Overview of the MRCGP Exams

Overview of the MRCGP Exams

Starting the journey to become a General Practitioner (GP) in the UK is both a challenging and rewarding endeavour. As a GP trainee doctor, you are likely familiar with the rigours of the GP Training Programme. This programme is meticulously designed to equip you with the knowledge, skills, attitudes, and behaviours necessary to manage the complexities of modern primary care services in the UK. Central to this training are the MRCGP examinations, comprising three key components: the Applied Knowledge Test (AKT), the Simulated Consultation Assessment (SCA), and Workplace-Based Assessment (WPBA). Let’s delve briefly into each component, focusing on how to approach and excel in these assessments, particularly the SCA.

The AKT

The AKT is a cornerstone of the MRCGP. This computer-based exam is designed to evaluate the depth and breadth of your knowledge in independent general practice within the context of the NHS. The AKT is offered four times a year at Pearson VUE test centres across the UK, and you have 3 hours and 10 minutes to answer 200 questions. Here’s a breakdown of the exam content:

  • Clinical Knowledge (80%): Covers a wide array of topics pertinent to general practice.
  • Evidence-Based Practice (10%): Focuses on evidence interpretation and critical appraisal skills necessary for research data analysis.
  • Primary Care Organisation and Management (10%): Encompasses administrative, ethical, regulatory, and statutory frameworks relevant to UK general practice.

The AKT emphasises higher-order problem-solving rather than mere recall of facts, making it crucial to understand the GP Curriculum thoroughly. Remember, you can attempt the AKT during or after the ST2 stage of your training, with a maximum of four attempts allowed.

New kid on the block: The SCA Exam

The SCA is a new and pivotal part of the MRCGP, replacing the Recorded Consultation Assessment (RCA). Conducted remotely in your local GP surgery, the SCA assesses your clinical skills through twelve simulated consultations, each lasting twelve minutes. This exam is held during the ST3 training year and is spread across nine months of the year, providing a flexible schedule for candidates.

In the SCA Exam, you will engage with simulated patients in scenarios designed to mirror real-life consultations. This assessment tests your ability to apply clinical knowledge, communicate effectively, and manage patient interactions within the confines of a typical consultation timeframe.

Here are some tips to excel in the SCA:

  1. Practice Simulated Consultations: Regularly engage in mock consultations to hone your skills in diagnosis, management, and patient communication.
  2. Seek Feedback: Constructive feedback from peers and mentors is invaluable. Use it to identify areas for improvement and refine your approach.
  3. Stay Updated: Keep abreast of the latest guidelines and best practices in primary care to ensure your knowledge is current and comprehensive.
  4. Develop a Structured Approach: Cultivate a methodical approach to consultations, ensuring you cover all necessary aspects within the limited time.

Excelling in WPBA:  Fourteen Fish

The WPBA is integral to evaluating your progress in real-world practice. In essence, engage with your fourteen fish portfolio on a continual weekly basis and refer to the RCGP   Mandatory evidence sheet – Required WPBA numbers for each year of training (link bottom of page).

This WBPA continuous assessment covers:

  • Performance in Daily Practice: Provides evidence for learning and reflection based on actual experiences.
  • Patient Safety and Professional Development: Drives learning in key areas of capability, focusing on patient safety.
  • Constructive Feedback: Identifies strengths and developmental needs, offering targeted support for areas requiring improvement.
  • Professional Behaviour Assessment: Evaluates behaviours not easily assessed in the AKT and SCA.
  • Fitness to Progress: Determines your readiness to advance towards the completion of your training.

WPBA includes specific assessments, mandatory requirements like Child Safeguarding and Basic Life Support, and documentation of naturally occurring evidence. It is crucial to engage actively in WPBA activities, as it provides a comprehensive picture of your capabilities and readiness for independent practice.

Final Thoughts

As you navigate through the MRCGP exams, remember that each component is designed to ensure you are well-prepared for the demands of independent general practice. Engage with your portfolio early on and plan a time frame in which you intend to undertake the AKT and SCA exam assessment. Keep your chin up and see you at the finish line.

Reference & Useful links:

https://www.rcgp.org.uk/mrcgp-exams

Also, note these important contact details for the RCGP Assessments

 

Dr Sakaria Farah

PassCME SCA Tutor

 

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