Background


Since 2016 entry having passed the PSA has been essential for successful completion of the F1 year and being awarded the F1CC.


F1 doctors who have not yet passed the PSA, therefore, will need to do one or more additional 4 month F1 placements until this is achieved.

The following may be helpful to doctors in this situation, and those providing educational support


1          Reasonable adjustments

Candidates may be eligible for reasonable adjustments to the online format of the PSA, for example up to 25% additional time, if they have an evidenced disability or health condition, provided that the foundation school is made aware of this in advance of the PSA.


2          Preparation for the PSA

Candidates are strongly advised to:

Carry out all the practice online PSA assessments (more should be available soon)

Practice using the online BNF effectively under time constraints

Use targeted SCRIPT modules


Using SCRIPT for remediation / before sitting the PSA

As many modules are available a summary is provided below.


The SCRIPT modules are presented in one of seven units. The eight PSA sections have been mapped to SCRIPT modules to help direct trainees sitting the PSA. As some sections of the PSA are mapped to several modules, some trainees may require support from a senior person to direct their learning. The pre-test function of each module identifies trainees with poor knowledge in that specific area.


Prescribing topics per PSA section mapped to SCRIPT modules

 

This matrix has been created by mapping the topics of the relevant sections of the PSA to the SCRIPT module learning outcomes. Performance in the PSA is broken down by section. Some PSA sections have greater weight than others.


If you have under-performed in several PSA sections, or are new to the PSA/ prescribing in the NHS, it may be helpful to undertake the following recommended modules in priority order (as there are 18 SCRIPT modules within the matrix). These have been selected based on the weight of the section in which they appear and the number of times they occur in the matrix:


  1. Rational Drug Choice
  2. Utilising the BNF
  3. Prescription Documentation
  4. Fluids
  5. Taking a Safe and Effective Drug History
  6. Adverse Drug Reactions
  7. Dosing and Calculation
  8. Drug Interactions
  9. Adherence and Concordance


 

PSA Prescribing Area / Topics included

SCRIPT Module

Prescribing

Weight 40%

Drug history

Taking a Safe and Effective Drug History

Fluid management

Fluids

Prescription Documentation

Prescription Documentation

Rational Drug Choice

Rational Drug Choice

Utilising information to inform prescribing

Utilising the BNF / BNFc

Prescription Review

Weight 16%

Adherence

Adherence and Concordance

Adverse Drug Reactions

Adverse Drug Reactions

Dosing

Dosing and Calculation

Drug history

Taking a Safe and Effective Drug History

Hepatic Impairment

Prescribing in Hepatic Dysfunction

Interactions

Drug Interactions

Medication Errors

Medication Errors

Polypharmacy

Prescribing in Older Adults

Rational Drug Choice

Rational Drug Choice

Renal impairment

Prescribing in Renal Dysfunction

Utilising information to inform prescribing

Utilising the BNF / BNFc

Planning Management

Weight 8%

Adherence

Adherence and Concordance

Drug history

Taking a Safe and Effective Drug History

Rational Drug Choice

Rational Drug Choice



PSA Prescribing Area / Topics included

SCRIPT Module

Providing Information 

Weight 6%

Adherence

Adherence and Concordance

Adverse Drug Reactions

Adverse Drug Reactions

Dosing

Dosing and Calculation

Formulation and Administration

Formulation and Administration

Interactions

Drug Interactions

Calculation Skills

Weight 8%

Administration

Formulation and Administration

Calculations

Dosing and Calculation

Adverse Drug Reactions

Weight 8%

Adverse Drug Reactions

Adverse Drug Reactions

Anaphylaxis

Drug Allergy and Anaphylaxis

Interaction

Drug Interactions

Management of ADRs

Parenteral Poisons

Management of ADRs

Toxic Tablets

Utilising information to inform prescribing

Utilising the BNF / BNFc

Drug Monitoring

Weight 8%

Adverse Drug Reactions

Adverse Drug Reactions

Rational Drug Choice

Rational Drug Choice

Therapeutic Drug Monitoring

Monitoring Drug Therapy

Utilising information to inform prescribing

Utilising the BNF / BNFc

Data Interpretation

Weight 6%

Hepatic Impairment

Prescribing in Hepatic Dysfunction

Rational Drug Choice

Rational Drug Choice

Renal impairment

Prescribing in Renal Dysfunction

Therapeutic Drug Monitoring

Monitoring Drug Therapy

Utilising information to inform prescribing

Utilising the BNF / BNFc