1. Feb 2012

2. Came into effect from 2011  Clinical encounters:  At least 3 per month  Professional conversations:  No minimum but should include all meetings with supervisors, and any complaints or feedback  Tutorials:  No minimum, but document all tutorials

3. RReading: NNo minimum, enter learning points likely to change your practice LLecture/Seminars: AAll day release sessions attended plus one presentation/case study every 6 months OOut of hours work: AAll out of hours sessions documented with supervision document attached

4.  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)

5.  3 hour exam at Pearson Vue test centre  200 questions ◦ Single best answer; extended matching questions; table/algorithm; picture/video; data interpretation; free text.  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 1 st August 2010 onwards

6.  No negative marking  Questions performed poorly by the majority of candidates are removed from the final marks

7. Vital Statistics – January 2011 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%

8. A few questions proved difficult… (AKT January 2011) –RCGP slide  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

9. Common Reference Material  GP Curriculum  BNF  GMC Good Medical Practice  RCGP Essential Knowledge Updates  Cochrane  NICE  SIGN  BMJ Review articles & original papers  BJGP

10.  2-3 months  Best done in GP job ◦ No regular oncall ◦ Link in with cases seen directly ◦ Link GP tutorials with revision  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

11.  Passmedicine ◦ Best feedback from previous trainees ◦ Over 2500 qs, do it twice (£20 4 months)  nPEP ◦ 100 qs, similar to exam (but easier) ◦ Register via RCGP Scotland website  Essential Knowledge Updates ◦ Do the challenges (25 qs each, I think!) ◦ Similar format to the exam  Others: Pasttest; Onexamination; AKT revision.com; sample paper/Innovait sample questions RCGP website.

12.  RCGP ◦ £50 (refundable) ◦ Held in Engineers house ◦ Stats part and mock exam useful  Una coales course ◦ £240 (so pricey!) ◦ Tips on current questions and hot topics (some qs turned up in the exam) ◦ Mock exam is good

13.  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  Dr Una Coales's MRCGP AKT Hot Topics by Una Coales  Oxford handbook of General Practice  Medical Statistics Made Easy by Michael Harris

14.  CKS: www.cks.nhs.uk/  GPnotebook: www.gpnotebook.co.uk/www.gpnotebook.co.uk/  Dermnet (pictures from here were in the exam I think): www.dermnet.com/

15.  NICE ◦ Last 12 to 18 months (anything published in the last 3 months prior to exam unlikely to turn up according to RCGP course)  SIGN/BTS  Resus council guidelines: anaphylaxis, choking, BLS