MRCGP AKT results, feedback and retakes

How to read an AKT result

If you need to retake the AKT

Build the next attempt differently

A retake plan should be narrower and more honest than a first sitting plan. Start with the weakest domains from your result, then add the latest RCGP feedback-report themes: statistics and data interpretation, prescribing and medication monitoring, neurology, confidentiality, safeguarding and children.

If your weak areas include paediatrics, use the AKT children and young people guide to target acute illness, cancer red flags and safeguarding.

If consulting or communication-law questions were weak, use the AKT consulting in general practice guide to revise shared decisions, consent, capacity, safety-netting, remote consulting and uncertainty.

If equality, access or communication-support questions were weak, use the AKT equality, diversity and inclusion guide to revise reasonable adjustments, interpreters, accessible information, health inequalities and inclusive care.

If leadership, teamwork or practice-system questions were weak, use the AKT leadership and management guide to revise raising concerns, delegation, complaints, resource use, audit, QI and safe repeat-prescribing or test-result workflows.

If genetics, family-history or inherited-risk questions were weak, use the AKT genomic medicine guide to revise inheritance patterns, familial cancer clues, rare disease signals, consent, testing and NHS referral routes.

If evidence interpretation was weak, use the AKT evidence in practice guide to revise critical appraisal, study design, bias, diagnostic tests, risk communication and applying guidance in GP.

If organisation or safety-system questions were weak, use the AKT continuity, quality and safety guide to revise audit, QI, significant-event learning, continuity, handover, test-result follow-up and patient-safety systems.

If combined continuity, safety and prescribing-system questions were weak, use the AKT continuity, quality, safety and prescribing guide to revise continuity, governance, medicines optimisation, repeat-prescribing systems and test-result follow-up.

If screening, immunisation or health-inequality questions were weak, use the AKT population and planetary health guide to revise prevention, wider determinants, greener prescribing and safe follow-up systems.

If clinical thresholds were the issue, use the AKT cardiovascular guide to revise hypertension, AF anticoagulation, heart failure and chest-pain red flags.

If respiratory questions were weak, use the AKT respiratory guide to revise asthma, COPD, inhaler technique, spirometry and lung cancer red flags.

If diabetes or endocrine questions were weak, use the AKT diabetes and endocrinology guide to revise diabetes medicines, thyroid function tests, sick-day rules and adrenal red flags.

If renal or urology questions were weak, use the AKT renal and urology guide to revise CKD, AKI, medication safety, UTI, haematuria, PSA and renal stones.

If musculoskeletal questions were weak, use the AKT musculoskeletal guide to revise back pain red flags, arthritis, osteoporosis, gout and urgent referral.

If gastroenterology questions were weak, use the AKT gastroenterology guide to revise IBS, IBD, coeliac testing, dyspepsia, liver disease and GI cancer red flags.

If ENT questions were weak, use the AKT ENT guide to revise otitis media, sore throat, sinusitis, hearing loss, vertigo, epistaxis and head and neck cancer red flags.

If eyes and vision questions were weak, use the AKT eyes and vision guide to revise red eye, sudden visual loss, flashes and floaters, diplopia, glaucoma, cataracts, AMD and diabetic eye disease.

If haematology questions were weak, use the AKT haematology guide to revise anaemia, iron deficiency, B12 and folate, VTE, anticoagulation, abnormal FBCs and haematological cancer red flags.

If allergy or immunology questions were weak, use the AKT allergy and immunology guide to revise anaphylaxis, adrenaline, food allergy, drug allergy, urticaria, angioedema and immunodeficiency red flags.

If infectious diseases or travel health questions were weak, use the AKT infectious diseases and travel health guide to revise HIV testing, hepatitis, immunisation, malaria, returning traveller fever and antimicrobial stewardship.

If maternity or reproductive health questions were weak, use the AKT maternity and reproductive health guide to revise antenatal care, early pregnancy bleeding, pre-eclampsia, gestational diabetes, postnatal care and contraception after pregnancy.

If sexual-health questions were weak, use the AKT sexual health guide to revise STI testing, chlamydia, gonorrhoea, genital herpes, HIV testing, partner notification, consent and safeguarding.

If older-adult scenarios were weak, use the AKT older adults guide to revise frailty, falls, dementia, delirium, polypharmacy, multimorbidity, care homes and mental capacity.

If long-term conditions or cancer recognition were weak, use the AKT long-term conditions and cancer guide to revise multimorbidity, treatment burden, chronic disease reviews, cancer red flags, safety-netting and suspected-cancer referral decisions.

If palliative or end-of-life care was weak, use the AKT end of life guide to revise DNACPR, capacity, anticipatory medicines, symptom control, last-days care and communication with families.

If learning disability or accessible care was weak, use the AKT learning disability guide to revise annual health checks, reasonable adjustments, diagnostic overshadowing, capacity, safeguarding and medication review.

If ADHD, autism or neurodiversity pathways were weak, use the AKT neurodiversity guide to revise recognition, referral, medication monitoring, reasonable adjustments and mental health overlap.

If timing and triage were the issue, use the AKT minor illness and urgent care guide to practise sepsis, delayed antibiotics and safety-netting decisions.

If emergency escalation or OOH triage was weak, use the AKT urgent and unscheduled care guide to revise sepsis, NEWS2, acute deterioration, anaphylaxis, acute abdomen, chest pain and explicit safety-netting.

If smoking, alcohol or substance misuse was weak, use the AKT smoking, alcohol and substance misuse guide to revise smoking cessation, AUDIT, alcohol withdrawal risk, opioid substitution, harm reduction and safeguarding.

If your mistakes were around risk, prescribing or legal frameworks, use the AKT mental health guide to revise depression, suicide risk, SSRIs and Mental Health Act basics.

If women's health was weak, use the AKT women's health guide to revise contraception, HRT, abnormal bleeding, breast symptoms and cancer red flags.

Use full timed mocks to check whether the problem is knowledge, pacing or stamina. Use audio revision for low-energy time, but keep the hard work centred on questions, explanations and mistake review.

AKT results and retakes FAQ