Notes for the MRCGP

This classic book has been providing help for candidates of the MRCGP exam for over 20 years. Now fully updated for UK trained doctors wishing to obtain a Certificate of Completion of Training in General Practice, this new edition covers all three required components of the integrated assessment programme. It provides sample questions for the Applied Knowledge Test (AKT), practice cases for Clinical Skill Assessment (CSA) and a guide to Workplace Based Assessment (WPBA).

The chapters follow the 16 sections of the RCGP curriculum and include summaries of the current evidence base with clinical guidelines, examination tips, revision tactics, and advice on where to get support – but not just at the crucial time of exams – it includes invaluable information for GPs starting their first year in practice and helps provide the “life skills” needed to be a GP, including topics relevant for the rest of a GP’s career and their “continuing professional development” – appraisal, revalidation, managing change, teamwork, burnout, and other areas of self care.

Acknowledgements vi

Preface vii

Abbreviations viii

Chapter 1 The MRCGP examination (curriculum statement 1) 1

Chapter 2 The general practice consultation (curriculum statement 2) 13

Chapter 3 Legal and ethical matters (curriculum statement 3) 47

Chapter 4 Statistics for the AKT (curriculum statements 3.5 and 3.6) 76

Chapter 5 Management and practice matters (curriculum statement 4) 95

Chapter 6 Healthy people (prevention and screening) (curriculum statement 5) 146

Chapter 7 Developmental milestones immunisation and travel advice (curriculum statements 5 and 16) 174

Chapter 8 Chronic disease management QOFs and urgent referral (curriculum statements 7, 12, 13, 15.1, 15.2, 15.6, 15.7, 15.8) 188

Chapter 9 The Clinical Skills Assessment (curriculum statements 6–16) 240

Appendix I The structure of the health service (curriculum statement 4) 331

Appendix II Social medicine (curriculum statement 5) 335

Appendix III Med forms 348

Appendix IV The RCGP Curriculum map 355

Index 356

Professor Keith Palmer, Medical Research Council, Southampton, UK.

Dr Nicholas Boeckx, GP Partner, Training Practice, West Midlands, UK.

This classic book has been providing help for candidates of the MRCGP exam for over 20 years. Now fully updated for UK trained doctors wishing to obtain a Certificate of Completion of Training in General Practice, this new edition covers all three required components of the integrated assessment programme. It provides sample questions for the Applied Knowledge Test (AKT), practice cases for Clinical Skill Assessment (CSA) and a guide to Workplace Based Assessment (WPBA).

The chapters follow the 16 sections of the RCGP curriculum and include summaries of the current evidence base with clinical guidelines, examination tips, revision tactics, and advice on where to get support – but not just at the crucial time of exams – it includes invaluable information for GPs starting their first year in practice and helps provide the “life skills” needed to be a GP, including topics relevant for the rest of a GP’s career and their “continuing professional development” – appraisal, revalidation, managing change, teamwork, burnout, and other areas of self care.