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And we're alive. Hi, everyone. Welcome to the, I'm so sad to say this. Welcome to the last radiology and focus session. Um Today it's going to be on preparing for the M SRA. I'm Sudan, one of the junior doctors who organized these sessions along with Sally. And um so today we've got Doctor Lister who is Ast one in Radiology in Manchester and she's gonna talk us through how best to prepare for the M SRA and I'm sure her own experience with it. Yeah, sounds great. So I just start and yeah, yeah. Take it away. Yeah. Say, say hi everybody. Um She Dan said my name is Nia. Um and I'm an FC one in radiology. So I've been asked today to talk about preparing for the M SRA. So um I think we'll just get started. So I sat the M Sra in January 2022. So I'm hoping that not much has changed since then. Um So the M SRA or the Multispecialty recruitment assessment, um It's a computer based assessment and it's designed to rank candidates. So it was originally designed to rank GP applicants. But as you probably know, it's been rolled out to 12 specialities now. So, OBS and Gynae Psychiatry Radiology, a CCS anesthetics, um all specialities like that. Um And again, it's still used to rank candidates um because this is focused on radiology and I don't think things have changed with the previous years. Um The M sra makes up about 33% of your teeth or marks overall. So that's like a third of your marks. It's a really important exam. Um So as I said, it's a computer based assessment. So once you've all done your applications on AO and you've completed them, you'll be asked to book your M SRA exam through the person view website. Um And you'll get an email about this. So it's really important that you're checking your emails regularly because once those slots come out, they just go so quickly and you really want to find a center that's close to you. So you're not having to commute to it um or staying in a hotel overnight the night before the exam. Um The he said that um the assessment date should be released by the like December 14th. So just, yeah, keep a close eye on your emails. Um So it's 100 and 70 minutes long the exam and it's divided up into two papers. So the first paper is a professional dynamic exam. The second paper is a clinical problem solving exam. Um And between them, you've got an optional five minute break. So for this round um of applications. I'm assuming most of you are applying for radiology, by the way, um For this round you'll be doing the M sra between January the fourth and January the 16th. So don't book any holidays between them, please. And just, you know, be aware that over the Christmas period, you're probably gonna be doing a bit of revision. So the professional dilemmas paper. So that paper has 50 questions in it. You've got 42 real questions and eight pilot questions and you won't know which of which. So just take all the questions seriously. Um It's divided into two sections. The first section of which is the ranking section. So you're given a scenario and then you're asked to rank the question, sorry, the answers from best to worst in the second section, you're given a scenario and then you're asked to pick the three most suitable answers. Um So in terms of timing, it's quite a tight exam. You only get about one minute and 48 seconds per question. Next slide, right? The clinical p problem solving paper, it's a bit more question heavy. You've got 97 questions in this paper. Um 86 of these are your score of questions. And you've got 11 pilots. Again, you won't know which ones the pilots are. And this paper again is divided into two types of question. You've got your extended matching question and then your single best answer question. You've got even less time per question, this exam, you've only got 45 seconds per question. And it's thought that the level of these questions would be similar to your medical finals. So how can you prepare for your M SRA exam? So the first tip that I give everyone preparing for the M SRA is give yourself enough time to revise for it. Um I think people really underestimate how much time you need to revise for this exam. If it's making up a third of your marks overall, you need to put the time in for it. Um Especially if you're working a full time rotor you foundation training or you've got some kind of fellow job. Um You're gonna have to make time to revive each day. I try and do about half an hour um of the active recall questions with the clinical problem solving paper a day if you can. Um but at least three or four times a week and maybe fit in one session of practicing the professional dilemma questions as well. My second tip would be um to pick a question bank. So this is mainly related to the clinical problem solving paper. So for that paper, it's clinical knowledge and the best way to revise for it, in my opinion is just doing the active recall questions. So that's just practicing questions um from an M CQ bank like over and over again until you get them right and you consolidate the knowledge in your head. There's loads of question banks out there. You've got path test M CQ bank passed E Medica. Um In my opinion, they're all really similar. They're all a similar price. I just pick one and stick to it. I don't really think it matters. Which question bank you go for. They're all similar. The thing that's gonna make the difference at the end of the day is how much time you actually put into practicing these active recall questions. Personally, I um subscribe to pass test and II just, I did questions every day and I finished the question bank. So I do them over and over and over again. Um until I kept getting them right at the end of the day. Um I then did a little bit on passed, but I found that I didn't like the clinical questions as much as on pass med. I preferred pass test. But other people say differently, people tend to really like passed because of its textbook function. So if you get a question wrong, you can then read up on the subject. Um The only thing about pass test was I thought that the professional dilemmas questions were a bit p really? But yeah, just pick a question bank, pick two if you want and just stick to them. So my third piece of advice for preparing for the M SRA exam um is don't skip revision for the professional dilemmas paper. A lot of people think you don't need to revise for it. There's no clinical knowledge, what is revision gonna do for you. But actually this is a really tricky exam and I think a lot of the scenarios require a lot of thought. And as I said before is a people that's really tight on time. So actually getting used to kind of the layout of the questions and getting used to that professional dilemma thinking is really gonna help you when it comes to the actual day of the exam, right? So as I said before, I don't really think there's that much help I can give you when it comes to the clinical problem solving exam. You just need to practice that, that to recall questions again and again every day if you can. Um but we can do a bit of a deep dive onto the pressure dilemmas paper. So the professional dilemmas paper, it's often one that people check up on, as I said before, people don't like to revise for it. The questions are a bit tricky time is really tight. Um It's a S JT exam and he states um that is a paper that's used to assess kind of professional competencies like important professional competencies that are used to get through successful training. So this paper looks at three core competencies. The first one of which is sorry, I just by my slide uh professional integrity. So that involves things such as admitting when you've made a mistake coming clean to your team when you've made a mistake. Um and treating patients with respect and understanding professional boundaries. The second core competency is coping with pressure. So that involves things such as understanding how to maintain a work life balance, understanding how to manage your emotions in difficult situations um and be able to create for criticism. And the third and last competency is empathy and sensitivity. So that means um understanding how to deal with patients and colleagues when they have differences in opinions to you um and practicing in a non nonjudgmental manner. So I think one of the most important things you can do to prepare for this paper is to read good medical practice. Um This is a document that's released by the GMC and it's not really a thrilling read, but it's really important. Um And the reason for that is that this document outlines all the expectations that the GMC has for all doctors registered with it. And these um the kind of guidance that's in this document really ties into three core competencies that are being examined. So just being really familiar with the kind of viewpoints of the General Medical Council, how it expects you to pay for a doctor is gonna help you when answering these professional dilemmas questions. The last thing to know about the professor dilemmas paper is the marking because it's important to know about it. So as I said before, it's divided into two sections. You've got the ranking section and then you've got the section where you're asked to choose um, three most appropriate answers. The first section, um those questions are weighted really heavily. They're um worth up to 20 marks each. So you're given a scenario, you have to rank the answers from best to worst. And if you rank them in the same way that the examiner would, you're gonna get 20 marks per question. If you rank them slightly differently, you're gonna range from 8 to 18 marks in the second half of the paper, the questions are only worth 12 marks each because you're given a scenario, you have to choose three most appropriate answers and each answer is worth four marks. So 12 in total, if you get them. All right. Um As I said, this paper is really tight on time because you've got to read the scenario, work out what's going on and make decisions really quickly. So I'd focus on the first section if you're running out of time, make sure you do. You complete all the questions even in the second section. If you didn't run out of time, just put something randomly because remember there's no negative marking, but the first section is where the points are held. The last um main tip I think for preparing for the M SRA is to do the practice paper on a he website and I've put the link there to it. So there's a full free paper on a hee website. Um, so I leave this to the day before, two days before your M sra exam and then practice it under time conditions. And that way you're really familiar with how the exam is going to go and what the timings like. So, um, we've had a chat about professional dilemmas exam. I've had a bit of a run. I think it's time to do some practice. So I think it would be great if I give you guys three or four minutes to go through this question and then we'll talk about um how you guys have ranked the answers. So I'll give you three minutes now. Have a look at the question and then if one of you can give me your answer, that would be great. OK, I can see a few answers in the chart. Does anyone want to explain their rationale for the answers? Just have a stab at it? Am I the anyone that can talk? Yeah. Um It's you and it's just me that can talk. Yeah, everyone else has to, has to text in the message box. Ok. Um Does anyone want to try and text their rationale or do you just want me to go through it? You can just text in the box your answer? Ok, I'm just gonna go through it because no one's saying anything. Um So a few people have put a CDB, which is the correct rationale So the reason for this. Um So a is the best option because in a, yeah, I'll go for it. Um So a is the best option because in a, you're not complicit in Andrew's lie about leaving for the afternoon at all. So that's the best option in this scenario because you're just removing yourself from the lie. And the second part is that you're asking Andrew to take responsibility for him leaving. So you're saying, can you let medical staffing know that you're going on leave? Which means there's less dos on the ward to do the jobs and less dots on the ward um can lead to compromise and patient safety. So you're covering quite a few things and option A, does that make sense? I just carry on C is the second best answer because um you're not asking Andrew to take responsibility of his um actions, but you're also telling Andrew that you can't be complicit in his life. So you're just removing yourself from this um situation completely. So A and then c after C comes D date is um good in the way that you are um telling the consultant or your team consultant that Andrew is not going to be there. So the consultant knows that there's less doctors on the ward, which means less cover and less cover can lead to patient safety instances. Um but it's not as good as options A or C because you're saying to the consultant you don't know why Andrew's not there even though you do. So you're giving me dishonest information. The worst answer is option B because you're basically just engaging in Andrew's lie being complicit about it, giving false information to the consultant. Um And neither of those are good. You not maintaining integrity in that answer at all. Does that make sense? Can someone type yes or no or do they all have any questions? Ok. Go. Ok, great. So we've done our first practice question because we've done that. Let's just think about some top tips when it's coming to answering the professional Diloma paper questions. So the first thing to remember in a special day on a paper is that patient safety is paramount. It's the most important thing. So any answers that relate to um raising issues of patient safety, um whether that's like in the previous question where it's going to be one less doctor on the ward and that could affect staffing there for patient safety. Um or there's a scenario where a consultant's been drinking and they want to do surgery or something like that. Those answers are always gonna rank highly if you're doing something about it or making medical staffing or, or a senior aware that patient safety might be compromised. The second tip is to um like in the S JT, you've always got to escalate the chain of the chain of command um and speak to your colleagues first. So direct communication is the key. If you can speak to your colleague, which would be um E and F two junior. Um At first, that's preferable. If that doesn't work, then you escalate step wise. So that educational supervisor, then the team consultant and then head of the foundation program, that kind of thing. So escalate in a step wise fashion, don't just jump to the most senior person first. Um The third would be, don't take size. Um In the argument if there's a um you know, if you can take size and the answer provided because that's not maintaining your professional identity, even if you have a disagreement with a colleague or a patient, it doesn't mean you're right and you just need to act in the best interests of the patient. Finally answers that involve exploring um patients or relatives concerns. They usually rank highly. So if you've got a disagreement with a colleague or a patient, and you just don't agree with what they're doing, if there's an option that says, you know, you offer to have a chat with a patient or you offer to have a chat with the patient's family about why they're doing so. And so those often rank highly because it shows that you're trying to understand their point of view. Um you're acting with empathy and sensitivity. Um and you can understand that people have different points of view to you. So those answers often rank highly. So now we do done that um, question and we've had a chat about top tips. Let's do another professional dilemma question. So I'll give you guys three minutes again and then if you could type your answers in the question box and sorry in the chat box, that would be great.