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PREP FOR SJT • Not clinical knowledge • Not needing to study is not the same is not preparing. Preparation is key • Use the official resources as your main source of revision. Go through the answer explanations in depth and try to understand the thought process behind the answer • Read Good Medical Practice. Know what tasks an F1 is allowed to carry out and those they aren’t • Practice to time, timing is not really an issue during the real exam but get used to answering to time • There are similar questions between the two papers that have slightly different responses, understand the fine detail about why the answers are in that order. • Accept there will be some questions you will just not agree with the mark scheme • This is a case of what you should do, not what you would do • Rating: 18 stems and 4-8 corresponding questions per stem. Near miss marking. Inappropriate does not necessarily mean it is a bad answer, simply an inappropriate response to the stem. To try and decipher between somewhat appropriate and somewhat inappropriate is difficult. If there are more positives it’s likely to be somewhat appropriate. If it is an almost inappropriate answer with some redeeming detail then it’s likely to be somewhat inappropriate. • Multiple Choice: To me, a really important section as there is no near miss marking here, you only get marks for what is correct. Choose 3 of 8 answers, with max 12 marks. For this section think of AND. Try and choose 3 answers that fit together nicely when you put and in between them. Also look for opposite pairs and rule one out. • Ranking A-E. Max of 20 marks per question, and a minimum of 8. Approx 37 questions. “DOES THIS SINGLE ANSWER ADDRESS THE QUESTION”. Ask yourself this for each response as you rank them. I prefer not to rank the first and fifth answer first, as you box yourself in too early. I personally think it is better to take rank 1-5 as you go. Read the 5 answers before you rank any of them. Choose the best answer first, and then reassess the remaining 4 answers to get your second answer and so on. Think, “if this is my only option of things to do, is this the best?” • Good answers typically include words like inform or explain. It’s best to deal with an issue by explaining to someone, that way it’s much less likely to reoccur. By simply doing something for someone they will not learn from it, even though it seems like you’re being kind and helpful. Telling someone is usually a poor answer. Doing something for someone else removes their learning opportunity. • Suggesting to someone that they speak with a supervisor, or you accompany them to go to their supervisor is typically a good answer. Going to someone’s supervisor without speaking to the person first isn’t a great answer.• In sjt land, you leave on time, unless there is a clinical emergency. Looking after yourself and your wellbeing is really important in these answers. • You never use whatsapp for a handover. • Patient safety and patient confidentiality is huge • Be direct, don’t pass on to someone else or someone from a different team • Explore/gather info before bringing to a senior, unless patient safety is the issue • Timely completion is not to be at the expense of a potential error • Be honest and take responsibility for any mistakes you make • Don’t give false hope or tell someone something you cannot guarantee or know to be true • You only know the information given to you in the question. Do not fill in any gaps or assume anything • Usually best to raise any concerns you have directly with the person first before escalating • Give yourself enough time to prepare. Go through each past paper a couple of times, spaced out that you don’t just remember the answers. Going to stress again the importance of pouring over the mark scheme answers to understand the approach to take to questions • Good luck! It will be over before you know it and once it’s done it’s done!