Passmedicine vs FourteenFish AKT: Paid Q-Bank vs Portfolio-Integrated Mocks

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FourteenFish is the platform every GP trainee already uses for their portfolio. Its AKT package adds 1,000+ mock questions with detailed performance reports — all inside the platform you are already logged into. The convenience is genuine.

Passmedicine is a purpose-built AKT Q-bank with 4,500+ questions, Knowledge Tutor spaced repetition, peer benchmarking against candidates preparing for the same diet, and mapping to the 2025 RCGP curriculum. It is designed from the ground up for AKT revision.

The Comparison

FourteenFish's 1,000+ questions are useful for diagnostic mocking — taking a timed test to identify your weak areas before focused revision. The performance reports highlight strong and weak domains clearly. The integration with your portfolio means your AKT preparation data sits alongside your other training evidence.

Passmedicine's 4,500+ questions are the primary revision engine — the volume, curriculum mapping, Knowledge Tutor spaced repetition, and peer benchmarking provide the systematic preparation that 1,000 questions cannot match. The peer comparison answers "am I ready?" with data rather than gut feeling.

Do You Need Both?

FourteenFish's AKT package is often provided free by deaneries — if yours offers it, use it for periodic diagnostic mocks alongside Passmedicine. If you must pay out of pocket, Passmedicine (approximately £35) is the better investment per pound.

The cost of Passmedicine is trivial relative to the AKT exam fee (£470) and the cost of a resit. Study budget may cover it under AKT preparation funding (£600 cap).

Where iatroX Fits

FourteenFish diagnoses weak areas. Passmedicine provides volume. iatroX's adaptive engine fills the same diagnostic role for free and adds guideline-grounded explanations for every weak topic. Three tools, three functions, comprehensive AKT coverage.

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