Professional Documents
Culture Documents
Emedica MSR
Emedica MSR
ammerCour
se
Pr
ofessi
onalDi
lemma(
SJT)Paper
www.
emedi
ca.
co.
uk
Welcome to this Emedica MSRA Crammer course for the Professional Dilemma
(SJT) paper.
The Multi-Specialty Recruitment Assessment (MSRA / SRA) is being used as part of the
recruitment process for specialty training in GP, Psychiatry, Clinical Radiology, CST,
Anaesthetics, Emergency Medicine, Ophthalmology, Obstetrics, CAMHS, CSRH,
Neurosurgery, and Nuclear Medicine.
Situational judgement test questions assess decision making and judgement in work based
or work-related scenarios.
The secret to scoring well in the Professional Dilemma paper is understanding the key
techniques to tackle situational judgement test questions, alongside knowledge of ethical
guidance and the competences being tested, and how to apply them to different situations.
I hope this course will provide you with the knowledge and skills needed to improve your
understanding and approach to tackling SJT questions, and to go on to score well enough
to get a place in your first choice deanery and specialty. I hope you will find the course
educational, interactive, and even enjoyable. We all wish you every success in securing
a rotation.
www.emedica.co.uk
MSRA SJT Mini Mock
16. A B C D E F G H
17. A B C D E F G H
18. A B C D E F G H
19. A B C D E F G H
20. A B C D E F G H
21. A B C D E F G H
22. A B C D E F G H
23. A B C D E F G H
24. A B C D E F G H
25. A B C D E F G H
26. A B C D E F G H
27. A B C D E F G H
28. A B C D E F G H
29. A B C D E F G H
30. A B C D E F G H
MSRA SJT Preparation
Programme
09.30 Welcome and Introduction
09.35 MSRA - Professional Dilemma Paper - SJT overview
09.45 Key techniques for SJT exams + sample questions
10.45 GMC and ethical guidance for the SJT
11.30 Break
11.45 SJT practice: Section 1 - ranking questions
12.30 SJT practice: Section 2 - selection questions
13.15 Lunch break
14.00 Situational Judgement Test Mini Mock Exam
15.00 SJT Mock: Answers, explanations and feedback Part 1
16.00 Break for Refreshments
16.15 SJT Mock: Answers, explanations and feedback Part 2
17.50 Questions and Answers
18.00 Summary and final tips
18.15 Close
Background
• Validated, objective, machine markable
• Used by Civil Service, NHS grad, FBI
• FP, AGPT, PH, various specialties
• Decision making and judgement
• Work based scenarios
• Difficult situations / professional dilemma
• Tests against 3 core competences
PD Paper – sections
• 2 sections – two approaches (~50/50)
• Section 1 – ranking
• Section 2 – selecting combined responses
SJT / PD Section 2
• Scenario – as Section 1
• Given 8 options
• Asked for 3 responses from 8
• Most appropriate COMBINED response
Tips – General
• Read each scenario carefully before you
start reading the answers
• Highlight key words or phrases, look for
useful clues
• TIME is of the essence
Tips Section 2
• Choices COMBINED (“AND”)
• Read back your choices together – does it
make any sense?
• Look for pairs / triplets – ONLY 1 from a set
Ethical Guidance
• Ethical principles
• Confidentiality
• Capacity
• Informed consent
• Personal beliefs
• Financial issues
• Raising concerns
• End of life care
Ethical Principles
• Autonomy – right to self determination
• Beneficence – act to do good
• Non Maleficence – avoid doing harm
• Justice – fair treatment, use of resources
Confidentiality
• Right to confidentiality protected
• Disclosure of confidential information
– If required by law
• Notifiable disease
• Court order
– Risk of death or serious harm
• Patient
• Third party
Capacity
• Capacity: ability to make own decisions
• Adults deemed to have capacity
– Unless evidence otherwise
• Children <16 – no capacity
– Unless assess them as Gillick competent
• Capacity assessed at point of care
Financial issues
• Do not encourage personal gifts or loans
• Do not pressure patients to donate money
• Unsolicited gifts may be accepted
– If it does not alter care / result in advantage
• Gifts should not be accepted if they may
be perceived as an abuse of trust
Raising concerns
• Duty to raise concerns re: patient safety
– Practice of colleague
– Systems, policies, procedures
• Duty to report suspected child abuse /
neglect
• As an FY2, raise concerns with senior staff
• Where an incident leads to patient harm /
potential serious “near miss” – consider
incident form
Summary
• Different approach and marking for each
section
– Section 1: “OR”, Section 2: “AND”
• Read the scenario + options carefully
• Map back to the 3 domains
• Consider GMC / ethical guidance
• Consider possible outcomes
• Be disciplined with time
Useful resources
• Emedica SJT questions – 200+ scenarios
• MSRA official sample questions
• Foundation Programme SJT practice
papers – 140 scenarios
• GMC Good medical practice in action
• We will email you further reading and links
Final Tips
• Competitive rank – every mark counts
• Focus your revision – complete all the
SJTs on Emedica online
• Practise under timed conditions
• Remember the clinical paper is equally
weighted!
www.
emedi
ca.
co.
uk/
gpst
max