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    Questions and Answers for the Specialty Recruitment Assessment
    Questions and Answers for the Specialty Recruitment Assessment
    Questions and Answers for the Specialty Recruitment Assessment
    Ebook184 pages1 hour

    Questions and Answers for the Specialty Recruitment Assessment

    By Ciarán Conway

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    About this ebook

    Questions and Answers for the Specialty Recruitment Assessment is a unique pocket guide for this new exam.

    The book features an introductory chapter which explains how the SRA works, together with key tips and techniques and what to expect on the day of your test.

    It is then followed by a complete practice test comprising 55 Professional Dilemma questions and 100 Clinical Problem Solving questions. The questions have been written to closely match both the content and types of questions you are likely to encounter in the exam. Full answers (with explanations) are provided for each question.

    This book is an essential resource for anyone looking to practise and hone their skills in preparation for the SRA.


    LanguageEnglish
    PublisherScion Publishing
    Release dateSep 10, 2016
    ISBN9781907904950
    Questions and Answers for the Specialty Recruitment Assessment

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      Book preview

      Questions and Answers for the Specialty Recruitment Assessment - Ciarán Conway

      Chapter 1

      The Specialty Recruitment Assessment

      Assessment format

      Several specialties now use the Specialty Recruitment Assessment (SRA) as part of their application process and in this chapter we will discuss the format of the assessment. The various stages preceding and indeed succeeding the SRA differ between each specialty and the details of these are outside the scope of this book. For the purposes of this book the assumption has been made that you have already been invited to attend, and have booked, your SRA.

      This computer-based exam takes place at Pearson Vue computer testing centres throughout Great Britain, in Northern Ireland and in a limited number of places outside of Europe. All of the exams are standardised to ensure that the level of questions are similar.

      In order to familiarise yourself with the format of the exam, Pearson Vue have an excellent online tutorial which guides users through a series of screens and familiarises you with the controls and format (www.pearsonvue.co.uk).

      On the day of the exam arrive in plenty of time. There will be lots of invigilators present during the exam who will help you with any technical or personal issues that arise. Be sure to read thoroughly the instructions sent to you in your confirmation email as there are specific details of what to take with you on the day (including what identification is required to sit the exam).

      The SRA exam is divided into two sections: a Professional Dilemma section and a Clinical Problem Solving section.

      The Professional Dilemma section

      This section lasts for 110 minutes and contains approximately 55 questions (although this number can vary slightly). Professional Dilemma questions examine a candidate’s ability to act appropriately in a fictional scenario. The level which your answer is compared to is that which a foundation year two doctor (FY2) would be expected to achieve. The questions take two main forms in this section and both types begin with a stem in which the scenario is outlined. By their very nature these questions are very subjective and therefore there are not right or wrong answers so it is important not to get frustrated.

      The most abundant question format is the ranking question – these offer the candidate five different options which must be ranked in order of appropriateness (or in the order in which you would do them). All of the options may be appropriate but you must rank them in the most appropriate order. There are, however, answers which are more right than others and these answers are the ones that most closely match the order set out by the examiners; you can, however, still gain credit for an order which is close to that of the exact answer.

      The second question format used in this part of the exam is the multiple best answer question in which the candidate must choose one, two or three correct answers from a selection of different options. The best way to illustrate the two question types is with worked examples (Sample Questions 1.1 and 1.2).

      Practice Scenario 1: Ranking Question

      You are an FY2 doctor on a busy medical ward. You are taking urgent blood samples from a patient when you are distracted by an emergency on the ward. In order to help with the unfolding incident you put the blood samples in your pocket. Several hours later you realise that you have forgotten to send the samples to the laboratory. Unfortunately, the blood samples have clotted while in your pocket and are now unusable. Rank the following in the order you would do them:

      Sample Question 1.1 – Practice Scenario 1: Ranking Question

      The question shown in Sample Question 1.1 is fairly typical of those in the SRA. With these questions it is usually (although not always) easy to identify the most and least appropriate answers. Here the most appropriate answer is B. Apologise to the patient for your error. The General Medical Council (GMC) has issued guidance for adverse events in which it states that you should be open and honest with patients when things go wrong. The least appropriate answer is clearly C. Do nothing which would show a complete lack of insight into the consequence of this error. Answer D. Retake the blood tests is the second most appropriate answer. You ought to let your supervising consultant know what has happened (option E). These were urgent blood samples and the delay in getting the results may impact on the patient’s care. You should then complete an incident form (option A). With all of this in mind the correct order would be B, D, E, A, C. As we have discussed previously the very nature of these questions means that the answers are subjective. Don’t worry if you did not get the order exactly right; you can still get credit for getting the order partially correct.

      Practice Scenario 2: Multiple Best Answer Question

      You are an FY2 doctor and during your General Practice placement you see a 40-year-old married man who admits to having had unprotected sexual intercourse with a sex worker during a recent business trip. He wishes to be investigated for sexually transmitted infections as he has noticed some penile discharge recently. He has opted not to tell his wife, who is also a patient of yours, and has continued to have unprotected sexual intercourse with her.

      Choose the THREE most appropriate actions:

      Sample Question 1.2 – Practice Scenario 2: Multiple Best Answer Question

      Multiple best answer questions (Sample Question 1.2) require you to select a certain number of responses which are more appropriate than the rest. The crucial thing to remember with these questions is to select the correct number of answers as these can vary, with some questions asking for two, three or more correct answers. A silly way to drop marks would be by not selecting the correct number of responses. The multiple best answer question in Sample Question 1.2 is a typical SRA question which does not test any specific medical knowledge but instead focuses on the practice of medicine. The question is really about confidentiality between you and the patient and therefore the correct answers here are B, E and G. While it may be tempting to tell his wife in order to protect her (she is after all your patient too) or to gossip to your colleagues about the case, this would actually be a breach of confidentiality. Equally, it would be inappropriate to inform the patient that you disapprove of his behaviour or to refuse to treat him.

      Those candidates who graduated from medical school after 2011 will be fairly familiar with both formats of question as they will have taken part in the Foundation Programme Application System (FPAS) in which these styles of question are used. Their subjective nature makes them difficult to prepare for, but this does not mean that you cannot improve your technique. Some useful things to do in order to prepare for the professional dilemma section of the SRA are:

      Read the National Personal Specification for your specialty which is useful in identifying the qualities that the questions will be examining.

      Read the GMC’s Good Medical Practice. This guide covers a vast array of common scenarios faced by doctors and how the GMC would expect their members to act.

      Try to use your everyday job as practice, by imagining scenarios based around things you see and do at work.

      Practise the scenarios in Chapter 2.

      Speak to people who have done the SRA exam in

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