MRCGPAKT
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MRCGP AKT Curriculum Checklist
Alcohol, Smoking, & Substance Misuse
q Alcohol and substance misuse in pregnancy
q Alcohol related emergencies
q Assessment of alcohol use
q Assessment of substance misuse
q Crises in substance and alcohol misuse
q Medical problems of long-term alcohol use
q Screening tools for alcohol
q Smoking cessation
q Treatment of alcohol dependence
Allergy & Immunology
q Allergy testing
q Anaphylaxis – adrenaline and resuscitation
q Drug allergies
q Food allergies
q Immune deficiency states - inherited and acquired
q Immunisation – live vaccines, high risk groups
q Occupational allergies
q Types of allergic reaction
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Cardiovascular Health
q Acute coronary syndrome
q Acute left ventricular failure
q Anticoagulation for cardiovascular problems
q Arrhythmias - AF and atrial flutter
q Cardiac arrest
q Cardiac blood tests
q Cardiac infections
q Cardiac investigations
q Cardiac risk assessment tools
q Cardiac risk factors
q Cardiomyopathies
q Cardio-pulmonary resuscitation
q Cerebral disorders – arterial and venous
q Congenital heart disease
q Coronary heart disease
q Dissecting anuerysm
q Drug-induced heart disease
q Heart block
q Heart failure
q Hypertension – diagnosis, classification, management
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Lipid management
q Pacemakers
q Peripheral vascular disease
q Pulmonary hypertension
q Secondary care cardiac interventions
q Supraventricular tachycardia
q Thromboembolic disease
q Valvular problems
q Ventricular rhythm abnormalities
Care of Older Adults
q Abuse and neglect / adult safeguarding
q Living wills / advanced refusals
q Power of attorney
Children and Young People
q Behavioural problems
q Child abuse, child protection
q Childhood asthma
q Childhood malignancies
q Developmental milestones
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Failure to thrive
q Neonatal problems
q Nocturnal enuresis
q Reporting sexual activity
q Safeguarding
q School refusal
q Sex identity and intersex
Dermatology
q Acne rosacea
q Acne vulgaris
q Blistering diseases
q Discoid lupus
q Disseminated herpes simplex
q Drug eruptions
q Eczema
q Erythroderma
q Granuloma annulare
q Hair and nail disorders
q Lichen planus
q Light sensitive disorders
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Light treatments
q Necrotising fasciitis
q Pemphigus and pemphigoid
q Pigmentation disorders
q Pityriasis rosea and versicolor
q Pruritis
q Psoriasis
q Scabies and head lice
q Skin infections – viral, bacterial, fungal
q Skin tumours
q Skin ulcers
q Stevens-Johnson syndrome
q Toxic epidermal necrolysis
q Urticaria, angio-oedema
q Wounds, scars
q Drug conversions - opioids
q Pain management
q Syringe drivers
q WHO pain ladder
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Ear, Nose & Throat; Speech & Hearing
q Aesthetic and reconstructive surgery and therapies
q Bell's Palsy
q Cholesteatoma
q Congenital abnormalities in ENT
q Cranial nerve disorders
q Dental problems - abscesses
q Epistaxis
q Glandular fever
q Head and neck malignancies
q Hearing aid and cochlear implants
q Hearing problems
q Laryngitis
q Meniere’s disease
q Nasal problems
q Oral candida
q Oral herpes
q Oral problems
q Otitis externa
q Otitis media
q Perennial and allergic rhinitis
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Perforated tympanic membrane
q Pharyngitis
q Salivary gland disorders
q Salivary stones
q Sinus problems
q Snoring and sleep apnoea
q Temporo-mandibular pain
q Tinnitus
q Tonsillitis and tonsillectomy
q Trigeminal neuralgia
q Vertigo
q Vocal disorders
Eyes and Vision
q Blepharitis
q Cataracts
q Colour blindness
q Congenital eye problems
q Conjunctivitis
q Contact lens use and problems
q Corneal ulcers and keratitis
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Diplopia
q Dry eye syndrome
q Entropion and ectropion
q Episcleritis and scleritis
q Eye testing – fundoscopy, visual acuity etc
q Eye trauma
q Genetic eye problems
q Glaucoma
q Iritis and uveitis
q Keratoconus
q Loss of vision / visual disturbance
q Macular degeneration
q Myopia, hypermetropia, astigmatism
q Naso-lacrimal obstruction and dacryocystitis
q Optic disc atrophy
q Optic neuritis and neuropathy
q Orbital infections - cellulitis
q Red eye
q Retinal detachment
q Retinoblastoma, lymphoma, melanoma
q Retinopathy
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Squint
q Strabismus
q Style and chalazion
q Subconjunctival haemorrhage
q Thyroid eye disease
q Vitreous detachment / haemorrhage
Gastroenterology
q Abdominal ischaemia
q Abnormal LFTs
q Acute obstruction and perforation
q Appendicitis
q Biliary colic
q Cholecystitis
q Cirrhosis
q Coeliac disease
q Colorectal cancer - screening, diagnosis
q Constipation
q Diarrhoea – caused by toxins, infection
q Disorders of weight
q Diverticular disease / diverticulitis
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Empyema
q Gallbladder disease
q Gallstones
q Gastric / duodenal ulcers
q Gastrointestinal haemorrhage
q Gastrointestinal malignancies
q GORD
q Haemorrhoids
q Hernias
q Inflammatory bowel disease
q Intussusception
q Irritable bowel syndrome
q Liver infections
q Malabsorption
q Meckel’s diverticulum
q Medication effects
q Non-ulcer dyspepsia
q Oesophageal conditions
q Pancreatic disease
q Pancreatitis
q Rectal problems
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Renal colic
q Stomas
q Volvulus
Genomic medicine
q Albinism
q Antenatal and newborn screening
q Autosomal dominant conditions
q Autosomal recessive conditions
q Chromosomal disorders
q Duchenne muscular dystrophy
q Family history
q Family tree charts – pedigree symbols
q Haemophilia
q Klinefelter’s
q Marfan’s
q Phenylketonuria
q Polygenic disease
q Retinitis pigmentosa
q Testing for genetic disorders
q Trisomy 21
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q X-linked disorders
Gynaecology & Breast
q Cervical cancer
q Endometrial polyps, hyperplasia, cancer, endometriosis
q Fibroids
q Gynaecological cancers
q Gynaecological skin disorders
q Hormone replacement therapy
q Intermenstrual, post coital, post- menopausal bleeding
q Malignant breast conditions
q Mammography and breast ultrasound
q Mastalgia
q Menstrual problems
q Normal and abnormal menopause
q Ovarian swellings
q Polycystic ovary syndrome
q Pre-menstrual disorders
q Screening and prevention programmes
q Vaginal and uterine prolapse
q Vaginal discharge
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Haematology
q Anaemia
q Anticoagulants
q Clotting disorders
q Common abnormalities of bloof gilms
q Enlarged lymph nodes
q Enzyme diseases
q Gout
q Haematological malignancies
q Haemoglobinopathies
q Haemolytic diseases
q Hemochromatosis
q Lymphatic disorders
q Myelodysplasia
q Myeloproliferative disorders
q Neutropenia
q Normal haematological parameters
q Pancytopenia
q Polycythaemia
q Purpura
q Splenectomy
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Splenomegaly
q Thrombocytosis and thrombocytopaenia
Infectious disease & Travel health
q Common and serious childhood infections
q Encephalitis
q Endocarditis
q Fever in the returning traveller
q Gastrointestinal infections
q Hepatitis
q HIV
q Immune deficiency
q Influenza
q Legionnaire’s disease
q Malaria – including prophylaxis
q Meningitis
q Necrotising fasciitis
q Nosocomial infections - MRSA, C. difficile
q Occupational infections (including needlestick)
q Osteomyelitis
q Pandemics
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Pneumonia
q Rheumatic fever
q Sepsis
q Septic arthritis
q Skin infections
q Tick borne diseases
q Tuberculosis
q Vaccine preventable diseases
q Zoonotic diseases
Kidney & Urology
q Acute kidney injury
q Benight prostatic hyperplasia
q Bladder cancer
q Chronic kidney disease and eGFR
q Circumcision
q Epididymitis
q Haematospermia
q Haematuria
q Hydrocele
q Inherited kidney diseases
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Intrinsic renal disease
q Kidney cancer
q Orchitis
q Overactive bladder syndrome
q Paraphimosis and priapism
q Penile and testicular cancer
q Peyronie's disease
q Prostate cancer
q Prostatitis - acute and chronic
q Proteinuria
q Renovascular disease
q Sperm granuloma
q Testicular torsion
q Undescended / maldescended testes
q Urinary incontinence in men
q Urinary incontinence in women
q Urinary retention - chronic and acute
q Urinary tract obstruction
q Urolithiasis
q UTIs
q Varicocele
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Maternity and Reproductive Health
q Antenatal care
q Assisted conception
q Infant feeding including breastfeeding
q Infertility – female factors
q Infertility – male factors
q Miscarriage
q Postnatal problems
q Pre-eclampsia
q Pregnancy related illness
q Problems of labour
q Recurrent miscarriage
Mental Health
q Acute mental health problems
q Addictive and dependence behaviour
q Anxiety
q Assessment tools for mental health
q Behaviour problems in children
q Bipolar disorder
q Depression
© Emedica Ltd www.emedica.co.uk
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MRCGP AKT Curriculum Checklist
q Eating disorders
q Electro convulsive therapy
q Insomnia
q Learning difficulties
q Obsessive compulsive behaviours
q Personality disorders
q Pregnancy associated mental health disorders
q PTSD
q Role of GP in sectioning
q Schizophrenia and other psychotic illness
q Self-harm / Suicidal ideation
q Self-help and psychological therapies
q Sleep disorders
q Somatisation, conversion and dissociative disorders
Metabolic problems & Endocrinology
q Acromegaly
q Addison’s disease
q Bariatric surgery
q BMI
q Cushing’s syndrome and disease
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Diabetes insipidus
q Diabetes Mellitus
q Diabetic emergencies
q Diabetic nutrition
q Disorders of calcium metabolism
q Disorders of sex hormones
q Hyperaldosteronism
q Hyperglycaemic ketoacidosis
q Hyperglycaemic hyperosmolar non-ketonic coma
q Hyperlipidaemias
q Hyperprolactinaemia
q Hyperuricaemia
q Hypoglycaemia
q Hypothalamic
q Impaired fasting glycaemia
q Impaired glucose tolerance
q Inherited metabolic diseases
q NAFLD
q Obesity
q Osteoporosis
q Phaeochromocytoma
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Pituitary diseases
q Poisoning
q Prolactinoma
q Steroid therapy
q Thyroid disease
q Thyroid emergencies - myxoedema coma and hyperthyroid
crisis
q Vitamin D deficiency
Musculoskeletal Health
q Acute arthropathies
q Ankylosing spondylitis
q Avascular necrosis
q Back pain
q Bone cancers
q Cervical spine disorders
q Cervicalgia
q Chronic pain
q Congenital / inherited musculoskeletal diseases
q DMARDs
q Fibromyalgia
q Fractures, dislocations, soft-tissue trauma
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Frozen shoulder
q Giant cell arteritis
q Hand disorders
q Inflammatory arthritis
q Joint injections
q Lymphoedema
q Muscular dystrophies
q Myasthenia gravis
q NSAIDs - including monitoring
q Osteoarthritis
q Osteoporosis
q Plantar fasciitis
q Polymyalgia rheumatica
q Reactive arthritis
q Rheumatoid arthritis
q Skeletal problems
q Soft tissue disorders
q Spinal disorders
q Systemic lupus erythematosus
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Neurodevelopmental Delay, Intellectual and Social disability
q Autism and autism spectrum disorder
q Causes of intellectual disability
q Cerebral palsy
q Fragile X Syndrome
q Protection of vulnerable adults
q Risks associated with learning disability
Neurology
q Acute confusional states
q Amyotrophic lateral sclerosis
q Assessment of capacity
q Brain tumours
q Carpal tunnel syndrome
q Chronic fatigue syndrome
q Cranial nerve disease
q Dementia
q Epilepsy
q Falls
q Head injuries
q Headaches - cluster
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Headaches - migraine
q Headaches - tension
q Huntingdon's disease
q Inherited neurological diseases
q Intracranial haemorrhage
q Motor Neurone disease
q Movement disorders and gait problems
q Multiple sclerosis
q Parkinson's disease
q Polyneuropathies
q Sensory / motor disturbances
q Speech disorders
q Spinal injuries
q Stoke and TIA
q Temporal arteritis
q Tests of cognition
People with Long-term conditions including Cancer
q Catheters - types, indication, management
q 2WW cancer referral criteria
q Cancer pain management
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Population Health
q Fitness for work
q Health inequalities
q Healthy eating - recommended intake
q Lifestyle health impacts
q NHS screening and immunisation
q Notifiable diseases
q Occupational diseases
q Safe sex and contact tracing
Respiratory
q Asthma – acute and chronic
q Atypical pneumonias
q Bronchiectasis
q COPD
q Cough - including haemoptysis and non respiratory causes
q Cystic fibrosis
q Emphysema
q Investigations in primary care for respiratory disease
q Lower respiratory tract infections
q Lung fibrosis
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Occupational respiratory diseases
q Pleural effusion
q Pneumothorax
q Pulmonary embolism
q Respiratory disease scoring tools
q Respiratory failure, methods of ventilation
q Respiratory malignancies
q Spirometry
q Stridor and hoarseness
q URTIs
Sexual Health
q Anogenital warts
q Bacterial vaginosis
q Candidiasis
q Chlamydia
q Contraception - barrier methods
q Female contraception - EC
q Female contraception - hormonal
q Female contraception – LTRC / LARC
q Female contraception - sterilisation
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q FGM
q Gender identity
q Gonorrhoea
q Group B Haemolytic strep
q Male contraception - sterilisation
q Safe sex advice
q Sexual abuse
q Sexual dysfunction
q Syphilis
q Termination of pregnancy
q Trichomonas vaginalis
Urgent & Unscheduled Care
q Aneurysms / Subarachnoid haemorrhage
q Basic life support - adult / child
q Ectopic pregnancy
q Internal obstruction / perforation
q Limb ischaemia
q Meningitis
q Myocardial infarction
q Status epilepticus
© Emedica Ltd www.emedica.co.uk
Publ
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MRCGP AKT Curriculum Checklist
Basic Statistics
q Types of average – mean, mode, median
q P values and statistical significance
q Sensitivity and specificity
q Predictive value
q Types of error (Type 1 and Type 2)
q Standard deviation
q 95% confidence intervals
q Relative risk and odds ratios
q Risk reduction / ARR
q Calculating NNT / NNH
q Prevalence and incidence
q QALY / DALY
Interpreting graphs and charts
q Forest plots for meta analysis
q Scatter plots
q Regression analysis and correlation
q L’Abbe plots
q Funnel plots
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Box and whisker plots
q Cates plots
q Statistical process control charts
q Kaplan-Meier survival analysis / hazard ratios
q Mortality data
q Practice indicators – prescribing, demographics, quality
indicators
q Public health data
Types of study
q Case study / series
q Cross sectional survey
q Cross sectional comparative study
q Case control study
q Cohort study
q Randomised controlled trial
q Systematic reviews and meta-analysis
q Strength of evidence
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
Types of data / statistical tests
q Spearman’s correlation
q Pearson’s correlation
q ANOVA / Friedman’s ANOVA
q Mann Whitney U
q Student’s test (t-test)
q Paired t-test
q Chi-squared test
q Wilcoxon signed rank
q Nominal / Ordinal / Integer / Ratio data
q Quantitative vs. qualitative data and tests
© Emedica Ltd www.emedica.co.uk
Publ
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thdat
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“Manythanksforallyourhel
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www.
emedi
ca.
co.
uk/
stat
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Or
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MRCGP AKT Curriculum Checklist
q Organisations – MHRA, DMRC, GPC, LMC, PCO
q Types of contract – GMS, PMS, APMS, PCLMS
q Types of service – essential, additional, enhanced (DES,
NES, LES)
q Certification – sickness, death, cremation
q Med3, ESA113, DS1500
q Deaths reportable to the coroner / procurator fiscal
q Visual impairment forms
q Fitness to fly
q Fitness to drive
q NHS complaints procedures
q Appraisal / revalidation
q Practice finances / accounting terms
q Notional rent / reasonable rent
q Clinical governance
q Risk management – NPSA risk scoring
q Pandemic influenza planning
q Employment legislation / licensing
q Staff training obligations
q Staff vaccinations
q Travel vaccines – NHS / private
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Health and safety – RIDDOR, COSHH
q Caldicott principles / guardians / leads
q Patient group directions
q Statutory forms / certificates
q Access to medical records
q Medicolegal issues
q GMC guidance
q Safeguarding
q Confidentiality
q Medical disclosure – insurance
q Safeguarding
q Reporting sexual activity
q Gillick competence
q Fraser guidelines
q Significant event audit
q Data protection Act
q Access to Health Records Act
q Freedom of Information Act
q Access to Medical Reports Act
q Computer Misuse Act
q Mental Capacity Act
© Emedica Ltd www.emedica.co.uk
MRCGP AKT Curriculum Checklist
q Advanced refusals / care planning
q Yellow card scheme
q Notifiable disease
q Controlled drugs regulations
q Removal of patients from a practice list
q Termination of pregnancy regulations
q Sharps disposal regulations
© Emedica Ltd www.emedica.co.uk
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