- Quality improvement and audit. Complete at least one project with a clear outcome.
- Teaching. Evidence from peers or students.
- Presentations and publications. Even a poster counts in some scoring frameworks.
- Leadership and management. Rota work, committees, society roles.
- Commitment to specialty. Taster days, courses and exam progress where permitted.
- Keep records. Certificates, feedback forms and dates, because scoring needs evidence.
Prepare for the MSRA with official sample questions, the Royal College of General Practitioners’ guidance and timed practice. Practise interview stations and ethical scenarios aloud.
How to practise
- Use only official or reputable practice material: the NHS England pages list sample questions for the MSRA.
- Practise timed sets of professional-dilemma and clinical problem-solving questions.
- Review reasons behind best answers: the exam rewards patient safety, honesty and appropriate escalation.
Evidence for scoring domains
| Domain | Examples of evidence |
|---|---|
| Quality improvement | Audit cycle completed, change implemented, presentation |
| Teaching | Structured teaching with written feedback |
| Research and publications | Peer-reviewed paper, poster, abstract (check how your specialty scores them) |
| Leadership | Rota organisation, society committee role, training course |
This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.