How I passed the MRCGP Applied Knowledge Test (AKT) | Study guide, resource review & more!

The Applied Knowledge Test (AKT) is a crucial step in the journey of a General Practitioner (GP) trainee in the UK. Preparing effectively requires understanding the exam structure, using the right study materials, and implementing strong revision strategies. Below, I share my experience, the resources I found most useful, and key exam day tips.

Understanding the AKT

The AKT is a computer-based exam designed to assess clinical knowledge, administrative understanding, and statistical interpretation relevant to general practice. It consists of approximately 200 questions, divided as follows:

• 80 clinical knowledge questions
• 20 administration and management questions
• 20 statistics questions

The exam is offered three times a year, and it is advisable to book early to secure a preferred test location.

My Study Plan

I prepared over five months, gradually increasing intensity.

• First month: Focused on multiple-choice questions (MCQs) to identify weak areas and familiarize myself with exam-style questions.
• Subsequent months: Established a structured routine, completing 20-30 questions daily before work and revising in the evening.
• Targeted study: Focused on challenging topics like pediatrics and endocrinology to strengthen weaker areas.

Essential Study Resources

1. RCGP Self-Assessment Question Bank – Highly relevant, with well-explained answers. The number of questions is limited, but the quality is excellent.
2. NICE Clinical Knowledge Summaries (CKS) – Essential for understanding guidelines, as many exam questions are based on them. Summarizing key points improved my retention.
3. Examiner Reports – Helped identify commonly tested topics and areas where previous candidates struggled, such as ophthalmology.
4. BMJ On Examination Resource – Provided a large volume of questions and tracked my progress. Some explanations were outdated, but overall a useful tool.
5. Mock Exams – The official 50-question RCGP mock exam was invaluable for time management and familiarizing myself with the format.
6. 14 Fish E-Portfolio – Although a paid resource, it offered useful videos and insights, particularly for administration and statistics.

Exam Day Tips

• Arrive early (15-30 minutes before your scheduled time).
• Bring two forms of identification as required.
• Use the flagging feature for uncertain questions and return to them later.
• Manage your time well to ensure you complete all sections.
• Stay calm and approach each question methodically.

Conclusion

Preparing for the AKT can be challenging, but with a structured study plan and the right resources, success is achievable. Focus on quality over quantity, ensuring deep understanding rather than spreading yourself too thin.

Best of luck with your studies! If you have any questions, feel free to reach out.