The AKT clinical domain (80%) tests medicine you probably know. The organisational domain (10%) and EBP domain (10%) test UK-specific content you probably do not. Those 32 questions are often the difference between pass and fail for IMGs.
Clinical Domain (80%)
IMGs often perform well here — the pathophysiology and management principles are universal. The gap: UK-specific management pathways may differ from home country guidelines. NICE CKS recommends specific first-line treatments, referral thresholds, and investigation pathways that may not match your training. Solution: revise management from CKS, not from previous training knowledge. Verify every management answer against CKS. Use Ask iatroX for UK-guideline-grounded clinical answers.
Organisational Domain (10% — 16 Questions)
Entirely UK-specific. GP contracts (GMS/PMS/APMS), QOF indicators, CQC inspection framework, GMC fitness to practise procedures, Mental Capacity Act 2005, DOLS/LPS, Gillick competence, Fraser guidelines, DVLA notification responsibilities, death certification, controlled drugs regulations. No international training covers this.
Solution: Passmedicine organisational section (dedicated topic coverage), Emedica admin modules, InnovAiT journal articles on NHS governance. Dedicate 2-3 focused revision weeks to this domain — it is finite and learnable.
EBP Domain (10% — 16 Questions)
Research methodology, statistics, and audit may be familiar — but UK-specific terminology and conventions differ. Sensitivity, specificity, NNT, NNH, audit cycle, levels of evidence — verify that your understanding matches UK exam expectations.
Study Plan for IMGs
Front-load organisational and EBP domains — the areas where your gap is largest. Then systematic clinical revision with UK guideline verification via CKS and iatroX for every management question. Do not assume clinical knowledge transfers directly without verification.
Where iatroX Fits
iatroX's adaptive quiz is mapped to UK postgraduate curricula and grounded in NICE/CKS/BNF — it automatically surfaces UK-specific management pathways that may differ from what you learned in your home country.