- What is the SJT (selection assessment for FP 2016)?
- Who needs to take the SJT?
- Can I revise for the SJT?
- I am not an FY1, how will I know what I should do in these scenarios?
- The SJT lasts 2 hours 20 minutes. How long do I spend on each question? What if I don't finish on time?
- How are the SJT questions written?
- How is the SJT marked?
- The SJT is worth 50 points of the application to the Foundation Programme. How is this calculated?
- How is my SJT points score used in relation to my EPM points score?
- Can I appeal against my SJT score?
- Will I get specific feedback on how I did on the SJT?
- I have previously applied to the Foundation Programme. Can my previous score be carried forward?
- I qualified or expect to qualify from a UK medical school between August 2014 and August 2016. Where do I take the SJT?
- I qualified from a UK medical school before 2 August 2014. Where do I take the SJT?
- I qualified or expect to qualify from a non-UK medical school. Where do I take the SJT?
- Can I take the SJT in another country?
- What do I need to bring with me for the SJT?
- What happens if I am unwell or there is a serious reason why I cannot take the SJT?
- I usually have adjustments made for my university exams. Will this count for the SJT?
- What is an exceptionally low SJT score?
- What will the next step be if an applicant is identified as having an exceptionally low SJT score?
- It says that AFP scores are subject to a satisfactory SJT score. What is a satisfactory SJT score?
- Should I approach the ranking and multiple choice SJT questions differently?
- How do applicants perform in the SJT?
What is the SJT (selection assessment for FP 2016)?
The SJT is a measurement method set within the specific context of selection to the Foundation Programme. It is an invigilated test which will assess the professional attributes expected of the Foundation Doctor, as defined by the Person Specification.
The SJT assumes that applicants have knowledge of and insight into the job role of an FY1 doctor and applicants will be asked to respond as they should as an FY1 doctor. The scenarios are set in a clinical setting but there is no requirement for specific clinical knowledge as the test is targeting professional attributes, such as:
- Commitment to Professionalism
- Coping with Pressure
- Effective Communication
- Patient Focus
- Working Effectively as Part of a Team
The SJT is an invigilated paper-based assessment, taken in the UK on one of two national dates. The SJT lasts for two hours and 20 minutes and consists of 70 questions (60 'live' questions and 10 'pilot' questions).There are two question types: rank in order five possible responses (two thirds of the questions) and choose three from eight possible responses (one third of the questions).
Who needs to take the SJT?
All eligible applicants to the UK Foundation Programme, Academic Foundation Programme or Defence Deanery need to take the SJT. The SJT will be taken in invigilated conditions by all applicants on two national dates (4 December 2015 and 9 January 2016).
Can I revise for the SJT?
The SJT assumes that applicants have knowledge of, and insight into, the job role of an FY1 doctor and applicants will be asked to respond as they should as an FY1 doctor. The SJT monograph explores the attributes expected of you as a UK foundation doctor, provides some of the academic research underpinning the use and development of SJTs, and provides some tips and hints as to how to approach the test. You should also try the SJT Practice Paper to familiarise yourself with the types of question you will encounter, and to refer to the worked answer rationales. Please note that the SJT Practice Paper is representative of the style of SJT questions but its difficulty may differ from the actual test. You might find it helpful to practice completing the answer sheet in timed conditions.
The SJT assesses the attributes in the Person Specification. The SJT items are written to assess the different characteristics identified through the FY1 Job Analysis and mapped against GMC guidelines. You might therefore find it helpful to read Good Medical Practice and to access GMP scenarios in action, which although not designed to be representative of the SJT, can help you to become more familiar with GMP 2013.
We are aware that there are commercial guides and courses on the SJT, however these are not endorsed by the UKFPO. The only preparation material endorsed by the UKFPO, and created by those involved in developing the SJT for the Foundation Programme, is available free of charge from this website.
I am not an FY1, how will I know what I should do in these scenarios?
The SJT has been developed specifically to be appropriate for final year medical students. Although the SJT is set in the context of the Foundation Programme, all questions have been reviewed to ensure they are fair and able to be answered by medical students. All questions also avoid specific knowledge about procedures or policies that may not be experienced until the Foundation Programme. We suggest that you familiarise yourself with the Person Specification and the professional attributes expected of you as a foundation doctor to help you answer the questions.
The SJT lasts 2 hours 20 minutes. How long do I spend on each question? What if I don't finish on time?
The SJT for selection to the Foundation ProgrammE lasTS for two hours and 20 minutes and consists of 70 questions (60 'live' questions and 10 'pilot' questions). It is recommended that you allow yourself two minutes to answer each question.
Ten of these items are 'pilot' questions that are embedded within the test in order to validate them for future use. Your response to the pilot questions will not be included in your final score.
The SJT is a power test and not a test of speed. It is designed so that there is sufficient time for applicants to complete the test. Any questions that you do not answer, you will receive no marks for, but you will not be negatively marked (i.e. your score on other items won't be reduced). As there is no negative marking, you should attempt all questions. It is important that you try and plan your time carefully. You must record all of your answers on the answer sheet within the test time. There is no separate time provided for transcribing of answers and answers left in the question booklet will not be scored.
How are the SJT questions written?
All questions developed for the SJT for selection to the Foundation Programme have been through an extensive development and quality review process involving educational and clinical supervisors, clinical tutors, foundation doctors and psychometricians. New SJT questions are developed each year to ensure that the scenarios presented to applicants are relevant and reflect current practice.
How is the SJT marked?
The SJT is a paper-based assessment and applicant answers are machine-marked against a pre-determined scoring key for each of the items. There are two question formats: rank in order five possible responses (two thirds of the questions) and choose three from eight possible responses (one third of the questions).
• Ranking questions are worth up to 20 marks; each of the individual responses is worth up to 4 marks. There are points for ‘near misses’ i.e. you do not need to get the answer exactly right in order to get a good score – please refer to Figure 1 below. If you ‘tie’ two answers, you will score 0 marks for either option.
• ‘Choose three from eight possible responses’ questions are worth 12 marks; each of the individual responses is worth 4 marks.
• There is no negative marking in the SJT (i.e. marks will not be deducted from your overall score for each incorrect answer given).
Figure 1 provides an example of how the ranking scoring system works.Ideal rankApplicant rank 1Applicant rank 2Applicant rank 3Applicant rank 4Applicant rank 5D43210C34321E23432A12343B01234
The correct answer is DCEAB, and you would score 20 marks for this answer. If, for example, you thought the answer was DABEC, you would score 12 marks, as follows:
• 4 points for option D as it is in the correct position
• 1 point for option C as the correct position is 2, but the applicant ranked it 5th
• 3 points for option E as the correct position is 3, but the applicant ranked it 4th
• 2 points for option A as the correct position is 4, but the applicant ranked it 2nd
• 2 points for option B as the correct position is 5, but the applicant ranked it 3rd
The SJT is worth 50 points of the application to the Foundation Programme. How is this calculated?
Once all SJT answer sheets have been marked and test-equated, the scores are translated to a 0-50 scale. The distribution of the scale is set to reflect the distribution of Educational Performance Measure (EPM) scores. This ensures that when the SJT and EPM scores are combined, they each exert an equal weighting. The equation for translating the SJT scores to the EPM scale depends on the EPM scores in that year.
Using this scaling method, the equation for the FP 2016 results was as follows:
Scaled SJT Score = Equated Raw SJT Score x 0.133 – 78.571
The table below shows the results of the conversion for the 2016 scores.MeanStandard
Equated Raw SJT Score889.4831.70110.33967.93 Scaled SJT Score39.594.050.0050.00 EPM Score40.823.8134.0050.00
How is my SJT points score used in relation to my EPM points score?
Your marks on the SJT will be used to award you a number of SJT points (maximum 50 points, to three decimal places), which will be added to the points that you have achieved for the Educational Performance Measure (EPM; maximum 50 points, whole number only). Your combined number of points will be your total application score.
The SJT and EPM have equal weighting in the total application score, however, as the SJT score is reported to two decimal places, it is the SJT which will often determine your relative position compared to others with similar scores. The table below shows the percentage of applicants who scored at different levels on the SJT and EPM in 2016.Percentage of applicantsScaled SJT Score RangeTotal0-3031-3536-4041-4546-50EPM Score Range30-350.7%2.5%4.6%2.0%0.1%9.9%36-401.2%5.2%17.1%13.3%0.5%37.3%41-450.6%2.7%15.5%18.9%1.6%39.3%46-500.1%0.4%3.7%8.1%1.1%13.5%Total2.7%10.8%41.0%42.3%3.3%100%
Can I appeal against my SJT score?
No. By arriving at your SJT, you declare yourself fit to sit the test.
Will I get specific feedback on how I did on the SJT?
No. You will be provided with the number of points you achieve on the SJT only. Specific feedback about how you do on each item cannot be provided as this would require providing information about items which may be used again in future years.
It is also extremely difficult to quantify SJT questions in terms of the domains from the person specification as each question is a composite of domains and sub-domains. It is not possible to provide meaningful feedback beyond the score
I have previously applied to the Foundation Programme. Can my previous score be carried forward?
No, you will need to take the SJT again for FP 2016. The content of the SJT test paper will change year to year, and it is important that you are scored and ranked on the same terms as all other applicants to FP 2016.
I qualified or expect to qualify from a UK medical school between August 2014 and August 2016. Where do I take the SJT?
The SJT will be delivered by your medical school. Your medical school will contact you with details about the date, venue and timings for your SJT.
I qualified from a UK medical school before 2 August 2014. Where do I take the SJT?
The UKFPO's Eligibility Office will contact you with details about the date, venue and timings for your SJT. You will be invited to take the SJT on one of the two national dates in London (4 December 2015 or 8 January 2016).
I qualified or expect to qualify from a non-UK medical school. Where do I take the SJT?
The UKFPO's Eligibility Office will contact you with details about the date, venue and timings for your SJT. You will be invited to take the SJT on one of the two national dates in London (5 December 2014 or 9 January 2015).
Can I take the SJT in another country?
No. All applicants must take the SJT on the national dates in the UK, at a venue arranged by the UKFPO or a UK medical school.
What do I need to bring with me for the SJT?
You need to bring the following items with you on the day of the SJT:
- Two HB or 2B pencils (other pencil types including mechanical pencils do not scan so do not use them), an eraser and a sharpener.
- Current, photographic ID: passport, driving licence, national identity card (EEA or Switzerland only) or current university card if taking the SJT at that university; plus any documents to support a name change.
Some applicants may wish to use a ruler when completing the answer sheet; in addition to pencils, rubbers and sharpeners, clear rulers are permitted inside the test venue, but no other stationery or additional paper.
You are permitted to bring a basic wristwatch to help with timekeeping but smart watches are forbidden. If you are found to have any smart device on your person during the SJT you may be dismissed from the assessment hall and have your application withdrawn from the national application process - please refer to Appendix 2 of the Applicant's Handbook.
Eligibility Office applicants will also need to bring along their SJT booking confirmation email.
There will be a place card on your desk at the venue confirming your FPAS Ref No, which will need to be recorded on your answer sheet. If we cannot identify you, you will be given a score of 0.
What happens if I am unwell or there is a serious reason why I cannot take the SJT?
Some applicants may be seriously affected by illness, bereavement or accident close to or on the day of the SJT. If you believe that any extenuating circumstances seriously affect your ability to take the SJT on the date you are registered for, you must submit an Extenuating Circumstances claim form, with accompanying independent evidence, to your medical school or the UKFPO's Eligibility Office at the earliest opportunity.
If you are deemed to have extenuating circumstances, you will be permitted to take the SJT on the subsequent SJT date. An applicant with extenuating circumstances on Friday 5 December 2014 will be permitted to take the SJT on Friday 9 January 2015, 10am. An applicant with extenuating circumstances on Friday 9 January 2015 will be permitted to take the SJT on a third contingency date on Friday 16 January 2015, 10am.
In no circumstance will the SJT score be changed as the result of a claim of extenuating circumstances. Any applicant unable to take the SJT within the national testing window will be withdrawn from the FP/AFP 2015 application process.
Guidance about extenuating circumstances is provided in the FP/AFP 2016 Applicant's Handbook.
I usually have adjustments made for my university exams. Will this count for the SJT?
Reasonable adjustments are practical changes to the planned delivery of the SJT that mitigate the effects of particular applicant characteristics or circumstances on their ability to undertake the SJT, without changing the demands of the assessment e.g. a disability, health condition or impairment, or other grounds for adjustment (e.g. religious observance). No adjustment will be made to the standard of the SJT or the score achieved by any applicant. An adjustment may not be considered reasonable if it involves unreasonable costs or timeframes, or affects the security or integrity of the assessment.
You must submit a request form for accessing the SJT at the earliest opportunity and no later than Wednesday 30 September 2015, so that requests can be considered and appropriate arrangements made.
For the majority of UK applicants, it is expected that the medical school already holds evidence of approved reasonable adjustments which result in special examination arrangementsof a disability, health condition or impairment with a recommendation for reasonable adjustments. A request form must still be submitted, with reference to the evidence approved held by the medical school. New requests for reasonable adjustments, and accompanying evidence, must be submitted to the medical school or the Eligibility Office at the earliest opportunity, and no later Wednesday 30 September 2015.
Guidance about requesting reasonable adjustments, the standards of evidence required, and the adjustments that may be made, is provided in the FP/AFP 2016 Reasonable Adjustments Guidance.
What is an exceptionally low SJT score?
An exceptionally low SJT score is one that is a low outlier compared to the norm, once all SJT papers have been scored and the range of scores determined. It is anticipated that this will apply to 0.0 – 0.5% of applicants only.
What will the next step be if an applicant is identified as having an exceptionally low SJT score?
Applicants identified as having an exceptionally low SJT score will be withdrawn from the process on 3 March 2016.
Details of the process for reviewing low scoring applications and withdrawing affected applicants will be published as soon as possible and no later than 1 December 2015.
It says that AFP scores are subject to a satisfactory SJT score. What is a satisfactory SJT score?
A satisfactory SJT score is one that is sufficient for an applicant to remain in the process. Please read the FAQ regarding exceptionally low SJT scores and further assessment for more information about the standard required to remain in the process.
Should I approach the ranking and multiple choice SJT questions differently?
Yes. The ranking questions test your ability to differentiate between singular actions in response to a scenario in order (ie there is no overlap between individual actions), whereas for the scenarios with the instruction to ‘select three from eight’, it is necessary to do more than one thing in response to the dilemma in the scenario. You should answer the multiple choice questions by selecting the three most appropriate responses when taken in combination. For more information about how to approach the FY1 SJT, please refer to the monograph (click here).
How do applicants perform in the SJT?
The figure below shows the distribution of SJT points for FP 2016 on the 0-50 scale after equating and scaling has taken place (see above for more information on equating and scaling).
The average scaled SJT Score achieved is 39.6 and the standard deviation (SD) of the distribution is 4.00. Overall, applicants in FP 2016 performed well in the SJT, with the mean score representing 85.9% of the total marks available. The SD is a measure of how spread out the data are; in this case it demonstrates that 73.2% of applicants achieved a score of within 1 SD above and below the mean (a Scaled SJT Score between 35.5 and 43.6); and 96.2% of applicants scored within 2 SDs above or below the mean (a Scaled SJT Score of between 31.5.5 and 47.7).
Overall, whilst a small number of applicants achieve a very high or a very low Scaled SJT Score, the majority of applicants perform at a similar level. There is a slight negative skew, meaning that outliers tend to be at the lower end of the scoring range. This distribution is consistent with previous operational results of the SJT, and also with the distributions of scores for SJTs used in other contexts.