Under the new AKT format (160 questions), the EBP and organisational domains represent 16 questions each — 32 total. Each question is worth approximately 0.625% of the total mark. Losing half these questions costs 10% — often the margin between pass and fail.
Most trainees instinctively default to clinical question drilling because it feels productive. EBP and organisational topics feel dry, unfamiliar, and low-yield. They are not. They are the most learnable domains in the shortest time — because the content is finite and pattern-based.
EBP Essentials
Sensitivity, specificity, PPV, NPV — know the 2x2 table and be able to calculate each from data. NNT and NNH — understand absolute vs relative risk reduction. Odds ratios and confidence intervals — interpret what a CI that crosses 1 means. P-values and statistical significance. Types of bias (selection, recall, observer, attrition). Levels of evidence (RCT > cohort > case-control). Audit cycle vs research — the difference is testable and commonly confused. Critical appraisal — can you identify the flaw in a study design?
Best EBP resources: Pastest explanations (strongest in this domain), Emedica stats modules, iatroX adaptive quiz (covers EBP topics and won't let you avoid them).
Organisational Essentials
GP contracts (GMS/PMS/APMS — know the differences). QOF indicators (current targets for common conditions). CQC (what they inspect, ratings). GMC fitness to practise procedures. Medico-legal: consent, capacity (MCA 2005), DOLS/LPS, Gillick competence, Fraser guidelines, safeguarding thresholds. Sick notes (fit notes — who can issue, duration rules). DVLA notification responsibilities. Death certification and cremation forms. Controlled drugs regulations.
Best organisational resources: Passmedicine (dedicated organisational section), InnovAiT journal (GP-specific organisational articles), RCGP curriculum organisational domain guide.
Study Strategy
Do not scatter EBP and organisational revision across your full revision period. Dedicate 2-3 focused weeks (typically weeks 7-8 of a 12-week plan) to these domains. The content is finite — you can learn the core EBP framework in 3-4 sessions and the organisational essentials in 5-6 sessions. Then maintain with periodic review.
Where iatroX Fits
iatroX's adaptive quiz covers EBP and organisational topics alongside clinical content — it will not let you avoid the domains you are weakest in. This is exactly the behaviour most trainees need corrected.