The SFP changed fundamentally in 2025, and most advice still circulating online describes a process that no longer exists. If you have read about deciles, the Situational Judgement Test, or applying to two Specialised Units of Application, that was the old system.
In England there are now two routes. One third of posts are filled by selection run by your own medical school: it sets its own criteria, format and timeline, everything concludes in November, and this is the route where preparation matters. The remaining two thirds are allocated through the ordinary Foundation Programme application using Preference Informed Allocation, a computer generated rank that your publications, prizes and presentations cannot influence. Scotland and Northern Ireland run local selection after allocation, and in Wales SFPs are allocated by PIA inside the main programme.
Which route you are on determines whether preparation is worth your time at all. Our free guide walks through both, what has gone from the old system, and what to do this week.