MRCGP AKT syllabus and 32 curriculum topics

The AKT syllabus is the RCGP GP curriculum applied to written problem-solving. The exam is not just clinical medicine: one fifth of the paper comes from evidence-based practice, statistics, organisation and professional topics.

Quick answer

The MRCGP AKT covers 80% clinical knowledge, 10% evidence-based practice and 10% primary care organisation and management. The RCGP curriculum is supported by 32 topic guides across Professional, Life Stages and Clinical areas.

AKT syllabus weighting

80%

Clinical knowledge

Applied clinical problem-solving in UK general practice across common presentations, long-term conditions, life stages and urgent care.

10%

Evidence-based practice

Statistics, critical appraisal, study design, diagnostic-test interpretation, graphs, prescribing data and risk communication.

10%

Organisation and management

Ethics, confidentiality, safeguarding, prescribing systems, practice organisation, NHS structures, leadership and professional responsibilities.

For the evidence-based practice section, keep the AKT statistics formulas close while practising NNT, NNH and diagnostic-test questions.

The 32 RCGP curriculum topic guides

The RCGP topic guides are grouped into Professional, Life Stages and Clinical areas. The AKT can sample across the full curriculum, so use the list as a coverage map rather than a reading list to memorise from start to finish.

How to revise the syllabus without drowning in it

Use the syllabus as a checklist

Make sure every RCGP topic guide has been touched, but do not spend equal time everywhere. Let weak areas and feedback reports set the priority.

Do not skip the 20%

Evidence-based practice, statistics, organisation and management account for around 32 questions in the current 160-question format. Use the AKT statistics formulas page for NNT, NNH and the AKT prescribing page for medication-safety themes.

Pair questions with audio

Use screen time for questions, timed mocks and mistake review. Use audio to keep curriculum coverage moving during commutes, walks and low-energy revision slots.

For the professional 10%, use the AKT consulting in general practice guide, AKT equality, diversity and inclusion guide, AKT leadership and management guide, AKT genomic medicine guide, AKT evidence in practice guide, AKT prescribing and medication safety guide, AKT continuity, quality, safety and prescribing guide, AKT continuity, quality and safety guide and AKT confidentiality and safeguarding guide alongside the AKT neurology guide, AKT children guide , AKT dermatology guide , AKT cardiovascular guide , AKT respiratory guide , AKT diabetes and endocrinology guide , AKT renal and urology guide, AKT musculoskeletal guide, AKT gastroenterology guide, AKT ENT guide, AKT eyes and vision guide, AKT haematology guide, AKT allergy and immunology guide, AKT infectious diseases and travel health guide and statistics formulas page.

For same-day presentations, use the AKT minor illness and urgent care guide alongside the AKT urgent and unscheduled care guide and the urgent and unscheduled care topic page.Revise sepsis, NEWS2, acute deterioration, anaphylaxis, chest pain, acute abdomen, OOH triage and emergency escalation.

For smoking, alcohol and substance misuse, use the AKT smoking, alcohol and substance misuse guide with the substance misuse topic page to revise smoking cessation, AUDIT, alcohol withdrawal, opioid dependence, harm reduction and safeguarding.

For respiratory presentations, use the AKT respiratory guide with the respiratory topic page to revise asthma, COPD, inhaler technique, spirometry and red flags.

For metabolic and endocrine topics, use the AKT diabetes and endocrinology guide with the metabolic and endocrinology topic page to revise diabetes medicines, thyroid tests, sick-day rules and adrenal red flags.

For renal and urology topics, use the AKT renal and urology guide with the renal and urology topic page to revise CKD, AKI, UTI, haematuria, PSA, LUTS and renal stones.

For musculoskeletal presentations, use the AKT musculoskeletal guide with the musculoskeletal topic page to revise back pain red flags, arthritis, osteoporosis, gout and urgent referral.

For gastroenterology presentations, use the AKT gastroenterology guide with the gastroenterology topic page to revise IBS, IBD, coeliac disease, dyspepsia, liver disease and GI cancer red flags.

For ENT, speech and hearing presentations, use the AKT ENT guide with the ENT, speech and hearing topic page to revise otitis media, sore throat, sinusitis, hearing loss, vertigo and head and neck cancer red flags.

For eyes and vision presentations, use the AKT eyes and vision guide with the eyes and vision topic page to revise red eye, visual loss, flashes and floaters, diplopia, glaucoma, cataracts, AMD and diabetic eye disease.

For haematology presentations, use the AKT haematology guide with the haematology topic page to revise anaemia, iron deficiency, B12 and folate, VTE, anticoagulation, abnormal FBCs and cancer red flags.

For allergy and immunology presentations, use the AKT allergy and immunology guide with the allergy and immunology topic page to revise anaphylaxis, adrenaline, food allergy, drug allergy, urticaria, angioedema and immunodeficiency red flags.

For infectious diseases and travel health presentations, use the AKT infectious diseases and travel health guide with the infectious diseases and travel topic page to revise HIV testing, hepatitis, immunisation, malaria, returning traveller fever and antimicrobial stewardship.

For maternity and reproductive health presentations, use the AKT maternity and reproductive health guide with the maternity and reproductive health topic page to revise antenatal care, early pregnancy bleeding, pre-eclampsia, gestational diabetes, postnatal care and contraception after pregnancy.

For sexual-health presentations, use the AKT sexual health guide with the sexual health topic page to revise STI testing, chlamydia, gonorrhoea, genital herpes, HIV testing, partner notification, consent and safeguarding.

For older-adult scenarios, use the AKT older adults guide with the older adults topic page to revise frailty, falls, dementia, delirium, polypharmacy, multimorbidity, care homes and mental capacity.

For long-term conditions and cancer scenarios, use the AKT long-term conditions and cancer guide with the long-term conditions topic page to revise multimorbidity, chronic disease reviews, cancer red flags, safety-netting, survivorship and palliative transition.

For end-of-life scenarios, use the AKT end of life guide with the end of life topic page to revise palliative care planning, anticipatory medicines, DNACPR, capacity, symptom control, carers and care after death.

For learning-disability scenarios, use the AKT learning disability guide with the learning disability topic page to revise annual health checks, reasonable adjustments, diagnostic overshadowing, capacity, safeguarding and behaviour that challenges.

For prevention and public-health scenarios, use the AKT population and planetary health guide with the population and planetary health topic page to revise screening, immunisation, prevention, health inequalities, wider determinants and greener primary care.

For neurodevelopmental and neurodiversity scenarios, use the AKT neurodiversity guide with the neurodevelopmental conditions topic page to revise ADHD, autism, referral pathways, medication monitoring, reasonable adjustments and mental health overlap.

For mental-health scenarios, use the AKT mental health guide alongside the mental health topic page.

For women's health, use the AKT women's health guide with the gynaecology and breast topic page and maternity and reproductive health topic page.

AKT syllabus FAQ

What is in the MRCGP AKT syllabus?

The AKT covers applied general-practice knowledge across the RCGP curriculum. The exam is broadly 80% clinical knowledge, 10% evidence-based practice and critical appraisal, and 10% primary care organisation and management.

How many RCGP AKT topics are there?

The RCGP curriculum is supported by 32 topic guides grouped into Professional, Life Stages and Clinical topic guides. AKT revision should cover all 32, not only the common clinical specialties.

Can I revise only high-yield AKT topics?

You can weight your time toward weak areas and recurring feedback-report themes, but the AKT still tests the full curriculum. The safest plan is broad coverage plus extra time for statistics, prescribing, neurology, safeguarding, confidentiality and your weakest topics.

How does AKT Navigator cover the syllabus?

AKT Navigator maps revision across all 32 RCGP curriculum topics with free syllabus-mapped questions, mock exams, deep structured explanations and a 90+ hour audio library for full audio access.

Official sources

This is revision guidance, not official RCGP advice. Check the RCGP curriculum and exam pages for current syllabus and exam information. Last reviewed June 2026.

October sitting
Oct 26
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days

Keep moving, even on tired days.

Questions, mocks and explanations are free. Your first 2 hours of AKT audio are free. Full 4-month audio access is £79.