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[ Home ](https://mdster.com) 2. [ Family Medicine ](https://mdster.com/speciality/family-medicine) 3. MRCGP MRCGP Exam Preparation ======================== Membership of the Royal College of General Practitioners Royal College of General Practitioners UK MRCGP is the RCGP’s integrated assessment system for GP specialty training, confirming that a doctor has met the standard for independent general practice in the UK. The RCGP describes three components: the Applied Knowledge Test (AKT), the Simulated Consultation Assessment (SCA), and Workplace‑Based Assessment (WPBA). The SCA was introduced as the permanent replacement for the RCA, which had been a temporary assessment during the COVID‑19 period. Applied Knowledge Test (AKT) Simulated Consultation Assessment (SCA) Workplace‑Based Assessment (WPBA) 2,926+ Questions 2,345+ Flashcards 73+ Podcasts About the MRCGP Exam ---------------------- The Membership of the Royal College of General Practitioners (MRCGP) is the integrated assessment system required for General Practice (GP) specialty training in the UK. It ensures that a doctor has met the standard for independent general practice. The exam consists of three mandatory components: the Applied Knowledge Test (AKT), the Simulated Consultation Assessment (SCA), and continuous Workplace-Based Assessment (WPBA). ### Eligibility Candidates must be registered GP trainees enrolled in a UK General Practice specialty training programme. The AKT is typically taken in the ST2 or ST3 year, while the SCA is usually undertaken during the ST3 year. Candidates must have an active RCGP trainee portfolio to register. ### Exam Format The MRCGP has three parts. The AKT is a computer-based written exam consisting of 160 Single Best Answer (SBA) and Extended Matching Questions (EMQ). The SCA is a clinical exam involving 12 simulated remote patient consultations. The WPBA is a programmatic portfolio assessment evaluated continuously over the 3-year training period. ### Duration The AKT takes 3 hours and 10 minutes. The SCA consists of 12 cases, each lasting 12 minutes, plus 3 minutes of reading time per case, taking approximately 3 hours overall. WPBA is continuous throughout the three years of GP training. ### Passing Criteria The AKT pass mark varies per diet using the Angoff method to ensure fairness. The SCA is marked using the borderline regression method across three domains: Data Gathering, Clinical Management, and Interpersonal Skills. WPBA requires a final Annual Review of Competence Progression (ARCP) Outcome 6. ### Exam Fees Exam fees are approximately £470 for the AKT and £1,180 for the SCA, in addition to annual trainee portfolio fees. Candidates should verify current fees on the official RCGP website as they are subject to annual review. ### Exam Frequency The AKT is held three times a year (typically January, April, and October). The SCA is held much more frequently, typically with 9 diets per year, excluding the late summer. ### Registration Process Candidates must register online via their RCGP account. Booking windows for each exam diet open for a specific period, usually 6-8 weeks before the exam. Candidates must meet eligibility criteria for their training year before booking. MRCGP Key Syllabus Topics --------------------------- Core topics and subject areas covered in the MRCGP examination ### Clinical Medicine: Cardiovascular Health Diagnosis, management, and primary care guidelines (NICE/CKS) for hypertension, ischemic heart disease, heart failure, and stroke prevention. ~High yield (Part of 80% clinical core) ### Clinical Medicine: Respiratory Health Management algorithms and inhaler step-up therapies for asthma and COPD, as well as handling acute exacerbations in general practice. ~High yield (Part of 80% clinical core) ### Clinical Medicine: Endocrinology Type 1 and Type 2 diabetes management, thyroid dysfunctions, and monitoring parameters for endocrine medications. ~High yield (Part of 80% clinical core) ### Clinical Medicine: Women's Health Contraception choices (UKMEC criteria), hormone replacement therapy (HRT), maternity care, and gynecological presentations. ~High yield (Part of 80% clinical core) ### Clinical Medicine: Paediatrics Childhood developmental milestones, immunisation schedules, safeguarding protocols, and common acute childhood illnesses. ~High yield (Part of 80% clinical core) ### Evidence-Based Practice (EBP) Medical statistics, research methodology, epidemiology, and critical appraisal of medical literature. ~10% ### Primary Care Organisation and Management General practice administration, DVLA fitness to drive guidelines, fit notes (Med3), safeguarding, and regulatory frameworks (CQC). ~10% ### Clinical Medicine: Mental Health Primary care management of depression, anxiety disorders, and coordination with secondary care for severe mental illness. ~Moderate ### Clinical Medicine: Dermatology Identification and topical management of eczema, psoriasis, acne, and recognizing malignant skin lesions (e.g., melanoma). ~Moderate ### Clinical Medicine: Musculoskeletal Primary care management of osteoarthritis, back pain red flags, and initial investigation of inflammatory arthropathies. ~Moderate **10** key topics covered Start Your MRCGP Preparation Today ------------------------------------ Comprehensive study materials designed to help you pass the MRCGP with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the MRCGP --------------------------------------- A complete preparation platform with tools designed for Family Medicine professionals ### Practice Questions 2,926+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 2,345+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 73+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics MRCGP Exam Structure ---------------------- Our materials cover all parts of the MRCGP examination ### Applied Knowledge Test (AKT) The Applied Knowledge Test (AKT) is a comprehensive computer-based examination assessing the knowledge base required for independent general practice in the UK. It evaluates a candidate's problem-solving skills and competence in applying clinical medicine, understanding evidence-based practice, and navigating primary care administration. Computer-based test consisting of 160 items, primarily Single Best Answer (SBA) and Extended Matching Questions (EMQ). 160 minutes (2 hours and 40 minutes) Pass: The pass mark is criterion-referenced and varies with each sitting (typically ranging between 68% and 72%), with no negative marking applied. Key Topics Evidence-Based Practice Primary Care Organisation and Management Clinical Medicine: Cardiovascular & Respiratory Clinical Medicine: Women's Health & Paediatrics Clinical Medicine: Mental Health & Neurology Clinical Medicine: Musculoskeletal & Dermatology +1 more ### Simulated Consultation Assessment (SCA) The Simulated Consultation Assessment (SCA) is a summative clinical examination taken in the final year of GP training to evaluate readiness for independent practice. It assesses data gathering, clinical management, and interpersonal skills in real-time through remote interactions with trained professional role-players. 12 simulated consultations conducted remotely via an online assessment platform, each featuring a professional role-player. Approximately 3 hours in total (12 consultations lasting 12 minutes each, with 3 minutes of reading time between cases, plus a 10-minute break). Pass: The overall pass mark varies per sitting (historically around 75-77 out of 126 marks). Each case is scored across three domains: Data Gathering & Diagnosis, Clinical Management & Medical Complexity, and Relating to Others. Key Topics Clinical Management and Medical Complexity Data Gathering and Diagnosis Relating to Others (Interpersonal Skills) Mental Health and Psychosocial Issues Urgent and Unscheduled Care Older Adults and Frailty +1 more ### Workplace‑Based Assessment (WPBA) The Workplace-Based Assessment (WPBA) is a continuous, portfolio-based evaluation of a GP trainee's performance in real clinical settings throughout their three-year training. It assesses 13 core Professional Capabilities, evaluating clinical skills, communication, and professional behavior through daily practice encounters, colleague feedback, and patient reviews. Continuous portfolio-based assessment utilizing tools such as Case-Based Discussions (CBD), Consultation Observation Tools (COT), Multi-Source Feedback (MSF), Patient Satisfaction Questionnaires (PSQ), and Clinical Evaluation Exercises (Mini-CEX). Continuous assessment throughout the 3-year GP specialty training programme (ST1-ST3). Pass: No single numerical pass mark; successful completion requires a satisfactory Annual Review of Competence Progression (ARCP) Outcome 6 at the end of training. Key Topics Communication and Consultation Skills Practising Holistically Data Gathering and Interpretation Making a Diagnosis and Decisions Clinical Management Managing Medical Complexity +1 more How to Prepare for the MRCGP ------------------------------ A practical guide to help you plan your MRCGP preparation effectively ### Recommended Timeline 4-6 months of focused study for the AKT, and 3-6 months of continuous consultation practice for the SCA. ### Study Tips - For the AKT, base your clinical knowledge firmly on current NICE Clinical Knowledge Summaries (CKS) rather than secondary care textbooks. - Do not neglect the non-clinical sections (Admin and Statistics) of the AKT; these make up 20% of the exam and are highly predictable. - For the SCA, practice 12-minute simulated consultations with colleagues, strictly timing yourself to ensure you cover data gathering, clinical management, and interpersonal skills. - Record your real-life consultations (with patient consent) and review them with your clinical supervisor to identify communication weaknesses. - Keep your WPBA FourteenFish portfolio updated weekly; do not leave clinical encounter logs and reflections to the end of the rotation. - Memorise key algorithms, such as the UKMEC categories for contraception and DVLA fitness to drive rules. ### High-Yield Topics - NICE Clinical Knowledge Summaries (CKS) - DVLA Medical Standards of Fitness to Drive - UKMEC (UK Medical Eligibility Criteria for Contraceptive Use) - Medical Statistics and Critical Appraisal - BNF prescribing guidelines and interactions - Child and Adult Safeguarding procedures ### Common Pitfalls - Failing to manage time during the AKT, leading to unattempted questions at the end of the 160-item paper. - In the SCA, rushing the clinical management plan without negotiating it with the patient or checking their understanding. - Over-investigating or referring to secondary care too quickly in the SCA, rather than demonstrating safe, independent GP management. - Underestimating the difficulty of the Evidence-Based Practice and GP Administration sections in the AKT. - Leaving WPBA log entries, mini-CEXs, and CbDs until the weeks just before the ARCP panel. ### Recommended Resources - NICE Clinical Knowledge Summaries (CKS) - RCGP Curriculum and official RCGP exam resources - FourteenFish (for WPBA portfolio and official RCGP SCA preparation materials) - Passmedicine, Emedica, or BMJ OnExamination (for AKT question banks) - BNF and BNF for Children - Bradford VTS website (for consultation models and SCA practice) Study Pathways ---------------- Choose the pathway that matches your MRCGP preparation stage ### Family Medicine Core Pathway Core pathway for Family Medicine covering foundational exams and initial certification steps. #### What's Included 738 MCQ Questions 500 SAQ Questions 1,474 Flashcards 39 Podcasts 2,751 total study resources #### Exam Coverage MRCGP Applied Knowledge Test (AKT) [ Start Learning ](https://mdster.com/user/dashboard) ### Family Medicine Advanced Pathway Advanced pathway for Family Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 856 MCQ Questions 722 SAQ Questions 110 SOE Questions 871 Flashcards 34 Podcasts 2,593 total study resources #### Exam Coverage MRCGP Simulated Consultation Assessment (SCA) MRCGP Workplace‑Based Assessment (WPBA) [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your MRCGP study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all MRCGP features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Family Medicine Core Pathway Core pathway for Family Medicine covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Family Medicine Advanced Pathway Advanced pathway for Family Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Family Medicine Bundle (Core + Advanced) Bundle subscription for Family Medicine: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest MRCGP Updates ---------------------- Recent changes and developments for the MRCGP examination October 2025 ### AKT Format Reduction The Applied Knowledge Test moved from a 200-item format to a 160-item format, whilst maintaining the same rigorous curriculum coverage and standard. Candidates should verify the latest exam blueprint with the Royal College of General Practitioners. November 2023 ### Introduction of the SCA The Simulated Consultation Assessment (SCA) was implemented as the permanent replacement for the RCA, involving 12 simulated remote consultations. Candidates should consult the RCGP for the exact case format. Ongoing ### WPBA Framework Enhancements Continuous updates to the FourteenFish e-portfolio requirements, including specific capabilities and mandatory evidence requirements. Candidates should review their local Deanery and ARCP guidelines. Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official Royal College of General Practitioners website. Related Family Medicine Exams ------------------------------- Other examinations in Family Medicine you may be interested in [ ### ABFM American Board of Family Medicine USA ](https://mdster.com/speciality/family-medicine/abfm) [ ### ABHS Arab Board of Health Specializations Middle East / North Africa ](https://mdster.com/speciality/family-medicine/abhs-family-medicine) [ ### AOBFP American Osteopathic Board of Family Physicians USA ](https://mdster.com/speciality/family-medicine/aobfp) [ ### CFPC College of Family Physicians of Canada Canada ](https://mdster.com/speciality/family-medicine/cfpc-family-medicine) [ ### FACRRM Fellowship of the Australian College of Rural and Remote Medicine Australia ](https://mdster.com/speciality/family-medicine/facrrm) [ ### FCFP(SA) Fellowship of the College of Family Physicians of South Africa South Africa ](https://mdster.com/speciality/family-medicine/fcfp-sa) Frequently Asked Questions ---------------------------- Everything you need to know about MRCGP preparation What is the difference between the AKT and the SCA in the MRCGP? The AKT (Applied Knowledge Test) is a written, computer-based exam that tests the knowledge base required for general practice. The SCA (Simulated Consultation Assessment) is a clinical exam that assesses your ability to integrate that knowledge into patient consultations, focusing on communication, data gathering, and clinical management. When is the best time to sit the MRCGP AKT? Most GP trainees choose to sit the AKT during their ST2 year. This allows enough time to retake the exam if necessary, and gets the heavy knowledge-based preparation out of the way before focusing on the SCA in ST3. How many attempts are allowed for the MRCGP exams? Candidates are generally allowed a maximum of four attempts for both the AKT and the SCA. However, taking a fourth attempt is often subject to educational supervisor approval and potential extension of training time by the local Deanery. What is the format of the new MRCGP SCA? The Simulated Consultation Assessment (SCA) consists of 12 remote simulated consultations, each lasting 12 minutes. Candidates consult with professional role-players via an online platform, usually undertaken at a local GP surgery or approved test center. How long does it take to prepare for the MRCGP AKT? Most successful candidates recommend 4 to 6 months of structured study. Preparation usually involves completing thousands of practice questions from standard question banks alongside reading NICE CKS guidelines. What is the pass rate for the MRCGP exams? Historically, the pass rate for the AKT hovers around 65% to 75% per diet, while the clinical assessment pass rates are generally similar but can vary. Pass marks fluctuate each diet based on standard-setting methodologies. Is the WPBA a formal exam? No, the Workplace-Based Assessment (WPBA) is not a single sit-down exam. It is a continuous, programmatic assessment over the three years of GP training, requiring trainees to log clinical cases, reflections, and supervisor assessments into the FourteenFish e-portfolio. How much does the MRCGP cost? The combined exam fees for the AKT and SCA typically exceed £1,600. When factoring in the annual trainee portfolio fees and potential preparation courses, the total cost is significant. Candidates should verify precise, current fees on the RCGP website. Do I need to pass the AKT before sitting the SCA? While it is not strictly mandatory in all Deaneries to have passed the AKT before attempting the SCA, it is highly recommended. The clinical knowledge required for the AKT forms the foundation for safe clinical management in the SCA. How is the MRCGP AKT scored? The AKT is scored electronically with no negative marking. The pass mark is determined for each specific diet using the Angoff method, ensuring that variations in paper difficulty do not unfairly penalize candidates. Specialty reading hub Related Family Medicine Articles ---------------------------------- Reinforce your MRCGP preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Family Medicine articles ](https://mdster.com/blog?speciality=family-medicine) [ ![Anxiety, Depression, and Breathlessness in Severe COPD/Asthma Overlap](https://mdster.com/storage/blog/images/anxiety-depression-and-breathlessness-in-severe-copdasthma-overlap.jpg) Medical Education / 6 min read ### Anxiety, Depression, and Breathlessness in Severe COPD/Asthma Overlap A focused Family Medicine review of anxiety, depression, and dyspnea in severe COPD/asthma overlap, with safer prescribing, breathing retraining, and board-style pitfalls. Apr 06, 2026 Read article ](https://mdster.com/blog/anxiety-depression-and-breathlessness-in-severe-copdasthma-overlap) [ ![American Board of Family Medicine (Family Medicine Certification Longitudinal Assessment): Study Tips for Busy Physicians](https://mdster.com/storage/blog/images/american-board-of-family-medicine-family-medicine-certification-longitudinal-assessment-st.jpg) Study Tips / 6 min read ### American Board of Family Medicine (Family Medicine Certification Longitudinal Assessment): Study Tips for Busy Physicians Preparing for the ABFM FMCLA is less about marathon cramming and more about a smart quarterly system. Use these practical study tips to stay ahead, learn from feedback, and protect your certification progress. 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Mar 30, 2026 Read article ](https://mdster.com/blog/stimulant-use-disorder-supportive-management-in-family-medicine) Ready to Pass the MRCGP? -------------------------- Join medical professionals who are preparing for the Membership of the Royal College of General Practitioners with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ ](/) Master your medical exams with evidence-based learning. 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