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The MSRA explained

Checked against NHS England's MSRA pages on 27 September 2026

The Multi-Specialty Recruitment Assessment (MSRA) is a computer-based assessment used in recruitment to a number of UK specialty training programmes. It has two papers, taken in one sitting of 170 minutes, and the two papers count equally.

Professional DilemmasClinical Problem Solving
Time95 minutes75 minutes
Items50 scenarios86 items
FormatsAbout half ranking, about half choose threeAbout half extended matching, about half single best answer
TestsProfessional attributes, not clinical knowledgeClinical knowledge at the level of the Foundation Programme
Negative markingNoneNone
MoreProfessional Dilemmas →Clinical Problem Solving →

What this bank does

How a raw score becomes a recruitment score, and the scores each specialty looks for, are set by the recruiting bodies each year. This site does not predict them.

Source: NHS England, What's in the MSRA. Where anything here differs from NHS England's current pages, NHS England is right.

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