Elite Postgraduate Medical Education for UK Practice
Expert-led PLAB/MLA & MRCGP preparation · AI-powered adaptive learning · Clinician-verified content · Evidence-based pedagogy
Phase 1 AKT launching 1 July 2026 · App launching 21 July 2026 · Designed & taught by Professor Rajesh Varma
62% pass rate. One in three candidates fail PLAB — not from lack of knowledge, but from lack of reasoning technique.
The UK Medical Licensing Assessment has changed. From September 2026, every doctor entering UK practice is assessed against the MLA Content Map — approximately 430 core conditions, clinical vignette-based reasoning, applied knowledge. The bar has risen. Most preparation providers have not kept pace. MD Acumen was built from the ground up on a fundamentally different pedagogic foundation — one that teaches you how to think, not just what to know.
The Five-Step Metacognitive Reasoning Technique
Every question. Every explanation. Every live session. This is how we teach you to think like an expert clinician.
ANCHOR
Identify the dominant clinical pattern before reading options
DISCRIMINATE
Find the features that narrow the differential
ELIMINATE
Systematically exclude unsafe or implausible distractors
GUIDELINE
Confirm against NICE, CKS, BNF — the UK standard
COMMIT
Re-read the lead-in. Does your answer match the question asked?
This technique is taught in every live session, applied to every question in the adaptive app, and modelled by Professor Varma in real time. It is the method that changes how you think — not just what you know.
Programmes, resources, and clinical placements
PLAB MLA Mastery Programme
12-session AKT virtual tutorial programme from 1 July 2026. CPSA clinical skills from November 2026. AI-powered adaptive question bank app from 21 July. Fully aligned to the September 2026 MLA Content Map.
Primary Care Masterclass
Professorial-tier clinical education — CVRM, menopause, metabolic disease, clinical reasoning. For experienced GPs, hospital doctors, and clinical specialists seeking intellectually demanding CPD.
AKT Teaching Resources
2026-format clinical vignettes with the MD Acumen Five-Step Metacognitive Reasoning Technique applied to every question. See exactly how expert clinicians arrive at the correct answer.
CPSA Teaching Resources
Simulated OSCE stations with expert reasoning commentary showing what examiners reward at every phase of the consultation — data gathering, clinical management, interpersonal skills.
Menopause for Primary Care
Free self-paced online module — precision menopause management, HRT prescribing, cardiometabolic risk, NICE NG23 implementation. Certificate of completion.
International Clinical Placements
Structured NHS GP practice observerships in Hertfordshire and Essex. Professor-supervised. For individual IMGs and university cohort partnerships.
One platform. Three levels. From safe doctor to exceptional doctor.
Foundation Tier
Safe Doctor
Core knowledge for PLAB AKT and MRCGP AKT. 430 MLA conditions. NICE/CKS/BNF aligned. The knowledge to pass at first attempt.
Clinical Tier
Thinking Doctor
Complex clinical vignettes for CPSA and RCA. Multi-step reasoning. The clinical judgement that distinguishes competent from excellent.
Professorial Tier
Exceptional Doctor
Masterclass-level intellectual challenge. For experienced clinicians. Content that exists on no other UK platform.
Designed, taught, and clinically verified by Professor Rajesh Varma
Clinical Authority
Dual CCT (MRCOG & MRCGP). Practising NHS GP Partner & GP Trainer, Hertfordshire. Former PLAB Examiner. Former Consultant, Guy's & St Thomas'. NICE Guideline Committee Member (Osteoporosis). Harvard AI in Healthcare (2025).
Academic Credibility
Professor of CVRM Medicine & Women's Health, New Vision University. Visiting Researcher, University of Cambridge PHPC. h-index 18. Publishing in InnovAiT (RCGP), BMJ, ESC Congress 2026.
Two audiences. One standard of excellence.
For Medical Graduates & IMGs
PLAB/MLA preparation, GMC registration guidance, UK Foundation Programme strategy, portfolio scoring, international career destinations, and clinical placements. Everything you need from MD to NHS.
For GPs & Primary Care
MRCGP preparation, Primary Care Masterclasses, online CPD modules, clinical updates in CVRM, menopause, and metabolic disease. Education designed by a GP who practises the medicine every week.
Ready to begin?
The PLAB MLA Mastery AKT Virtual Tutorial Programme launches 1 July 2026. The MD Acumen adaptive question bank app launches 21 July 2026. Register your interest today.
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