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When preparing for MSRA,  there are two main chosen approaches – question-bank based and ‘formal revision’ based.
Relying on one alone leave can leave you a little short. No question bank can cover every aspect of the MSRA, whilst purely reading books and guidelines means you won’t gain any experience of dealing with questions you may face in the exam.
If planned well, both should be used hand-in-hand as both have advantages in terms of improving retention and performance.
A few key references to familiarise with and keep referring to throughout preparation: MSRA Blueprint, NICE guidelines, BNF and BNF for children, Oxford Handbook of clinical medicine, GMC Good Medical Practice booklet.
The MSRA Blueprint should be used as a guide to your preparation. This outlines which areas will be tested in the MSRA – not going through this will lead to surprises on the day. It covers quite a lot but if you plan things well it will ensure you cover everything.
Make a timeline. Planning is vital given the huge amount of material to cover for MSRA. Work out how long you have between now and your exam, and break down your revision accordingly. Which topics to have covered by when, how many questions to complete per week? etc. Lack of this may lead to haphazard preparation and an overwhelmed feeling. Our MSRA revision planners are designed to help you plan out your revision and can be found here: <a href="/free-planner/">Free Planner</a>
The most comprehensive package for MSRA is our <a href="/course/msra/" target="_blank" rel="noopener">MSRA Ultimate Package</a>. This is a package which focuses on the two core components needed for MSRA success – knowledge and technique. The package has 6 months access to all material and contains a live, virtual crammer course, 2 online video courses, 2 audiobook courses, 2 question banks, multiple mock exams, clinical flashcards, and SJT flashcards. To find out more about the package and for doctor reviews click <a href="/course/msra/" target="_blank" rel="noopener">here</a>.
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How should I prepare for MSRA?

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The next UK MSRA date for round 1 applications (for starting your placements in August 2025) will be between October and November 2024. The MSRA exams will be held between 2nd and 13th January 2025.
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What are the MSRA dates?													

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Your MSRA scores can be transferred for future rounds within a 6 month period for GP training applications. It is important to tick the box confirming you wish to carry forward your MSRA score from a previous round otherwise it will be assumed you wish to resit the MSRA exam. For other specialties it is best to check with their individual specialty websites for further information.
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How long is the MSRA valid for?													

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There are several areas of UK postgraduate medical practice which require trainees to pass an MSRA exam. These are
Radiology 
Psychiatry 
Ophthalmology 
Obstetrics and Gynaecology 
Neurosurgery 
Child and Adolescent Mental Health Services (CAMHS) 
Community Sexual and Reproductive Healthcare (CSRH) 
Anaesthetics 
Core surgical training 
ACCS Emergency Medicine
Please note that CST (core surgical training) will be using MSRA for the purpose of shortlisting for the first time this year for 2025 recruitment.
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Which specialities use MSRA?													

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Many International Medical Graduate doctors complete internship in their home country before coming to the UK.
To enter speciality training in the UK, applicants must demonstrate that they have a) achieved foundation level competences and have b) completed accepted clinical experience (usually 24 months in total). By completing the CREST 2024 (Certificate of Readiness to Enter Speciality Training) form, an applicant – who has the necessary clinical experience – can demonstrate that they have achieved foundation competences and apply directly to speciality training.
For full details on the CREST form read <a href="https://wp.aroramedicaleducation.co.uk/the-crest-form-everything-you-need-to-know/">here</a>.
The CREST form is NOT for applicants who have:
– Completed a UK Foundation programme (within last 3.5 years) – you would need to submit a copy of your UKFPCC. 
– Started but not completed a UK foundation training 
– Completed a Foundation Year 2 standalone post
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What is the CREST form?													

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The Professional Dilemma Paper – or SJT – is a 95 minute exam paper consisting of 50 questions. It is usually taken first and then followed by the second part of the MSRA test – The Clinical Paper. It assesses 3 core competencies:
a) Professional Integrity 
b) Coping with Pressure 
c) Empathy and Sensitivity
It assesses how someone behaves when posed with a potential professional dilemma at work as well as your ability to judge the situation and decide how to approach it.
No clinical knowledge is assessed in this paper and there is no negative marking.
There are two types of questions on the MSRA SJT exam (see this video <a href="https://youtu.be/tiCNoQLusFU" target="_blank" rel="noopener">which covers how to approach the two main types of MSRA SJT Question</a>):
1) Ranking questions – These are questions where you are presented with four or five actions relevant to the clinical scenario and are asked to rank how you would approach the situation in order or appropriateness (with ‘1’ being most appropriate and ‘5’ being the least appropriate action)
2) Multiple choice questions – These will ask you to choose the three most appropriate actions related to the situation from a list of eight – the combination of these three actions should help resolve the situation in the question.
There is plenty of MSRA SJT teaching in our <a href="/course/msra/">MSRA Ultimate Package</a>.
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What is the Professional Dilemma MSRA paper?													

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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).
The MSRA clinical paper lasts for 75 minutes and consists of 97 questions.
It is designed to assess your ability to apply your knowledge for clinical problem solving, rather than being a test of pure knowledge.
Questions are designed to assess 5 core competencies.
a) investigation 
b) diagnosis 
c) emergency 
d) prescribing 
e) management
12 clinical topic areas are included, and these are all covered in our <a href="/course/msra/">MSRA Ultimate Package</a>
– Cardiovascular 
– Dermatology/ENT/Eyes 
– Endocrinology/Metabolic 
– Gastroenterology/Nutrition 
– Infectious/Haematology/Allergy/Genetics 
– Musculoskeletal 
– Paediatrics 
– Pharmacology and Therapeutics 
– Psychiatry/Neurology 
– Renal/Urology 
– Reproductive 
– Respiratory
There are 2 different types of question:
1) Extended matching questions – EMQ (chose the single most appropriate answer from a choice – answers relate to several questions)
2) Single best answer – SBA (choose the single most appropriate answer from a choice – answers relate to a single question).
There is lots of MSRA Clinical teaching in our <a href="/course/msra/">MSRA Ultimate Package</a>.
<a href="https://youtu.be/RoaiuA3-kKU" target="_blank" rel="noopener">This video</a> covers how a dual preparation approach can help increase your clinical paper score.
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What is the Clinical MSRA paper?

The MSRA is delivered globally during a set period of consecutive days at Pearson VUE Computer Testing Centres. You can find more details about where to find your nearest MSRA test centre <a href="https://wsr.pearsonvue.com/testtaker/registration/SelectTestCenterProximity/GPNRO?conversationId=277838" target="_blank" rel="noopener">here</a>.

Where are the MSRA test centre locations?													

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You will be allocated a band number between 1 and 4. A band 1 score in either paper usually means the candidate has been unsuccessful. Band 4 represents a high score.
Each Speciality will utilise MSRA marks in a different way. Please visit the relevant Speciality recruitment website for full details.
For GP training the MSRA is marked using a method called normalisation. The MSRA scores for GP recruitment candidates are normalised around a mean score of 250 with a standard deviation of 40.
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How is the MSRA marked?

The higher you score in the MSRA the higher your ranking will be. In some specialties above a certain percentile (e.g. top 10%) would mean you would bypass the interview stage. It is advisable to aim high to ensure you get your first preference job during the selection process.

What is a good MSRA score?													

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It is important to start MSRA preparation early to ensure you score highly in the exam. The MSRA will assess your competencies against the GMC Good Medical Practice guidelines for the SJT paper and will test your clinical knowledge across a number of clinical areas. You will therefore need a strong grasp of ethical concepts, clinical knowledge and good exam technique to pass this exam.
The most comprehensive package for MSRA is our <a href="/course/mrcgp-sca/">MSRA Ultimate Package</a>. This is a package which focuses on the two core components needed for MSRA success – knowledge and technique. The package has 6 months access to all material and contains a live virtual crammer course, 2 online video courses, 2 audiobook courses, 2 question banks,  multiple mock exams, clinical flashcards,  and SJT flashcards. To find out more about the package and for doctor reviews <a href="/course/mrcgp-sca/">click here</a>.
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Is the MSRA exam difficult?

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The most comprehensive package for MSRA is our <a href="/course/mrcgp-sca/">MSRA Ultimate Package</a>. This is a package which focuses on the two core components needed for MSRA success – knowledge and technique. The package has 6 months access to all material and contains a live virtual crammer course, 2 online video courses, 2 audiobook courses, 2 question banks, multiple mock exams, clinical flashcards, and SJT flashcards. To find out more about the package and for doctor reviews click here.
Our free <a href="/free-planner/">MSRA Planner Programmes</a> can help guide your preparation on a day-by-day basis.
We also offer plenty of free teaching and support through Social Media: daily teaching through our Flagship <a href="https://t.me/aroramsra" target="_blank" rel="noopener">MSRA Telegram teaching group</a>, <a href="https://www.facebook.com/groups/aroraMedicalExamSupport/?ref=share" target="_blank" rel="noopener">GP Training Facebook Support Group</a>, <a href="https://m.youtube.com/channel/UCqkWfBY_0ydbOoTkp92lBPw" target="_blank" rel="noopener">YouTube</a> channel and <a href="https://www.instagram.com/dr_aman_arora/" target="_blank" rel="noopener">Instagram</a> page.
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How can Arora help me prepare for my MSRA?													

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When searching for the best MSRA question bank for revision, the best advice is to try to find something which offers as much variety as possible.
Often people rely on one bank and get very used to a certain style of question-writing – doing the same style of question 3-4000 times is bound to trigger your brain to think in a certain way and it can be very confusing when another style is suddenly encountered in the exam. Whether you have two question banks, or whether you simply hire a few MSRA question books from the library, try at least two sources. You can try our sample <a href="/course/msra/">MSRA mock exam</a> questions <a href="/course/msra/">here</a>.
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Which MSRA Question Bank should I use?													

How much is the MSRA?													

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The varied nature of the MSRA can make it challenging to use just one resource to study. A combination of question-bank-based preparation and ‘formal revision’ will serve you well, offering you the advantages of both styles to improve your retention.
As the question types can change from year to year, it is important to use different MSRA exam question banks to study. This gives you a more comprehensive picture of what to expect so that you can deliver the best performance during the assessment.
The most comprehensive package for MSRA is our <a href="/course/msra/">MSRA Ultimate Package</a>. This is a package which focuses on the two core components needed for MSRA success – knowledge and technique. The package has 6 months access to all material and contains a live virtual crammer course, 2 online video courses, 2 audiobook courses, 2 question banks, multiple mock exams, clinical flashcards, and SJT flashcards. To find out more about the package and for doctor reviews click <a href="/course/msra/">here</a>.
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What type of MSRA questions should I prepare for?													

Package access is 6 months. This includes the online courses, question bank, mocks, audiobooks and flashcards. If doctors need slightly longer than 6 months then we are happy to extend as well.

How long do I get access to material for?													

Very simply, as early as possible! There is a lot of material to get through, and there is also no limit to usage. Therefore the earlier that you get the package, the more value you will get.

What is the ideal time to buy the package?													

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Although you have access to material for 6 months, the majority of doctors who purchase the package are between 1 and 3 months from their exam. All material is available to use flexibly as and long as you have a plan, you can get through it all in a few weeks if needed. You will certainly cram a lot of knowledge into a short period of time – which will definitely help on the exam day itself!
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My exam is in 6 weeks - is there enough time to use the package?													

We regularly update our online courses, question bank, mock exams, audiobooks and flashcards. As soon as we update on our side, you get the updates on your side.

What if guidelines change?													

We’d recommend using one of our free daily planner programmes which maps to the content of the Ultimate Package: <a href="/course/free-planner/"> Free Planner</a>

What is the best way to go through the material?													

Firstly, if you go through all of the material then it is very unlikely that you will fail! If you are unlucky not to pass however then we are happy to extend the package until when you pass.

What if I fail the exam?													

Yes. At checkout you can choose the PayPal option, there will be an option to ‘pay-in-3’ using the &#8216;Pay Later&#8217; button (available in certain countries only).

Can I pay in instalments?													

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– Register for our next Free MSRA Webinar <a href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
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– Register for our next Free MSRA Webinar <a href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
– Start our most comprehensive MSRA Ultimate Package <a href="https://wp.aroramedicaleducation.co.uk/msra-ultimate-package/" target="_blank" rel="noopener">here.</a>

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– Register for our next Free MSRA Webinar <a style="color: #0000ff;" href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
– Start our most comprehensive MSRA Ultimate Package <a href="https://wp.aroramedicaleducation.co.uk/msra-ultimate-package/" target="_blank" rel="noopener">here.</a>

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– Register for our next Free MSRA Webinar <a style="color: #0000ff;" href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
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– Register for our next Free MSRA Webinar <a style="color: #0000ff;" href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a style="color: #0000ff;" href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
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– Register for our next Free MSRA Webinar <a style="color: #0000ff;" href="https://wp.aroramedicaleducation.co.uk/calendar/" target="_blank" rel="noopener">here</a>. 
– Join the Arora MSRA Telegram teaching group <a style="color: #0000ff;" href="https://t.me/aroramsra" target="_blank" rel="noopener">here</a>. 
– Start our most comprehensive MSRA Ultimate Package <a href="https://wp.aroramedicaleducation.co.uk/msra-ultimate-package/" target="_blank" rel="noopener">here.</a>

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Welcome to Arora Medical Education, where your success is our mission. I’m Dr. Aman Arora, a Portfolio GP with over a decade of clinical and teaching experience, dedicated to helping doctors achieve their goals with confidence. Having had the privilege of supporting more than 50,000 doctors worldwide across exams like <a href="/course/mrcgp-akt">MRCGP AKT</a>, <a href="/course/mrcgp-sca">MRCGP SCA</a>, <a href="/course/msra">MSRA</a>, <a href="/course/plab-2">PLAB 2</a> and <a href="/course/plab-1">PLAB 1</a>, I understand the challenges you face and the strategies needed to overcome them. Through personalized face-to-face sessions, engaging online courses, mocks, audio and a vibrant social media community, we’re here to guide you every step of the way.
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Whether you’re looking to pass crucial exams or take the next big step in your medical career, we’re here to help you succeed. Feel free to get in touch with any thoughts, questions, or ideas — I look forward to working with you and being part of your journey.

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