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Okie Dokie. So yeah, the M Sra, I'm gonna be covering what it is. Give you a little breakdown, talk to you about professional dilemma section, the clinical problem solving section and then some resources I think due to the restriction of time, I probably won't go over the examples. However, um I think what's important to take from today is just a general understanding of what to expect and where to practice. So what is it? The multi specialty recruitment assessment? The M SRA it's a computer based assessment. You'll be at Pearson View Center, the same place where you do your driving tests. Um It essentially assesses your pretty much part of your personality and how well you fit with the GMC competencies. But also whether you remember your questions from finals medical school, there's a number of specialties that use it. Your particular score is not in competition with the other specialties. Each specialty um will filter their own scores. However, if you've applied for multiple specialties, then you'll, you'll probably be allocated different positions in different um in each of those. So it's free of charge. Doesn't cost a thing takes place in January and invites will likely come out December um in peers and view test centers. However, for those of you who fit a certain criteria, you may be able to do it from home on your laptop, but they are very extenuating circumstances. The top 1200 applicants will be invited to interview and to upload their evidence. In February, the M SRA counts at 10% of your total CST score. So what's involved in the MSR exam is a two part exam and you do both on the same day, one straight after the other, you start off with a professional dilemma section. This is basically the S JT your situational judgment test. Um There's very minor difference as to how it's laid out. It assesses your ability to kind of behave to specific clinical and nonclinical scenarios. It's not assessing whether you know what treatment is correct. It's not assessing you about what investigation you need to do for an, for an M I or if someone's hit their head, it wants to know how, what you would do in a particular professionalism setting. So for example, if some, if again you smoke alcohol on your consultant's breath and they're going to operate, it will give you a number of answers. It's your position to either rank the answers or to choose the top three. But I'll go over that a bit later. And the second part is the clinical problem solving section. Now, this is very similar to your medical school's final exam. The first part is 95 minutes long. If you have extra time, then I've listed the times there, you'll have up to five minutes break and then you'll have to do the second part, which is 75 minutes long. If you go over five minutes during that break, the timer will start on that 75 minute second exam. So have a quick pee break, do whatever you've got to do, uh have some water or just plow for it. So part one, the professional dilemma section, this just measures your understanding of the professional situations that could happen for doctors in the NHS and how you're supposed to respond to them. You'll be judging the most to the least appropriate actions. These typically involve scenarios with patients with work colleagues or managing your own work. You do not need to have any knowledge specific to that of specialty training. It's expected of all these questions or assessing what you would do at the level of a foundation. Year two doctor covers three particular domains on professional integrity, coping with pressure and empathy and sensitivity. You'll have 50 questions over the 95 minutes. Half of which are rank, ranking the options in order. The other is multiple choice. Now, eight of these questions will not count but you won't know which eight questions. Unfortunately, they're done as a test to see if there are suitable questions that could be used in the future. But also for some research, I now there's no negative marking, which means if you put the wrong answer, you don't lose points. However, if you don't put an answer, you reducing the, the, the chance that you can get points. So something I really need to stress is if you're running out of time, perhaps you got one minute left, you might wanna start looking at just clicking all the buttons and just making sure that you have at least an answer on the. So here's a little example, you've got a scenario at the top that you'll be presented with. You'll then be given a task which is to rank in order the following actions. Now, in this case, it's most appropriate to least appropriate, however, read this on every question because it might change. It could be, what do you do first? What do you do last? They require you to think about how appropriate a situation is. And in this situation, you'll have to rejig these answers. So say, for example, if you think e is the best you put E to the top and it is a dragon drop function, the multiple choice section as part of the first paper, again, you'll be given a scenario, you'll be given an action which is to choose the top three most appropriate actions. Often together those three options will resolve the situation. So for example, I'm not saying this is the correct answer. If you think A B and C are the correct answer. You would click A B and C and then move on to the next question. But don't forget if you think only two are right. And you can't think of what the third one is. Just put one down because you won't lose any marks. Putting the wrong answer, you get a mark for every correct answer on this case. On the previous section, the ranking, I've just gone back a slide. You get marks based on how close your answers are to the ideal order. So say, for example, the correct order is ABCD E you'll get top marks and it's a lot of marks. But if you get A and B the wrong way around, you'll still get a lot of marks, you'll just lose one or two marks because of um how close they are together. Yeah. So paper two, the clinical problem solving station, it covers 12 topical areas that you've gone through during medical school. So anything from cardiovascular sciences to your respiratory, it covers five key domains within those topics that being knowledge of investigations, diagnoses, emergency management, investigation, prescribing, and general management of anything. This can be in the setting of primary care, it can be in the setting of secondary care just to let you know from my experience, I unfortunately was the first cohort, of course, surgical trainees who had to do this exam. So I was very frustrated and I actually had zero surgical questions in my clinical problem solving test. So I'm afraid you're gonna have to try and remember all of that medicine. You thought you'd figure out it's 97 questions over 75 minutes. So they are quick, but they are multiple, they are either extended matching question type questions or single best answer. 11 of those 97 questions are similar to the first part where they're pilots, they don't count towards your points, but they're used for part of monitoring and to see if the questions are appropriate to use in the future. An example of um an extended matching question is um you're given possibly a scenario, you're told a bunch of answers. You're given a question, for example, for each of these patients, what is the most likely diagnosis? And then you're given the scenarios. So you've got the same set of answers, but a different scenario every time all to do with tremors and tingling. So for example, if I've got a 58 year old woman who develops a tremor has repeated episodes of breathlessness associated with tachycardia, if you think it's hyperthyroidism, you'd click C for that one. Then the next question, you've got a 44 year old woman who develops tingling in her fingers three days after a total thyroidectomy for pilary carcinoma of the thyroid. If you think it's hypoparathyroidism, you just click that single best answer questions are pretty much exactly what you guys had in medical school, you've got your scenario, you've got your question and then you've got your set of answers and you just need to click on the one answer. So we've got a 17 year old who has a sudden onset chest pain and shortness of breath. After a swim, the trachea is deviated to the left and there's hypo resonance and decreased breath sounds on that side. So if you think it's pneumothorax, you click on pneumothorax and you go to the next question, I've got a to E here. However, there could be up to eight answers and you just have to select what you think is still the correct answer. So just to finish what resources we can use, I personally only used one resource and that was the M sra past questions that is the most accurate um types of questions you'll have er, that are um featured in the exam, some of which are actually either similar or the same, but not all of them. Of course, there's a lot of new scenarios that come out each year and I must admit they are mind boggling. I don't know how anyone comes up with some of these questions. Um I'm reading them and I'm like, who on earth would even do this in the first place for some of the scenarios. However, I've spoken with my colleagues and some people would advocate for the following. Uh other resources past medicine has an M SRA revision section. You can also use the past med uh finals section to practice all of your clinical scenarios. M CQ Bank and POS test. I'm not trying to advocate that you guys need to spend money to, to practice for all of this. As I said, I didn't, I literally just used the M sra um as you know, that's a lie I did use, passed for my clinical questions because I forgotten quite a bit over F one and F two. So I'd highly recommend you guys um at least use that and a final point I wanna mention on this M SS ra um NHS England resource. Um When you go through the practice papers that are available on that website, don't just learn the order of the answers, whether it's ABCD E, whether it's eg whatever you need to go through and read the explanations of the answers. Once you actually understand how they answer it, you can apply that knowledge to the future questions because the question is ultimately very similar and the same method of thinking is behind it. Key bit of advice I was given with regards to the S JT section is not to think what you think is best, but to think what the GMC think is best, you have to change your personality to fit that of GMC. And with that, I'll take any questions and I'll do my best to uh answer any questions