Specialist Clinical Topics
AKT High-Yield Breakdown
Specialist and emerging clinical topics are an increasingly tested area of the AKT, reflecting the breadth of primary care practice. This section covers trans healthcare, travel medicine, occupational health, planetary health and sustainable prescribing, and the childhood immunisation schedule — all areas where GPs are expected to have working knowledge.
What You'll Learn
Master trans healthcare GP responsibilities and hormone monitoring, malaria prophylaxis timing for each drug, yellow fever vaccine contraindications, RIDDOR reporting thresholds, occupational disease recognition, childhood immunisation schedule milestones, and sustainable prescribing principles including inhaler carbon footprint.
Practise Specialist Clinical Topics MCQs
From trans healthcare hormone monitoring and travel medicine malaria prophylaxis timing to occupational health pre-employment assessments, yellow fever vaccination contraindications, and planetary health principles — tackle focused MCQs across these emerging AKT topics.
Trans Healthcare
Trans and non-binary patients have specific healthcare needs that GPs are expected to address respectfully and competently. The AKT tests both clinical knowledge and the principles of respectful care.
Terminology and Core Principles
- Gender dysphoria: clinically significant distress arising from incongruence between a person's gender identity and their gender assigned at birth
- Transgender (trans): umbrella term for people whose gender identity differs from the sex registered at birth
- Non-binary: gender identity that does not fit exclusively into male or female categories
- Use the patient's preferred name and pronouns — this is a basic requirement of respectful care and is now tested in ethics/communication AKT scenarios
- Trans identity is not a mental disorder — gender dysphoria (the distress from incongruence) may be, but being trans itself is not
GP Role and Referral
Referral to Gender Identity Clinic (GIC) / Gender Dysphoria Clinic (GDC): GPs refer patients with gender dysphoria to a specialist GIC for assessment and hormone initiation. Waiting times are currently very long (several years). Interim gender-affirming care (shared care) may be initiated while awaiting specialist review. GPs may be asked to continue prescriptions initiated by a GIC under a shared care agreement.
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