AKT vs SCA
AKT vs SCA: the two MRCGP exams compared
The MRCGP has two exams: the AKT and the SCA. They test different things. This guide explains the difference in simple terms, and when most trainees sit each one.
The short version
- •AKT — a written computer exam. It tests your knowledge. 160 questions in 160 minutes.
- •SCA — a consultation exam. It tests your skills with patients. You do a set of simulated consultations.
What the AKT tests
The AKT checks what you know.
It covers clinical medicine, evidence, and how UK general practice works. It is all multiple choice on a computer. For the full details, read our AKT exam format guide.
What the SCA tests
The SCA checks how you consult with patients.
You meet simulated patients and work through real-life cases. It looks at how you gather information, make decisions, and care for people. The SCA replaced the older RCA exam.
When do trainees sit them?
Most trainees sit the AKT during GP training, often in ST2 or early ST3. Most sit the SCA later, in ST3, near the end of training. You can sit them in either order, but many do the AKT first. Always check the current rules with your training programme.
How to prepare for each
They need different kinds of practice:
- •For the AKT — do lots of questions, use spaced repetition, and sit timed mocks. See how to revise for the AKT.
- •For the SCA — practise real consultations, get feedback, and work on your timing and communication.
AKT Revision is built for the AKT. Our sister site, SCA Revision, is built for the SCA. Same team, same care — two separate exams.
Frequently asked
Which is harder, the AKT or the SCA?+
They are different, not harder or easier. The AKT tests your knowledge. The SCA tests your skills with patients. People find different ones harder.
Do I sit the AKT or the SCA first?+
Many trainees sit the AKT first, often in ST2 or early ST3, and the SCA later in ST3. You can do them in either order. Check the current rules with your training programme.