MICGP CKT study plan
MICGP CKT · Give each week a clear focus.
8 weeks · About 6 hours per week
Cardiovascular medicine & Dermatology, ENT, and ophthalmology
Build a one-page decision aid for chest pain triage in primary care, covering red flags that mandate same-day referral versus safe community pathways
Work through 25 ECG rhythm and ischaemia cases, writing a structured interpretation (rate, rhythm, axis, intervals, ST-T) for each
List the ten dermatology presentations most often misdiagnosed in general practice and state the single discriminating feature for each
Practise describing 15 skin lesions aloud using a consistent morphology vocabulary (site, size, colour, border, surface, evolution)
Draft a personal safety-netting script for a patient with a new pigmented lesion awaiting review
Your checkpoint
A 2-page cardiovascular and dermatology rapid-reference sheet, plus a logged set of 25 ECG interpretations scored for accuracy
Cardiovascular medicine & Dermatology, ENT, and ophthalmology
Summarise current targets for hypertension, lipid management and anticoagulation in atrial fibrillation, noting where guidance differs for older or frail patients
Interpret 20 spirometry and oximetry results and classify each as obstructive, restrictive or normal with a stated confidence level
Assess 10 ENT scenarios (hearing loss, persistent hoarseness, unilateral nasal symptoms, vertigo) and write the referral threshold for each
Explain the red-eye differential to a simulated patient in under three minutes, distinguishing benign from sight-threatening causes
Audit your own last 20 referrals in these domains and note which lacked sufficient supporting detail
Your checkpoint
A written hypertension/atrial fibrillation management summary and a 10-case ENT referral-threshold table, both checked against a current guideline
Respiratory medicine & Gastroenterology and hepatology
Classify 30 respiratory presentations by likely diagnosis and state the investigation that would most change management
Construct a stepwise inhaler escalation plan for asthma and for COPD, including when to add each agent and what triggers review
Map the alarm features of dyspepsia, change in bowel habit and rectal bleeding onto a referral decision tree
Interpret 15 liver function test patterns and assign the most probable cause category to each
Write a counselling script for a patient with newly diagnosed coeliac disease covering testing of relatives and adherence monitoring
Your checkpoint
A one-page liver function test interpretation grid and a respiratory escalation ladder, each applied to at least 10 worked cases
Endocrinology and metabolic medicine & Musculoskeletal and rheumatological conditions
Build a diabetes review checklist covering glycaemic targets, complication screening, and medication review for renal function
Practise interpreting 20 thyroid function test results, including subclinical patterns and when to repeat rather than treat
Distinguish inflammatory from mechanical joint pain using a structured history and examination sequence, applied to 15 written cases
State the safe prescribing limits and monitoring requirements for common analgesics and anti-inflammatories in older adults
Write a shared decision-making script for a patient considering long-term corticosteroid therapy
Your checkpoint
A completed diabetes annual-review checklist and a 15-case musculoskeletal triage log with your working diagnosis and referral decision for each
Mental health and neurology & Consultation and communication skills
Apply a validated depression and anxiety screening tool to 10 written vignettes and document the risk assessment for each
Outline the first-line and second-line pharmacological and psychological options for depression, anxiety and insomnia, with monitoring intervals
Identify the red flags in headache and dizziness that require urgent imaging or same-day assessment
Record and review three role-played consultations, scoring your own use of open questions, summarising and signposting
Draft a safety-planning conversation template for a patient expressing suicidal ideation
Your checkpoint
Three self-scored recorded consultations with written reflection, plus a completed mental health risk-assessment template
Women's health and paediatrics & Geriatric medicine and palliative care
Map the routine child health surveillance and immunisation schedule and identify the points where developmental concerns should trigger referral
Summarise contraceptive options by efficacy, contraindications and typical patient suitability in a comparison table
Outline the approach to common gynaecological presentations (abnormal bleeding, pelvic pain, menopause) with investigation pathways
Apply a comprehensive geriatric assessment framework to five written cases of falls, confusion or polypharmacy
Describe the core components of a palliative care conversation, including symptom control and anticipatory prescribing
Your checkpoint
A contraception comparison table and five completed comprehensive geriatric assessment summaries with a stated management plan
Clinical governance, ethics, and practice management & Principles of general practice and primary care
Summarise the principles of informed consent, capacity assessment and confidentiality in general practice, with two worked scenarios
Outline the structure of a significant event audit and write one up from a hypothetical case
Describe the components of clinical audit and draft a simple audit cycle for a common prescribing or screening target
Explain the roles and boundaries of the primary care team and how care is coordinated across settings
Identify the documentation standards expected in a consultation record and audit three of your own entries against them
Your checkpoint
A written significant event analysis and a one-page audit proposal with measurable standards
Principles of general practice and primary care & Consultation and communication skills
Synthesise all domain notes into a single revision index organised by presentation rather than by diagnosis
Complete a timed mock examination under test conditions and mark it against the answer rationale
Review every incorrect mock answer and write the underlying principle you missed for each
Rehearse the consultation model aloud three times, focusing on structure, time management and closing the consultation safely
Write a final pre-exam checklist covering logistics, timing strategy and personal weak areas
Your checkpoint
A marked mock examination with a written error log and a final one-page exam-day strategy sheet
Milestones
Week 2: You can interpret an ECG, a spirometry trace and a skin lesion description without notes and state the next clinical action in under 60 seconds each
Week 4: You have completed all four heavy-domain deliverables and can explain the diabetes review and musculoskeletal triage decisions to a colleague without referring to your notes
Week 6: You have covered every domain at least once and can name your three weakest areas with evidence from your logs
Week 8: Mock examination score is at or above your target pass margin, and every incorrect answer has a written corrective note