Ultimate 2025 MSRA Guide — Complete, Free & Expertly Summarised by passthemsra.com

Everything You Need for the MSRA: Over 60 Pages of Detailed, High-Yield Notes to Help You Rank Higher, Faster!

This updated guide distils every essential detail from the official MSRA resources into a streamlined, easy-to-read format designed to maximise your success.

Read on Medium for the full effect: https://medium.com/p/e3607e4ba723

Updated: October 2024

Feeling Stressed About the MSRA? Not Sure How to Tackle the SJT? Confused About the Two Exam Sittings in 2025?

We’ve done the heavy lifting for you, compiling every key detail from top resources so you can focus on what matters — ranking higher on the MSRA.

Keep reading to get everything you need to know in one place!

Table of Contents: 2025 MSRA Complete Guide

Introduction to the MSRA

• TL;DR: 2025 MSRA Complete Guide
• Overview of the Ultimate 2025 MSRA Guide: Brief on the purpose, structure, and benefits of the guide for exam preparation.

• Everything You Need for MSRA Success: Importance of concise, high-yield notes and detailed summaries, specifically tailored to help you score highly on the MSRA.

• MSRA Exam Essentials

• Multi-Specialty Recruitment Assessment (MSRA) Overview: Understanding the MSRA structure and its role in UK medical specialty training, covering both Professional Dilemmas (PD) and Clinical Problem Solving (CPS) papers.

• Preparing for the MSRA: Key preparation strategies to approach both papers with confidence, including timelines, resources, and goal-setting.
• Booking Your MSRA Exam: Step-by-step guide on booking, including important dates, registration requirements, and tips for securing an ideal testing slot.

• Remote Testing Using OnVUE Delivery: Overview of the remote testing process, eligibility, requirements, and Pearson VUE’s guidelines for remote assessments.

• Exam Day Information

• What to Expect on Exam Day and What to Bring: Essential checklist for MSRA day, including ID requirements, prohibited items, and tips for a stress-free experience.

• Rescheduling, Cancellations, Missed Tests, and Expenses: Procedures for changing your exam appointment, rebooking missed tests, and understanding expenses.

• Exam Outcomes, Scores, and Appeals Process: Explanation of result timelines, accessing scores, and understanding appeal options.

• MSRA Structure and Content

• 2025 MSRA Two-Sitting Structure: Details on the planned two exam sittings for 2025, candidate allocation, and potential dates.

• Exam Format Overview: Professional Dilemmas and Clinical Problem Solving Papers: In-depth look at the layout, question types, and structure of each MSRA paper.

• Timed Practice and Preparation Advice: Strategies for time management, tackling exam nerves, and making the most of practice sessions.

• Specialty-Specific Insights

• Specialties Using the MSRA for Recruitment: List of medical specialties utilising the MSRA for entry, including specific links and updates for 2025.

• MSRA Weighting and Role Across Core Specialties: Explanation of how each specialty ranks and weighs MSRA scores within their recruitment process, highlighting differences across General Practice, Psychiatry, Radiology, and more.

• Specialty-Specific Preparation Tips: Tailored advice for targeting high-yield topics in specialty-specific areas, especially for CPS paper preparation.

• Study Resources and Strategies

• Effective MSRA Preparation Techniques: Recommended preparation timeline, resources to focus on, and strategies for balancing study with work.

• Specialised Resources at PassTheMSRA.com: Complete breakdown of PassTheMSRA’s offerings, including notes, quizzes, and topic summaries.
• Flashcards, Rapid Quizzes, and Timed Mock Exams: How to leverage 22,500 flashcards and quizzes for spaced repetition and active recall.

• MSRA Question Banks and Topic-Specific Summaries: Utilising topic summaries and question banks for efficient revision, especially for frequently tested conditions and guidelines.

• Practice Materials and Mock Exams

• MSRA Practice Papers with Answer Keys and Rationales: Overview of official MSRA practice papers and how to use them effectively.

• Realistic SJT and CPS Mock Exams: Description of timed mock exams simulating real-world MSRA conditions, ideal for time management and strategy.

• Answering Techniques for Maximum Scoring: Practical tips on interpreting questions, avoiding common errors, and strategies for situational judgement and clinical problem solving.

• Scoring and Results Interpretation

• MSRA Scoring Breakdown for CPS and PD Papers: Detailed explanation of scoring methodology, including how each answer type (SBAs, EMQs, rankings) contributes to final marks.

• Score Bands and Specialty Placement Impact: Breakdown of score bands from 1 to 4, their significance, and what each band means for specialty applications.

• Understanding Your Normalised Score and Banding System: Explanation of the normalisation process, band cut-offs, and the implications of a high score for competitive training posts.

• Essential Tips for MSRA Success

• Familiarity with Exam Interface and Layout: Importance of understanding Pearson VUE’s test interface and using tutorials for smooth navigation.

• Answering Strategies and Time Management: Tips on pacing, guessing strategically, and handling difficult questions under timed conditions.

• Physical and Mental Preparation for Exam Day: Self-care guidance, such as managing stress, getting rest, and optimising focus through pre-test rituals.

• Frequently Asked Questions (FAQs)

• Top Candidate Concerns and Guidance: Common questions around scoring, logistics, and specialty-specific requirements.

• Practical Advice for Exam Day and Post-Exam Expectations: FAQs covering final preparations, accessing scores, and post-exam options.

• Ultimate Preparation Hub: Resources at passthemsra.com

• Why Choose PassTheMSRA.com for MSRA Prep? Insights into our platform’s development by doctors with firsthand MSRA experience.

• Comprehensive, Speciality-Focused Curriculum Coverage: Highlight of speciality-targeted resources for deeper, more relevant revision.
• GMC and NICE Guideline Summaries, Targeted Flashcards, and Timed Mocks: Focused tools designed to help you achieve a top score with structured, effective preparation.

TL;DR: 2025 MSRA Complete Guide

The 2025 MSRA Complete Guide by passthemsra.com brings together all essential information for those preparing for the Multi-Specialty Recruitment Assessment (MSRA).

Here’s a quick overview:

• Exam Overview & Structure: The MSRA is a computer-based assessment used across multiple specialties for postgraduate training in the UK, covering Situational Judgement (Professional Dilemmas) and Clinical Problem Solving components. Some specialties use the MSRA as a sole criterion for shortlisting, while others combine it with interviews or portfolios.
• Registration & Booking: After applying through Oriel, candidates must register with Pearson VUE and book their test at a Pearson VUE centre or via OnVUE for remote testing (available under special conditions).
• Exam Day Essentials: Arrive 15 minutes early with valid ID, avoid bringing personal items, and plan for a scheduled break between sections. Remote OnVUE candidates should ensure their testing environment and equipment meet Pearson VUE’s guidelines.
• Scoring & Specialties: MSRA scores are normalised and categorised into bands (1–4), reflecting performance relative to other candidates. Each specialty may weigh the MSRA differently, with General Practice relying solely on the score for ranking.
• Preparation Resources: Use high-quality materials such as practice papers, question banks, and mock exams to build familiarity and improve time management. Passthemsra.com offers targeted tools, including 1,100 topic summaries, 22,500 flashcards, rapid quizzes, and 10 mock exams each for CPS and SJT, all tailored to MSRA requirements.

This guide ensures you have a one-stop resource for understanding the MSRA, optimising preparation, and achieving a competitive score.

See more at our website: passthemsra.com

Section 1: Introduction to the MSRA + Specialties using for recruitment

Introduction

The MSRA (Multi-Specialty Recruitment Assessment) is an essential component of recruitment into UK medical post-graduate specialty training programmes.

This single page mini-course will help you understand the exam format, specialties using the exam, MSRA structure, booking and scoring.

Heres the official link to official HEE MSRA Guidelines: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/multi-specialty-recruitment-assessment-msra

What is the MSRA?

The MSRA is a online/computer-based assessment evaluating medical specialty competencies (person specification) and situational judgement.

See more on the official NHS England website: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/multi-specialty-recruitment-assessment-msra

See more on the MSRA blueprint (from 2019 so make sure to see updated website above): https://heeoe.hee.nhs.uk/sites/default/files/msra_test_blueprint_information_nov_2019.pdf

The MSRA is delivered in partnership with Work Psychology Group and Pearson VUE.

Which specialties are using the MSRA for recruitment?

The MSRA is being used by the following specialties to recruit into post-graduate training.

These are all the specialties confirmed to by using the MSRA in 2025 — with appropriate links:

England:

General Practice: ST1: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/general-practice-gp/how-to-apply-for-gp-specialty-training/gp-specialty-training-recruitment

Acute Care Common Stem (ACCS) Emergency Medicine CT/ST1:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/emergency-medicine/core-emergency-medicine/overview-of-core-training

Clinical Radiology ST1:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/clinical-radiology/core-clinical-radiology/overview-of-core-training

Core Psychiatry CT1:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/psychiatry/core-psychiatry-training/overview-of-core-psychiatry-training

Core Surgical Training CT1:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/surgery/core-surgery/overview-of-core-surgery-training

Nuclear Medicine ST3: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/medicine/higher-training-in-medicine/nuclear-medicine/overview-of-nuclear-medicine

Obstetrics and Gynaecology ST1:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/obstetrics-and-gynaecology/st1-obstetrics-and-gynaecology/overview-of-st1-obstetrics-and-gynaecology

Anaesthetics CT1

Community Sexual and Reproductive Health ST1

Neurosurgery ST1/ST2/ST3

Ophthalmology ST1

Northern Ireland (NI)

• NI — Core Surgical Training CT1
• NI — Clinical Radiology ST1
• NI — Core Psychiatry Training CT1
• NI — Emergency Medicine ST1

Scotland

• BBT (Scotland) ST1

MSRA and Its Role in Different Specialties

The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam widely used across specialties for core training applications. Depending on the specialty, the MSRA score may contribute to shortlisting candidates for interviews or be factored into the final ranking that determines offer allocation.

MSRA’s Contribution to Core Specialty Applications

• General Use: For most specialties, the MSRA score is either fully or partially used to shortlist candidates for interviews and to determine final offers.
• Specific Weighting: Each specialty assigns a different weight to the MSRA score, combined with other assessment scores like interview and portfolio evaluations.

Notes:

1. ACCS Emergency Medicine: MSRA solely determines interview invitation; final ranking: MSRA (40%) + Interview (60%).
2. Anaesthetics: MSRA determines interview; final ranking: MSRA (15%) + Interview (85%).
3. Clinical Radiology & Nuclear Medicine: 100% MSRA-based for interview; final ranking considers MSRA, self-assessment, and interview.
4. Community Sexual/Reproductive Medicine & Core Psychiatry Training: Entirely interview-based, with MSRA only for shortlisting.
5. Core Surgical Training: MSRA (10%) in final offer allocation, with interview and evidence scores comprising the rest.
6. General Practice: MSRA alone determines the final ranking for placement offers.
7. Neurosurgery: Combined MSRA and shortlisting score determines interviews and ranks applicants post-interview.
8. Obstetrics & Gynaecology: High MSRA scores bypass interviews; final ranking: MSRA (33.3%) + Interview (66.7%).
9. Ophthalmology: MSRA used to filter interviewees, with final ranking including portfolio and online assessments.

Summary Table: MSRA Contribution Across Specialties

Specialty Training Program

Interview Invitation (MSRA Contribution)

Final Offer Allocation

ACCS Emergency Medicine

100% MSRA

MSRA (40%) + Interview score (60%)

Anaesthetics

100% MSRA

MSRA (15%) + Interview score (85%)

Clinical Radiology

100% MSRA (Reserve list for cut-off scores)

MSRA + Self-assessment + Interview

Community Sexual/Reproductive Medicine

100% MSRA

Ranked solely on interview score

Core Surgical Training

100% MSRA

MSRA (10%) + Evidence (30%) + Interview (60%)

Core Psychiatry Training

Not applicable

100% MSRA

General Practice

Not applicable

100% MSRA

Neurosurgery

Combined MSRA/Shortlisting score

Combined MSRA + Interview

Nuclear Medicine (ST3)

100% MSRA (Reserve list for cut-off scores)

MSRA + Self-assessment + Interview

Obstetrics and Gynaecology

Bypass for high MSRA; otherwise, MSRA-based

MSRA (33.3%) + Interview (66.7%)

Ophthalmology

MSRA used to reduce interview pool

MSRA + Portfolio + Online Assessment

Section 2: Registering an account for the MSRA

Registering Your Pearson VUE Account for the MSRA

Once the application window closes, you’ll receive a message prompting you to register with Pearson VUE using your Oriel credentials. So don’t forget to save/remember these. (This is important as you will have to login to the online Oriel account multiple times for ranking/preferencing etc).

If you’ve applied to multiple specialties, you may get several messages with the same registration details — you only need to register once.

If this is your first time taking the MSRA you’ll need to set up a new Pearson VUE account with the provided credentials. Accounts created before 2021 are no longer valid.

Once you complete your registration, Pearson VUE will send a confirmation email with your username. Be sure to save this for future reference.

Important Note: Your registration confirmation does not mean you’re booked for the MSRA — it simply confirms your account setup. At this stage, your account will show no pre-approved assessments, so you won’t be able to book an appointment until invited.

Signing into a registered Pearson VUE account

Accessing Your Pearson VUE Account

After registering, you can log in on the Pearson VUE site. If you have trouble signing in, you can use the ‘Forgot my username’ or ‘Forgot my password’ links. Should issues persist, reach out to Pearson VUE Customer Services at nrocustomerservice@pearson.com, and be sure to include:

• Your Pearson VUE Application Number
• Your registered full name, email, and postal address

Invitation to the MSRA

Invitation to the MSRA

Eligible applicants will receive an invitation to take the MSRA.

Once invited, you must book your appointment promptly to proceed with your application. Missing the booking deadline will require you to re-apply in a future round.

The MSRA is typically held at Pearson VUE assessment centres. Before booking, check that your chosen centre can meet any specific needs you may have. You can find information for each Pearson VUE centre on their website: http://pearsonvue.com/nro/locate

Reasonable adjustments under the Equality Act 2010

Requesting Reasonable Adjustments (Equality Act 2010)

The MSRA team + NHS England Local Offices understand the importance of reasonable adjustments under the Equality Act 2010.

If you need accommodations, such as wheelchair access, extra time, or specific facilities for nursing mothers, be sure to request them in the application form and include supporting documents.

Requests made after the application deadline cannot be considered.

In some cases, meeting adjustment requests might mean scheduling your assessment for a particular time or place.

Nursing mothers, for example, can request time to pause the exam and leave the centre for a short, pre-scheduled period.

See more here: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/multi-specialty-recruitment-assessment-msra/taking-the-msra/preparing-for-the-msra

Comfort Aids and Medical Devices

Pearson VUE allows several medical and mobility devices to be used as comfort aids without prior approval. The full list is available on their website: http://home.pearsonvue.com/test-taker/Test-accommodations/Comfort-aids.aspx.

Section 3: Booking the MSRA and Locations

Booking the MSRA

Booking Your MSRA Assessment

When you’re invited to sit the MSRA, you’ll be able to choose an assessment centre, date, and time that works for you — subject to availability.

To secure your slot, visit the Pearson VUE website, where you’ll book your assessment: http://pearsonvue.com/nro/locate

Assessment centre locations

Assessment Centre Locations for the MSRA:

The MSRA is available worldwide across many Pearson VUE testing centres over several consecutive days.

To find the centre nearest to you, check the Pearson VUE website: http://pearsonvue.com/nro/locate

Remember, if you’re booking within the UK or outside the UK, your options will vary based on your location during the assessment window.

Note on Centre Capacity

Centre availability can fill up quickly. If your preferred centre is full, you may need to select the nearest available location, so it’s best to book early if possible.

Correcting name discrepancies

How to correcting name discrepancies for the MSRA?

If there’s a discrepancy between the name on your Oriel and Pearson VUE accounts and your government-issued ID (such as typos, transpositions, or missing middle names), you can update your information through the My Profile section in your Oriel account. Any changes will sync automatically with your Pearson VUE account.

Booking an assessment

How to book the MSRA?

Once invited, log into your Pearson VUE account and use the self-service option to book your assessment at your preferred centre and time. If you’ve requested a specific accommodation under the Equality Act 2010 (beyond extra time), Pearson VUE will book a suitable slot on your behalf and email a confirmation.

When booking, it’s best to avoid using mobile devices or unsupported browsers, as these may not work smoothly with the booking system. For location-based searches, Pearson VUE will show up to 30 assessment centres at a time. Adjust your search criteria if you’d like to view more options.

Confirmation of MSRA booking

Booking Confirmation: How to confirm your MSRA booking?

After completing your booking, Pearson VUE will send an automated confirmation email to your registered address. If you don’t see the confirmation, check your Pearson VUE account to ensure your booking was finalised.

Once you have booked your assessment, you will receive an automated confirmation email to your registered email address.

Section 4: Remote testing using OnVUE Delivery

Taking the MSRA online via OnVUE?

Remote Testing with OnVUE for the MSRA

Remote testing through OnVUE is an option for those with extenuating circumstances requiring a reasonable adjustment.

This method provides a secure, proctored assessment experience from home, mirroring the standards of in-person testing at Pearson VUE centres.

Eligibility and Requirements for OnVUE Testing

Remote testing is granted on a case-by-case basis for applicants with qualifying circumstances.

If approved, ensure your equipment and environment meet Pearson VUE’s specifications. Testing on a personal device in a private setting is recommended, as work networks or computers may disrupt connectivity.

OnVUE minimum requirements

To qualify for OnVUE testing, you must:

• Meet Pearson VUE’s system requirements — test your device ahead of time.
• Avoid testing at work to prevent security firewalls from interfering with the session.
• Adhere strictly to Pearson VUE policies; any violations will result in immediate termination and application withdrawal.

Important: You are solely responsible for your testing environment, internet connectivity, and device functionality. No additional attempts will be provided for technical failures unrelated to Pearson VUE.

Booking an OnVUE MSRA assessment

Booking Your OnVUE Assessment

If approved, log into your Pearson VUE account and book your assessment for a suitable time, ensuring you select the correct time zone (AM/PM). Note that if you requested additional accommodations beyond extra time, you will not be able to take the test remotely and will need to book at a physical centre.

Confirmation and Admission Policies

Once booked, you will receive an automated confirmation email. If not, log into your Pearson VUE account to verify completion.

Self-Check-in Process: Log in 30 minutes early to complete ID checks and troubleshoot any issues. Starting the check-in more than 15 minutes late will disqualify you from the assessment.

To start, visit Pearson VUE, select your test under “Purchased Online Assessments,” and begin the check-in process. Once done, a Proctor will connect with you to start the assessment.

ID and Authentication Requirements

OnVUE has specific ID requirements. Make sure your ID is valid, government-issued, and has a recent, recognisable photo. Acceptable IDs include:

• Passport
• Driver’s license
• National or provincial ID card

Note: Certain IDs, such as U.S. Department of Defense Common Access Cards, and IDs from restricted countries, are not accepted. Contact the MSRA team at england.msra@nhs.net if you cannot meet these requirements.

Breaks and Refreshments

A scheduled 5-minute break is provided between the Professional Dilemmas and Clinical Problem-Solving sections. Exceeding this time or taking unscheduled breaks will end your session and withdraw your application. For refreshments, a clear glass of water is permitted; however, eating, smoking, and chewing gum are prohibited.

Section 5: What happens on the day of the MSRA exam and what to bring?

What to Expect on the Day of the MSRA and What to Bring

Admissions and Arrival

Plan to arrive at the assessment centre at least 15 minutes before your scheduled appointment to allow time for check-in. Late arrivals will not be permitted entry, and children are not allowed in the assessment centres.

Identification (ID) Requirements

You must bring one original, valid (not expired) government-issued ID that includes your name, recent photo, and signature. The ID should meet Pearson VUE’s requirements, such as:

• International travel passport
• Driver’s license
• Military ID (including IDs for dependents)
• National, state, or provincial identity card
• Alien registration card (e.g., green card, visa)

Important: The name on your ID must match exactly with the name on your Pearson VUE account. If it doesn’t, or if you need an alternative ID option, contact the MSRA team at england.msra@nhs.net as early as possible.

Expired IDs are accepted only if accompanied by valid renewal documentation. IDs from sanctioned countries will not be accepted. Check the Pearson VUE website for further guidance.

What Not to Bring

You will not be allowed to bring any personal items into the testing room, including:

• Bags
• Books or unauthorised materials
• Notes
• Phones, pagers, and watches
• Wallets or purses

Secure storage may be available at the centre, but you’ll have no access to these items during the test.

Breaks and Refreshments

A 5-minute scheduled break is available between the Professional Dilemmas and Clinical Problem-Solving sections. If you exceed this time, your test will be terminated. For OnVUE remote tests, unauthorised breaks result in the automatic end of your assessment, with no re-sit options.

If you choose to take the scheduled break, your computer will be locked by an invigilator and will be unlocked upon your return.

Note: Unscheduled water or comfort breaks are allowed but will deduct time from your assessment. Notify the invigilator if you need to leave the room briefly.

Food and drink are not permitted in the assessment room, and you will not be allowed to eat during the exam. Water is allowed but is kept outside the room.

Section 6: Rescheduling, cancellations, missed test and expenses for the MSRA

Rescheduling, Cancellations, Missed Tests, and Expenses

Rescheduling Your MSRA

You can reschedule your MSRA appointment directly through your Pearson VUE account within the booking period. Ensure you reschedule at least 24 hours before your scheduled appointment.

Note for Applicants with Adjustments: If you have a pre-approved adjustment (other than extra time) and need to reschedule, please contact Pearson VUE by email at nrocustomerservice@pearson.com

Cancelling Your Assessment

If you decide to cancel, you can do this through your Pearson VUE account during the booking period. Cancellations also need to be made at least 24 hours before the appointment.

Missed Appointments

If you miss your appointment and wish to rebook, contact the MSRA team at england.msra@nhs.net as soon as possible. You’ll need re-authorisation from the MSRA team before you can reschedule online. Keep in mind that centre availability may be limited, and you may need to travel further to secure a new slot.

Important: If you miss an appointment on the last day of the MSRA window, it will not be possible to rebook.

MSRA Exam Cost and Expenses

The MSRA is a free to sit exam as part of your post-graduate application process. There is no charge for the MSRA exam.

Please note that any expenses you incur to sit the MSRA are non-reimbursable by the MSRA team.

Section 7: MSRA Outcomes, Scores and Appeals Process

Outcomes, Scores, and Appeals

MSRA Outcomes

You’ll receive your MSRA results and performance details shortly after the testing window closes. The specific result date is included in the recruitment timeline for each application round. To view your scores, log into your Oriel account, as your specialty will notify you there. Refer to the Oriel Applicant User Handbook for guidance on accessing these details: http://www.oriel.nhs.uk/Web/ResourceBank/Edit/MTEyMQ%3d%3d

Maximum Achievable Score

Because all MSRA scores are normalised, there isn’t a maximum achievable score. Scores are adjusted based on the cohort’s overall performance, meaning they vary depending on the average scores within each applicant group.

Appeals Process

The MSRA outcome is final and cannot be reviewed, re-marked, or disputed. Therefore, there’s no appeals process available.

Complaints Procedure

If you believe there’s been a procedural issue with your application and have supporting evidence, you may consider the formal complaints process. For details, please consult the complaints policy and procedure page on the national recruitment website: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/complaints

Section 8: Number of sittings planned for the MSRA 2025 Recruitment

To accommodate the anticipated rise in applications for the Multi-Specialty Recruitment Assessment (MSRA) in 2025, two testing sittings are planned.

Here’s a breakdown of the approach:

• Increase in Applications: With Round 1 for 2025 opening on 24 October 2024, it is anticipated a substantial rise in applicants, reflecting the trends seen in recent recruitment rounds.
• Enhanced Capacity: To manage this surge and ensure all candidates have an opportunity to sit the MSRA, capacity has been boosted. Two testing windows will be offered: one in January 2025 and another in February 2025.
• Allocation of Sittings: Finalised details on which candidates will be scheduled for each sitting will be provided by the end of November 2024, following a review of application numbers.
• Contingency Plan: Should the anticipated application increase not occur, the second testing window will not be used.

Dates for the MSRA Exam:

The dates for the January 2025 sitting are still being finalised and will be released very soon. Usually from past sittings, the exams are usually in the first 2 weeks of January.

Section 9: Structure of the Multi-Specialty Recruitment Assessment (MSRA)

The Multi-Specialty Recruitment Assessment (MSRA) is a 170-minute test split into two parts: the Professional Dilemmas (PD) paper and the Clinical Problem Solving (CPS) paper.

Time Allocation for Each Paper

The time allowed for each paper varies, with accommodations available in line with the Equality Act 2010:

• Professional Dilemmas (PD) Paper:
• Standard: 95 minutes
• +25% Time: 122 minutes

• +50% Time: 146 minutes

• Clinical Problem Solving (CPS) Paper:

• Standard: 75 minutes
• +25% Time: 93 minutes
• +50% Time: 109 minutes

Structure and Timing

The MSRA is a single assessment with two independently timed papers. Each paper has an on-screen countdown timer to indicate remaining time. After completing the PD paper, there’s an optional 5-minute break before starting the CPS paper. However, if the break extends beyond 5 minutes, any additional time taken will be deducted from the CPS paper.

Preparation Tools

Pearson VUE offers a demo to familiarise candidates with the interface and controls, available on their website. Additionally, a Practice Paper is published to aid in preparation.

How passthemsra.com can help you prepare?

Prepare for the MSRA with passthemsra.com

For candidates preparing for the Multi-Specialty Recruitment Assessment (MSRA), passthemsra.com offers a complete, carefully crafted suite of resources tailored to help you succeed.

Our website includes:

• Full Curriculum Coverage: All areas of the MSRA are broken down by specialty, so candidates can target their revision with content relevant to their chosen field.
• 1,100 Summarised Medical Topics & Conditions: We provide in-depth summaries of crucial medical conditions and topics, ensuring you can focus on the key facts and clinical insights necessary for the exam.
• 22,500 Anki-Style Flashcards: Engage in active recall and spaced repetition with a comprehensive flashcard system covering the full range of MSRA medical notes.
• Rapid Active Recall Q&A Notes: 22,500 quick-fire questions and answers help reinforce memory and understanding, supporting focused and effective revision.
• Rapid Quizzes by Condition: Topic-specific quizzes offer a quick way to test knowledge and identify areas for further review.
• GMC Guidelines Summarised: 33 GMC guidelines are simplified, so you can grasp the essentials without wading through pages of detailed text.
• Mock Exams for Clinical Problem Solving (CPS): 10 CPS exams, totalling 970 questions, allow for realistic exam practice under timed conditions.
• Mock Exams for Situational Judgement Test (SJT): Ten SJT mock exams with 500 questions covering core scenarios that reflect the exam’s requirements.
• Comprehensive CPS Question Banks: Covering single best answer (SBA) and extended matching questions (EMQs), these question banks help hone clinical reasoning skills for CPS.
• SJT Question Banks: End-of-specialty SJT question banks cover both ranking (5 options) and “best 3 out of 8 options” formats to help with judgement and decision-making practice.
• Over 4,000 CPS MSRA Questions — 1,600 SBA and 1,600 EMQ + 970 mixed Mock paper questions
• Over 800 SJT MSRA Questions — 300 SJT and 500 Mock paper questions

Passthemsra.com is built to give candidates the most efficient and high-yield MSRA revision experience, making exam preparation thorough, effective, and manageable.

Section 10: MSRA Professional Dilemmas paper Overview

Professional Dilemmas (PD) Paper: Key Information

Purpose of the Professional Dilemmas Paper

The Professional Dilemmas (PD) paper, part of the MSRA, is a Situational Judgement Test (SJT) designed to assess how candidates are likely to respond in professional dilemmas, particularly around behavioural and interpersonal skills essential for training and on-the-job performance. Unlike typical knowledge-based tests, the PD paper focuses on evaluating professional attributes, such as integrity, coping under pressure, and empathy. Importantly, there is no negative marking.

Number of Questions and Format

To improve the candidate experience, the PD paper was shortened in 2020, reducing the number of questions from 58 to 50. The test was adjusted to maintain the same level of reliability by focusing on the highest-quality questions.

Setting and Relevance

Set within the Foundation Programme context, the PD test assumes candidates are at an F2 doctor level, providing relatable scenarios across various settings: hospital wards, GP practices, out-of-hours clinics, and occasionally non-medical contexts. Every scenario is carefully crafted to avoid relying on local-specific knowledge, making it fair and relevant to a broad range of candidates, including International Medical Graduates.

Core Competencies Assessed

The PD test focuses on three primary competencies:

1. Professional Integrity

2. Behaving openly and honestly, and taking responsibility for actions.

3. Demonstrating respect and recognising personal and professional boundaries.
4. Prioritising patient welfare and delivering equitable care.
5. Balancing ethical tensions related to resources and patient expectations.

2. Coping with Pressure

• Managing stress and emotions effectively.
• Maintaining professionalism under pressure, showing flexibility, and adapting to change.
• Balancing work-life demands and being resilient when facing criticism.

3. Empathy and Sensitivity

• Showing care and understanding toward patients and colleagues.
• Acknowledging patients’ unique circumstances, supporting their involvement in care, and upholding a non-judgemental attitude.

Question Types and Response Formats

The PD paper includes 50 scenarios, split evenly between ranking options and multiple-choice formats. Candidates are asked to judge responses to professional situations, with the “best” responses included in each set of options. Each question is carefully crafted to reflect realistic, actionable responses with a balance of good, acceptable, and less appropriate options, ensuring the scenarios challenge professional judgment without including completely implausible choices.

Preparation Advice

Candidates can attempt all questions confidently, knowing that there is no penalty for incorrect answers.

If you want to prepare effectively for the SJT using an online course with all 33 GMC Guidelines summarised and 300 SJT MSRA Ranking and Multiple choice questions then go to our website: https://www.passthemsra.com/courses/sjt-for-the-msra/

Type of PD Questions

Part 1: Ranking MSRA PD Example Question:

In this section, you’ll be given 4 or 5 distinct actions and asked to rank them based on how suitable they are for handling a specific scenario. For example, you might be asked: “Rank the following actions in response to this scenario (1 = Most appropriate, 5 = Least appropriate).” Each action is independent, and your task is to consider how appropriate each is without viewing them as steps in a sequence.

Example Scenario You’re an F2 doctor on a busy orthopaedic ward. During an evening shift, a nurse confidentially shares concerns about another F2 doctor, James, who has made several mistakes throughout the day. When the nurse raised this with him, James became emotional, admitting he feels overwhelmed by his workload. Rank the actions below from 1 (most appropriate) to 5 (least appropriate):

• Review how the junior team’s workload is distributed.
• Privately discuss the nurse’s concerns with James.
• Advise the nurse to encourage James to book an occupational health appointment.
• Suggest the nurse raises her concerns with the consultant.
• Ask for guidance from senior staff on how best to support James.

Correct order:

1. Speak to James about the nurse’s concerns. Explanation: Addressing the concern directly with James in a supportive manner is both professional and empathetic. This allows James the opportunity to discuss any issues he may be facing and helps build trust and rapport.
2. Seek advice from your seniors as to how to support James. Explanation: Consulting senior staff for guidance on how best to help James is a proactive step. They may offer helpful strategies to manage workload or direct him to further support resources.
3. Discuss distribution of workload with the junior medical team. Explanation: If workload appears to be a factor contributing to James’s struggles, it’s beneficial to consider a fair distribution within the team. However, this should be done after first speaking with James and consulting seniors.
4. Suggest the nurse advises James to make an appointment with occupational health as soon as possible. Explanation: Occupational health is a valuable resource, but this suggestion might come better from James’s direct seniors rather than via a nurse. It may be interpreted as less supportive if done prematurely without first attempting to address the issues directly with James.
5. Suggest that the nurse contacts your consultant to discuss her concerns about James. Explanation: While it’s important for seniors to be informed if issues persist, involving the consultant at this stage may feel premature and could escalate the situation unnecessarily, especially if it can be resolved with the support of peers and junior staff.

Part 2: Multiple Choice PD Example Question:

In these scenarios, you’ll choose the 3 most suitable actions from a set of 8 options. These actions should work together to address the scenario effectively, meaning the chosen combination should fully resolve the situation.

Example Scenario You’re an F2 doctor in urology who recently led a teaching session for medical students using a presentation you prepared. Your consultant later informs you that the feedback from students was disappointing. Choose the 3 most appropriate actions:

• Request feedback on your teaching style from other F2 colleagues.
• Ask the consultant for more specific feedback.
• Organise a presentation skills training session with hospital IT.
• Practice the next session with an F2 colleague.
• Spend additional time studying the topic to prepare.
• Invite your consultant to observe your next teaching session.
• Add a reflective entry about this experience to your Foundation portfolio.
• Talk about this experience with your educational supervisor.

Correct order: Choose the 3 most appropriate actions:

1. Ask the consultant for more detailed feedback. Explanation: Gaining specific feedback from the consultant will help identify any areas for improvement, making it easier to address weaknesses directly.
2. Discuss this experience with your educational supervisor. Explanation: Your educational supervisor can provide guidance on how to improve teaching skills and offer constructive advice on how to handle such situations in the future.
3. Include this experience as a reflective entry in your Foundation portfolio. Explanation: Reflecting on the experience in your portfolio demonstrates self-awareness and a commitment to learning and improvement, both essential professional attributes.

Other options explanation (not selected):

• Ask for feedback from F2 colleagues on teaching skills: While helpful, colleagues may not provide as constructive or detailed feedback as the consultant or supervisor.
• Arrange training on presentation skills from the hospital IT department: Presentation skills training may be helpful long-term but doesn’t directly address the immediate feedback on your teaching.
• Ask an F2 colleague to help you practice your next teaching session: Practising with a peer is useful but may not be as valuable as professional guidance from a supervisor or consultant.
• Do more reading on the subject for preparation next time: While beneficial, this step doesn’t address teaching skills directly.
• Ask your consultant to observe you in your next teaching session: This could be useful later, but initially discussing feedback with the consultant and supervisor is more actionable.

If you want 500 more SJT MSRA questions with explanations based on UK GMC and NICE guidelines as timed and untimed mock papers then go here: https://www.passthemsra.com/courses/sjt-msra-mock-papers-x-10/

Scoring Process Overview

The Professional Dilemmas (PD) paper uses a standardised scoring method, ensuring fair assessment for all candidates. Each question is scored against a pre-determined answer key, which is established during test development.

Scoring for Ranking Scenarios (Part 1)

For ranking items, you’re asked to order responses based on their appropriateness for a given situation. Your answers are compared to the pre-determined answer key. The closer your ranking matches the key, the more marks you earn. Since there’s no negative marking, you don’t need a perfect match to achieve a high score. Therefore, it’s strongly encouraged to attempt all questions.

Scoring for Multiple Choice Scenarios (Part 2)

In this section, each question has a set of possible responses, and you must choose the three that best resolve the scenario. As with ranking items, your selections are compared to the answer key, and you receive points for aligning closely with it. There is no negative marking, so attempting every question is recommended for the best possible score.

This scoring approach helps ensure consistency and fairness across all candidates, enabling you to score well even if your answers aren’t perfectly matched to the scoring key.

Section 11: MSRA Clinical Problem Solving (CPS) Paper Overview

Clinical Problem Solving (CPS) Paper Overview

The Clinical Problem Solving (CPS) paper is designed to assess your practical application of clinical knowledge and decision-making abilities for routine medical scenarios, reflecting everyday practice at the Foundation level.

Aims of the Clinical Problem Solving Paper

This paper evaluates your ability to combine clinical knowledge with decision-making in typical medical scenarios, simulating situations you’ll face in practice. Rather than merely testing your recall, it examines your understanding and application of that knowledge.

Context and Setting

CPS questions span 12 (actually 16) essential clinical topics, ensuring comprehensive coverage:

• Cardiovascular
• Dermatology / ENT / Eyes
• Endocrinology / Metabolic
• Gastroenterology / Nutrition
• Infectious Diseases / Haematology / Immunology / Allergies / Genetics
• Musculoskeletal
• Paediatrics
• Pharmacology and Therapeutics
• Psychiatry / Neurology
• Renal / Urology
• Reproductive Health
• Respiratory

These scenarios mirror the settings encountered in Foundation Year 2 (FY2) rotations, covering a balanced spread across these areas to create a comprehensive, realistic assessment.

Core Competencies Covered

The CPS paper targets five key domains:

• Investigation: Selecting appropriate diagnostic investigations.
• Diagnosis: Identifying conditions based on patient symptoms and signs.
• Emergency Response: Recognising and responding to serious, urgent cases.
• Prescribing: Recommending medications or treatment adjustments.
• Non-Prescribing Management: Deciding on non-medication-based treatments.

Types of Questions

The number of questions has been reduced from 97 to 86 (as per the official MSRA HEE website).

There are 86 questions, split equally between Extended Matching Questions (EMQs) and Single Best Answers (SBAs).

Extended Matching Questions (EMQ): You’ll be given multiple clinical cases linked to one response set. Each question asks for the best response to each unique case from a shared set of 7 to 10 options.

Example EMQ: Clinical Presentation: Tremor and Tingling Options:

1. Acromegaly
2. Diabetes
3. Hyperthyroidism
4. Hypothyroidism
5. Hypoadrenalism
6. Hypoparathyroidism
7. Hypopituitarism

Case A: A 58-year-old woman has a tremor and episodes of breathlessness with tachycardia.

Correct Answer: Hyperthyroidism Explanation: The combination of tremor, tachycardia, and breathlessness aligns with symptoms of hyperthyroidism, a condition where the thyroid overproduces hormones, causing these signs.

Case B: A 44-year-old woman feels tingling in her fingers three days post-thyroidectomy. Correct Answer: Hypoparathyroidism Explanation: Post-thyroidectomy tingling suggests hypoparathyroidism, which can result from parathyroid damage during thyroid surgery, causing low calcium and symptoms like tingling.

Single Best Answer (SBA): For these, you’ll choose the most appropriate response from 5 to 8 options for each clinical scenario.

Example SBA: A 17-year-old suddenly has chest pain and difficulty breathing after swimming. Examination shows leftward tracheal deviation, hyper-resonant sound, and reduced breath sounds on the same side. Options:

1. Asthma
2. Left ventricular failure
3. Pneumothorax
4. Pulmonary Embolus
5. Pulmonary Haemorrhage

Correct Answer: Pneumothorax Explanation: The acute onset, with left tracheal deviation, hyper-resonance, and decreased breath sounds, indicates a pneumothorax, where air buildup in the pleural space collapses the lung.

Question Development Process

CPS questions are crafted by clinicians and extensively reviewed for fairness, relevance, and clarity. After rigorous review, pilot testing, and statistical analysis, well-performing questions enter the official test bank, ensuring a reliable and unbiased assessment.

Scoring Process

Each CPS question is worth 1 mark, with no negative marking, encouraging you to attempt every question.

Section 12: MSRA Practice Papers 2025

Multi-Specialty Recruitment Assessment (MSRA) Practice Resources

MSRA Practice Paper with Answer Key and Rationales

• MSRA Practice Paper — HEE

Sections:

• Instructions — Web
• Professional Dilemma (PD) — Web
• Clinical Problem Solving (CPS) — Web
• Glossary Terms — Web
• Abbreviations — Web

PDF Documents:

• MSRA Practice Paper with Rationales (PDF, 607.3kB)
• Glossary (PDF, 217.4kB)
• Abbreviations (PDF, 144.7kB)

MSRA Practice Papers by Year

• MSRA Official Practice Paper 2022 (PDF)
• MSRA Official Practice Paper 2023 (PDF) (similar to 2022, excludes question 8)

Additional MSRA Resources:

• MSRA Sample Questions 2020: 12 unique professional dilemma questions: https://www.nwpgmd.nhs.uk/sites/default/files/SRA%20Applicant%20Guide%20-%20Sample%20Questions.pdf
• MSRA Applicant Guide 2019 (PDF) (includes 2 unique professional dilemma questions)

UK Foundation Programme (UKFP) Practice Papers

• UKFP Sample Paper 2023 (PDF)
• UKFP Practice Paper 2021 Part 1 (PDF)
• UKFP Practice Paper 2021 Part 2 (PDF)
• UKFP Practice Paper 2012 (Large Print) (overlaps with 2021 papers)

Section 13: Essential Tips for candidates sitting the MSRA

Comprehensive Tips for MSRA and Postgraduate Online Exam Success

1. Familiarise Yourself with the Test Format To avoid surprises on exam day, use the Pearson VUE or Oriel tutorial to get acquainted with the MSRA layout and controls. Familiarity with the setup will allow you to focus on the questions without wasting time navigating the interface.

2. Make Use of the Glossary and Abbreviations During the exam, a glossary of terms and abbreviations is readily available. This feature is invaluable if you’re not accustomed to UK medical terminology, offering a quick way to check terms and avoid stress if you draw a blank. PDF Resources:

• MSRA Practice Paper with Rationales (PDF, 607.3kB)
• Glossary (PDF, 217.4kB)
• Abbreviations (PDF, 144.7kB)

3. Answer Every Question Since the MSRA doesn’t penalise incorrect answers, take advantage by answering every question. An educated guess is better than leaving a blank, as every attempt can boost your score.

4. Read Questions Carefully It’s easy to misinterpret a question when you’re in a rush. Take an extra moment to read each question fully to ensure you’re responding accurately. The information needed is usually within the question itself — attention to detail can make a significant difference.

5. Master the Scoring Approach of the SJT For the Situational Judgement Test (SJT), remember that scoring follows a “near-miss” system, where answers are compared against an established key. This scoring method assesses your situational judgement as a whole, so every question plays a part in your final score.

6. Practise with Official MSRA Materials Official MSRA Practice Papers provide example questions, answers, and rationales that mirror the exam. Working through these questions helps with familiarising yourself with formats, question styles, and developing your answering strategy.

7. Create an Ideal Study Environment A quiet, organised workspace enhances focus. If you’re using a laptop, make sure it’s fully charged and connected to a stable internet source. Consider a wired connection for additional reliability.

8. Manage Time Effectively Online exams can tempt you to spend too much time on tricky questions. Track your time per question and prioritise easier ones to maintain momentum. Flagging challenging questions for review can help you stay efficient and avoid spending too much time on a single section.

9. Prepare for the Unexpected Have a plan for technical issues — know how to reach support if something goes wrong with the platform, and be ready to troubleshoot calmly. Familiarising yourself with the platform’s features and how to handle disruptions will help you stay on track under pressure.

10. Take Care of Your Physical Well-being Rest well before the exam, eat a balanced meal, and stay hydrated. Have water nearby during the test, and ensure your seating arrangement is comfortable to support focus over the exam duration.

11. Practise Digital Note-Taking Many platforms restrict physical notes, so get comfortable with digital note-taking tools like an on-screen notepad or whiteboard feature. Practising ahead of time with these tools can make using them more intuitive during the exam.

12. Don’t Underestimate the Importance of Preparation Effective preparation, including practice exams, tutorials, and a review of key terms, is essential for maximising your score. Don’t leave your preparation until the last minute — being well-prepared allows you to approach the exam confidently.

How passthemsra.com Enhances Your MSRA Prep

Comprehensive Resources for Every Candidate Passthemsra.com provides a full suite of MSRA-focused tools, meticulously designed to streamline and enhance your exam preparation:

1. Complete Curriculum Coverage The entire MSRA syllabus is broken down by specialty, enabling targeted, relevant revision for each field.
2. Summarised Topics & Key Conditions With 1,100 summarised medical topics and conditions, passthemsra.com presents essential facts and clinical insights, keeping your focus on exam-relevant material.
3. Extensive Flashcard System Access over 22,500 Anki-style flashcards, promoting active recall and spaced repetition, both proven techniques to solidify memory retention.
4. Rapid Active Recall Q&A Our quick-fire Q&A notes cover 22,500 essential questions and answers, reinforcing knowledge and helping you build strong foundations across topics.
5. Targeted Rapid Quizzes by Condition Test your understanding with quizzes tailored to specific topics, making it easy to spot areas for improvement.
6. Simplified GMC Guidelines Key GMC guidelines (33 in total) are summarised for quick, digestible learning, focusing on essentials relevant to MSRA.
7. Realistic Mock Exams for CPS and SJT Practise with 10 Clinical Problem Solving (CPS) mock exams featuring 970 questions, and 10 Situational Judgement Test (SJT) exams with 500 questions, all crafted to mirror the actual exam format and timed conditions.

8. Comprehensive Question Banks

9. CPS Question Bank: Covers single best answers (SBA) and extended matching questions (EMQ) for clinical reasoning, with 4,000+ questions including 1,600 SBA, 1,600 EMQ, and 970 mixed mock questions.

10. SJT Question Bank: Covers ranking scenarios and “best 3 out of 8” options, simulating the MSRA judgement and decision-making format with over 800 questions.

Passthemsra.com is designed to make your MSRA revision efficient, targeted, and effective, ensuring you have all the resources needed for high-yield preparation.

Section 14: Effective preparation for the MSRA

Effective Preparation for the MSRA

Key Preparation Steps

1. Set a Realistic Timeline Allocate 2–3 months for MSRA revision, beginning gradually and intensifying closer to the exam. Plan your schedule around clinical commitments to avoid burnout, and focus on efficient, high-yield resources that align with the MSRA syllabus.
2. Use High-Quality Question Banks Engaging in question banks helps build familiarity with the exam format. Prioritise those offering a range of Clinical Problem Solving (CPS) and Situational Judgement Test (SJT) questions. Focus on resources that adapt to your progress, guiding you to reinforce weaker areas effectively.
3. Focus on Specialty-Specific Topics for CPS Dedicate time to covering each specialty within the CPS paper. A topic-by-topic approach allows for comprehensive coverage and identifies common themes, boosting confidence and mastery of clinical scenarios.
4. Incorporate Timed Practice Exams Simulate exam conditions with timed practice tests to improve speed and time management. Working through both papers consecutively prepares you for the exam’s demands, ensuring you have the stamina to stay focused through nearly three hours of testing.
5. Utilise Professional Dilemma Resources for SJT Since MSRA-specific resources for the SJT are limited, consider using materials from past Situational Judgement Tests and reviewing the GMC’s Good Medical Practice. Flashcards and ethical guidelines can reinforce core concepts and improve decision-making skills.
6. Apply Spaced Repetition Techniques Use spaced repetition to tackle challenging concepts, ensuring long-term retention. Flashcards are ideal for this approach and can be integrated into your study routine, supporting gradual mastery.
7. Review Guidelines and Scoring Understand that there is no negative marking in the MSRA, so it’s essential to answer every question. For GP applications, your MSRA score is critical for securing placements, so put extra effort into achieving a competitive score.
8. Plan for Exam Day Logistics Book your test at a convenient Pearson VUE centre and arrive 15 minutes early with a valid government-issued ID. Note that personal items, food, and drink are prohibited in the testing room.
9. Track Your Progress Regularly assess your readiness by reviewing performance metrics, focusing on areas needing improvement. Some question banks offer mastery tracking to help you concentrate on weaker areas as you prepare.
10. Join Study Groups for Collaborative Learning Study groups (like those offered on WhatsApp) allow for knowledge-sharing, discussion, and support during preparation. Collaborative learning helps solidify understanding and can provide motivation.

Key Takeaway Preparing for the MSRA requires a balance of structured, focused study and efficient use of resources. With the right preparation strategy, including targeted revision, timed practice, and adaptive question banks, candidates can optimise their chances of success and achieve a score that will strengthen their application for specialty training.

How passthemsra.com Enhances Your MSRA Prep

Comprehensive Resources for Every Candidate Passthemsra.com provides a full suite of MSRA-focused tools, meticulously designed to streamline and enhance your exam preparation:

Complete Curriculum Coverage The entire MSRA syllabus is broken down by specialty, enabling targeted, relevant revision for each field. With speciality-based sections, you can prioritise study areas that align with your chosen specialty.

Summarised Topics & Key Conditions Passthemsra.com includes 1,100 summaries of crucial medical topics and conditions, providing key facts and clinical insights. This ensures your study time is spent focusing on exam-relevant material without the need to sift through extensive notes.

Extensive Flashcard System With 22,500 Anki-style flashcards, you’ll benefit from active recall and spaced repetition, proven techniques for building and retaining critical knowledge. Passthemsra.com’s flashcards cover essential MSRA content, ideal for reinforcing retention as you move through different topics.

Rapid Active Recall Q&A The site’s quick-fire Q&A notes, with 22,500 questions and answers, are designed to reinforce memory and understanding across topics. This approach helps solidify foundational knowledge, perfect for efficient, targeted revision.

Targeted Rapid Quizzes by Condition Topic-specific quizzes allow you to check your understanding and easily identify areas needing further review. These quizzes provide immediate feedback, helping you to refine and strengthen weak areas.

Simplified GMC Guidelines Key GMC guidelines are summarised into 33 essential points for quick, digestible learning. This saves time by distilling complex guidelines into high-yield summaries, focusing on the critical points needed for MSRA.

1. Realistic Mock Exams for CPS and SJT Passthemsra.com offers 10 Clinical Problem Solving (CPS) mock exams with 970 questions and 10 Situational Judgement Test (SJT) exams with 500 questions, crafted to mirror the actual exam format and conditions. These mock exams are available in both timed and untimed formats to match your practice needs.

2. CPS Mock Papers: Practice Here

3. SJT Mock Papers: Practice Here

1. Comprehensive Question Banks

2. CPS Question Bank: Includes over 4,000 questions, featuring single best answers (SBA) and extended matching questions (EMQ) to enhance clinical reasoning. This broad coverage supports mastery of CPS skills essential for the MSRA.

3. SJT Question Bank: Features a variety of question formats, including ranking scenarios and “best 3 out of 8” options. With 800+ questions, this bank mirrors the MSRA’s judgement and decision-making sections, helping build situational awareness and ethical decision-making skills.

Passthemsra.com is designed to make your MSRA revision efficient, targeted, and effective, ensuring you have all the resources needed for high-yield preparation. For more information on the complete offerings, visit the main website: passthemsra.com.

Section 15: MSRA GP Entrance exam + Revision Guide 2025

​​MSRA GP Revision Guide for 2025

The Multi-Specialty Recruitment Assessment (MSRA) is a crucial exam for gaining entry to General Practice (GP) training and other specialties, including radiology, psychiatry, obstetrics/gynaecology, neurosurgery, and ophthalmology. Initially known as the GP ST Stage 2, it was rebranded as the MSRA in 2016, reflecting its expanded use across specialties.

Importance of MSRA Score for GP Training For GP applicants, your MSRA score determines both your offer and the location of your placement. Unlike previous years, the MSRA now fully replaces the interview, meaning that your score alone determines your ranking among applicants. Highly competitive locations require above-average scores, as applicants are ranked against each other within specific regions.

• Score Normalisation: Scores are normalised around a mean of 250, with a potential variance of up to 40 points above or below depending on each year’s average. The scoring method aims to fairly rank candidates based on annual exam performance.
• Banding System: Scores are categorised into four bands (1 to 4). Achieving a band 1 indicates failure to meet the minimum threshold, disqualifying candidates from progressing with their application. Band scores 2 to 4 indicate acceptable performance, but applicants cannot retake the MSRA within the same recruitment year if they’ve passed.

Re-sitting the MSRA Candidates who do not achieve a passable score may resit the MSRA within another assessment window, provided it’s within the same recruitment cycle. However, achieving a passable score means resitting in the same year is not permitted.

Section 16: MSRA Results: Understanding your MSRA score

MSRA Results and Scoring Overview

Accessing Your Results Your MSRA results will be available on your Oriel account shortly after the testing window closes. These are usually 1 month after the exam cycle ends. So usually February or October. This year as there might be another round in February the results might be delayed or staggered (but nothing has been confirmed yet).

How the MSRA is Scored The MSRA consists of two main sections, each with unique scoring methods:

Clinical Problem Solving (CPS)

• Each correct answer earns one mark, with no penalty for incorrect answers, so it’s beneficial to answer every question.

Professional Dilemmas (PD)

• This section is scored against a predetermined key, awarding marks based on how closely your answers match the model responses. Partial marks may be awarded for close but not perfect matches, so it’s best to attempt all questions.

Interpreting Your Score Scores are normalised to reflect your performance relative to others in the same testing cohort. Your total MSRA score is a combination of both CPS and PD sections and is placed into a banded range. These bands reflect your overall performance and are categorised as follows:

• Band 1: Below 170 (CPS) or 185 (PD) — Indicates poor performance, below the minimum acceptable level.
• Band 2: 186–230 — Below-average performance, but meets basic standards.
• Band 3: 231–290 — Good to very good performance, demonstrating strong capability.
• Band 4: Above 310 — Exceptional performance, typically within the top 1% of candidates.

Detailed MSRA Score Interpretation Table

Use of MSRA Scores by Specialty Each specialty uses MSRA scores differently. For GP training, the MSRA score is the sole determinant for ranking and allocation, with higher scores generally required for more competitive locations. Note that MSRA scores cannot be transferred between recruitment cycles, making each year’s score unique to that application period.

Preparation Resources For effective preparation, use notes that cover the whole curriculum, flashcards, quick active-recall notes, timed mock exams and mixed question banks. We know if can be difficult to find time when balancing on-calls, nights, weekends, twilights and other commitments. The key to reduce stress is to prepare regularly each week until the day of the exam.

Section 17: 2025 MSRA Ultimate Guide — FAQs

2025 MSRA Ultimate Guide — FAQs

What is the MSRA, and why is it important?

The Multi-Specialty Recruitment Assessment (MSRA) is a computer-based test essential for postgraduate specialty training in the UK. It consists of two parts: the Professional Dilemmas (SJT) and Clinical Problem Solving (CPS) papers. For certain specialties, such as General Practice, your MSRA score alone determines your ranking and placement.

Which specialties use the MSRA for recruitment?

The MSRA is used by a range of specialties, including but not limited to:

• General Practice
• Acute Care Common Stem (ACCS) Emergency Medicine
• Clinical Radiology
• Psychiatry
• Core Surgical Training
• Obstetrics and Gynaecology

Each specialty applies the MSRA score differently, with some using it solely for shortlisting, while others combine it with interview scores for the final ranking.

How do I register and book for the MSRA?

After applying on Oriel, candidates receive instructions to register on Pearson VUE. Once registered, you’ll receive an invitation to book your exam at a Pearson VUE centre or, in some cases, online through OnVUE. Booking should be completed promptly, as centre availability can fill up quickly.

What are the ID and entry requirements for the exam day?

Arrive 15 minutes early and bring a valid, government-issued photo ID. Items like phones, bags, and notes are not permitted inside the testing room. You can, however, bring a clear glass of water. Scheduled breaks are allowed between the two papers, but unscheduled breaks will cut into your test time.

Can I take the MSRA online through OnVUE?

Yes, remote testing via OnVUE is available in exceptional cases requiring reasonable adjustments. If approved, candidates can take the test from a secure, private setting that meets Pearson VUE’s requirements. Ensure a stable internet connection and a quiet environment, as technical disruptions will not result in resits.

What happens if I need to reschedule or miss my exam?

You can reschedule or cancel your exam through Pearson VUE at least 24 hours before the test. Missed tests require re-authorisation from the MSRA team. Since last-minute rescheduling might limit your centre options, it’s best to book early.

How is the MSRA scored, and what do the scores mean?

Scores are normalised across candidates, with bands from 1 to 4, where Band 1 is below minimum, and Band 4 is top performance. The score range differs between the CPS and SJT sections, but each score reflects your standing relative to other candidates. Some specialties may weigh the scores differently when assigning placements.

How many MSRA sittings are there in 2025?

There are two sittings planned for the MSRA in 2025 due to anticipated application increases. Details on who will sit in which round will be announced by late November 2024.

How should I prepare for the MSRA?

Effective MSRA preparation includes using practice question banks, mock exams, and flashcards covering all tested topics. Focus on understanding core clinical principles, professional judgement, and time management. Passthemsra.com offers over 1,100 topic summaries, 22,500 flashcards, rapid quizzes, and mock exams to help you revise efficiently.

What is the format and timing of the MSRA?

The MSRA includes:

• Professional Dilemmas Paper: 95 minutes (122 or 146 minutes for +25%/+50% adjustments).
• Clinical Problem Solving Paper: 75 minutes (93 or 109 minutes for adjustments). The assessment includes a scheduled 5-minute break between sections.

What support and resources are available on passthemsra.com?

Passthemsra.com provides a full suite of MSRA prep resources, including:

• Summarised notes on 1,100 key topics
• 22,500 flashcards for active recall
• Rapid quizzes and targeted question banks for CPS and SJT
• 10/11 mock exams each for CPS and SJT

These resources cover all MSRA requirements, helping candidates build confidence, improve accuracy, and manage time effectively.

Section 18: Ultimate MSRA preparation hub: use passthemsra.com

https://www.passthemsra.com/

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Our materials are built from the ground up by doctors who’ve successfully sat the MSRA, held competitive London training posts, and understand exactly what it takes to score highly.

From 1,100 expertly summarised topics to 22,500 flashcards, targeted quizzes and timed mock exams, our platform is designed to help you over-prepare and over-achieve.

What Sets passthemsra.com Apart?

• Complete Curriculum, Speciality-Focused: Every MSRA topic is covered and broken down by speciality, allowing you to focus your revision exactly where you need it.
• 22,500 Anki-Style Flashcards & Active Recall Q&A: Designed to reinforce memory and understanding, these flashcards and Q&As support the spaced repetition technique essential for lasting retention.
• Mock Exams and Realistic Quizzes: Our CPS and SJT mock exams, with over 4,000 CPS and 800 SJT questions, mimic the MSRA format, helping you get comfortable with time management and real-world scenarios.
• GMC and NICE Essentials, Summarised: No more wading through lengthy guidelines; our resources distil the key GMC and NICE recommendations into concise, easy-to-absorb notes.

Disclaimer: This platform offers educational resources summarised for medical exam preparation and is not intended to provide medical advice or treatment recommendations. All materials are for educational purposes to support your MSRA preparation.

Get ahead with resources crafted by doctors who’ve not only passed the MSRA but held London training posts. Over-prepare to pass with flying colours — your journey to a top score starts here. Visit passthemsra.com and conquer the MSRA like never before!