Introduction to the SJT


What is the SJT?

The Situational Judgement Test (SJT) is a test for employment and not a medical school exam. It's used as part of the selection process (overseen by the UK Foundation Programme Office) for entry to the Foundation Programme to test the attributes needed to work as a foundation doctor. The exam provides hypothetical scenarios and possible answers which are either 'selected' or 'ranked' by the candidate.

Application scores

Applications have a maximum of 100 points consisting of:

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

Once all SJT answer sheets are marked and test-equated the scores are translated to a 0-50 scale. The SJT score is then combined with the EPM to give a total score. All applicants are then ranked in score order and given a unique rank. The unique ranks are used to match groups and programmes.

Educational Performance Measure (EPM)

The EPM is a measure of clinical and non-clinical skills, knowledge and performance up to the point of application to the Foundation Programme. It's made up of three elements and is worth a maximum of 50 points:

  1. Medical school performance (calculated in deciles) (34-43 points available)
  2. Additional degrees (0-5 points available)
  3. Publications (0-2 points available)

Points for additional degrees and publications are subject to verification of evidence, you can refer to the UKFP Applicants' Handbook for the standards of evidence to be submitted.

Why does it matter?

Missing out on your first choice foundation school is unlikely to make or break your career. But getting it might mean more exposure to the area of medicine you want to pursue.

Although the EPM and SJT equally contribute to your total score, the minimum EPM score is 34, meaning there are only 16 possible points between a student in the bottom decile and the highest achiever in this component. Additionally, the SJT score is reported to two decimal places and the EPM score is reported as a whole number, so the SJT component often determines the ultimate position.