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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 Multi-Specialty Recruitment Assessment (MSRA – also known as SRA) is a computer-based assessment and forms part of application for UK postgraduate training in the following specialities: The MSRA is currently used for entry into postgraduate medical training for the following specialities: The CPS paper is up next and has 97 clinical questions in 75-minutes of which 86 are scored and 11 are being piloted. To give you an idea of what to expect, here are a few example questions from the MSRA: Professional Dilemmas (SJT):

It is important to practice online questions as much as you can to familiarise yourself with the format, and to ensure you cover the broad range of specialties included in the exam. Often candidates complete online question banks more than once prior to the exam (either the same bank, or they sign up to multiple banks) alongside other revision. Using question banks is a good way to test your knowledge and to highlight areas for improvement. Pastest offers an online revision resource that cover all aspects of the test. Here, we'll explore how Pastest can help MSRA candidates achieve success on the exam: Comprehensive Content One of PassMedicine's most-liked features is it's textbook which offers explanations and information around clinical topics in detail. Questions were felt to be less similar to those asked at the final MSRA exam than other online question banks, but at such a low cost it's a fairly inexpensive risk to take. 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. All applicants who have been assessed as demonstrating evidence of eligibility will be invited to sit the MSRA. If you are invited, you must book an appointment and undertake the MSRA. If you do not book an appointment in time, your application will not progress and you will need to re-apply for a subsequent round.Pastest offers a wide range of resources to help you prepare, including online courses and practice tests. It is important to review the relevant medical knowledge, practice time management, and familiarize yourself with the types of questions that will be asked in the exam. Additionally, seeking guidance from current medical professionals and attending preparatory courses can help you to gain a better understanding of the exam and its expectations. How to apply for the MSRA exam The Multi-Specialty Recruitment Assessment (MSRA) is a single exam assessed using a computer-based system. It is to be taken by individuals in their recruitment year who are applying into the following postgraduate medical training: General Practice, Surgery, Psychiatry, Radiology, Ophthalmology, Obstetrics and Gynaecology, Community and Sexual Reproductive Health, and Neurosurgery. The clinical paper is usually the second part of the MSRA exam, and is taken after the Professional Dilemma paper (usually after a short break). 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.

For both the PD and CPS sections the candidate will be given a standardised score that comes under a specific band (1-4). For example, those who score <180 in each exam are limited to Band 1, which represents a ‘very poor level of performance’. Scoring over 291 in the exam puts the candidate in Band 4, illustrating a ‘very good level of performance’ in the exam. Additionally, 181-230 is Band 2, representing a ‘below average performance’ and 231-290 puts the candidate in Band 3 or a ‘good level of performance’ in the exam. What specialties need MSRA?You are on call as a junior doctor in the emergency department. You receive a call about a patient with a severe allergic reaction. What is the most appropriate immediate action to take? Clinical Problem-Solving Test (CST): Book your exam: Once your application has been accepted, you will be able to book your exam. You will need to select a test date and location that is convenient for you. The second section is clinical problem solving and measures the applicant’s ability to apply their knowledge and make clinical decisions. This is again based on foundation doctor level competency and covers 12 topic areas related to general medicine. There are only a small number of ophthalmology questions, and therefore revision must be broad to cover other speciality areas. The questions are clinical scenarios which require you to use judgement and problem-solving skills to diagnose and manage conditions. It comprises of 97 questions, of which 86 count towards the overall mark and 11 are pilot questions. You are allocated 75 minutes to complete this section. The questions are either extended matching questions (EMQ) or single best answers (SBA). Exam marking As most of you will be working a full-time clinical job whilst revising for the MSRA, there may not be enough time to go through all your Medical School Finals notes. Most people, who have done the exam, recommend revising using various question banks (of which is based on personal choice). Resources to Prepare for the MSRA

The capacity at each centre is finite and there may be a requirement to travel to the nearest location with availability if there is no availability at your preferred location. Correcting name discrepancies Candidates should also consider their personal circumstances when deciding when to take the MSRA exam. For example, if a candidate is completing a foundation training program, they may want to consider taking the MSRA exam in the final year of their training to ensure that they have the necessary knowledge and experience to perform well on the exam. Ensure that you allocate around three to three months to revise for the exam (if you are revising alongside full-time work). Cover the medical topics outlined in the clinical problem-solving section and practice example questions using online question banks.

How is MSRA marked?

In addition to testing medical knowledge, the exam assesses important core competencies such as investigation, diagnosis, emergency management, prescribing, and non-prescribing management. Candidates are required to demonstrate their ability to evaluate symptoms, identify possible conditions, assess patient risks, and recommend appropriate treatment plans, including the use of medication or non-drug related approaches. Get there early, or consider staying in a hotel nearby the night before. Walk to the test centre before the exam, partly to clear your head and calm nerves. They may let you book in earlier than your slot too, so it’s worth deciding if you want to do that.

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