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MSRA · Revision planning

MSRA revision plan: realistic 4, 8 and 12-week routes

Build a timetable around your current knowledge, rota and reliable study hours. These routes develop both papers with spaced review and time-limited practice, rather than prescribing an unrealistic number of questions.

4, 8 or 12 weeksBoth MSRA papersRota-adaptable

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Build a timetable around your current knowledge, rota and reliable study hours. These routes develop both papers with spaced review and time-limited practice, rather than prescribing an unrealistic number of questions.

Establish a baseline

Start with mixed CPS questions and both PD formats before allocating hours. A percentage alone does not show what went wrong.

  • Log the tested decision, your reasoning, confidence and the nearest plausible distractor.
  • Separate missing knowledge from rushing or reading the wrong lead-in.
  • Do not infer a standardised MSRA score from a commercial question-bank percentage.

Protect a weekly learning loop

Each week needs new questions, explanation review and delayed retrieval.

  • Revise weak CPS domains without abandoning other systems.
  • In PD, reason from an F2 perspective, considering risk and proportionality.
  • Reserve a lighter day or buffer for on-calls; reschedule rather than doubling missed sessions.

Progress toward exam conditions

Move from learning and short timed sets to two-paper rehearsals as the test approaches.

  • The official format has 95 minutes of PD and 75 minutes of CPS, independently timed.
  • Use the official practice paper to calibrate format, not predict a result.
  • Consolidate recurrent errors and protect sleep during the final days.

In depth

Apply the ideas to your preparation

Section 01

Four weeks: prioritise the highest-yield repairs

Week 1: take representative mixed sets, review the official formats and identify weak CPS areas and PD behaviours. Write three to five recurring error types rather than a long undifferentiated topic list.

Week 2: revisit those concepts in new scenarios and learn to explain why a tempting alternative is less appropriate. Keep both ranking and select-three PD practice active.

Week 3: increase timed mixed questions and monitor unanswered items separately from incorrect ones. If speed remains weak, find where time is lost rather than blindly accelerating every question.

Week 4: rehearse the full test if practical, repair the two or three most consistent errors, check logistics and rest. Four weeks may not be enough from a weak baseline; do not claim coverage simply because questions were clicked.

Section 02

Eight weeks: a build-and-integrate structure

Weeks 1–2: establish your baseline, cover common Foundation-level clinical presentations and begin PD practice in parallel.

Weeks 3–4: rotate across all 12 CPS areas with spaced revisits and structured discussion of F2 professional judgements.

Weeks 5–6: add timed mixed blocks, deliberately reviewing distractors, uncertainties and the coverage of PD select-three combinations.

Weeks 7–8: complete an exam-length rehearsal, review it systematically and use the remaining blocks for specific repairs rather than frantic content expansion.

Section 03

Twelve weeks: depth with repeated retrieval

Weeks 1–3: fill foundational gaps while surveying the whole CPS blueprint; practise both PD item formats weekly.

Weeks 4–6: alternate new decisions with spaced re-attempts of missed concepts. Turn explanations into short retrieval prompts, not pages of copied notes.

Weeks 7–9: integrate systems and build endurance using varied time-limited blocks; compare similar professional actions and clinical distractors.

Weeks 10–12: rehearse the two-paper test, inspect time distribution and make focused final improvements. Keep unscheduled buffer space for leave, nights or illness.

Section 04

Make this a sustainable working-doctor schedule

Work from hours you can reliably protect after clinical shifts and commuting. Six consistent hours often produces more useful review than an aspirational twenty-hour timetable that collapses on a long-day week.

If a shift disrupts revision, preserve the next planned review of previous mistakes and the next highest-value weak topic. Drop lower-priority new questions rather than sacrificing recovery.

Original teaching exercise

Worked week: six hours around an F2 rota

A working F2 has six reliable hours this week. Their CPS errors cluster in respiratory and renal presentations; PD select-three responses often lack follow-through.

Worked reasoning

  1. Spend two 75-minute blocks on CPS: one weak-area repair and one mixed set with explanations (2½ hours).
  2. Use one hour for PD select-three, checking each trio against safety, communication and reasonable follow-up.
  3. Spend 90 minutes revisiting and testing missed concepts from earlier weeks.
  4. Use the final hour on a short timed mixed set. Adjust next week's split when new error data become available.

Allocate time according to observed needs, not arbitrary question targets.

Original illustrative timetable, not a score guarantee.

Preparation

How to practise deliberately

  1. Choose a route that matches the actual weeks and study hours left.
  2. Revisit difficult concepts on more than one day.
  3. Use mixed practice throughout, not only in the final week.
  4. Record wrong-task and unanswered items separately.
  5. Use the official practice paper alongside other materials.

Common mistakes

What to avoid

  • Counting completed questions without analysing mistakes.
  • Ignoring PD until the last week.
  • Treating commercial mock percentages as official MSRA scores.
  • Missing sleep or recovery after nights to catch up.
  • Revising only a familiar specialty.

Free Mini MSRA Bank

Put this guide into practice.

240 CPS questions and 50 PD scenarios with explanations. A free account is required.

Full MSRA Bank — £29 once for four calendar months from purchase; no automatic renewal.

Official source

NHS England — Candidate tips

Last checked 12 October 2026. Official NHS England guidance remains the source of truth.

Further reading

Check primary sources for changes to exam arrangements, recruitment and professional standards.

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