AKT hints and tips + e-portfolio update August 2013

Eportfolio has changed. https://gpeportfolio.rcgp.org.uk New look and feel  New Learning Log categories ‘Placement Planning Meeting’ and ‘Academic Activity’ have been added as new learning log types  Learning Log Curriculum statement headings Learning Logs can now only be linked to a maximum of three curriculum statements. Requesting assessments Trainees can now generate an email to assessors to request to have the relevant evidence forms completed. The email will contain a web link to allow the recipient to navigate directly to the form entry portal.

Deanery Updates to Learning Log Requirements 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

Deanery Updates to Learning Log Requirements 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

Deanery Updates to Learning Log Requirements 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)

AKT - RCGP website has info Must do the mock pearson vue test. Must consider timing and exam technique.

AKT: exam format 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 1st August 2010 onwards

AKT:exam format No negative marking Questions performed poorly by the majority of candidates are removed from the final marks

Types of Questions 22-44 http://www.rcgp.org.uk/gp-training-and- exams/mrcgp-exam- overview/~/media/Files/GP-training-and- exams/AKT%20page/AKT%20candidate%20pr esentation%20July%202013.ashx

Vital Statistics – May 2013 Pass mark = 136/200 (68%) Mean score = 145.5 (72.7%) Overall pass rate = 71.4% ST3 first-time takers pass rate = 72% ST2 first-time takers pass rate = 81% (This ratio varies in different diets of the AKT taken at different times throughout the training year) Cumulative pass rate after three attempts for all those who take AKT is approximately 98% 10

A few questions proved difficult… (AKT May 2013) –RCGP slide Women’s health – post-coital contraception UK screening programmes UK vaccination programmes Prescribing – drug monitoring Gastroenterology – enteral feeding problems Diabetes – interpreting diagnostic test results (again) Dermatology – recognition of skin lesions Remember that, as in real life, the “do nothing” option may be correct 11

2010-2013 areas with poor answers 3.04 Care of children and young people - identifying “normal” findings is a common problem area 3.06 Women's health - contraception 3.17 Care of people with metabolic problems – diagnosis of diabetes 2.02 Patient safety and quality of care - prescribing issues

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

AKT revision plan 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 150 hours rev

Revision Passmedicine nPEP Essential Knowledge Updates 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. Others

Courses RCGP Una coales course £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

Books 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

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

Guidelines NICE SIGN/BTS 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