judge a situation encountered within the workplace. They are
not designed to test your clinical knowledge and skills; they are
designed to test your attitudes and ethical values. With this in
mind, the ISFP (Improving Selection to Foundation Programme)
developed nine domains of assessment for UKFPO
(United Kingdom Foundation Programme Office) application:
• Commitment to Professionalism
• Learning and Professional Development
• Working Effectively as Part of a Team
• Patient Focus
• Problem Solving and Decision-Making
• Self-Awareness and Insight
• Coping with Pressure
• Organisation and Planning
• Effective Communication
These are assessed in two ways: either by ranking five responses
from most appropriate to least appropriate, or by
selecting the three most appropriate responses to the situation
in question. The response is then evaluated against a predetermined
scoring key decided by the subject-matter experts.
Download the SJT Monograph on the UKFPO website www.
foundationprogramme.nhs.uk for more information. All scenarios
are evaluated by doctors in terms of their applicability
to real life. The SJT scenarios in this book have also been
scrutinised and cover similar issues to those offered in the
2010 pilot (AMRC 2010) as well as real situations submitted
by foundation year interviewees. The following chapters deal
with the nine areas above and detail juniors’ experiences from
their time on the wards:
1. Introduction: this chapter includes how best to prepare for
the SJT, some handy ways of handling the scenarios, as well
as some things to look out for on the wards. It also evaluates
the importance of self-awareness and insight with respect to
conducting yourself day to day in clinical practice.