High scores in the MSRA SJT are not about clinical knowledge — they are about safe, predictable, GMC-aligned professional judgment under pressure. This episode is your professional “autopilot” playbook for consistently choosing the safest, highest-scoring options in both Ranking and Best 3 of 8 questions.

In this deep-dive, you will master the exact thinking framework used by top-scoring candidates, built directly from GMC Good Medical Practice and real SJT marking logic.

You will learn:
✅ The 5 non-negotiable GMC principles behind all high-scoring answers
✅ Why patient safety always outranks feelings, reputation, and convenience
✅ The absolute rule of working within competence & escalating early
✅ How to manage conflict, confidentiality, consent & professionalism safely
✅ The legal Duty of Candour and your obligations after harm
✅ The SAFE-EC checklist for instantly screening any SJT option
✅ The scoring difference between Ranking vs Best-3 questions
✅ Why choosing 4 options = automatic zero in Best-3
✅ The Anchors Strategy for Ranking questions (best vs worst first)
✅ The TRIO TEMPLATE for crafting perfect Best-3 answers
✅ The 4 automatic fail red flags (friends/family, public conflict, delay, falsification)
✅ The most common “polite but deadly” trap answers candidates fall into
✅ Why documentation is your strongest legal and professional defence

This episode is essential for:
• MSRA SJT candidates
• Foundation Doctors & GP Trainees
• Anyone struggling with Best-3 and Ranking strategy
• Doctors who want to think like a safe, regulator-proof clinician

📎 More MSRA resources to accompany this episode:
https://passthemsra.com

00:00 — Why SJT is about judgment, not knowledge
01:00 — What the exam is really testing
01:42 — The 5 core GMC principles behind all high scores
01:45 — Principle 1: Patient safety first
02:17 — Principle 2: Work within competence & escalate
03:03 — Why “not wanting to bother seniors” loses marks
03:30 — Principle 3: Communication & professionalism
04:05 — Principle 4: Teamworking & Duty of Candour
04:41 — Principle 5: Fairness, boundaries & integrity
05:13 — The SAFE-EC rapid screening tool
06:15 — How Ranking questions are marked
07:14 — The Anchors Strategy (best vs worst first)
07:59 — How Best-3 questions are scored
08:02 — Why picking 4 options = zero marks
08:32 — The TRIO TEMPLATE for perfect Best-3 answers
08:49 — Step 1: Immediate safety action
09:03 — Step 2: Senior/policy escalation
09:20 — Step 3: Communication & documentation
10:14 — The 4 automatic fail red flags
11:01 — Common “polite” trap answers
12:17 — Why “wait until appraisal” is unsafe
13:20 — Off-duty emergencies: your duty still applies
14:07 — How to identify subtle trap options
15:02 — Worked example using the TRIO framework
18:26 — Why documentation is your strongest legal defence
19:20 — “Be boringly safe”: the single winning mindset
20:05 — Final professional take-home message