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About this exam

The MICGP Computer-Based Knowledge Test (CKT) is the written knowledge component of the Irish College of General Practitioners' membership pathway for doctors training in general practice in Ireland. It is designed for GP trainees who have completed or are nearing the end of their structured training and need to demonstrate the breadth of knowledge expected of an independent general practitioner. The test samples the full curriculum of general practice: consulting and communication, cardiovascular and respiratory medicine, gastroenterology, endocrinology, musculoskeletal and rheumatological problems, mental health and neurology, women's health and paediatrics, geriatric and palliative care, dermatology, ENT and ophthalmology, plus the principles of general practice and clinical governance, ethics and practice management. Questions are applied rather than purely factual, so the emphasis falls on safe decision-making in undifferentiated presentations, appropriate referral and investigation, and recognition of red flags. Preparation works best as a structured revision programme built around the published MICGP curriculum and your own training log, with regular single-best-answer practice under timed conditions and review of every wrong answer. Working through cases in small study groups helps surface gaps in areas you rarely see in your own practice. The College publishes current details of the format, scheduling and results on its website, and candidates should treat that as the authoritative source rather than second-hand summaries.

What you'll study

Common questions

About MICGP CKT preparation

What is the MICGP CKT actually testing?

Applied general practice knowledge across the whole MICGP curriculum, not isolated facts. Expect single-best-answer questions built around realistic consultations where you must choose the safest next step, the most likely diagnosis, or the most appropriate referral. It rewards broad, current, guideline-consistent clinical judgement rather than obscure trivia.

How is the exam delivered and what is the question format?

It is a computer-based test using multiple-choice, single-best-answer items. You answer at a workstation in a test centre, with question navigation and review functions typical of computer-based delivery. The Irish College of General Practitioners publishes the current blueprint, item format and scheduling details on its website, and those should be checked before you apply.

How long is the test and how many questions are there?

The College sets and periodically revises the number of items and the allotted time, so no fixed figure should be assumed. Check the current MICGP CKT information on the ICGP website for the exact duration, item count and any scheduled breaks. Plan your exam-day pacing around the official timing once confirmed.

What score do I need to pass, and how often can I sit it?

Passing standards and retake rules are set by the College and can change between sittings. The ICGP publishes the current pass standard, number of permitted attempts and any eligibility conditions on its website. Confirm these before booking, and if you are close to a deadline in your training scheme, speak to your programme director early.

How difficult is it compared with medical school exams?

It is broader rather than deeper. Undergraduate exams reward detailed recall within a specialty; the CKT asks you to make safe decisions across the entire general practice curriculum, including areas you rarely encounter. The commonest difficulty is uneven coverage, not question trickery, so breadth of revision matters more than depth in one favourite subject.

In what order should I revise the domains?

Start with your weakest high-weight areas rather than your favourite ones. Cover cardiovascular, dermatology/ENT/ophthalmology and the other larger-weight domains early, then rotate through the smaller ones so nothing is left untouched. Interleave topics rather than blocking them, and revisit your training log to find presentations you have seen least often.

What are the most common ways candidates underperform?

Neglecting low-exposure areas such as ophthalmology, ENT, palliative care and practice management; revising from outdated guidelines; and practising only untimed questions. Another frequent problem is not reading the stem carefully, so the question asked is missed. Reviewing every incorrect answer, including why the distractors are wrong, is the highest-yield habit.

How should I use practice questions?

Use them as a diagnostic tool, not a scoreboard. Answer under realistic time pressure, then spend at least as long reviewing each item: why the correct option is right, why each distractor fails, and what guideline underpins it. Keep a running list of recurring gaps and feed those topics back into your revision schedule.

Does the CKT cover Irish-specific practice and legal issues?

Yes. The principles of general practice and the governance, ethics and practice management domain include Irish health system structures, consent, confidentiality, prescribing and certification responsibilities, and quality improvement. Revise from current Irish guidance and College materials rather than UK or other jurisdictions' resources, which can differ in law and service organisation.

Where do I find authoritative information about sitting the test?

The Irish College of General Practitioners website is the definitive source for eligibility, application windows, fees, venue arrangements, the current blueprint and results. Training scheme administrators can clarify how the CKT fits your progression. Treat forum posts and commercial summaries as supplementary only, since details change between sittings.