After every MRCGP AKT sitting, the RCGP publishes a short feedback report. Sadly most GP trainees never read one until someone mentions it to them. That is a shame, because these reports are one of the few places where the people who write and review the AKT tell you, in their own words, what is going well and what keeps catching candidates out. This page exists to make that information easier to use. It is reviewed and updated after every AKT sitting, in January, April, July and October, so you can come back to it as your own exam approaches rather than treating it as a one-off read. Below you will find what the reports actually are, what the most recent sitting showed, the patterns that keep resurfacing across several sittings in a row, and how to turn that into something useful for your revision rather than something to worry about. A note before we start. None of this is about predicting questions, and it should not be read that way. The RCGP is explicit that AKT content is reviewed and replaced on an ongoing basis, and that trying to use recalled or memorised questions is both against the rules and poor preparation, since the exam tests applied reasoning rather than recall. What follows is a summary of the themes RCGP itself has chosen to publish, written up so they are easier to act on. – Join National AKT WhatsApp Teaching Group here – Get AKT Updates and Teaching Emails here – Register for next Free AKT Webinar here
If you are an international medical graduate, the Medical Training (Prioritisation) Act 2026 has probably reached you in some form – a headline, a message in a WhatsApp group, a conversation with a colleague who is equally uncertain, or a quiet worry that surfaced while you were in the middle of revision. Whatever brought you here, you deserve a clear, honest account of what this law actually says. Not the most alarming version. Not the most reassuring version. Just what it says, what it changes, and what it does not change. This blog does not tell you what decision to make about your career. That is yours, and it depends on your personal circumstances, your stage of training, your immigration status and your goals. What it tries to do is give you an accurate foundation from which to think clearly, at a moment when clarity is genuinely hard to find. Last updated: June 2026. We will update this page as the guidance develops – particularly around the 2027 changes, which are still being finalised.
If you have searched for “audit ideas for GP training” or “QIP ideas for GP registrars,” you are not alone. It comes up on GP trainee forums and social media groups constantly – and it is one of the most common questions GP trainees ask when they start a new primary care post. But here is something worth knowing before you start: the RCGP no longer requires a clinical audit as a named portfolio requirement. What you actually need to complete in GP training is a Quality Improvement Project – the QIP – and a Quality Improvement Activity, the QIA, in every year of training. This matters because audit and quality improvement are related but not the same, and submitting something that looks like an audit without the improvement framework behind it may not satisfy what your ARCP panel is looking for. This blog explains exactly what the QIP and QIA requirements are for GP trainees, how they differ from each other, what your supervisor assesses you against, and – because it is the question asked most often – gives you a detailed list of quality improvement project ideas that work well in primary care, with notes on which are better suited to a full QIP versus the smaller annual QIA. – Join National AKT WhatsApp teaching group here – Join National SCA WhatsApp teaching group here – For GP trainee update and teaching emails click here – For MRCGP AKT Preparation click here – For MRCGP SCA Preparation click here
If you have recently received a UKMLA PLAB 1 fail result, you will know that the moment of reading it stays with you. You may have been preparing for months. You may have left friends, family and a clinical career behind in your home country to pursue this path. And now, a number was not quite high enough, and everything feels heavier than it probably should. Before anything else, something important needs to be said clearly: failing PLAB 1 does not mean you are not a capable doctor. It does not mean your dream of working in the UK is over. And it does not mean that the next sitting will go the same way. PLAB 1 is a specific, demanding, time-pressured written exam. It tests applied clinical knowledge within a particular UK framework. Failing it reflects a gap between where your preparation was and where it needed to be – not a verdict on you as a clinician. The question worth asking now is not “why did I fail?” It is: “what needs to change?” Over 15 years, Arora Medical Education has supported thousands of international medical graduates through the PLAB pathway. This blog sets out seven practical steps to help you reset, rebuild and pass. – Get PLAB 1 Updates and Teaching Emails here – Register for next Free PLAB 1 Webinar here – Pass with PLAB 1 Ultimate Package here
