1. ST1 Induction Day
The MAC
Thursday

2. Talk to your neighbour for a couple of minutes…
If you were suddenly to develop an illness that caused you to have regular contact with your GP, what sort of hurdles would you want to know that your GP had jumped, so that you could feel confidence in his / her ability to look after you competently and in an up-to-date manner?

3. Exams in training years
AKT – often done end of ST2 or early ST3
CSA – usually done in ST3
AKT – taken at Pearson Vue centre
CSA – taken at RCGP

4. Context of exams
Miller’s Pyramid

5. AKT – applied knowledge test
The Applied Knowledge Test is a summative assessment of the knowledge base that underpins independent general practice in the United Kingdom within the context of the National Health Service.
Trainees who pass this assessment will have demonstrated their competence in applying knowledge at a level which is sufficiently high for independent practice.

6. What is the AKT?
The test takes the form of a three hour computer-based test consisting of 200 question items.
It is delivered three times a year at 150 Pearson VUE professional testing centres across the UK.
Approximately 80% of question items will be on clinical medicine, 10% on critical appraisal and evidence based clinical practice and 10% on health informatics and administrative issues.
All questions address important issues relating to UK general practice and focus mainly on higher order problem solving rather than just the simple recall of basic facts.

7. When can you take the AKT?
Taken in ST2 or 3.
A maximum number of four attempts will be permitted for those who have entered GP Specialty Training on or after 1 August 2010.

8. Resources Online question bank (e.g. Pass medicine)
AKT courses e.g. emedica
AKT question books
Guidelines
BNF
Statistics books

9. Our record Here in S Bham we have some v high achievers on the record
E.g. we gained the top marks (>90%) in AKT at sessions over the last couple of years
No pressure!

10. CSA – Clinical Skills Assessment
The CSA is a summative assessment of a doctor’s ability to integrate and apply clinical, professional, communication and practical skills appropriate for general practice.
Simulating a typical NHS surgery clinic the CSA assesses a range of scenarios from general practice relevant to most parts of the curriculum which can also target particular aspects of clinical care and expertise.

11. RCGP – 30 Euston Square

12. CSA – type of OSCE Taken during ST3 Morning or afternoon exam
13 x 10mins consultations, with a break between 7 & 8
Role player and examiner enter room, candidate stays in room
May be a telephone triage or home visit scenario

13. CSA - marking Marked by 13 different examiners
Marked in 3 domains of equal weighting:
Data gathering
Clinical management
Interpersonal skills
Feedback given, and breakdown of marks for scenarios

14. Resources for CSA Books of case scenarios CSA cards
Joint surgeries / video analysis w trainer
Courses
Feedback from COTs
Practice with people who have recently passed!

15. Any questions?