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Finding your way through the nMRCGP maze


MRCGP - finding your way through the maze!


MRCGP has come with a whole new load of acronyms, assessments and deadlines, which you have to master.


There are three formative and summative elements (click to download):


Each of these is independent and tests different skills but together they cover the curriculum for specialty training in general practice.  Evidence for the workplace-based assessment is collected in the e-portfolio of each GP Trainee.


The Applied Knowledge Test (AKT) is a summative assessment of the knowledge base. The test takes the form of a three-hour multiple-choice test of 200 items. 

Approximately 80% of question items will be on clinical medicine, 10% on critical appraisal and evidence based clinical practice and 10% on health informatics and administrative issues. Questions focus mainly on higher order problem solving rather than just the simple recall of basic facts.


The Clinical Skills Assessment (CSA) is ‘an assessment of a doctor’s ability to integrate and apply clinical, professional, communication and practical skills appropriate for general practice’. Each candidate is allocated a consulting room and has 13 consultations, each of 10 minutes. All thirteen cases are assessed. Patients are played by role-players who have been trained and calibrated to perform their role in a consistent manner. Candidates’ performance in three domains (Data gathering, Clinical management and Interpersonal skills) in every consultation is graded Clear Pass (3pts), Marginal Pass (2pts), Marginal Fail (1pt) or Clear Fail (0pt) by assessors who observe the consultations.


Workplace based assessment (WPBA) is defined as the evaluation of a doctor’s progress over time in their performance in those areas of professional practice best tested in the workplace. It is a process through which evidence of competence in independent practice is gathered in a structured and systematic framework. Evidence is collected over all three years of training. The evidence is recorded in a web-based portfolio (the e-Portfolio) and used to inform six monthly reviews and, at the end of training, to make a holistic, qualitative judgement about the readiness of the GPStR for independent practice.


The WPBA tools are (click to download):



The GPST trajectory for 3 years of training (click to download):


This excellent document with useful embedded links details all the things you need to do and the deadlines for completion. A must read for all Trainers, Educational Supervisors and GP Trainees.


The GPST trajectory (click)





For other resources why not look at our Site Map



Courses from the team at Pennine - Dates for your diary

CSA 2 day courses are held in January, February, September and October

Emergencies in General Practice course is held in March and June

Managing common gynaecological conditions is held in July

Contraception and HRT is held in September

Palliative Care - a pragmatic approach (TBA)


HDR News

Venue: CRH Learning Centre


Date: 26/5/15 Meeting for lunch 1pm and HDR starts 2pm 


Topic: ST1/2s COPD/Asthma ST3s Politics & Life after training


Preparation: ST3s will be giving 10 minute presentations


News & Updates


THE NEWS PAGE (click) - Keep up to date with what is happening, as it happens, whether it’s changes to the e-portfolio, MRCGP assessments or our website.


HDR HANDOUTS (click) - Missed HDR? You can now catch up by reading the handouts.


COURSES (click) - Have a look at the wide range of courses on offer for GPSTs throughout the UK.


Next Trainers' Workshop


Venue:  Hebden Bridge Group Practice (Hebden Bridge)


Date & Time:  May 14th 2015 Appraisal Food at 13:30, starts 14:00 and finishes 16:30


Future dates:  May 14th (annual appraisal) , July 15th (re-approval & a game of two halves). Sept 24th



Topic: Annual appraisal


Preparation: The appraisal form (click)


Next Trainers' Away Day


Venue: TBA


Date & Time: 18 Nov 2015


Topics:  TBA


Preparation: TBA



Educational Supervision Deadlines


The next deadline is  31/5/15 (Summative review for  ST1,2 & 3s).


See our Educational Review guidance (click) which explains the different types of reviews.

Please read our website disclaimer (click).