MLA content map

The MLA content map sets out the core knowledge, skills and behaviours needed for UK practice as a doctor. It provides the framework for the content of MLA applied knowledge tests (AKTs) and clinical and professional skills assessments (CPSAs).

The map is annexed to, and forms part of, Assuring readiness for practice: a framework for the MLA.

The content map is informed by and aligned with Good medical practice, Outcomes for graduates, the Generic professional capabilities framework, relevant parts of the Foundation Programme curriculum and the situations typically faced by doctors working in the UK Foundation Programme.

It has three overarching themes:

• readiness for safe practice
• managing uncertainty
• delivering person-centred care;

and six sections, called domains:

• Areas of clinical practice, such as mental health and surgery.
• Areas of professional knowledge, such as biomedical sciences and medical ethics and law.
• Clinical and professional capabilities, such as assessing and managing risk and safeguarding vulnerable patients. 
• Practical skills and procedures, as set out in the list of practical skills and procedures that supplements our Outcomes for graduates.
• Patient presentations, which relates to signs, symptoms, investigation results and other relevant patient-related issues typically seen by doctors in a first appointment within the UK Foundation Programme. For example, a chronic rash or breast lump.
• Conditions, which are pathophysiological diseases or clinical diagnoses typically seen by doctors in a first appointment within the UK Foundation Programme. For example, asthma and eating disorders.

The content map was first published in 2019, and given a minor refresh in 2021 to incorporate pandemic-related changes and early operational feedback (you can view the summary of changes we made at the time).

Updated content map

The content map is a live document, and we're committed to keeping it up to date with timely revisions to ensure it reflects day-to-day medical practice.

With the MLA now in operation, we've carried out a targeted engagement exercise to review and update the content map. This makes sure it continues to set out the core knowledge, skills and behaviours required for entry to UK practice, and remains a practical tool for constructing MLA exam questions and assessment scenarios. This marks the first full review since the map's original publication.

In October 2025, we published an updated content map in both English and Welsh, along with a 'You said, we did' summary, outlining key feedback themes and resulting updates.

While the original content map remains the live reference for assessments sat during the 2025-26 academic year, medical schools will need to ensure that MLA exams and assessments delivered from academic year 2026-27 onwards are aligned with the updated version.

We've published it now to support schools in preparing for this transition and to enable students to begin using it for revision ahead of future assessments.

If you have any questions please email us at: mla@gmc-uk.org.