler — just focused, high-yield prep.
You don’t apply directly for the MSRA — it’s triggered through your Oriel application for specialty training (GP, Psychiatry, Radiology, CST, etc.). If your application is eligible and shortlisted, you’ll be invited to sit the MSRA. Key deadlines are listed on Oriel — apply early and check regularly.
There are two sections: • Professional Dilemmas (SJT): 50 scenarios in 95 minutes • Clinical Problem Solving (CPS): 97 questions in 75 minutes Both are set in a single sitting at a Pearson VUE test centre or online.
If you're using MediWord, yes. Our mock papers mirror the real exam format, difficulty, and time pressure. Many candidates say the layout, tone, and content feel identical to what they saw on exam day. Our MSRA practice papers are carefully designed to reflect real clinical scenarios, ensuring you're fully prepared. Other banks vary — many are too easy or not clinically relevant.
Rushing through without reviewing explanations • Memorising answers instead of understanding logic • Ignoring SJT frameworks and just “going with gut feeling” • Failing to time mocks properly • Over-prioritising niche clinical trivia instead of high-yield, frequently tested content Smart practice means learning from your mistakes, not just counting questions done.
Absolutely — if they’re realistic and come with quality feedback. Regular mock testing builds timing, pattern recognition, and decision-making under pressure. MediWord MSRA practice questions are built from real recall patterns, giving you a serious edge in both CPS and SJT sections.
No, some MSRA question banks either skip this section entirely or fail to accurately replicate the style of the real SJT. MediWord includes over 630 SJT scenarios, all written in alignment with GMC's Good Medical Practice. Each scenario comes with strategy guides and rank explanations—because succeeding in the SJT isn’t about guessing; it’s about thinking like a safe and effective F1 doctor.
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