The key to any assessment is preparation. Candidates who prepare will have a much higher success of scoring highly as if you have practised your exam technique. Below we have given some guidance on how to start preparing for this exam, including useful links for further information. Information about other aspects of the application process such as the interview can be found on our O&G ST1 Interview Format page. We have also developed an O&G ST1 Interview Question Bank to help you prepare in more detail.
There is some general information about the MSRA exam that is important to do at the beginning of your revision and preparation:
Key exam details:
How does O&G use the MSRA exam during the application process?
- The MSRA is used for shortlisting and 25% of the overall selection score.
- The highest scoring applicants in the MSRA (75 applicants) will bypass the interview and get an automatic offer.
- The pass mark for bypassing is not readily available.
- The lowest scoring applications in the MSRA will not proceed further in the selection process.
- Those that pass the MSRA but do not reach the bypass score will be invited to an online interview. There the scores from the MSRA and interview and combined to decide who is offered a place on the specialty training programme.
- Where there were tied MSRA scores for bypass applicants, then they were split using the following order of priority: i) Clinical Problem Solving and ii) Professional Dilemmas paper
Where is the exam held?
Usually held in Pearson VUE test centres (depending on Government Guidelines for the Covid-19 pandemic).
Do you have to pay for the exam?
There is no charge for the exam, however there may be travel and/or accommodation costs for you, which will not be reimbursed.
Which specialties have to sit the exam?
- Obstetrics and Gynaecology
- General Practice
- Community and Sexual Reproductive Health
- ACCS Emergency Medicine
This is useful to know as you can find revision buddies for this exam, even if you aren’t applying for O&G.
What is the structure of the exam?
There are two parts to the exam that are based on the Foundation Programme curriculum. The most up-to-date information on the curriculum can be found on the UK Foundation Programme website.
The two parts of the exam are below, along with the details:
|MSRA Paper||Pilot Questions||Exam Questions||Paper Time|
|Professional Dilemmas||8||52||95 minutes|
|Clinical Problem Solving||11||86||75 minutes|
Is there anything more I should know about the Professional Dilemmas Paper?
It is split into two parts. Part 1 is ranking, where you are asked to rank actions to a scenario in order from most to least appropriate. Part 2 is multiple choice, where you are asked to choose the three most appropriate actions from a choice of eight.
Is there anything more I should know about the Clinical Problem Solving Paper?
- Of the 86 questions, there are usually around 43 extended matching questions and 43 single best answers. The questions will cover the whole of medicine and surgery and focuses on core competencies.
- The core competencies are:
- Management (non-prescribing)
How is the MSRA exam scored?
- There is no negative marking.
- There is one mark for each correct response.
If you pass the MSRA but do not reach the bypass score, you will be invited for interview.
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