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UCAT-ANZ · one sitting per test cycle

UCAT-ANZSituational Judgement

Otago sets a minimum SJT percentile, and Auckland counts SJT in its UCAT-ANZ total for 2027 entry. It is reported as its own 300-900 scaled score, separate from the /2700 cognitive total.

26 min
Section time
69
Questions
300-900
Separate scaled score
Separate
Not in the /2700
01 · What it tests

What UCAT-ANZ Situational Judgement actually tests

SJT is the only UCAT-ANZ section outside the cognitive total. The Consortium says it assesses integrity, perspective taking, team involvement, resilience and adaptability, and you need no medical or procedural knowledge. You’re shown scenarios involving doctors, students, colleagues and patients, with 69 questions in all and up to six on each scenario. You rate the appropriateness or importance of proposed responses, or pick the most and least appropriate of three actions. Your answers are aggregated into a single scaled score between 300 and 900. That score is reported separately and is not added to the /2700 cognitive total. UCAT-ANZ does not band this subtest - Bands 1-4 are the UCAT UK convention.

The framing matters because Auckland and Otago use Situational Judgement differently. Otago applies it as a threshold to clear; Auckland folds it into the 15% UCAT-ANZ component of its ranking. Neither publishes a band, because there are none. Older guidance about Bands 1 to 4 comes from the UK test and does not apply here.

Read the Medical Council of New Zealand’s Good Medical Practice code once (it’s free online) and practise consistently in the weeks before your sitting. The 4 pillars of medical ethics - autonomy, beneficence, non-maleficence and justice - are a useful way of thinking through a scenario, but they are not the marking scheme.

02 · Scoring

How UCAT-ANZ Situational Judgement is scored

Your SJT result is a scaled score, reported separately from the /2700 cognitive total. Knowing how your target schools use it helps you target what “safe” means for your application.

300-900

Situational Judgement is reported as its own scaled score between 300 and 900 - the same range as each cognitive subtest. UCAT-ANZ does not use bands; Bands 1-4 are the UCAT UK convention and do not apply here.

Reported separately

The cognitive total is the sum of Verbal Reasoning, Decision Making and Quantitative Reasoning only. Your SJT score is never added to it.

69 questions

Scenarios involve doctors, students, colleagues and patients, with up to six questions on each. You rate the appropriateness or importance of proposed responses, or pick the most and least appropriate of three actions.

Otago vs Auckland

Otago applies Situational Judgement as a threshold to clear - for 2027 entry, at or above the 10th percentile - after which it carries no further weight in academic ranking. Auckland includes it within the 15% UCAT-ANZ component of its selection ranking.

How schools use the score: there are no bands in UCAT-ANZ, and neither New Zealand school publishes a band threshold. Otago applies Situational Judgement as a threshold to clear (at or above the 10th percentile for 2027 entry); Auckland adds it to the three cognitive subtests in the 15% UCAT-ANZ component. Always check the current admissions criteria for each school - thresholds and weightings update yearly.
03 · Ethics

The 4 pillars of medical ethics

The 4 pillars are a useful way of thinking through a scenario, but they are not the marking scheme: the Consortium’s SJT material that we read does not mention them.

Autonomy

A patient's right to make their own decisions about their care, even if those decisions go against medical advice. Includes consent, refusal of treatment, and Gillick / mature-minor competence in younger patients.

Example: A Jehovah's Witness refuses a life-saving blood transfusion. Autonomy says: respect their decision (with appropriate documentation and ethics consultation).

Beneficence

The duty to act in the patient's best interest - to do good. Often in tension with autonomy.

Example: Recommending a treatment with substantial benefit but real risk. Beneficence says: explain clearly, recommend, and respect the autonomous decision that follows.

Non-maleficence

The duty to do no harm - first, do no harm. Includes avoiding unnecessary treatment, escalating safety concerns, and reporting unsafe practice.

Example: Witnessing a colleague making a clinical error. Non-maleficence requires you to act - patient safety overrides professional courtesy.

Justice

Fair distribution of healthcare resources; treating like cases alike; avoiding discrimination.

Example: Allocating an organ transplant. Justice requires the decision be based on clinical need, not patient characteristics like wealth or social status.

04 · Good Medical Practice

Good Medical Practice (MCNZ) - the highlights

Read the full Medical Council of New Zealand code at mcnz.org.nz - it’s free. Below: principles that fit common SJT themes.

Patient safety always trumps hierarchy

If you see something unsafe, report it - to a senior colleague, to your supervisor, to the medical director if necessary. Hierarchy is no defence for inaction.

Honesty and integrity are non-negotiable

Be open with patients, colleagues and regulators. Cover-ups, even minor ones, are unprofessional. Acknowledge mistakes promptly - the open-disclosure standard expects it.

Respect for colleagues, but not at the expense of safety

Treat colleagues with respect - but if patient safety is at risk, raise concerns through correct channels rather than ignoring them out of professional courtesy.

Continuing competence is your responsibility

Doctors are responsible for their own professional development. Acknowledging your limits and seeking help is professional, not weak.

Confidentiality has limits

You must protect patient information - except when disclosure is legally required (suspected abuse, public-health risk, mandatory reporting, court order) or is in the patient's vital interest.

Probity covers personal conduct

Doctors' professional reputation extends to behaviour outside work - social media, financial conduct, criminal matters. Misconduct outside work can affect your registration with the Medical Council of New Zealand.

05 · Strategy

Top 6 strategies for the UCAT-ANZ SJT

01

Read the Good Medical Practice code once

The Medical Council of New Zealand's Good Medical Practice code is free online. Read it once, then go back to it whenever a practice answer surprises you.

02

Choose the proportionate step, never silence

If a patient may come to harm, act promptly and involve someone who can help. For a first, minor concern, start with the person involved or the local team. Doing nothing while a patient is at risk is a poor answer.

03

Distinguish patient and personal concerns

Patient-safety concerns must be reported. Personal-conduct concerns (e.g. a colleague's rudeness) should be addressed first informally and only escalated if they impact patient care.

04

Rate each option on its own

The Official Guide says to compare each option with the situation, not with the other options. Several options in one scenario can share the same rating, and all of them can be very appropriate.

05

Practise little and often, at test speed

Use the official SJT question banks, note the theme of every question you miss, and time short sets. 69 questions in 26 minutes is about 23 seconds a question, including reading.

06

On most and least questions, choose both

You get three actions and choose the most and the least appropriate. All three may be good actions, because the question asks you to prioritise them, so choose both before you move on.

06 · Scenarios

Interactive scenarios - rate each action

SJT-style scenarios, invented for practice. Rate each proposed action on a 4-point scale, judging each one on its own.

Scenario 1Patient safety
ScenarioYou are a 4th-year medical student on a ward placement. You see a junior doctor about to administer a clearly incorrect dose of medication to a patient (twice the prescribed amount). The junior doesn’t notice the error.

1Ask a nurse nearby to raise the dose with the doctor.

2Quietly take the doctor aside and explain the discrepancy you noticed.

3Wait until after the round to mention it.

4Report the doctor straight to the Director of Medical Services.

Scenario 2Honesty / boundaries
ScenarioA friend at university asks you to look at their grandmother’s rash and give an opinion. They send you a photo. You’re a 3rd-year medical student.

1Tell your friend you cannot give medical advice and recommend they see a GP.

2Look at the photo and offer your best guess of what it might be.

3Suggest they call Healthline (0800 611 116) if it looks serious to your friend.

4Forward the photo to a GP friend for their opinion.

Scenario 3Teamwork / personal conduct
ScenarioA peer in your tutorial group consistently arrives unprepared, contributes little, and the rest of the group is starting to resent it. The peer’s behaviour doesn’t affect any patient - only group dynamics.

1Speak to your peer privately about how their behaviour affects the group.

2Report the peer to the tutor without speaking to them first.

3Discuss the peer's behaviour with other group members behind their back.

4Say nothing to anyone and hope the peer improves on their own.

07 · MCQ

MCQ-style examples

Most appropriate / least appropriate single-best-answer examples.

Example 1Most appropriate

A patient asks you, a medical student, what their procedure result was. You know the result is positive but the consultant has not yet finalised the report. What is the most appropriate action?

(C) is honest, helpful, and stays within scope. (A) breaches your role - students don’t deliver clinical results. (B) is dishonest. (D) is dismissive. Doctors are expected to be honest and to work within the limits of their competence.
Example 2Least appropriate

You overhear a colleague making racially insensitive comments about a patient in the staff room. Which response is LEAST appropriate?

(C) is the least appropriate - silence enables ongoing misconduct and undermines patient dignity. Speak up when you see discrimination, and report it when appropriate. (A), (B), and (D) are all reasonable steps; the question asks for the worst of the four.
Pocket UCAT

Liked the scenarios? Our UCAT app is coming to iPhone.

Five-minute rounds across all four sections, launching in March 2027. Sign up for early access and a free trial.

08 · Self-assessment

Are you SJT-ready?

0 / 10 complete
0%
Pitfalls

Common UCAT-ANZ SJT mistakes

✕Skipping the Good Medical Practice code (published by the Medical Council of New Zealand)
✕Answering with common sense instead of code alignment
✕Hiding mistakes instead of escalating or open-disclosing
✕Treating personal conduct as a safety issue
✕Treating safety concerns as personal conduct
✕Comparing options in rating questions instead of rating each on its own
✕Spending too long on one scenario
✕Neglecting SJT because it's the last section
✕Failing to address issues directly with the person involved
✕Ignoring or hiding from confidentiality conflicts
✕Escalating too far, too fast over a first, minor issue
✕Answering quickly without reading the full scenario
09 · FAQ

Frequently asked questions

SJT is reported separately from the /2700 cognitive total, as its own scaled score between 300 and 900. UCAT-ANZ does not use bands - that is the UCAT UK convention. Otago applies the score as a threshold to clear; Auckland folds it into the 15% UCAT-ANZ component of its ranking.

Recommended resources

Keep going

Want a tutor for the UCAT-ANZ SJT?

Scenario-based SJT practice using the Good Medical Practice code.