akt top tips sanju joy & gareth smith. what’s so scary? medical statistics is there enough...

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AKT Top Tips Sanju Joy & Gareth Smith

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Page 1: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

AKT Top TipsSanju Joy & Gareth Smith

Page 2: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

What’s so scary?

Medical Statistics

Is there enough time?

Driving guidelines

What questions will be asked on primary care admin?

For me it was…..

Are there any things in particular that worry you?

Page 3: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

What will be cover today?- Structure of AKT

- Applying for the exam

- How to prepare

- Where did other candidates struggle?

- Example questions

Page 4: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Aims & OutcomesYou should be able to…

- Identify when would be best for you to sit the exam

- Recognise the need to set aside some £££

- Understand the structure of the AKT exam & how to apply

- Recall AKT revision resources

Page 5: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Structure of the AKT

Page 6: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

The AKT test- Is a 3 hr 10 mins computer-based test- Consists of 200 question items

- 80% clinical medicine- 10% critical appraisal & evidenced based

clinical practice- 10% health informatics & administrative

issues

Can anyone work out the math?(Works out at 57 seconds per question)

Page 7: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Clinical Medicine- Biggest part of the exam (160 questions)

- Covers practically everything…..- low impact & common conditions (e.g. sore throat,

URTI’s)- high impact & rarer (e.g. Child abuse, meningitis)

Tip:- Look at topical things (read new NICE guidance,

check BMJ/BJGP)

- Refer to GP curriculum

Page 8: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Medical Statistics- Only 10% of exam (i.e. 20 questions)- Keep in perspective….

- YES…difficult to pass exam if do not get any of these marks

- BUT…shouldn’t revise medical statistics to the detriment of clinical medicine

- Make sure you know the basics- Mean/mode/median- PPV/NPV- Sensitivity/specificity- Standard deviations

From Oct 2014 there is an on-screen calculator available

Tip:

Page 9: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Health informatics &administrative issues- Another 10% (20 questions)- Includes….

- Legal aspects (e.g. DVLA)- Social services (e.g. Certification)- Professional regulation (e.g. GMC)- Business aspects (e.g. GP contracts)- Prescribing (e.g. Controlled drugs)- Health & safety (e.g Needle stick injuries)- Ethical (e.g. Mental capacity & consent)

Page 10: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

How many pass?

How difficult do you think the AKT is to pass?

April 2015

(i.e. 65%)

Page 11: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Applying for the exam

Page 12: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

When should I take it?

You need to prepare for AKT so think about when would be best for you…

Page 13: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Applying- Can be taken during or after the GPST2- A maximum number of 4 attempts will be

permitted(On your e-portfolio)

Page 14: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Applying (2)- Apply through the RCGP website

- AKT costs £530(or £477 if you are an AiT member)

Though as part of your AiT you ‘build a fund’ which you can put towards the cost of your exam

Page 15: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Where to take the test

Tip: Apply early to avoid disappointment!!

Page 16: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

How to prepare…

Page 18: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Demonstration tutorial

The RCGP strongly recommends that candidates familiarise themselves with this on the Pearson VUE website…

http://www.pearsonvue.com/rcgp/

Page 19: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Common reference materials- GP curriculum- BNF- GMC Good Medical Practice- RCGP Essential Knowledge Updates- NICE Guidelines- SIGN Guidelines- BMJ review articles & original papers- BJGP

Page 20: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Other revision toolsInternet:- Pastest (£55 until Oct, £85 for Jan)- BMJ On examination (£50 - £120 for 1 – 6 months)- Pass medicine (£25 for 4 months, £35 for 6 months)- RCGP has sample Q’s with answers

Books:- Succeeding in the MRCGP AKT, C Mehta, M

Williams and M Mehta (£19.99)- Medical Statistics made easy, M. Harris & G. Taylor

(£16)

Page 21: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

What did I use?

BMJ On examinationOxford Handbook GP

Medical Statistics Made Easy

Dermnet NZ DVLA Guidance

Page 22: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

When should you start revising?- Everyone’s different

- BUT….remember there is a lot to cover

- The earlier you start the more you get out of Pastest/On examination

Page 23: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

On the day TIPS…- Don’t forget your identification

documents!

- Arrive early

- Keep a close eye on the time!

(Time is everything! – better to skip questions you struggle with rather than wasting time)

Page 24: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

On the day TIPS…- Don’t leave any questions unanswered –

there is NO negative marking

- (If you have time) check through your answers to avoid silly mistakes

Page 25: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 26: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Question Types

Page 27: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

The questions- All written by working GP’s

- All reference to NATIONAL not local guidelines

- Are not opinion – they can be supported with reference to facts & guidelines

Page 28: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Question types- Single Best Answer (SBA)- Extended Matching Questions (EMQ)- Multiple Best Answer (MBA)- Table/Algorithm- Picture format- Drag and drop- Data interpretation- Free text- Rank ordering

Page 29: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 30: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 31: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 32: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 33: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary
Page 34: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Picture FormatPicture Format  THEME: Eye problems A 42-year-old woman who has previously had

treatmentFor cervical CIN 2, has had a lump affecting herleft upper lid for three months. It is asymptomatic.  What is the single most likely diagnosis in this

patient?

Select one answer only A entropionB meibomian cystC metastatic depositD styeE xanthelasma

Page 35: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Data InterpretationA meta-analysis examines whether giving a new dietary supplement to patients who've recently had a myocardial infarction can help prevent a further attack. The meta-analysis consists of four randomised controlled trials and is summarised below:

What is the most appropriate interpretation ofthe data?

A. There is publication bias in studies looking into this questionB. There is a non-significant trend that taking the supplement reduces the chance of a further myocardial infarctionsC. There is a non-significant trend towards no benefit from taking the supplement in terms of reducing further myocardial infarctionsD. Taking the supplement reduces the chance of a further myocardial infarctionsE. Taking the supplement increases the chance of a further myocardial infarction

Page 36: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Data Interpretation (2)A rapid finger-prick blood test to help diagnosis deep vein

thrombosis is developed. Comparing the test to current standard techniques a study is done on 1,000 patients:

 

What is the specificity of the new test? A. 680/880 B. 200/220

C. 680/780 D. 680/700 E. 200/300

DVT present DVT absent

New test positive 200 100

New test negative 20 680

Page 37: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Scoring- All question formats have equal weighting

- Each correctly answered question is awarded one mark

- Total score on the paper is the number of correct answers given

- No negative marking – it is important to answer all the questions

Page 38: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Where did others go wrong?

Page 39: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Vital statistics – AKT January 2015

AKT 23 pass mark = 143/200 (71.5%)

Overall pass rate = 75.8%

ST2 first-time takers pass rate = 83.2%ST3 first-time takers pass rate = 67.3%

Cumulative pass rate after four attempts for all those who take AKT is approximately 95%

Page 40: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Areas of difficulty in Jan 2015- Promoting health and preventing disease

National screening programmes, immunisations

- Care of acutely ill peopleAcute but rare illness, anaphylaxis, CPR

- Care of children and young peopleSerious but rare, asthma management

- Women’s healthContraception e.g. ‘quick-start’

- Care of people with neurological problemsManagement of different types of headache

Page 41: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Types of question that caught me out…

Page 42: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Consultation ModelsWhich one of the following consultation models advocates

managing the presenting complaint, managing ongoing health problems and modifying health seeking behaviour?

 A. Neighbour B. Fraser C. Pendleton

D. Stott and Davis E. Stewart

Page 43: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

BNF QuestionsThe following symbol appears in the British National Formulary:

  What does it mean?

A. Newly licensed medicine B. Not prescribable on the NHS C. Denotes a preparation that is less suitable to prescribe D. Should only be prescribed by a specialist E. Controlled drug

Page 44: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Example Questions

Over to Sanju…

Page 45: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Take home messages- Think about when would be best for you

- Start revising early

- Remember ‘Time management’

- Prepare and pass first time!

Page 46: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

Thanks.Any questions?

Page 47: AKT Top Tips Sanju Joy & Gareth Smith. What’s so scary? Medical Statistics Is there enough time? Driving guidelines What questions will be asked on primary

And….GOOD LUCK