Applications will have a maximum score of 100 points and this will consist of two components:

  1. Educational Performance Measure (EPM) – 50 points maximum 
  2. Situational Judgement Test (SJT) – 50 points maximum 

The EPM and SJT are added together to make the total score. From this, the applicants are then matched in accordance with their score and preference.

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 two elements: medical school performance in deciles for which 34-43 points are available, and educational achievements, which are worth up to 7 points. A maximum of 50 points is available.

All applicants applying to the Foundation Programme, including the Academic Foundation Programme, will be awarded an EPM score. Please click here to view the 2019 EPM Framework.

Situational Judgement Test (SJT)

The SJT is an assessment methodology designed to test aptitude for employment and the professional attributes expected of a Foundation doctor, as defined in the 2019 National Person Specification. It is used for selection to the Foundation Programme together with the Educational Performance Measure and presents applicants with hypothetical work-relevant scenarios asking for non-clinical judgments about possible responses.

While the evaluation of the SJT for selection to the Foundation Programme is ongoing, research into SJTs as a measurement methodology shows that they are a valid and reliable selection tool and can help predict later job performance.

The SJT is taken under invigilated conditions and consists of 70 questions in 2.4 hours. It contains 2 question formats: rank 5 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 2019, including the Academic Foundation Programme, are required to take the SJT in the UK on either:

10.00 – 12.20 GMT, Friday 7 December 2018

10.00 – 12.20 GMT, Monday 7 January 2019


Reasonable Adjustments & Extenuating Circumstances

Guidance Form
SJT Reasonable Adjustments Guidance SJT Reasonable Adjustments Request Form
SJT Extenuating Circumstances Guidance SJT Extenuating Circumstances Form


Guidance / Resources

Exceptionally Low Scoring SJT Guidance

Administrators' Guide to the SJT & EPM

EPM Framework


SJT Quality Controls

Validation of the F1 Selection Tools Report


SJT Practice Papers

The UKPO and MSC Assessment have produced two 70 item practice SJT test papers (a second practice paper added in October 2017), to help you familiarise yourself with the test format. The answers and rationales to these questions are also provided for reference. Questions, answers and rationales in these papers are copyrighted MSC Assessment.

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

Practice Paper Answers & Rationale
SJT Practice Paper SJT Answers & Rationale
SJT Practice Paper Large Print SJT Answers & Rationale Large Print
SJT Practice Paper 2 SJT Answers & Rationale 2 
SJT Practice Paper Large Print 2 SJT Answers & Rationale Large Print 2

Illustrative Machine Markable Answer Sheet