The test measures your capacity to understand real world situations and to identify critical factors and appropriate behaviour in dealing with them.

The test consists of a series of scenarios with possible actions and considerations.  The questions do not require medical or procedural knowledge. This assessment consists of two sets of questions. 

For the first set you will be asked to rate the appropriateness of a series of options in response to the scenario.

  • a very appropriate thing to do if it will address at least one aspect (not necessarily all aspects) of the situation 
  • appropriate, but not ideal if it could be done, but is not necessarily a very good thing to do
  • inappropriate, but not awful if it should not really be done, but would not be terrible 
  • a very inappropriate thing to do if it should definitely not be done and would make the situation worse

For the second set you will be asked to rate the importance of a series of options in response to the scenario.

  • very important if this is something that is vital to take into account
  • important if this is something that is important but not vital to take into account
  • of minor importance if this is something that could be taken into account, but it does not matter if it is considered or not
  • not important at all if this is something that should definitely not be taken into account

When I did my UKCAT test SJT was not counted and thus I didn’t do much practice on it, just a bit of reading here and there. It’s not too bad, there’s plenty of time so a moderate pace should get you high marks.

Top Tips

• Carefully read through the scenario, it is of utmost importance that you understand the scenario before choosing an answer. If you understand it, choosing an option should be quick and easy.

• Understand what is meant by the options, it may seem simple but ensure you know what each of the options mean, they are described above.

• Your answer and decided course of action should follow the guidelines on the ‘Good Medical Practice’.
The guidelines have been simplified below:

  • First priority should be patient care
  • Keeping your own medical knowledge and skills up to date
  • Recognising and working within own limits of competence
  • Working with colleagues to serve patients’ interests
  • Respecting patients’ right to confidentiality
  • Protecting and improving the health of patients
  • Listening to patients and being responsive to their needs
  • Treating patients fairly as individuals
  • Acting with integrity, with honesty and being open with patients