Assessment deep dives

NHS England (MSRA) assessments

United Kingdom · the professional dilemmas paper doctors sit

What the paper measures

“A SJT is an assessment method which measures how a candidate believes they should behave when posed with a challenging professional dilemma.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

How you believe you should behave

Answer with what you should do, not what is easiest.

Example

“The PD paper is not a test of knowledge of problem-solving ability, but rather aims to assess professional attributes (domains or competencies) which are considered to be important for successful progression through training and performance in one’s job role.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

Attributes, not knowledge

Think about professional attributes, not facts.

Example

“Response options will be realistic and the "best response" will always be included.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

The best response is there

One option is always the best response.

Example

“Completely implausible responses are not included as options.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

Every option is plausible

Expect several options that sound reasonable.

Example

Formats and scoring

“For these scenarios the actions are discrete actions and should not be thought of as chronological.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

Pick three, not a sequence

Choose actions, not an order of events.

Example

“The 3 most appropriate actions taken together should fully resolve the situation.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

Three that resolve it

Your three choices should solve the whole problem.

Example

“You do not need to get every option in exactly the same order as the pre-determined key to obtain a good score on an SJT item.”

NHS EnglandProfessional Dilemmas paper

NHS England · Undated, checked 11 November 2026

Close counts

A near miss still scores.

Example

“For the Situational Judgement Test (SJT) it is important to bear in mind that answers are marked against a predetermined key, based on a near-miss approach.”

NHS EnglandCandidate tips

NHS England · Undated, checked 11 November 2026

A predetermined key

Answers are marked against a fixed key.

Example

Candidate tips

“There may be times when you would like more information to answer questions; you need to give your best answer using the information provided in the question.”

NHS EnglandCandidate tips

NHS England · Undated, checked 11 November 2026

Answer with what you have

Use the information given, not what you wish you had.

Example

“A wrong answer can score more marks than a missed question.”

NHS EnglandCandidate tips

NHS England · Undated, checked 11 November 2026

Answer every question

A guess can score; a blank cannot.

Example

Last reviewed