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POCKET MSRA: High-yield concepts for the clinical knowledge paper (Book 1)

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B is not as good an option because although it does directly act on your concerns, it undermines the registrar in front of others and may impact your working relationship. Furthermore, it may distress the patient who has limited understanding of English. It ranks higher than A, E or D because at least the concerns are actively voiced directly to him.

The CPS paper comprises 97 questions and assesses higher level synthesis of medical knowledge. 1 Typically, this part of the MSRA is allocated 75 minutes. Candidates may be allowed 25% or 50% additional time. The CPS paper poses scenarios that test candidates’ ability to apply their knowledge and use problem-solving skills to make clinical decisions. The settings of the scenarios provide context, but the judgement required to answer the questions is not specific to one setting. The questions are based on the Foundation Programme curriculum and cover twelve topics relevant to general medicine ( Box 1). 1 Getting into GP training has become increasingly competitive over the last few years, especially for doctors aiming to get into popular areas. Dr Zeinab Dafalla shares here experience and tips that helped her get an MSRA score of 623. This was one of the highest scores in the country (she ranked 19th out of over 6500 doctors that passed the MSRA for GP) and helped her to secure her 1 st choice area in Salford, Manchester. Iwasfortunatetobeworkinginalargetertiarycentrewithrenal,neuro,cardiothoracicsetcandIwouldsayoneofthemostimportantthingsforthisexamisensuringyouhaveastudypartnerandastudygrouponWhatsapp(orsimilar).Withyourstudypartner,goroundthewards(particularlyspecialties),seepatientsandgetintothehabitofpresentingformallyandbeingviva'd-undertimedconditions.PracticeStation5scenariosoneachotheroverandoveragain-youonlyhaveeightminutessoreallifepatientsaren'talwaysthebestforStation5.StartyourStation5examinationwhileyou'retakingthehistory.ShareinterestingpatientsontheWhatsappgroup(obviousdisclaimeraboutnotbreakingconfidentialityetc).PracticeStation2and4scenarioswithanywillingperson-medicalornon-medical.Practisingpresentationuntilyousoundproperlyconfidentisreallyimportant. Although the scenarios are relevant to foundation level clinical practice (FY2), it does not aim to simply assess your recall of knowledge, but focuses on your ability to synthesise and apply your medical knowledge appropriately. Format of the Clinical Problem Solving Paper The PD paper is very similar to the SJT - there isn’t necessarily a perfect answer! The main things they are looking for are acting with integrity, coping under pressure, empathy, sensitivity, and recognising important concerns and responding appropriately.

Clinical Problem Solving Paper

My simple answer is that relying on one method alone can leave you a little short. No question bank can cover every aspect of the MSRA, whilst purely reading books and guidelines will not give your brain adequate exposure to problem-solving. If planned well, both should be used together as both have advantages in terms of improving retention and performance. I signed up to the Pastest question bank 5 months before the January exam- I knew I would have to start preparing early with 2 children under 3. I slowly worked my way through the question bank, doing about 2-3 hours a week and making notes of and rehashing weak areas. We were still living in Malawi and our internet was terrible, so I managed to get hold of a few books of practice questions from Pastest and ISC Medical. The MSRA is designed to assess essential competencies expected at foundation level. The Professional Dilemmas paper assesses your professional behaviours and judgements in relation to clinical scenarios; relating directly to the General Medical Council’s (GMC’s) generic professional capabilities framework, it thereby assesses the capabilities expected of all doctors. The Clinical Problem Solving paper assesses your ability to make appropriate clinical decisions drawing on your clinical knowledge and problem solving skills; based on the Foundation Programme, it assesses competencies expected at this stage of your experience. Therefore, the MSRA is an accessible and fair examination for entry to ST. The Professional Dilemmas Paper is a Situational Judgement Test (SJT) designed to assess your response to situations involving challenging professional dilemmas.

The PD paper is a situational judgement test (SJT) comprising fifty questions. 1 Typically, 95 minutes are allocated for this part of the MSRA. Candidates may be allowed 25% or 50% additional time as reasonable adjustments under the Equality Act 2010. 1 The PD paper poses workplace-based scenarios featuring professional dilemmas to assess candidates’ judgement of appropriate behaviour. Making yourself aware of the exam functions doesn’t sound like the most crucial exam preparation, but knowing what to expect will help you feel more confident and avoid pointlessly wasting time during the exam. Pearson VUE, who delivers the exam, provides a generic tutorial so you can view the controls and screen layout before the test day. Start revising early: to save yourself the stress that I faced by leaving it late, start preparing at least 3-4 months before and utilise any spare moment you may have while on-call, nights (instead of napping!), lunch breaks, while on the train home etc. You’ll thank yourself later!Multi-Specialty Recruitment Assessment (MSRA) – Test Blueprint & Information [Internet]. The General Practice (GP) National Recruitment Office. 2019 [cited 26 August 2021]. Available from: https://gprecruitment.hee.nhs.uk/Resource-Bank/Recruitment-Documents-Forms A is a poor option as it potentially breaches patient confidentiality and may cause distress to the patient and relative. You are taking action to try and ensure patient understanding but going about it in a way that i) undermines the registrar, ii) may negatively impact your working relationship and iii) may negatively impact the patient and family’s trust in the medical care being provided. Each answer option may be selected once, or more, or not at all. For SBAs, candidates must choose the single most appropriate answer out of 5-8 answer options for a clinical presentation. For example, candidates may be presented with a short clinical case and asked to choose the single most appropriate diagnosis. One mark is awarded for each correct answer in the CPS paper.

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