To qualify as a GP you need to pass the MRCGP, which consists of 3 separate components:


Registration – Becoming an Associate in Training (AiT)

MRCGP Exam Overview

Information on the exam including up to date fees can be viewed on the RCGP website

Download Eligibility for MRCGP examinations, number of attempts permitted, and consideration of mitigating circumstances
MRCGP attempts.pdf
Adobe Acrobat document [14.8 KB]

Clinical Skills Assessment – (CSA)

The CSA is a 13 station simulated surgery with 10 minute consultations.  You can only take the CSA in ST3, and at the moment you are allowed 4 attempts.  The cost is approximately £1560.00

Health Education Yorkshire and The Humber:




MRCGP CSA Series 1 – 3 have been developed and produced by leading educationalists within the faculty to help prepare you for your Clinical Skills Assessment.

Applied Knowledge Test – (AKT)

This is a 3 hour multiple choice test of 200 questions. The AKT is a computer based exam taken at one of 150 Pearson VUE test centres, where the UK driving theory tests are delivered. (There is a local one in Scarborough).  You can take the AKT in ST2 or ST3 but you are not allowed to sit it in ST1. It is recommended that you have spent at least one rotation in GP before sitting the AKT exam.  The cost is approximately £465.00.

Health Education Yorkshire and the Humber:


Helpful online revision sites:

Mock Tests:

Helpful Books:

  • Oxford Handbook of General Practice
  • Medical Statistics Made Easy

Workplace Based Assessment (WBPA)

The WPBA is a continuous assessment throughout your training, it is made up of consultation observation tools (COTs) when in GP and mini clinical evaluation exercise (Mini CEX) when in hospital posts, directly observed clinical procedures (DOPs), multi source feedback (MSF) and patient satisfaction questionnaires (PSQs). These assessments are recorded in your e-portfolios, they are not pass or fail assessments, they are formative. Do not forget you need to learn so getting the comment ‘needs further development’ is normal early on in the scheme. The amount of assessments depends on where you are in the scheme, so look at this on each of the pages and links supplied.

You also need to make a learning log in your e-portfolio of your learning experiences in your posts. These will be reflective log entries put into the e-portfolio two to three times a week minimum. Your Professional Development Plan (PDP) should also be kept up to date in your e-portfolio.

 Health Education Yorkshire and the Humber:


Mini-CEX, DOPS and CbD gives you an opportunity to spend time with senior members of staff and get feedback directly and instantly from them.  Written feedback will be provided from all four tools and will consist of an assessment profile based on all your returns for mini-CEX, CbD, DOPS and mini-PAT, collated.  Your scores will be compared to the national average at your level at the end of the year (late June/early July).  The strengths and areas for development shown in the feedback will help inform your personal development plan.

Case Based Discussion (CbD)
When Download to do CBDs
which assessments at what ST stage.doc
Microsoft Word document [53.5 KB]

The Case-based Discussion (CbD) is a structured interview designed to assess your professional judgement in clinical cases. The cases will be chosen by you. CbD is one of the tools used to collect evidence for your Trainee ePortfolio, as part of the Workplace Based Assessment component of the MRCGP exam. In GP your trainer will complete the CbDs with you, in secondary care it is good practice to use your clinical supervisor.

Bradford VTS website has excellent information on CbD, this is useful for trainee and trainer.
Consultation Observation Tool (COTs)
(Primary Care only)
Videoing your work is the best way to gather effective feedback and improve your consultation techniques. When you are working in a surgery ask about the provision for videoing. Set yourself goals for video consultations so that you have to do them. The more you do, the more help they are to your communication skills techniques.
When Download to do COTs
which assessments at what ST stage.doc
Microsoft Word document [53.5 KB]
Help and information from an excellent source can be found here on the Bradford VTS site.
 Patient Satisfaction Questionnaire (PSQ)

Download When to do your PSQs
which assessments at what ST stage.doc
Microsoft Word document [53.5 KB]

While you are working in the surgery you will need to complete the Patient Satisfaction Questionnaire.  The Patient Satisfaction Questionnaire (PSQ) provides patient feedback on your empathy and relationship-building skills during consultations. PSQ is one of the tools used to collect evidence for your Trainee ePortfolio, as part of the Workplace Based Assessment component of the MRCGP exam.

Questionnaires need to be handed out to 50 patients, who will fill the forms in which enable you to get direct feedback about your consultation skills. The results of the questionnaire will be recorded by the surgery and made viewable to your clinical and educational supervisors. You need to discuss your results with your clinical supervisor and record this information as a professional conversation in your E-portfolio.

RCGP PSQ information and copy of PSQ paper

Multi Source Feedback (MSF)

The Multi-Source Feedback (MSF) tool provides a sample of attitudes and opinions of colleagues on your clinical performance and professional behavior.

MSF in a GP ST1 post.

In a hospital post ST1 MSF you need to obtain at least 5 responses from clinicians with different job titles. However in GP ST1 you have to obtain 5 responses from clinicians and 5 from non-clinicians i.e. reception staff, secretaries, practice managers. These can be anyone who has observed you in the workplace.

The ES releases the results to become available within your e-portfolio, so that you and your clinical supervisor can see them. Discuss these results and reflect on them.

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