Stage 2 or Multi-Specialty Recruitment Assessment is the second of three steps for entering GP training. This article covers the patterns of the exam. You can read more about the overview of the application process here.
Stage 2 Pattern
This exam has two parts:
1. Professional dilemmas; 58 questions in 110 minutes This section also has two parts. Roughly, half of the questions will be Ranking Questions and half of them will be MCQs. Ranking Questions Candidates are asked to judge and rank the appropriateness of four or five independent actions. An example is attached below: Multiple Choice Questions Candidates are asked to select three most appropriate actions to be done in combination out of a total of 8 plausible actions. An example is attached below: 2. Clinical problem solving; 97 questions in 75 minutes Most of the questions are SBAs, but they can also include MBAs and EMQs. Single Best Answers Candidates are asked to select the single most appropriate or likely answer out of 5- 8 plausible responses for. An example is attached below: Multiple Best Answers Candidates are asked to select two or three most appropriate or likely answers out of 6-8 plausible responses. An example is attached below: Extended Matching Questions Candidates are presented with a list of 7-10 plausible response options, which have multiple questions linked to this response set. Candidates will need to select the most appropriate or likely answer for each clinical presentation. An example is attached below: Both parts are independently timed. On completing the Professional Dilemmas part, the Clinical Problem Solving part will begin automatically after 2 minutes. 
Useful Links
