FourteenFish is the one platform every GP trainee uses — because you have no choice. It is the official RCGP trainee ePortfolio platform. Your training map, your progress graphs, your assessment tracking, your learning logs, your WPBAs — all live in FourteenFish. It is the administrative backbone of GP training.
What most trainees do not realise is that FourteenFish also offers exam preparation products: an AKT package with 1,000+ mock questions, and an SCA/RCA preparation package with video-based guidance.
The ePortfolio
The core product is the trainee portfolio — and it does this job well. The training map provides a visual overview of curriculum coverage. Progress graphs show your trajectory through training. The assessment tracking manages WPBAs (COTs, CBDs, miniCEX), MSF, and PSQ timelines. AI-powered sensitive data scanning flags entries that may contain identifiable patient information — a genuine patient safety feature.
The mobile app allows learning log entries on the go, with offline capability — capturing clinical learning moments during or immediately after consultations, when the details are fresh.
The average user rating is 4.6 out of 5 from 727+ ratings — which is strong for a mandatory platform that users do not choose voluntarily. The training map, in particular, provides a clear visual representation of curriculum coverage that helps both trainees and supervisors identify areas needing attention before ARCP.
AKT Package
The AKT package provides 1,000+ mock questions with detailed performance reports. The questions are developed by Dr Mark Coombe, who has over 10 years of experience as an MRCGP examiner. Performance reports highlight weak and strong areas to optimise revision. The questions are structured in exam format with detailed explanations — and deaneries can purchase access on behalf of their trainees, meaning individual cost may be zero.
The limitation is volume — 1,000+ questions is significantly fewer than Passmedicine (4,500+) or Pastest (3,300+). For trainees whose deanery provides FourteenFish AKT access for free, it is a useful supplementary resource. For trainees paying out of pocket, purpose-built AKT Q-banks offer more questions, better explanations, and (in iatroX's case) adaptive targeting.
SCA/RCA Package
The SCA package provides video-based preparation covering exam technique, marking domain breakdown, and strategy guidance. It is less interactive than Clinitalk (real-consultation feedback), MedTutor AI (AI patient simulation), or SCA Revision (350+ written cases with marking breakdowns). Reviews are mixed — some trainees found the videos helpful, others found them dry compared to interactive alternatives.
Who Should Use the Add-Ons
If your deanery provides the AKT and SCA packages for free — use them alongside your primary Q-bank. Free resources that provide additional question exposure are always worth having. If you are paying out of pocket — invest in a dedicated AKT Q-bank (Passmedicine, Pastest, or iatroX for free adaptive practice) and a dedicated SCA tool (SCA Revision, MedTutor AI, or Clinitalk) instead. Purpose-built tools consistently outperform portfolio-platform add-ons.
Where iatroX Fits
FourteenFish is your portfolio backbone — and nothing replaces it for that function. Layer iatroX for adaptive knowledge revision and guideline-grounded clinical Q&A alongside it. FourteenFish tracks your training progress. iatroX builds the clinical knowledge that drives that progress.
The Bottom Line
FourteenFish is non-negotiable — you will use it for your entire GP training. The portfolio functionality is well-designed and improving. The AKT and SCA add-on packages are reasonable supplementary resources but do not replace purpose-built exam preparation tools. The optimal setup: FourteenFish for portfolio (mandatory), a dedicated AKT Q-bank for exam knowledge (Passmedicine, Pastest, or iatroX — the latter being free), a dedicated SCA tool for consultation practice (SCA Revision, MedTutor AI, or Clinitalk), and iatroX for daily clinical reference and adaptive revision alongside all of the above.