The exam is 170 minutes and comprises 2 parts:
The exam is explained in detail in the MSRA blueprint.
Professional Dilemmas Paper
The professional dilemmas paper is essentially a ‘situational judgement test’, that is, a test to look at how you cope with difficult situations at the level of a foundation year 2 doctor (2 years after graduating medical school).
These include professional integrity, coping with pressure and empathy and sensitivity (as outlined in the exam guidance), so the focus is on professional attributes.
There are 50 questions to complete in 95 minutes (about 1.9 minutes per question).
The format of about half of the questions will be to ‘rank options in order’, which means ranking actions from most appropriate to least appropriate in a given scenario.
The other half of the questions will be ‘choose the 3 most appropriate actions’, where you get a list of 8 potential actions in a situation and you choose the 3 most appropriate.
Clinical Problem Solving Paper
The clinical problem solving paper tests how you manage the diagnosis and treatment of patients (essentially, how you apply your medical knowledge to a clinical scenario). It’s quite similar to medical school finals as it covers a lot of specialties (listed in their recruitment document, link below) and tests 5 core competencies: Investigation, diagnosis, emergency, prescribing and management.
This paper has 97 questions to complete in 75 minutes, (about 46 seconds per question).
The format of about half of them are extended matching questions (EMQs) where you get a list of 7-10 responses and then separate questions where the answers are within the list of responses.
The other half are single best answer (SBA) questions, where you just pick the most likely answer from 5-8 possible responses for one clinical presentation.
There is no negative marking, so attempt every question as you can’t be penalised!
For some free example questions, the GP recruitment website has a document with these on.