MRCGP Exam overview
MRCGP is an integrated assessment system, success in which confirms that a doctor has satisfactorily completed specialty training for general practice, and is competent to enter independent practice in the United Kingdom without further supervision. Satisfactory completion of the MRCGP is a pre-requisite for the issue of a certificate of completion of training (CCT) and full Membership of the RCGP.
MRCGP comprises three separate components: an Applied Knowledge Test (AKT), a Clinical Skills Assessment (CSA) and Workplace Based Assessment (WPBA), each of which tests different competences using validated assessment methods and which together cover the spectrum of knowledge, skills, behaviours and attitudes defined by the GP Specialty Training curriculum.
MRCGP complies with General Medical Council (GMC) standards on validity, reliability, feasibility, cost effectiveness, opportunities for feedback and impact on learning. It also follows best practice in assessment, quality assurance and standard setting.
The Academy of Medical Royal Colleges and the General Medical Council have set expectations about the currency of national professional examinations and the number of attempts permissible. This guidance can be found here.
CSA 14th case pilot - May 2017
The RCGP is planning to pilot a new type of CSA case during the May 2017 session as part of our drive to enhance both the validity of the examination and its reliability.
This will be a short answer written case of 10 minutes duration, which aims to test specific aspects of prescribing such as the management of polypharmacy and professionalism. Candidates who book for May 2017 will be advised about the pilot at the time of booking, and no advance preparation will be required. Candidates will sit the pilot case after completion of the standard 13 case CSA circuit. The marks for the pilot case will not count towards the candidate's overall score and no specific feedback will be given regarding performance in this case.
There are no plans to implement any changes to the examination in the immediate future and adequate notice of revisions will be given at the appropriate time.
August 2016 - Exceptional fifth attempts at the MRCGP Applied Knowledge Test (AKT) and Clinical Skills Assessment (CSA)
A new policy has been developed which will allow examination candidates to make exceptional fifth attempts at the AKT and CSA on the basis of additional educational attainment.
August 2016 Revisions to the MRCGP Exam Regulations and regulations for the conduct of office reviews, complaints and appeals
August 2016 Information on enhanced CSA feedback
Resources for Educational Supervisors and Training Programme Directors
The RCGP appreciates the pivotal role ESs and TPDs play in candidate preparation for the CSA and has developed joint guidance with COGPED on CSA preparation to support the training community.
Applied Knowledge Test (AKT)
The Applied Knowledge Test 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. Trainees who pass this assessment will have demonstrated their competence in applying knowledge at a level which is sufficiently high for independent practice.
Clinical Skills Assessment (CSA)
The CSA is a summative assessment of a doctor's ability to integrate and apply clinical, professional, communication and practical skills appropriate for general practice. Simulating a typical NHS surgery clinic the CSA assesses a range of scenarios from general practice relevant to most parts of the curriculum which can also target particular aspects of clinical care and expertise.
WPBA evaluates the trainee's progress in areas of professional practice best tested in the workplace and:
- provides an opportunity for gathering evidence and reflecting on performance
- evaluates aspects of professional behaviour that are difficult to assess in traditional examinations
- provides constructive feedback on areas of strength and developmental needs, identifying trainees who may be in difficulty
- drives learning in important areas of competence
- determines fitness to progress to the next stage of training
- WPBA assessments take place throughout GP Specialty Training.
The AKT forms part of the MRCGP. It 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
The CSA tests a doctor’s ability to gather information and apply learned understanding of disease processes and person-centred care appropriately in a standardised context
View the current MRCGP exam fees effective from August 2016
Notifying us about a disability and request reasonable adjustments for your examination
MRCGP regulations apply to assessments undertaken by doctors training in GP specialty programmes in the UK
Information about MRCGP exam cancellations and refunds
The Fraser Rose Medal is awarded annually to a candidate who, having completed the MRCGP examinations, has demonstrated outstanding performance to the panel of examiners
Details about applying to become a member of the panel of Examiners