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The Prescribing Safety Assessment is 60 items worth 200 marks, and they are not worth the same. Eight prescribing items carry 80 of those marks. Candidates who spread their time ev...

The hardest MRCEM questions do not offer you a right answer and four wrong ones. They offer you two defensible actions and ask which comes first. That is a different skill from kno...

The MRCEM SBA is 180 questions across two two-hour papers with an hour's break in the middle. That structure creates specific failure modes that no amount of extra content revision...

Clinical sciences is the largest block on the MRCP Part 1 blueprint and the one no rotation teaches. Rebuilding it by re-reading physiology does not work. Rebuilding it by predicti...

The MRCP Part 1 is not a speed exam. It is an endurance exam: six hours of testing across two three-hour papers on a single day. Candidates who only ever practise in twenty-questio...

The MRCP Part 1 blueprint does not weight specialties equally, and its single largest block is the one nobody owns: clinical sciences. Coverage, not enthusiasm, is what determines ...

Sixteen marks of the AKT test certification, regulation, confidentiality, complaints and NHS structure. It is the most finite, most learnable content in the paper, and candidates c...

After every AKT sitting the RCGP publishes a report saying exactly where candidates underperformed. It is the closest thing to an official revision guide that exists, it is free, a...

The AKT is 80 per cent clinical, 10 per cent evidence-based practice and 10 per cent organisational. That last 20 per cent is 32 marks, it is the most learnable part of the paper, ...

You sit the MSRA once, whatever you apply to. But the same score does different work in different specialties: in some it decides everything, in others it only opens the door. Buil...

Not every wrong answer on the MSRA clinical paper is a knowledge gap. Under 50 seconds per question, most errors are failures of prioritisation or of reading. Diagnosing which one ...

The MSRA is not one exam with two halves. It is two assessments with different content, different scoring logic and different failure modes, sat back to back. Preparing for them as...