Transcript ST2 GP introsession AKT 2013

August 2013
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New look and feel
New Learning Log categories
‘Placement Planning Meeting’ and ‘Academic
Activity’ have been added as new learning log
types
Learning Log Curriculum statement headings
Learning Logs can now only be linked to a
maximum of three curriculum statements.
Requesting assessments
Trainees can now generate an email to
assessors to request to have the relevant
evidence forms completed. The email will
Came into effect from 2011
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Clinical encounters:
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At least 3 per month
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Professional conversations:
No minimum but should include all meetings
with supervisors, and any complaints or
feedback
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Tutorials:
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No minimum, but document all tutorials
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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
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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)
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Must do the mock pearson vue test.
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Must consider timing and exam technique.
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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.
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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
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No negative marking
Questions performed poorly by the majority
of candidates are removed from the final
marks
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22-44
http://www.rcgp.org.uk/gp-training-andexams/mrcgp-examoverview/~/media/Files/GP-training-andexams/AKT%20page/AKT%20candidate%20pr
esentation%20July%202013.ashx
Pass mark = 136/200 (68%)
Mean score = 145.5 (72.7%)
Overall pass rate = 71.4%
ST3 first-time takers pass rate = 72%
ST2 first-time takers pass rate = 81%
(This ratio varies in different diets of the AKT taken at
different times throughout the training year)
Cumulative pass rate after three attempts for
all those who take AKT is approximately 98%
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Women’s health – post-coital contraception
UK screening programmes
UK vaccination programmes
Prescribing – drug monitoring
Gastroenterology – enteral feeding problems
Diabetes – interpreting diagnostic test results
(again)
Dermatology – recognition of skin lesions
Remember that, as in real life, the “do nothing”
option may be correct
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3.04 Care of children and young people identifying
“normal” findings is a common problem area
3.06 Women's health - contraception
3.17 Care of people with metabolic problems
– diagnosis of
diabetes
2.02 Patient safety and quality of care prescribing issues
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GP Curriculum
BNF
GMC Good Medical Practice
RCGP Essential Knowledge Updates
Cochrane
NICE
SIGN
BMJ Review articles & original
papers
BJGP
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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
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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
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Passmedicine
◦ Best feedback from previous trainees
◦ Over 2500 qs, do it twice (£20 4 months)
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nPEP
◦ 100 qs, similar to exam (but easier)
◦ Register via RCGP Scotland website
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Essential Knowledge Updates
◦ Do the challenges (25 qs each, I think!)
◦ Similar format to the exam
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Others: Pasttest; Onexamination; AKT
revision.com; sample paper/Innovait sample
questions RCGP website.
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RCGP
◦ £50 (refundable)
◦ Held in Engineers house
◦ Stats part and mock exam useful
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Una coales course
◦ £240 (so pricey!)
◦ Tips on current questions and hot topics (some qs
turned up in the exam)
◦ Mock exam is good
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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
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Dr Una Coales's MRCGP AKT Hot Topics by Una
Coales
Oxford handbook of General Practice
Medical Statistics Made Easy by Michael Harris
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CKS: www.cks.nhs.uk/
GPnotebook: www.gpnotebook.co.uk/
Dermnet (pictures from here were in the
exam I think): www.dermnet.com/
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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)
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SIGN/BTS
Resus council guidelines: anaphylaxis,
choking, BLS