Comprehensive Overview of Training Requirements and Examination Details in Medical Practice
Trainee medical practitioners are required to have a minimum number of clinical encounters, professional conversations, tutorials, reading materials, and audit projects during their training. Additionally, they need to pass a rigorous 3-hour exam at Pearson Vue test centers to progress in their career with specific pass marks and success rates. The training emphasizes on diagnosing and managing acutely unwell patients, common injuries, acute abdominal pain, and identifying patients needing urgent specialist attention.
- Medical Training
- Examination Requirements
- Clinical Practice
- Pearson Vue Exam
- Acute Patient Management
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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 Clinical encounters: Professional conversations: Tutorials:
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 Reading: Lecture/Seminars: Out of hours work:
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) Audit: Significant Event Analysis:
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 1stAugust 2010 onwards
No negative marking Questions performed poorly by the majority of candidates are removed from the final marks
Pass mark = 136/200 (68.0%) 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) Overall pass rate = 74.9% Cumulative pass rate for all those in ST3 after 3 attempts is approximately 94% Cumulative pass rate for all those in ST3 after 3 attempts is approximately 94%
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
GP Curriculum BNF GMC RCGP Cochrane NICE SIGN BMJ Review articles & original papers BJGP GP Curriculum BNF GMC Good Medical Practice RCGP Essential Knowledge Updates
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
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.
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
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
CKS: www.cks GPnotebook: www.gpnotebook Dermnet (pictures from here were in the exam I think): www.dermnet.com/ cks.nhs.uk/ gpnotebook.co.uk/
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
