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AKT – Going For Gold

AKT – Going For Gold. It’s only an exam. The AKT is a licensing exam You have 200 questions to prove to me (RCGP) that you have the breadth and depth of knowledge required to be a safe UK GP That means enough to treat me and my family.... Take it seriously

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AKT – Going For Gold

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  1. AKT – Going For Gold

  2. It’s only an exam... • The AKT is a licensing exam • You have 200 questions to prove to me (RCGP) that you have the breadth and depth of knowledge required to be a safe UK GP • That means enough to treat me and my family.... • Take it seriously • Requires more knowledge than medical finals • How much cramming did you do for finals? • The next sitting is only 86 days away....

  3. AKT – The Exam The AKT is designed to test the application of knowledge and interpretation of information Three hour, 200 item multiple-choice test 80% clinical management 10% critical appraisal of EBM 10% administration & management • Do read the information on the RCGP website, including the presentations • Do look at the information on the VTS website • Do form study groups

  4. Three sittings each year You are restricted to 4 sittings Are you ready to enter? – Use website scores as a guide Pass rate is about 75% ST2 75% of first-time takers ST3 75% of first-time takers 94% have passed by 3rd attempt in ST3. AKT – The Basics

  5. Pre-2009 Very few sitting in ST2 2010-11 Disappointing ST2 pass-rate (40%) 2011-12 Much better ST2 pass-rate (75%) 2012-13 We wait and see…. How Do Our ST2s Perform?

  6. How Do Our ST2s Perform? Those who failed: Low scores across all 3 areas Clinical Management best “predictor” (80% of marks) No-one passed who failed CM Suggestion: Low CM scores (<60%) on test-papers then you are not ready

  7. Topics for Today • Exam Technique • General Preparation Tips • Tips for Administration & Management • Tips for EBM & statistics • Tips for Clinical Management - Organising learning sets

  8. Exam Technique Demonstration module - how the Pearson-VUE system works Use the cover test: - cover the answers. If your 1st thought is on the list, likely it is correct Mark answer spot carefully Time management is vital - watch the countdown clock on the computer - average of 54 seconds per question Skip difficult questions rather than waste time - electronically highlight the ones you have left out - use electronic review to return to unanswered questions 2nd time - do not leave any questions unanswered – make an educated guess Check for silly mistakes if you still have time

  9. General Preparation • Learning is always best cemented on experience Check the guidelines and reference material forpatients that you see day by day • You must create time for “book-work” • 3 month run-in • You should aim to do revision work most days • You can take up to 3-5 days of private study leave • Websites, guidelines, study groups – more later

  10. Administration & Management • MRCGP is an licensing exam work in UK • Questions are based on working in UK • Detailed legal questions are unusual • AKT: 10% of total = 20 marks • Target score 70% = 14 marks • Score 20% reduces overall mark by about 5% • Score 60% reduces overall score by about 1% • See “Suggested topics & web resources” • Work through these and you should score 70%

  11. EBM & Statistics • Old MRCGP exam had one written question plus MCQs on stats & data interpretation • AKT: 10% of total = 20 marks • Target score 70% = 14 marks • Score 20% reduces overall mark by about 5% • Score 60% reduces overall score by about 1% • Score 50% on stats & management? • Loses you about 5% • Means you now need 75% in clinical management

  12. EBM & Statistics The questions focus on definitions and interpreting results/ graphs • Mock question websites will drum a lot into you • “Basic statistics” guide on the VTS website - section on definitions & terms - learn the “screening test grid” by heart

  13. Clinical Medicine • 80% of the questions • SBA, EMQ, complete an algorithm, pictures • Question writers are all GPs • Material from NICE & SIGN guidelines, BNF, RCGP educational material (InnovAIT, EKU) • Look at the Curriculum Map • Consider using this as a checklist

  14. Clinical Medicine Examiners give feedback after each AKT sitting I have collated the feedback on the website by clinical area There is an attempt to spread the exam questions evenly across the clinical areas of the GP Curriculum Questions should cover: - disease factors - symptoms - investigation - management

  15. Clinical Medicine Common, low impact Sore throat, otitis media, impetigo Rare, high impact Child abuse, meningitis phaeochromocytoma Topical MRSA, T2DM management

  16. Preparation Resources

  17. How to Prepare a Topic If I was revising “Neurology”, then I would: • Read the Neurology curriculum statement • Check the summary on the curriculum map • Read any examiner’s feedback • For each topic/ line on the curriculum map: • Revise knowledge • Read any NICE guidelines • Read up patient.co.uk • Focus on the obviously important (e.g. Respiratory – Occupational lung disease vs. Asthma) • Take any knowledge tests on EKU/ InnovAIT • Run through questions on onexamination & passmedicine

  18. Learning Sets Small groups (6-8 best), trainee-led Meet weekly for about 2 hours GP post – after Wed pm teaching Now - AKT preparation Later - CSA preparation.

  19. AKT Learning Sets Decide how many meetings between now & the exam For each learning-set week: - Timetable a core curriculum topic - Allocate a lead trainee Ahead of their allocated meeting, the lead trainee prepares that curriculum topic (see my suggestion) At the meeting, the lead trainee presents to the group an annotated curriculum map showing key guidelines, useful reading, useful online modules During the next few days, everyone else then works through this material and runs self-test questions Feedback by all at the start of the next meeting

  20. Any Questions?

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