Revising for the MRCGP AKT around a full clinical rota is a time problem as much as a knowledge one, and the answer is a layered stack used efficiently rather than a single resource ground through end to end. PassMedicine and Pastest give breadth; the RCGP's own self-test material calibrates you to the official style; iatroX adds adaptive repair grounded in UK guidance, dedicated work on the easily-neglected statistics and administration domains, and pacing for the shorter format.
Since October 2025 the AKT has been 160 single-best-answer questions in 160 minutes, with the familiar split of 80% clinical medicine, 10% evidence-based practice and 10% primary-care organisation and management. The clinical domain is where most banks prepare you well; the two 10% domains are where time-poor candidates quietly lose a pass, because they are easy to defer when a rota leaves little room.
How to split the work
Use PassMedicine and Pastest for breadth and high-volume clinical practice, and the RCGP's self-test material to calibrate to the official question style. Use iatroX for the adaptive layer: it surfaces your weakest domains first, grounds clinical answers in current NICE, CKS, SIGN and NHS guidance, and keeps the volatile statistics and admin facts warm through spaced repetition.
The daily loop around a rota
The constraint is time, so the loop has to be short and frequent. A typical efficient day is a primary-bank block, a short adaptive block on iatroX to target the weak domain the dashboard flags, and a quick guideline check on any management miss. The two small domains get a little time every other day so they never go cold, and a timed 160-question mock once a week or fortnight rebuilds pacing for the format.
What iatroX brings to this
iatroX is the free daily layer that makes a primary bank more efficient under a rota. Its adaptive engine removes the need to triage your own weaknesses manually, its grounding in UK guidance targets the threshold questions that move with the guidelines, and the Socratic Tutor works back through the reasoning behind a borderline GP decision rather than handing over a model answer. Ask iatroX settles a current threshold from a sourced corpus when a management item, not a fact, was the problem.
Protecting the two small domains
The recurring failure on the AKT under a rota is not the clinical medicine — it is the two ten-per-cent domains, evidence-based practice and primary-care organisation, that get deferred when time is short and then quietly cost a pass. They reward a specific kind of attention. Evidence-based practice is largely a small, finite set of concepts — the diagnostic-test statistics, the measures of effect, the study designs and the audit cycle — that become automatic with brief, frequent exposure rather than a single heavy session. The organisation, management and regulatory domain is about the structures and frameworks of UK general practice, which are easy to ignore precisely because they feel peripheral to clinical work but are entirely learnable. A practical loop keeps both warm: a handful of statistics questions and a handful of admin questions every other day, spaced so they return before you forget them, alongside your main clinical practice. The clinical domain, meanwhile, is best served by letting an adaptive engine surface your weakest topics so your limited time goes to the gaps rather than to ground you already hold, with current guidance checked on any management miss. A common mistake is to plan a statistics week or an admin week late in the run; the evidence on retention favours frequent short exposure over a single block, and a rota rarely leaves a clear week free anyway. Spread the two small domains thinly across the whole preparation, and they stop being the reason a strong clinician falls just short.
When less is the right call
Not every AKT candidate needs multiple banks. If one volume bank, used with a disciplined review loop and the two small domains protected, is keeping your mock scores comfortably above the pass standard, adding a second platform mainly fragments your limited time. The honest test is your timed-mock performance by domain, not the number of resources you own. A second bank earns its place only if your current one is exhausted or its explanations no longer resolve your misconceptions. Under a rota, doing less but reviewing it properly almost always beats doing more across two banks neither of which you finish.
Quick answers
Should I do 200-question mocks for stamina? No — train for the 160-question format you will sit, so your pacing matches the exam.
Which domain should I protect when time is short? The two 10% domains, since they are where many candidates lose a pass and are easiest to neglect on a busy rota.
Is iatroX free for the AKT? Yes — the AKT bank is free, so it adds an adaptive daily layer at no extra cost.