Upon reading through some of the example SJT questions and discussing with my peers, it was quickly apparent that we had different answers as our opinions and clinical judgement differed based on our clinical experiences. Therefore, I realised that for SJT to be an accurate assessment of our clinical judgement and ability, then the questions must be based on a standard or "guideline" which we must align our personal clinical judgement with not only to succeed on the test but in turn be competent FY doctors. My question is, considering the above statement, where do the SJT questions come from and where are these standard clinical guidelines that we should all be aware of in order to be competent doctors and as a result be able to answer SJT questions correctly? Surely it can't just be reliant on our experience alone as many of us have had hugely different experiences and none of us have had the experience of actually being a junior doctor. Who comes up with the questions and what is their source of judging what the correct order of the answers should be? I presume it is not down to the judgement of a group of individuals whose clinical opinion may vary dependant on individual bias and experience but based on a broader code, standard and guideline which should be freely available to those preparing for the jobs the SJT is testing for. I can only hope they are not based on some vague and ambiguous notions proposed in tomorrow's doctor's (which albeit is a great resource but provides little guidance in the way of actual clinical decision making). Can anyone please explain how precisely these questions are formulated? As currently I am not confident in the idea that ordering of answers are 100% factually accurate and 100% not opinion. Thanks.