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AKT hints and tips + e-portfolio update

AKT hints and tips + e-portfolio update. Feb 2012. Deanery Updates to Learning Log Requirements. Came into effect from 2011 Clinical encounters: At least 3 per month Professional conversations:

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AKT hints and tips + e-portfolio update

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  1. AKT hints and tips + e-portfolio update Feb 2012

  2. Deanery Updates to Learning Log Requirements Came into effect from 2011 • Clinical encounters: • At least 3 per month • Professional conversations: • No minimum but should include all meetings with supervisors, and any complaints or feedback • Tutorials: • No minimum, but document all tutorials

  3. Deanery Updates to Learning Log Requirements • 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

  4. Deanery Updates to Learning Log Requirements • 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)

  5. AKT: exam format •  3 hour exam at Pearson Vue test centre • 200 questions • Single best answer; extended matching questions; table/algorithm; picture/video; data interpretation; free text. • 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

  6. AKT:exam format • No negative marking • Questions performed poorly by the majority of candidates are removed from the final marks

  7. Vital Statistics – January 2011 Pass mark = 136/200 (68.0%) Overall pass rate = 74.9% ST3 first time takers pass rate = 81.0% ST2 first time takers pass rate = 79.2% (This ratio varies in different diets of the AKT taken at different times throughout the training year) Cumulative pass rate for all those in ST3 after 3 attempts is approximately 94%

  8. A few questions proved difficult…(AKT January 2011) –RCGP slide Diagnosis and management of acutely unwell patients – common injuries, acute abdominal pain Eye problems – identifying patients who require urgent specialist assessment Personal and professional responsibilities – patient/practice interface, GMC guidance, certification Remember that, as in real life, the “do nothing” option may be correct

  9. Common Reference Material GP Curriculum BNF GMC Good Medical Practice RCGP Essential Knowledge Updates Cochrane NICE SIGN BMJ Review articles & original papers BJGP

  10. AKT revision plan • 2-3 months • Best done in GP job • No regular oncall • Link in with cases seen directly • Link GP tutorials with revision • 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

  11. Revision • Passmedicine • Best feedback from previous trainees • Over 2500 qs, do it twice (£20 4 months) • nPEP • 100 qs, similar to exam (but easier) • Register via RCGP Scotland website • Essential Knowledge Updates • Do the challenges (25 qs each, I think!) • Similar format to the exam • Others: Pasttest; Onexamination; AKT revision.com; sample paper/Innovait sample questions RCGP website.

  12. Courses • RCGP • £50 (refundable) • Held in Engineers house • Stats part and mock exam useful • Una coales course • £240 (so pricey!) • Tips on current questions and hot topics (some qs turned up in the exam) • Mock exam is good

  13. Books • Question books: • NMRCGP Practice Papers: Applied Knowledge Test by Rob Daniels (pasttest) • some dodgy answers • NMRCGP Applied Knowledge Test Study Guide: Sample Questions andExplanatory Answers by Aalia Khan (Masterpass) • Good explanation but a bit easy • Dr Una Coales's MRCGP AKT Hot Topics by Una Coales • Oxford handbook of General Practice • Medical Statistics Made Easy by Michael Harris

  14. Online resources • CKS: www.cks.nhs.uk/ • GPnotebook: www.gpnotebook.co.uk/ • Dermnet (pictures from here were in the exam I think): www.dermnet.com/

  15. Guidelines • NICE • Last 12 to 18 months (anything published in the last 3 months prior to exam unlikely to turn up according to RCGP course) • SIGN/BTS • Resus council guidelines: anaphylaxis, choking, BLS

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