Applied Knowledge Test.

The Applied Knowledge Test (AKT) is a summative assessment of the knowledge base that underpins independent general practice in the United Kingdom within the context of the National Health Service. Candidates who pass this assessment will have demonstrated their competence in applying knowledge at a level which is sufficiently high for independent practice.

The test takes the form of a three-hour machine-marked test of 200 items. It is computer-based and delivered at 150 Pearson VUE professional testing centres around the UK.

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. All questions will address important issues relating to UK general practice and will focus mainly on higher order problem solving rather than just the simple recall of basic facts.

All trainees will be expected to attempt this exam at least twice whilst in training. If there are reasons why trainees feel they are unable to do this, they should discuss these at the earliest possible opportunity with their Educational Supervisor and record on their eportfolio.

The RCGP publish after each exam ‘diet’ a feedback report which looks at areas which have been found difficult by trainees as well as providing data on the process. This feedback is published regularly on the RCGP website. Those planning to take the exam should look these up on the RCGP website.

In addition, the RCGP also have a number of useful resources for trainees who intend to sit the AKT examination including an ‘AKT podcast’ and a concise guide entitled ‘Preparing to take the AKT’.

For more information, visit the RCGP AKT website (hyperlink to