AKT hints and tips e-portfolio update Feb 2012 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
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AKT hints and tips + e-portfolio update Feb 2012<br>
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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<br>
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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<br>
04
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) Deanery Updates to Learning Log Requirements<br>
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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<br>
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No negative marking
Questions performed poorly by the majority of candidates are removed from the final marks AKT:exam format<br>
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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%<br>
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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<br>
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Common Reference Material GP Curriculum
BNF
GMC Good Medical Practice
RCGP Essential Knowledge Updates
Cochrane
NICE
SIGN
BMJ Review articles & original papers
BJGP<br>
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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 AKT revision plan<br>
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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. Revision<br>
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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 Courses<br>
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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 Books<br>
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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/<br>
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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 Guidelines<br>
