The Foundation Programme

Situational Judgement Test (SJT)

The SJT replaces the previous ‘white space’ application form questions as a measure of meeting the national person specification. The SJT is taken in exam conditions, and consists of 70 questions in 2 hours 20 minutes. It contains two question formats: rank five possible responses in order and select the three most appropriate responses.  A maximum of 50 points is available.

All applicants to the Foundation Programme commencing in August 2015, including the Academic Foundation Programme, are required to take the SJT in the UK on either:

• Friday 4 December 2015
• Friday 8 January 2016

An applicant’s UK medical school or the UK Foundation Programme Office’s (UKFPO) Eligibility Office will provide information on which date(s) is/are available and how to book a place once confirmed as eligible to apply. 

SJT Monograph

Understanding your SJT score


Process for reviewing low SJT scores

In the FP 2016 Applicant's Handbook, the UKFPO confirmed that as in previous years, applicants with exceptionally low SJT scores would have their applications reviewed, and that details of this process would be published prior to the date of the first SJT.

The process for FP/AFP 2016 will be published prior to the first SJT date and no later than 1 December 2015.


SJT Quality Controls

Please click here to read the Quality Controls that were put in place for the FP 2014 SJT. 

FP 2015 SJT Technical Report 

Every year, the Work Psychology Group undertakes a detailed evaluation of the SJT used for selection the Foundation Programme, the item development process and item-level analysis including reliability and validity, as well as analysis by applicant groups and recommendations for future improvements. The technical report of the FP 2015 SJT confirms the overall reliability of the SJT to be good (0.71). To read this report and those from previous years, please click here

FP2015 SJT Technical Report


Process for reviewing exceptionally low SJT scores

Click here to download the FP 2015 process for reviewing exceptionally low SJT scores.


SJT Practice Paper

The UKPO and MSC Assessment have produced a 70 item practice SJT test paper, to help you familiarise yourself with the test format in preparation. The answers and rationales to these questions are also provided for reference. Questions, answers and rationales in this paper are copyrighted MSC Assessment.


The questions in the practice paper are designed to illustrate the format of the live test paper, the range of scenarios and item types, and to help you practice time management. You will receive a score based on your answers to the practice paper, however please note that it is your score relative to other applicants which determines your rank order for foundation school allocations. Please be aware that the level of difficulty for the SJT practice paper may differ from the actual test, however as an indication, the mean score for all applicants on the SJT for FP 2015 was 881 marks, or 85% of all available marks. Please refer to the FAQ on applicant performance on the SJT.

Please click the link below to take you to the test:

SJT Practice Paper


PDFs of the practice paper, questions and rationales are also available. Please click the relevant link below:

SJT Practice Paper large print

SJT Answers & Rationales

SJT Answers & Rationales large print

Illustrative Machine Markable Answersheet 

Extenutating Circumstances and Reasonable Adjustments

FP/AFP 2016 Extenuating Circumstances Guidance and Form

FP/AFP 2016 Reasonable Adjustments Guidance and Form


SJT Video


Educational Performance Measure (EPM)

The EPM is a measure of clinical and non-clinical skills, knowledge and performance up to the point of application. The EPM comprises three elements; medical school performance to date in deciles (replacing previous quartiles), for which 34-43 points are available; additional degrees, which are worth up to 5 points; and publications, for which up to 2 points are available. A maximum of 50 points are available.
All applicants to the Foundation Programme, including the Academic Foundation Programme, will be awarded an EPM score.

EPM Framework


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