SJT: GMC Good Medical Practice Framework (Free MSRA Revision)

Intro: The updated GMC Good Medical Practice (2023) is the backbone of all professionalism and SJT reasoning. This episode turns its 100+ paragraphs into a clear ethical navigation system built around the four domains, the “must vs should” hierarchy, and the three-step safety escalation sequence. Through realistic dilemmas — burned-out colleagues, unsafe systems, patient refusal, boundaries, candour, and team conflict — you’ll learn repeatable exam patterns that map directly to high-scoring SJT answers.Chapters: | • Why GMP 2023 dominates the SJT • Patient safety as the overriding duty • Must vs should: the hierarchy of obligations • The four domains: a simple couch analogy • Domain 1: competence, limits & lifelong learning • Domain 2: partnership, consent, candour & autonomy • Domain 3: culture, colleagues & safety escalation • Domain 4: trust, integrity & boundaries • The three-step escalation sequence • When superior advice is unsafe • The isolation, delay, and assumption traps • Professional practice CODE mnemonic • High-yield SJT scenario patterns • Quickfire must-duties for exams • Final MSRA principles to memorise Chapters_timestamps: | 00:00 Why GMP matters 00:30 Patient safety as the constant duty 01:16 Must vs should 02:30 Context and judgement 03:50 Four domains overview 04:30 Domain 1: competence & limits 05:40 Domain 2: partnership & autonomy 06:48 Domain 3: colleagues & safety 07:40 Mandatory escalation sequence 08:40 Advice vs unsafe advice 09:50 Domain 4: integrity & boundaries 10:40 CODE mnemonic 11:40 Scenario pattern 1: lack of competence 12:40 Pattern 2: refusal of treatment 13:40 Pattern 3: duty of candour 14:20 Pattern 4: boundaries 15:20 Five classic trap answers 17:00 Quickfire must-duties 18:40 Final three principles Key_takeaways: | • Patient care and safety override convenience, loyalty and pressure • Must = absolute duty; Should = context-dependent professional guidance • The safest doctor knows their limits, seeks advice early and documents clearly • Escalation sequence: protect the patient → address system risk → manage colleague risk • Avoid delay, isolation, assumption, confidentiality breaches and self-treatment Links: - passthemsra.com – Complete MSRA revision, notes, mocks, flashcards - freemsra.com – Free podcasts, threads and rapid-learning guides - msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #GoodMedicalPractice #GMCGuidance #Professionalism #MedicalEthics #PatientSafety #DutyOfCandour #RaisingConcerns #UKDoctors #JuniorDoctors #GPTraining #MedicalRevision #MedEd #passthemsra #freemsra #msraio