Multi-Specialty Assessment Recruitment (MSRA)

Multi-Specialty Recruitment Assessment

After applying in November, the next step will be preparing for and undertaking the Multiple Specialty Recruitment Assessment (MSRA) in January.


The MSRA is an examination that the Royal College of Radiologists use to determine who receives an interview. It is therefore essential to spend time preparing for this. It is used by multiple specialties in different ways to help differentiate candidates more easily. It has been around for a number of years, and there are many resources and books which can guide you on how to prepare.


On average over the last few years, around 1000 people apply for radiology each year. The MSRA is used to rank these candidates, and the top 600 candidates are offered interviews based purely on MSRA scores. Furthermore, after interviews have been conducted, interview scores are combined with MSRA scores in a ratio of 2:1 to give a combined score. Therefore, your MSRA score bears weight on your pre-interview score and your post-interview score. Of the 600 candidates interviewed, 250 applicants are offered radiology jobs around the country. Therefore, the competition ratio is around 4:1.


Please see the RCR website for more detailed statistics at this link:

Structure of MSRA:


Section 1 – Situational Judgement Test/Professional Dilemmas – 58 questions in 110 minutes

  • This includes questions similar to the SJT done at the end of medical school, where you are given a clinical scenario and asked what you would do in particular situations

  • Of the 58 questions, only 50 are scored and the other 8 are for piloting purposes

  • There are two types of questions:

    1. Ranking questions – rank 5 different options in order of appropriateness

    2. Multiple best answer questions – choose the most appropriate 3 responses


Section 2 – Clinical Problem Solving – 97 questions in 75 minutes

  • These are more like the typical clinical questions you would have done as part of medical school finals. As the examination was founded by the Royal College of General Practitioners, the style of question is focused on GP consultations/presentations

  • Of the 97 questions, 86 are scored and 11 are again used for piloting

  • There are two types of questions:

    1. Single best answer questions (SBAs)

    2. Extended matching questions (EMQs)