After an AKT fail: a focused revision reset
Short answer. Start with your official RCGP feedback report, not a new question bank. It tells you whether you were weak on knowledge, statistics, pacing or a specific domain, and that should decide what you do differently, not how many more questions you grind through.
Last checked 15 Oct 2026. By The Medexia Team, who make AKT Navigator (see the box below). We have a stake in this market.
Read your feedback report first
RCGP sends a feedback report after every sitting, with your score and a breakdown by domain. Medexia's own page on reading these reports is akt-feedback-reports, which also links to Medexia's free July 2026 AKT feedback check: five untimed questions built around the themes RCGP's July 2026 report flagged (cranial-nerve presentations, children's joint disorders, skin-rash diagnosis, and respiratory diagnosis/management), with a full explanation after each answer. No signup or card needed; it is a short practice check, not a score predictor. Before choosing any resource, work out which of these applies to you:
- Knowledge gaps in specific domains: you consistently scored low in one or two clinical areas.
- Statistics or evidence-based practice: the numerical/EBM section pulled your mark down even though clinical scores were fine.
- Pacing: you ran out of time or rushed the final third of the paper.
- Fatigue or exam technique: marks dropped off through the paper, or you second-guessed confident first answers.
Public posts from candidates who narrowly failed describe exactly this kind of mixed picture: some report missing the pass mark by only a few marks, one of them after scoring 6 out of 16 in a single area (admin) (example thread, checked 15 Oct 2026).
How a resit plan differs from first-attempt revision
A resit plan should be shorter and more targeted than a first attempt, because you already know the exam format and roughly where you lost marks:
- Re-sit timed mocks early, not just at the end, so you can see whether pacing has actually improved.
- Triage by domain, spending disproportionate time on your two or three weakest areas rather than re-covering everything equally.
- Review errors, not just scores: understanding why a distractor felt attractive matters more than the percentage correct.
- Get trainer or deanery input on study leave and whether a structured course suits your specific gap, especially if statistics or organisational topics (10% of the paper each) were the issue.
Should I wait for the next sitting or resit at the earliest opportunity?
This is a personal and programme decision. Trainees in the threads we read made different choices depending on how close they came to passing and what else was scheduled (e.g. the SCA) (example thread, checked 15 Oct 2026). Check your own deanery's rules on permitted attempts and timing with your training programme director; RCGP's own eligibility and retake rules are at medexia-akt.com/akt-results-and-retakes and the official AKT introduction page (both checked 15 Oct 2026).
Is an appeal worth it after a narrow miss?
RCGP has a formal review/appeals process for exam results, but it is for identifiable procedural issues, not for disagreeing with your mark (RCGP appeals policy and procedure and MRCGP regulations on appeals, checked 15 Oct 2026). Treat an appeal and a resit plan as separate tracks. Do not delay starting a focused resit plan while waiting on an appeal outcome.
Where AKT Navigator fits
AKT Navigator (by Medexia). Free syllabus-mapped questions, mocks and structured explanations for every AKT domain, plus an optional Full Audio Pass (£79 for 4 months, 90+ hours) for revision away from a screen. Your first 2 hours of audio are free. It does not read or interpret your RCGP feedback report for you. That stays a conversation with your trainer. Not affiliated with, or endorsed by, the Royal College of General Practitioners.
The Medexia Team