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General Practice Vocational Training Scheme

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General Practice Vocational Training Scheme
The MRCGP -an update
Dr Rod MacRorie
GP, Cape Hill Medical Centre, Smethwick
Foundation 2 GP Supervisor
Training Programme Director, Sandwell VTS
Developing people
for health and healthcare
MRCGP
• MRCGP is an integrated assessment system, success in which
confirms that a doctor has satisfactorily completed specialty
training for general practice, and is competent to enter
independent practice in the United Kingdom without further
supervision.
• Satisfactory completion of the MRCGP is a pre-requisite for
the issue of a certificate of completion of training (CCT) and
full Membership of the RCGP.
• MRCGP complies with General Medical Council (GMC)
standards on validity, reliability, feasibility, cost effectiveness,
opportunities for feedback and impact on learning.
• It also follows best practice in assessment, quality assurance
and standard-setting.
Developing people
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MRCGP components
•
MRCGP comprises three separate components:
1. an Applied Knowledge Test (AKT)
2. a Clinical Skills Assessment (CSA)
3. Workplace Based Assessment (WPBA).
•
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Each tests different competences using validated
assessment methods
Together cover the spectrum of knowledge, skills,
behaviours and attitudes defined by the GP
Specialty Training curriculum.
Developing people
for health and healthcare
Applied Knowledge Test
• The AKT:
– Is a summative assessment of the knowledge base
that underpins independent UK general practice.
– Tests the application of this knowledge
– Tests the critical interpretation of information
– Is mapped to the 2012 Curriculum
• Each question is intended to explore a topic of
which an ordinary GP in the UK could be
expected to have a working knowledge.
Developing people
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Applied Knowledge Test
• A 3-hour, 200-item multiple-choice test
– No multiple true/false questions
– No negative marking
• Delivered on a computer terminal at an
invigilated test centre
• Offered three times a year:
Jan/Feb, April/May, Oct/Nov.
Developing people
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Applied Knowledge Test
Pass mark = 139/199 (70%)
Overall pass rate = 71.6%
ST3 first time takers pass rate = 79.4%
ST2 first time takers pass rate = 79.3%
(This ratio varies in different diets of the AKT taken at
different times throughout the training year)
Cumulative pass rate for all those who take AKT is
approximately 98% after the maximum number
of attempts.
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Some areas that were not answered well
(AKT October 2012)
• Child health - normal range of developmental
milestones, immunisation schedules
• Antenatal screening programmes
• Controlled drug regulations
• Osteoporosis – diagnosis
• Diabetes – interpreting diagnostic test results
• Dermatology – safe prescribing
Developing people
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Common Reference Material
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BNF
GMC Good Medical Practice
RCGP Essential Knowledge Updates
NICE guidelines, SIGN guidelines
BMJ Review articles & original papers
BJGP
Cochrane
GP Curriculum 2012, Content guide for the AKT
Developing people
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Clinical Skills Assessment
• a summative assessment of a doctor’s ability
to integrate and apply clinical, professional,
communication and practical skills appropriate
for general practice.
• simulating a typical NHS surgery clinic
• assesses a range of scenarios from general
practice relevant to most parts of the
curriculum which can also target particular
aspects of clinical care and expertise.
Developing people
for health and healthcare
Workplace Based Assessment
• WPBA evaluates the trainee’s progress in areas of professional
practice best tested in the workplace.
• provides an opportunity for gathering evidence and reflecting
on performance
• evaluates aspects of professional behaviour that are difficult
to assess in traditional examinations
• provides constructive feedback on areas of strength and
developmental needs, identifying trainees who may be in
difficulty
• drives learning in important areas of competence
• determines fitness to progress to the next stage of training
• WPBA assessments take place throughout GP Specialty
Training.
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VTS sessions
• Thursday afternoons 2-5pm
• 4 weeks free Easter, August, Christmas
• 3 x 8 week terms large group (45, ST1-3),
Sandwell MEC
• Others ‘cluster groups’ (3 x 15, ST1-3), various
locations
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VTS sessions
• Trainee led with GP and specialist input
• Presentations, case studies, quizzes, role play,
demonstrations, interviews, debates, elearning, visits, audits, discussions, etc, etc.
• Curriculum driven
• Please come and join in!
Developing people
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