1. AKT hints and tips + e-portfolio update
August 2013

2. 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 to assessors to request to have the relevant evidence forms completed. The will contain a web link to allow the recipient to navigate directly to the form entry portal.

3. 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

4. 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

5. 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)

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

7. 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

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

9. Types of Questions
22-44
exams/mrcgp-exam- overview/~/media/Files/GP-training-and- exams/AKT%20page/AKT%20candidate%20pr esentation%20July% ashx

10. Vital Statistics – May 2013 Pass mark = 136/200 (68%)
Mean score = (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

11. 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

12. 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

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

14. 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

15. 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

16. 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

17. 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

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

19. 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