I&R (Eng) - MCQ assessment
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MCQ Assessment

There are two parts to the Induction and Refresher Multiple Choice Question (MCQ) Iearning needs assessment; both are designed to assess some of the essential competences outlined in the national person specification and are based around clinical scenarios. Applicants will first be asked to complete a professional dilemmas (PD) paper, followed by a clinical problem solving (CPS) paper.

Detailed information regarding the MCQ is available in the MCQ I&R Learning Needs Assessment Guidance document.

Assessment are available at locations throughout the UK and in approved sites worldwide. There are now eight sittings throughout the year and dates are listed below.

  • Wednesday 19 September 2018
    Registration forms must be received from the supporting HEE local office by 19 August 2018

  • Wednesday 7 November 2018
    Registration forms must be received from the supporting HEE local office by 7 October2018

  • Monday 7 January 2019
    Registration forms must be received from the supporting HEE local office by  24 December 2018

  • Wednesday 20 February 2019
    Registration forms must be received from the supporting HEE local office by 6 February 2019

  • Wednesday 3 April 2019
    Registration forms must be received from the supporting HEE local office by 20 March 2019

  • Wednesday 15 May 2019
    Registration forms must be received from the supporting HEE local office by 1 May 2019

  • Thursday 27 June 2019 
    Registration forms must be received from the supporting HEE local office by 13 June 2019

  • Wednesday 7 August 2019
    Registration forms must be received from the supporting HEE local office by 24 July 2019

  • Wednesday 18 September 2019
    Registration forms must be received from the supporting HEE local office by 4 September 2019

  • Thursday 14 November 2019
    Registration forms must be received from the supporting HEE local office by 31 October 2019


Number of permissible attempts and associated costs

Applicants are permitted a maximum number of four attempts at the MCQ. A successful attempt at the MCQ is valid for a maximum of 12 months from the date of the assessment. Guidelines on Learning Needs Assessment Attempts and resits table.


Preparation resources for entry assessments

For some information about resources you could use to help prepare for the new Induction and Refresher (I&R) learning needs assessments, please read this document. A glossary of terms used in the MCQ is also available.


Registration to take MCQ

MCQ assessment is an online assessment and delivery by Pearson Vue. If you have any queries regarding booking process please contact Pearson Vue support team nrocustomerservice@pearson.com.

You should register with the GP NRO as soon as you know you want to undertake an I&R scheme or just need advice about it.

Once registered for the scheme the NRO will direct you to the HEE Local I&R Lead. This may take a little while to organise and to arrange a review appointment with the lead, which can be face to face or on the phone or by Skype.

Once the NRO have been informed that you will be taking part in the I&R scheme and have approval from the HEE I&R lead you will be granted access to all the on line learning resources.

If you are taking the LNA route you should only book to take the MCQ when you are ready. This may be deferred for up to 12 months from date of initial registration to allow you time to prepare for the assessments. The NRO will review with you your plans at 6 and 12 months to check if you still plan to enter the I&R scheme.

Upon receiving the approved Learning needs assessment form, NRO creates and releases the MCQ booking instructions email to candidates, where candidates makes the booking for the assessment.

Results: will be released to the candidates, from their respective HEE local I&R scheme lead within 10 working days; please do not contact National Recruitment office.

Resitting: If unsuccessful and would like to re-take the MCQ exam, candidates need to liaise with their respective HEE local I&R scheme Lead and submit approved learning needs assessment registration form to NRO.


Changes to the MCQ

Following the recent review of the I&R MCQ assessments, some changes have been made which will apply from the August 2018 MCQ sitting onwards:

1. The minimum passing score has been reduced to 27 and the bandings have been adjusted as follows:

Band Standardised score range Interpretation
Band 1 18 and below Well below the minimum standard required
Band 2 19-26 Below the minimum standard required
Band 3 27-49 Adequate level of performance, may need up to max 6 months WTE
Band 4 50-59 Good level of performance, may need standard induction of about 3 months WTE
Band 5 60 and above Excellent level of performance, with a mandatory one month Induction placement

2. Results for the Professional Dilemmas (SJT) MCQ will be given as

  • Fail which is Bands 1 or 2
  • Pass which is Bands 3 to 5

3. Results for the Clinical Problem Solving MCQ paper will continue to be reported as bands 1 to 5 (Fail = 1 and 2, Pass = Bands 3, 4 and 5)

4. Candidates who score a band 3 in the CPS MCQ and a pass in the PD (SJT) MCQ will be required to sit the Simulated Surgery

5. All Candidates (IELTS 7.5 and above) who score a band 4 or 5 in the CPS MCQ and a pass in the PD (SJT) MCQ will be not required to sit the Simulated Surgery

6. ALL Candidates in the International GP Recruitment Scheme with an IELTs score of above 7 and below 7.5 will be required to sit the Simulated Surgery

7. The number of questions in the CPS MCQ paper has been increased from 86 to 88 and to allow for this the time allocated for the paper has been increased from 65 to 67 minutes