What is the MSRA SJT and why does it matter?

The MSRA Situational Judgement Test (SJT) is a multiple-choice exam used in UK specialty recruitment to assess professional judgement, ethics, communication and decision-making. A strong SJT score can significantly improve your overall MSRA ranking and your chances of getting your preferred training post.

How is this MSRA SJT course structured?

This course is built around a complete SJT textbook, mini-frameworks, deep-dive podcasts and exam-style questions. Each topic has its own lesson page with a clear introduction, core principles, GMC links, red flags, worked examples and quizzes, so you can move through the SJT syllabus in a logical order.

Who is this MSRA SJT course suitable for?

The course is designed for FY2 doctors, GP ST applicants, IMT applicants, CT1/ST1 candidates and anyone re-sitting the MSRA SJT. It suits both UK graduates and IMGs who want a structured, principle-led way to improve their SJT reasoning.

How long does it take to complete the MSRA SJT course?

Most candidates work through the full SJT course over 2–6 weeks, depending on other commitments. Each topic is designed to take around 15–30 minutes, including reading, learning the framework, attempting questions and reviewing explanations.

Does the course include MSRA-style SJT questions and mock papers?

Yes. The course includes Best-of-3 questions, Ranking-5 questions, themed mini-quizzes and links to full SJT mock papers. Each question comes with a principle-led explanation to help you understand why the best options score highly and why other options are unsafe or lower scoring.

How up to date is the content for current MSRA SJT sittings?

The content is regularly updated to reflect current GMC Good Medical Practice and NHS professionalism expectations. The focus is on stable, principle-based reasoning that will remain relevant across exam cycles, rather than short-term tip-and-trick lists.

Can this course help if I have struggled with SJT reasoning before?

Yes. The course is designed specifically for doctors who feel that SJT questions are grey or confusing. It teaches repeatable frameworks and shows step-by-step how to rank options, balance competing priorities and avoid common traps.

How should I combine this with clinical problem-solving revision?

A common strategy is to alternate CPS and SJT: for example, a CPS question block followed by one SJT lesson or quiz. The SJT course complements your CPS work by improving your prioritisation, escalation and communication skills, which are also useful in clinical questions and real practice.

Do I need UK clinical experience before starting this course?

UK clinical experience is helpful but not essential. The course explains the reasoning and priorities behind each decision, with explicit reference to GMC Good Medical Practice and NHS norms, making it suitable for both UK graduates and IMGs.

When should I start MSRA SJT revision?

Ideally, start structured SJT preparation at least 4–6 weeks before your exam date. Many candidates begin earlier and use the podcasts and mini-frameworks for low-intensity revision during commutes or lighter days, then add focused question practice nearer the exam.

Free teaching · MSRA Professional Dilemmas

Free MSRA SJT textbook

Read SJT teaching on professional integrity, patient safety, communication and ethical decisions without signing in. Learn the two Professional Dilemmas formats: ranking four or five actions and selecting three actions from eight. Practice quizzes require paid access.

Read → Apply → Practise

Read

Apply

Practise

Free SJT teaching; paid practice separate

What to focus on

Course content

Course Content

Optional paid practice

SJT for the MSRA

MSRA SJT Question Bank (Ranking + Priority Questions) 680Q

SJT MSRA Mock Papers x 10

Try a practice scenario

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