AKT & MSRA · Statistics

The AKT Statistics Guide

From p-values to practice — the core statistics the exam tests, explained simply, with short video tutorials woven in. Read the chapter, watch the video where there is one, then drill the questions.

In the AKT you don’t need to be a mathematician — you need to be a BS detector. Sixteen chapters across five parts take you from describing data to reading a forest plot, each with worked examples, the exam’s favourite traps, and an AKT-style question to test yourself. Where there’s a video, it’s embedded right in the chapter.

Part 1 · Describing data
Chapter 1▶ Video

Averages: Mean, Median & Mode

Choosing the right average, and why skew makes the mean lie.

Averages

Chapter 2▶ Video

Standard Deviation vs Standard Error

Spread of your patients versus precision of the mean — and SE = SD/√n.

SD vs SE

Chapter 3▶ Video

Incidence vs Prevalence

New cases versus everyone living with it — the bath analogy.

Incidence vs Prevalence

Part 2 · Foundations of inference
Chapter 4▶ Video

P-values

What p really means — and the four things it doesn’t.

P-values

Chapter 5▶ Video

Confidence Intervals

Precision, width, and when crossing 1 or 0 means “not significant”.

Confidence Intervals

Chapter 6▶ Video

Study Design

RCT, cohort, case-control — the hierarchy and what each can show.

Study Design

Chapter 7

Bias & Validity

Selection, recall, attrition, lead-time and length-time bias.

Bias & Validity

Part 3 · Diagnostic tests
Chapter 8▶ Video

Sensitivity & Specificity

SnNOUT / SpPIN, and the 2×2 table that solves everything.

Sensitivity & Specificity

Chapter 9▶ Video

The Prevalence Trap: PPV & NPV

Why a great test gives mostly false positives in primary care.

PPV & NPV

Chapter 10▶ Video

Likelihood Ratios & the Fagan Nomogram

One number that turns a result into a change in probability.

Likelihood Ratios

Chapter 11

Screening Principles

Wilson & Jungner, plus lead-time and length-time bias.

Screening Principles

Part 4 · Treatment effects
Chapter 12▶ Video

Risk & Reward: ARR, RRR & NNT

Why a “50% reduction” can be almost nothing.

ARR, RRR & NNT

Chapter 13▶ Video

Number Needed to Harm

Weighing benefit against harm — and why a bigger NNH is safer.

Number Needed to Harm

Chapter 14

Hazard Ratios & Kaplan–Meier Curves

Reading survival curves and what an HR actually summarises.

Hazard Ratios

Part 5 · Reading the evidence
Chapter 15▶ Video

Odds Ratios & Regression

Why case-control gives an OR, and when an OR overstates risk.

Odds Ratios

Chapter 16

Forest Plots & Meta-Analysis

Anatomy of a forest plot, heterogeneity and the diamond.

Forest Plots & Meta-Analysis

Quick reference
Cheat-sheet

Stats Cheat-Sheet

Every formula, mnemonic and magic number on one page — for the night before.

Cheat-sheet

Note: Independent revision resource for the MRCGP AKT and the MSRA. Educational content for exam preparation only — not clinical advice, and not affiliated with the RCGP. A study aid, not a substitute for the official curriculum.
by Core Revision · corerevision.com

The other free AKT guide

The Ethics, Law & Safeguarding Guide covers the other half of the medico-legal syllabus — capacity, consent, confidentiality, safeguarding and the Mental Health Act — in eleven interactive chapters, updated for the June 2026 Supreme Court ruling on deprivation of liberty. Free, no account needed.

Open the Ethics, Law & Safeguarding Guide