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Destination: UK foundation training

Finals are a performance. Rehearse yours.

The CPSA is the clinical half of the UKMLA — the point where years of medical school become one morning of stations in front of examiners. OSCEY gives you the room, the patient and the clock before your school gives you the real ones.

Your schoolsets and delivers itUnited Kingdomwhere you will practise
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Formats change — always confirm with the GMC's UKMLA pages.

UKMLA CPSA exam badge
The bigger picture

The road to Foundation

UKMLA CPSA is one gate on a longer road. Knowing exactly where you stand on it changes how you prepare.

  1. Medical school in progress

    Years of lectures, placements and ward rounds — the knowledge is largely in place by finals year.

  2. The AKT the written half

    The applied knowledge test — the academic half of the UKMLA, taken before or alongside the clinical assessment.

  3. The CPSA you are here

    The clinical and professional skills assessment: an OSCE-style circuit run by your medical school within GMC standards, examining whether you are safe to start work.

A common route — yours may differ. Entry requirements, exemptions and formats are set by the official bodies; this page links to them wherever it matters.

Inside the exam

What the CPSA actually tests

The Clinical and Professional Skills Assessment is the practical component of the UK Medical Licensing Assessment. Each UK medical school runs its own CPSA within GMC standards, so station counts and timing vary between schools — but the expectation is the same everywhere: a doctor who is safe, structured and kind on day one of the Foundation Programme.

Stations probe the GMC's outcomes for graduates in the most practical way possible: take this history, examine this system, explain this procedure, break this news, hand over this patient. Professionalism is assessed as directly as clinical skill — which is why rehearsing out loud beats re-reading notes.

  • Clinical skills — histories, examinations, practical procedures
  • Clinical reasoning — differentials, investigations, safe management
  • Professionalism — consent, capacity, confidentiality, candour
  • Handover and prioritisation — the FY1 jobs nobody rehearses enough

This is the circuit OSCEY builds for practice runs. UK medical schools set and deliver their own CPSA, so check your school's guidance for its shape.

Station by station

A CPSA-style station, up close

Scroll through one OSCEY station in UKMLA CPSA colours — the same rhythm the real circuit will demand of you.

OSCEY candidate brief: task, role and setting cards for a UKMLA CPSA practice stationOSCEY candidate brief: task, role and setting cards for a UKMLA CPSA practice station
Live OSCEY station: simulated patient in the consultation room during a UKMLA CPSA practice stationLive OSCEY station: simulated patient in the consultation room during a UKMLA CPSA practice station
OSCEY debrief after a UKMLA CPSA practice station: skill changes by domain and exam-aligned practice estimateOSCEY debrief after a UKMLA CPSA practice station: skill changes by domain and exam-aligned practice estimate
1 The door sign

The door sign

You are the FY1 on the ward. A patient with capacity questions is refusing treatment. Assess the situation and discuss it with them. Ninety seconds to remember what capacity actually means — and what it doesn't.

  • Professional dilemmas, not just clinical puzzles
  • Reading-time countdown included
2 Inside the room

Inside the room

The patient is articulate, frustrated and determined to leave. Your job is not to win — it is to assess, listen and document properly. OSCEY's simulated patient pushes back the way a real one does, so the difficult conversation stops being theoretical.

  • A patient with their own agenda
  • Consent and capacity, practised safely
3 The debrief

What the examiner saw

The debrief separates an unwise decision from impaired capacity — the exact distinction the checklist was waiting for — and flags where your explanation of risk could have been clearer. That sentence is why you practise.

  • Professionalism marked as directly as clinical skill
  • Your full transcript to review afterwards
Train for it

Built for finals season

Finals arrive between placements, nights and the AKT. OSCEY is designed for preparation that fits around a rotating student calendar.

  • Short, single-station runs for revision days; full circuits for rehearsal days
  • Ethics, consent and capacity stations — the ones that sink strong candidates
  • Debriefs written the way examiners phrase feedback
  • A clinical journey across 27 specialties to plug placement gaps — browse the library
  • Case Codex: your completed cases, filed with notes for finals week
OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes
Questions

UKMLA CPSA, asked and answered.

The six questions candidates ask most about this exam. The full FAQ covers the app itself — circuits, scoring and privacy.

Who runs the UKMLA CPSA?

Your own medical school, within standards set by the GMC as part of the UK Medical Licensing Assessment. It is not a single national sitting — dates, station counts and timing are school-specific.

Is the CPSA the same at every medical school?

No. Every school's CPSA must assess the GMC's outcomes for graduates, but formats vary. OSCEY's UKMLA circuit runs 16 stations plus 2 timed rests at 8 minutes each. Your school publishes its own format.

What does the CPSA examine?

Whether you are safe to begin Foundation Year 1: clinical skills like histories and examinations, clinical reasoning, and professionalism — consent, capacity, confidentiality and honest communication with patients and colleagues.

How is the CPSA different from the AKT?

The AKT is the applied knowledge test — written, computer-based. The CPSA is the practical, clinical component: live stations with simulated patients and examiners. Both components sit within the UKMLA framework.

Is OSCEY affiliated with the GMC or my medical school?

No. OSCEY is an independent practice tool published by veridir, not affiliated with or endorsed by the GMC, the MSC, or any medical school. Always rely on your school's official CPSA documentation.

Can OSCEY scores predict my CPSA result?

No. OSCEY provides practice estimates from individual stations — useful for directing revision, meaningless as a prediction. Only your school's examiners can mark your CPSA.

Finals year starts with one spoken station.

Download OSCEY, open one of the four free stations, and run your first UKMLA CPSA station tonight — out loud, against the clock, debriefed before you sleep.

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OSCEY simulates patients. Your microphone audio is processed by Google Gemini to run the consultation and is not retained after the station. OSCEY provides practice feedback and practice score estimates only — not an official exam result, not a prediction, and not clinical advice. Not affiliated with or endorsed by the GMC, AMC, MCC, MCNZ, the RCSI or any other examining body.