The MRCGP is now the license to practice as a General Practitioner in the United Kingdom.
There are three parts to the MRCGP. Two are assessed externally – the Applied Knowledge Test (AKT) and the Clinical Skills assessment (CSA). The third is WorkPlace Based Assessment (WPBA) which is carried out throughout your training with ongoing assessments in your eportfolio.
Many trainees sit the AKT in their final hospital year and we expect most trainees to sit the CSA in January of their final practice year. In the unlikely event that trainees don’t pass the CSA in January, there is then plenty of time before the next sitting to work with your trainer and maximise your chance of passing by the end of training. The local faculty of the RCGP normally run a CSA course for trainees each November.
You will be pleased to know that the majority of the trainees in the West pass with no difficulty. The trainers are now very skilled and the onus is on you to engage with the education and clinical experience provided.
If you are unsuccessful in your final practice year, the ARCP panel will decide on any further training. If you fail the AKT then further training would be in a hospital post. Those who fail the CSA or WPBA would normally be placed in a new practice. The additional remedial training period is normally 6 months. Any trainee who continues to have difficulty would be reviewed at a further ARCP panel. Each case is dealt with on an individual basis.
Trainees who have Dyslexia are able to apply to the RCGP for extended sitting time in the AKT and extra reading preparation time for cases in CSA.
Evidence from a specialist needs to be submitted to the Examination Department at RCGP well in advance of planned sitting dates. This evidence needs to be less than 10 years old.
Trainees who fail the AKT twice should consider getting tested for Dyslexia. This can be arranged (at the trainees own expense) via Dyslexia Scotland. Unfortunately no Deanery funding is available for this.
The RCGP curriculum sets out what’s required to practise as an independent General Practitioner in the UK NHS. It defines the knowledge, skills and qualities expected of GPs and describes useful learning and teaching activities. The curriculum forms the foundation for GP training and assessment across the UK, and is relevant to GPs throughout their career, including preparation for revalidation.
The GP curriculum defines the knowledge, skills and qualities required throughout a GP’s career, from trainee to experienced practitioner. It’s the basis of our MRCGP membership exam, and underpins our CPD resources for experienced GPs.
An electronic version of the RCGP curriculum is available on the RCGP website.