MRCGP AKT Exam – High Yield Topics from the January 2012 Exam

MRCGP AKT Exam – High Yield Topics from the January 2012 Exam

Dr Mahibur Rahman

After each MRCGP AKT examination, the examiners release a report highlighting key information from the last exam. This includes pass marks and rates, and also key topics – both those that were answered well, and those that GP trainees performed poorly on. These topics are frequently examined again in the next few sittings of the AKT exam, so it is worth ensuring that you have a good understanding of them.

With the April 2012 MRCGP AKT Exam coming up, we thought it would be helpful to look at the high yield topics from the latest examiner’s report.

Key facts from the January 2012 MRCGP AKT exam:

The top score was 94.5%
The mean score was 73.1%
The lowest score was 42%
The pass mark was 68%
The pass rate was 74.9%

Scores by domain:

Clinical medicine – 74.6%
Evidence interpretation – 69.2%
Organisational – 65.4%

High Yield Topics

The examiners report from the January 2012 diet of the MRCGP AKT exam highlighted the following key topics:

• Hypertension management
• Drug dosage calculations
• Drug management of neurological conditions (e.g. Alzheimer’s)
• Dementia assessment
• Erectile dysfunction
• Childhood development
• Neonatal problems
• Contraception – including LARCs and side effects
• Certification – fit notes, insurance reports
• DVLA guidelines
• Vaccinations

The MRCGP AKT is a comprehensive examinations, so it is important that you cover the entire curriculum. Remember that 80% of the marks are related to applying knowledge relating to clinical medicine in general practice, 10% to evidence interpretation and 10% to the organisational domain.

Emedica Alumni can get a £20 discount off the Emedica MRCGP AKT course by entering this code when booking: alumnimrcgp

Further reading:
Complete January 2012 MRCGP AKT examiners report

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MRCGP AKT Exam – High Yield Topics from the January 2011 Exam

MRCGP AKT Exam – High Yield Topics from the January 2011 Exam

Dr Mahibur Rahman

After each MRCGP AKT examination, the examiners release a report highlighting key information from the last exam. This includes pass marks and rates, and also key topics – both those that were answered well, and those that GP trainees performed poorly on. These topics are frequently examined again in the next few sittings of the AKT exam, so it is worth ensuring that you have a good understanding of them.

Key facts from the January 2011 exam:

The top score was 93.5%
The mean score was 72.7%
The lowest score was 42.5%
The pass mark was 68%.
The pass rate was 74.9%.

Scores by domain:

Clinical medicine – 73.9%
Evidence interpretation – 72.1%
Organisational – 64.0%

High Yield Topics

The examiners report from the January 2011 diet of the MRCGP AKT exam highlighted the following key topics:

• Common eye problems, especially those needing urgent referral or admission
• Normal findings in childhood – including development
• Childhood immunisation schedules
• Contraception
• Drugs that require monitoring
• Prescribing in pregnancy – infectious diseases
• Common injuries
• Acute abdominal pain – including in children
• Good Medical Practice
• Patient – practice interface – e.g. handling complaints

The MRCGP AKT is a comprehensive examinations, so it is important that you cover the entire curriculum. Remember that 80% of the marks are related to applying knowledge relating to clinical medicine in general practice, 10% to evidence interpretation and 10% to the organisational domain.

Emedica Alumni can get a £20 discount off the Emedica MRCGP AKT course by entering this code when booking: alumniakt2011

Further reading:
Complete January 2011 MRCGP AKT examiners report

Changes to the MRCGP CSA Exam

The RCGP has announced important changes to the number of cases and marking of the MRCGP CSA. From the September 2011 sitting of the exam, all 13 cases will count compared to the previous 12 cases + 1 pilot case. The way that the overall marks for the exam and the way a Pass or Fail for the overall exam is decided will also change.

In previous sittings, examiners marked each candidate in 3 domains, and then awarded one final grade based on their overall impression of the performance for that case. The grades were – Clear Pass, Marginal Pass, Marginal Fail, and Clear Fail. Only the grade for the overall impression for each case counted towards your exam result. To get an overall pass in the CSA, candidates needed to get a pass in 8 or more out of the 12 assessed cases.

From September, the examiners will not give a separate grade based on the overall performance. Instead, the grades given for the 3 domains (Data gathering, Interpersonal Skills and Clinical Management) will be converted to a numerical value, with the total score for each case being the total score from each domain.

The pass mark will no longer be fixed, but will instead be set each day using the borderline group method, which has previously been used to set the pass standard for the PLAB OSCE examinations.

The Emedica CSA Preparation Course includes teaching on the new mark scheme. Each course only takes 6 GP registrars, allowing each candidate to have 4 mock CSA practice cases. There is detailed 1 to 1 feedback after each case using the new marking criteria. Our mock CSA cases are done in a realistic setting with professional simulated patients and timed in the same way as the real exam.

Further reading:
RCGP information on the changes to the CSA.