About the Online Assessment


The payment of £75 is for one attempt at passing the Online Assessment. Each attempt at the Online Assessment consists of five possible case studies of which you must pass three.

Each case study consists of:

  • Patient History
  • Patient Medication Record
  • Five-minute video of an MUR consultation, with a written transcript (in English)
  • Seven multiple choice questions

The pass mark for the multiple choice questions is six out of seven.

You can try out the demo case study at any time by choosing 'Demo case study' from the main menu.

How long does a case study take? / How is time spent?

The case study takes 50 minutes in total.

Time available:

  1. Prep time: 20 minutes to read the Patient History and the Patient Medication Record.
    • After 20 minutes the video and assessment tabs becomes live and the video will play (unless your web browser blocks auto-play, in which case you need to click the play button manually).
  2. Test time: 30 minutes to view the video and answer the seven multiple choice questions.
    • You can return to watch all or part of the video again when you want to. Use the rewind, forward and pause controls to help you.
    • If you want to go back to review the Patient History and the Patient Medication Record you can do so at any time.
    • To successfully pass each case study, you must get at least six out of seven answers correct. Take time to review your answers. 30 minutes is plenty of time so don't rush. Use your BNF. There is time, as there is in a real Medicines Use Review, to look things up so make sure you have it available.

A reminder message will come up when you have five minutes remaining: you must acknowledge this message. Submit your answers when you are ready. When the timer gets to zero the answers will be submitted automatically. You'll then be told if the case study was passed or failed, and you will receive an email to the same effect.

Important considerations:

  • Make sure you have enough time before you begin – a case study cannot be paused, and failing to conclude the case study for any reason will result in a fail for that case study.
  • Do not close the browser window or click the X in the top right of the case study. This will close the case study and result in a fail.
  • Do not refresh your screen.

Performance considerations

While the Skills for MURs website may work on tablets and smartphones, we recommend to perform the case studies on a proper desktop computer with a reliable Internet connection. In particular we have document-sized PDF files which will be hard to read on small screens.

The first time you start a case study the system will run some checks to see if there are any issues that might affect your ability to use our system, such as being on an outdated web browser or a slow Internet connection.

If the video freezes or you experience a technical error while entering the answers to the multiple choice questions you must close the case study by closing the Online Assessment window. Then email help@skillsformurs.co.uk to send us a notification. Please include the name of the case study. This will enable us to check the error and reset the case study so it is not included on your profile.


From your main 'Assessment' page you can track your current progress through the assessment.

You need to pass three out of a possible five case studies in order to pass the Online Assessment. All three case studies must be completed within one attempt. They do not carry over to a second or third attempt.

Once you have passed three case studies you are not required to do any more of the five available.

You will be sent an email with a temporary certificate to show that you have passed the Skills for MURs accreditation.

Once you have successfully passed the Online Assessment you will be awarded a Practice Certificate from the Medway School of Pharmacy and the Universities of Kent and Greenwich. This will be sent to the address with which you initially registered. If your address has changed you must change your Skills for MURs profile AND email help@skillsformurs.co.uk.

The certificate allows you to conduct Medicines Use Reviews and the Prescription Intervention Service, specified as an Advanced Service in the 2013 community pharmacy contract for England. The Practice Certificate in Medicine Use Review is worth five academic credits at Master's level. These credits can be used towards achieving a Postgraduate Certificate, Diploma or MSc in Medicines Optimisation as part of the Medway Short Course Pathway. For more information on this and on other postgraduate study at the Medway School of Pharmacy please visit the Medway School of Pharmacy Postgraduate website.


If you do not pass three out of the five Case Studies available you will have failed the Online Assessment.

All three case studies must be completed within one attempt. They do not carry over to a second or third attempt at the Online Assessment.

If you fail more than 31 case studies out of five then you will be sent an email to say that unfortunately you have failed the Online Assessment.

Go to My Account in order to pay again and have another attempt.

You are allowed three overall attempts at the Online Assessment. Each attempt costs £75.

A student who has failed the Online Assessment on three occasions will not be permitted to register for the assessment again.

Tips on the case studies

Make sure you watch the video carefully as well as reading the PMR and patient history. The patients in these scenarios are based on real people, so when choosing your answers to the MCQs, these need to be 'real life' answers too. If you are faced with a patient who needs to lose weight, there is no point in choosing the text book answer of 'start on a very low-fat diet immediately', this simply isn't going to happen. In real life you would perhaps think about ways in which the patient might start to make their diet healthier by reducing their fat intake over a period of time, or cutting back on certain high fat foods. Look for 'real life' solutions when considering these cases studies and remember the practical patient issues. Someone who is driving around all day is unlikely to find the regular use of suppositories convenient.

These case studies include an element of clinical opinion, which is bound to vary between pharmacists. In some cases your preferred answer to a particular question may not be an option. One of the four options is the best fit answer.