If your Prescribing Safety Assessment (PSA) is only two weeks away, you're probably wondering whether there's still enough time to prepare effectively. The short answer is yes.
Many students begin focused PSA revision in the final fortnight before the exam. The key is not trying to memorise every drug in the British National Formulary (BNF), but instead developing the skills needed to prescribe safely, navigate resources efficiently and avoid common errors under pressure.
This guide outlines a practical 14-day PSA revision plan designed to help you prioritise your efforts and maximise your chances of success.
One of the biggest misconceptions about the PSA is that it is primarily a pharmacology examination. In reality, the PSA assesses your ability to:
Prescribe safely
Use clinical resources effectively
Interpret prescribing information
Identify prescribing risks
Make appropriate clinical decisions
Apply safe prescribing principles under time pressure
Students often perform better when they focus less on memorisation and more on clinical decision-making and resource utilisation.
Common reasons for poor performance include:
Inefficient BNF navigation
Medication calculation errors
Poor time management
Missing drug interactions
Overlooking allergies
Failing to adjust for renal impairment
Relying on memory rather than checking resources
Fortunately, every one of these areas can be improved during the final two weeks before the assessment.
Before tackling practice questions, ensure you understand:
PSA question domains
Assessment format
Available resources
Time restrictions
Marking principles
Understanding how the examination works can immediately improve your confidence and efficiency.
The BNF is arguably the most important tool available during the PSA. Practise locating:
Drug doses
Contraindications
Drug interactions
Monitoring requirements
Adverse effects
Renal dosing advice
The faster you can find information, the more time you have available to answer questions accurately.
Drug calculations are often viewed as intimidating, but they provide excellent opportunities to gain marks. Focus on:
Weight-based dosing
Maintenance fluids
Infusion rates
Percentage strengths
Unit conversions
Repeat questions until calculations become routine.
The PSA is fundamentally about safe prescribing. Pay particular attention to:
Allergies
Drug interactions
Renal impairment
Hepatic impairment
High-risk medicines
A simple question to ask yourself is:
"Could this prescription potentially harm the patient?"
This mindset often helps identify the safest option.
Begin completing questions under realistic exam conditions. Focus on:
Reading carefully
Using the BNF efficiently
Making decisions confidently
Managing time effectively
Perfection is not the objective. Confidence and consistency are.
During the final two days:
Review mistakes
Revisit difficult topics
Consolidate key concepts
Focus on confidence building
Avoid trying to learn large amounts of new material.
Knowing where to find information quickly is often more valuable than memorising drug facts.
Small calculation mistakes can cost easy marks.
Frequently encountered and commonly associated with prescribing safety issues.
Be familiar with indications, interactions and allergy considerations.
A high-risk area requiring safe prescribing practices.
Ignoring documented allergies
Prescribing inappropriate doses
Forgetting renal adjustments
Missing drug interactions
Choosing the wrong formulation
Spending too long on individual questions
Trusting memory instead of checking the BNF
Passing the PSA does not require encyclopaedic pharmacology knowledge. Instead, success is built on efficient BNF use, safe prescribing principles, effective time management and regular question practice. With a focused revision strategy, significant progress can be made in just fourteen days. Remember, the PSA is designed to assess safe prescribing behaviour, not perfect recall.
Yes. Two weeks can be sufficient if you focus on high-yield topics such as BNF navigation, prescribing safety, calculations and question practice.
A combination of practice questions, effective BNF use and reviewing common prescribing errors is often the most efficient strategy.
Not necessarily. The PSA assesses your ability to use prescribing resources safely and effectively. Knowing how to locate information quickly is often more important.
BNF navigation, calculations, anticoagulants, antibiotics, insulin and prescribing safety principles are all high-yield areas.
Whether your PSA is in two weeks or two months, targeted support can significantly improve confidence and performance.
✅ PSA exam strategy
✅ BNF navigation skills
✅ Drug calculations
✅ Prescribing safety questions
✅ Timed practice and feedback
'Preparing for the PSA can feel overwhelming, but you're not alone. Throughout my career as a pharmacist and educator, I've worked with many capable students who simply needed a little extra confidence and guidance.
My aim with Pharmascholar is to provide clear, practical and supportive resources that help make prescribing feel more manageable. Focus on progress, not perfection, and remember that every question you practise brings you one step closer to becoming a safe and confident prescriber.
Wishing you every success in your studies and future career.'
Dr Mike Davies.
Founder, Pharmascholar.