BPS Assessment is pleased to announce that the Prescribing Safety Assessment is now available to international candidates.
Prescribing is a fundamental role of doctors all over the world. It is a complex task, requiring both knowledge and careful judgement. As both modern medicine and patients’ needs become more complex, so do the prescribing decisions facing healthcare professionals.
The Prescribing Safety Assessment (PSA), developed over 10 years ago, was created as the first single, national, online assessment of prescribing competency in the UK. Led and part-funded by the British Pharmacological Society and the Medical Schools Council, it became mandatory for year one foundation doctors to pass in the UK from 2016 onwards. Since then, the PSA has been commended for its impact on patient safety, receiving the education and training award for excellence in patient care from the Royal College of Physicians in 2020.
We are therefore pleased to announce that the Prescribing Safety Assessment – a UK-recognised professional qualification – is now available to purchase for international medical schools and their students.
About the Prescribing Safety Assessment
The Prescribing Safety Assessment (PSA) allows candidates to demonstrate their competencies in relation to the safe and effective use of medicines in clinical practice. It is a mandatory certification, which all UK foundation doctors must pass in order to progress in their training. It is delivered by the British Pharmacological Society in partnership with the Medical Schools Council through its assessment arm, MSC Assessment and is predominantly taken in the final year of medical school.
The PSA is a summative assessment that includes eight question item styles developed to test the competencies defined by the General Medical Council (GMC).

UK standard
The format and standard of questions in the International PSA will be equivalent to those used in the UK PSA. The exam will feature a summative assessment paper developed by UK experts involved in producing the UK PSA, using a robust standard-setting process.
Students who pass the exam from international schools will receive a certificate endorsed by the BPS and MSC Assessment, identical to the certificate issued in the UK and will receive the same acknowledgement from the UK foundation programme.
International access
The UK is a world leader in prescribing education and was the first country to establish a national prescribing assessment, which is now widely recognised as a marker of basic competence to prescribe and supervise the use of medicines in modern healthcare. International medical schools now have the opportunity to offer the same level of competency assessment through the adoption of the PSA.
The PSA has seen positive responses from around the world as a powerful way of enhancing patient safety. Candidates who have prepared for and sat the PSA also consistently report greater confidence in prescribing medicines. It is anticipated that the International PSA will contribute towards achieving the World Health Organisation’s global patient safety action plan.
We are pleased to be able to respond to the persistent call from international medical students who are looking for an opportunity to sit and pass this summative exam by expanding access to the PSA to international medical schools. Candidates seeking to practise in the UK will benefit from demonstrating equivalent competency in prescribing in comparison to their UK qualified colleagues.
Find out more
If you would like to offer this professional qualification to your students, please register your interest. We will contact you with further information and explain how the exam can be purchased and implemented at your organisation. You can also read the FAQs on the International PSA page.
We look forward to hearing from you.