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

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ClinicalcasesforMRCPCHTAS–usefulcases.Igotalibrarycopyanddidstudythebookcovertocover.Probablywouldn’thavebeenworthbuyingbutdefinitelyagoodbook. I had been allowed to take an online sitting for health reasons and so proceeded to sit the most unusual exam I have ever sat! The clinical questions are obviously fairly rapid fire so it felt hard to tell how they were going. The professional dilemmas all felt more vague compared to a lot of my practise but at least I felt I had a way of approaching them. Then, to make matters worse, the postman spent 15 minutes banging on my door and window and jumping up and down to get my attention which almost completely threw me and so I finished the exam convinced I had failed! The MSRA is delivered in Pearson VUE test centres across several consecutive days within the MSRA window. The exam is offered throughout the UK and internationally; you can find your closest test centre here . It’s worth noting that there may not be availability at your nearest or preferred Pearson VUE test centre, due to the demand within the short assessment window, so you may be required to travel further to sit your exam. Focus on one speciality at a time: you will probably initially feel overwhelmed at the thought of having to go through all of your medicine/surgery/paediatrics/psychiatry notes again – but you will surprise yourself with how much you remember when doing the questions first. This will highlight your stronger and weaker areas. Then, spend time focused on your weakest specialties one at a time – this will help you consolidate your knowledge by regular repetition and your scores will soon improve.

Tips:LikePart1,lotsofquestionsishelpful.Inmyopinionthiswasmuchmoreinterestingtostudyforasalotofitisrelevanttothethingsyoucomeacrossinhospitalmedicine.Onceagaincertainwordinginquestionswillessentiallygiveyouthediagnosis:PStudyingforthisexamwasabitofablurasIwasonA&Eatthetime,butroughly4weeksorsoofsolidstudyingwasprobablyenough. 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.Over half of all junior doctors applying for Specialty Training posts each year will need to undertake The Multi-Specialty Recruitment Assessment (MSRA); our complete guide will provide you with information for the MSRA 2024. Multi-Specialty Recruitment Assessment / MSRA Exam Passmedicine provides an online revision for the MRCP Part 1, MRCGP Applied Knowledge Test (AKT), GP ST Stage 2 – Specialty Recruitment Assessment, Medical student finals, MRCP Part 2, Situational Judgement Test, PLAB, DRCOG. Revision questions in the modern form to help you pass.

To ensure that you’re confident in all aspects of the exam and can perform well, give yourself adequate time to prepare for both test papers – Professional Dilemmas and Clinical Problem Solving – and make sure you cover all topics in the Clinical Problem Solving paper. To learn more about the topics covered in the MSRA exam, visit our MSRA complete guide or practice questions blogs. The Medibuddy team is a group of doctors with a special interest in using the latest educational technology to improve medical education. For the multiple-choice questions, candidates must choose three out of eight answer options provided. These should be the three most appropriate actions that, when taken in conjunction, will be a complete resolution of the circumstances. Multiple-choice questions are also marked by comparing candidates’ answers to pre-determined keys.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. You can work through the MSRA practice questions in your own time, allowing you to familiarise yourself with the different question formats and types of scenarios you will encounter in the exam. On my General Practice rotation, I tried to dedicate each spare moment that I could, to doing questions. I would utilise anything from my lunch breaks, spare time while waiting to debrief with my supervisor, during slots in which patients DNA’d etc. and soon those 10-15 spare minutes started adding up. Unsurprisingly, I initially wasn’t scoring so well, especially on topics such as Infectious Disease, Dermatology and Ophthalmology. However, after repeating the question sets in my weaker areas on Emedica, my scores soon started improving to 85% minimum. The information I learnt was also invaluable for my GP rotation where I was commonly seeing skin/eye/ear complaints; my supervisors noted that my general confidence in diagnosing and managing these was vastly improving. Managing to practice the information learnt on Emedica daily was the most useful way to ensure that the guidelines remained clear in my mind ready for the exam e.g. acne management, hypertension guidelines, type 2 diabetes control etc. Pastest: questions were nothing like exam in either sections. Although the breadth covered by the clinical section is so wide that if you did the whole question bank I think you would still do well in CPS, I definitely spent a lot of time memorizing lots of things that didn’t come up though.

The Professional Dilemmas Paper is separated into the following two parts, with around half of the 50 scenarios for each question type: Part 1 – RankingI spent the time period awaiting the results shadowing in two CAMHS units to help me make my decision (although given the exam I wasn’t expecting to be starting work before next August) and fortuitously found “my niche” in medicine which only made me more worried about my exam results. The CAMHS posts available then also got cut down from 6 to only 1. Half of the questions in the PD paper are ranking questions and half are multiple-choice questions. Typically, the answer options are actions that can be taken in response to the circumstances in the scenario. Good, acceptable, and poor actions are included as options, as is the best action. Unrealistic actions are not included. Extensive teaching notes accompany each question. These build to form a reference library you can access at any time You will be presented with clinical scenarios and required to utilise your judgement and problem solving skills to determine the appropriate diagnosis and treatment of patients.

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