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The MRCGP

The MRCGP is an assessment system which confirms whether or not a doctor has successfully completed General Practice training to a satisfactory standard for independent practice in the United Kingdom. Doctors cannot earn their CCT in General Practice, nor become full Members of the RCGP without doing so.


Structure of the MRCGP

The MRCGP comprises three separate examinations, namely the

Each of the above examinations assess different competences by using validated assessment methods covering the entire oeuvre of knowledge, behaviours, and aptitudes as per the GP Speciality Training Programme’s curriculum. The MRCGP also meets the best practice guidelines as set out by the GMC with regards to standards and quality assurance.

The Applied Knowledge Test

The AKT broadly assesses the knowledge that underpins independent General Practice in the UK. In order to pass, doctors should demonstrate competent application of their clinical skills.

The candidate will take the AKT as a computer-based three-hour and ten-minute examination, comprising 200 questions, and delivered thrice yearly at 150 Pearson VUE centres. 10% of the questions will be on critical appraisal and evidence-based clinical practice, and an additional 10% on health informatics and administration. The remaining 80%, therefore, will examine clinical medical knowledge – often requiring high-order problem solving.

AKT Dates

SittingBooking PeriodTest DateResults
October 201811-14 September 201831 October 201823 November 2018
January 201920-23 November 201830 January 201922 February 2019
April/May 20195-8 March 20191 May 201924 May 2019

The Clinical Skills Assessment

The CSA is a broad assessment of a doctor’s ability to consolidate communication and practical skills with a professional clinical approach. The CSA simulates a typical NHS clinic, and then uses this setting to test a wide range of skills drawn from the curriculum.

The overall aim of the Clinical Skills Assessment is to establish the level of a doctor’s aptitude, with specific focus on how well they glean information and then apply their understanding of disease and care in an appropriate way. They should male evidence-based decisions and show competence when communicating with patients and fellow NHS staff.

The CSA uses the OSCE format to simulate consultations, with patients played by actors, and cases written by practising GPs. Each candidate will have 13 stations to complete, and 10 minutes in each station.

The Consultations

The CSA consultations test competences mapped to the General Practice curriculum, and test each of the following specific areas:

Use of Minors

Children have been used in the CSA since it was first implemented. Candidates are therefore highly likely to encounter a paediatric case in their examination. Children working in the CSA will also be accompanied by a parent, who will be the primary contact for the candidate. Even if a paediatric case is included, which has been the case since November 2013, a child may not actually be present in the examination room.

CSA Dates

SittingWebsite ApplicationsExam DatesResults
October 201829-31 August 20184-6, 13, 26-27 October 20187 November 2018
December 201823-26 October 201830 November - 6 December, 8 December 201814 December 2018
January/February 201911-14 December 201825-31 January, 1-9 February19 February 2019
March 201922-25 January 20199-23 March 20193 April 2019
April 201926 February - 1 March 20198-13 April 201926 April 2019
May 20192-5 April 201913-25 May 201931 May 2019

The Workplace-Based Assessment

The Workplace-Based Assessment evaluates the candidate’s progress with regards to professional practice, and the markers of this that are best-tested in the workplace. The WPBA also takes place multiple times throughout GP Speciality Training. Additionally, the Workplace-Based Assessment

WPBA Format and Candidate Review

Throughout GP training, candidates will record their competence achievements in their Trainee ePortfolio. These evidences will relate to 13 separate areas, and are used as the basis for biannual reviews, as well as the final judgement on whether or not a candidate is prepared to begin practising independently. At each review, candidates should provide evidence that is evenly spread across the competences. Different tools make up the WPBA, and are as follows:

More information on the individual tools is available here.

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