Feb 2012
Came into effect from 2011
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Clinical encounters:
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At least 3 per month
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Professional conversations:
No minimum but should include all meetings
with supervisors, and any complaints or
feedback
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Tutorials:
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No minimum, but document all tutorials
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Reading:
No minimum, enter learning points likely to
change your practice
Lecture/Seminars:
All day release sessions attended plus one
presentation/case study every 6 months
Out of hours work:
All out of hours sessions documented with
supervision document attached
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Audit:
At least one audit or project involving critical
review and change in practice during training
Significant Event Analysis:
At least 3 per 6 month job (2 per 4 month
job)
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3 hour exam at Pearson Vue test centre
200 questions
◦ Single best answer; extended matching questions;
table/algorithm; picture/video; data interpretation;
free text.
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80% clinical, 10% critical appraisal/evidence
based medicine, 10% admin/ethical/legal
Offered Oct/Nov, Jan/Feb, and April/May
Maximum of 4 attempts for trainees starting
from 1st August 2010 onwards
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No negative marking
Questions performed poorly by the majority
of candidates are removed from the final
marks
Pass mark = 136/200 (68.0%)
Overall pass rate = 74.9%
ST3 first time takers pass rate = 81.0%
ST2 first time takers pass rate = 79.2%
(This ratio varies in different diets of the AKT taken at
different times throughout the training year)
Cumulative pass rate for all those in ST3 after 3 attempts
is approximately 94%
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Diagnosis and management of acutely unwell
patients – common injuries, acute abdominal
pain
Eye problems – identifying patients who
require urgent specialist assessment
Personal and professional responsibilities –
patient/practice interface, GMC guidance,
certification
Remember that, as in real life, the “do nothing”
option may be correct
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GP Curriculum
BNF
GMC Good Medical Practice
RCGP Essential Knowledge Updates
Cochrane
NICE
SIGN
BMJ Review articles & original
papers
BJGP
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2-3 months
Best done in GP job
◦ No regular oncall
◦ Link in with cases seen directly
◦ Link GP tutorials with revision
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Before starting revision familiarise yourself
with the presentations and information on the
RCGP website, and detailed feedback
Before exam familiarise with demonstration
tutorial on Pearson Vue website
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Passmedicine
◦ Best feedback from previous trainees
◦ Over 2500 qs, do it twice (£20 4 months)
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nPEP
◦ 100 qs, similar to exam (but easier)
◦ Register via RCGP Scotland website
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Essential Knowledge Updates
◦ Do the challenges (25 qs each, I think!)
◦ Similar format to the exam
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Others: Pasttest; Onexamination; AKT
revision.com; sample paper/Innovait sample
questions RCGP website.
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RCGP
◦ £50 (refundable)
◦ Held in Engineers house
◦ Stats part and mock exam useful
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Una coales course
◦ £240 (so pricey!)
◦ Tips on current questions and hot topics (some qs
turned up in the exam)
◦ Mock exam is good
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Question books:
◦ NMRCGP Practice Papers: Applied Knowledge Test by
Rob Daniels (pasttest)
 some dodgy answers
◦ NMRCGP Applied Knowledge Test Study Guide: Sample
Questions and
Explanatory Answers by Aalia Khan (Masterpass)
 Good explanation but a bit easy
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Dr Una Coales's MRCGP AKT Hot Topics by Una
Coales
Oxford handbook of General Practice
Medical Statistics Made Easy by Michael Harris
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CKS: www.cks.nhs.uk/
GPnotebook: www.gpnotebook.co.uk/
Dermnet (pictures from here were in the
exam I think): www.dermnet.com/
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NICE
◦ Last 12 to 18 months (anything published in the
last 3 months prior to exam unlikely to turn up
according to RCGP course)
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SIGN/BTS
Resus council guidelines: anaphylaxis,
choking, BLS