# ACP MKSAP vs Oxford Foundation Programme

The clearest difference is update cadence: ACP MKSAP at every 10 days against Oxford Foundation Programme's every 2 months. ACP MKSAP also leads on iOS requirement (13.0 vs 15.0). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. ACP MKSAP sells 1 in-app purchase, starting at $999.99 per year and Oxford Foundation Programme sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

ACP MKSAP ships an update every 10 days, Oxford Foundation Programme every 2 months. The most recent releases landed on October 29, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | ACP MKSAP | Oxford Foundation Programme |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.2 (17 ratings)](https://appshunter.io/ios/app/acp-mksap/id6739636797/reviews)** | — |
| Number of ratings | **17** | — |
| Positive reviews | 57.1% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | **Every 10 days** | Every 2 months |
| Monetization | Free with in-app purchases | — |
| Size | 540 MB | 14 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | iPhone, iPad, iPod | **iPhone, iPad, iPod, Mac** |
| Age rating | 17+ | 17+ |
| Developer | [American College of Physicians](https://appshunter.io/developer/371090673) | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) |

## What reviewers say

### ACP MKSAP

[App page](https://appshunter.io/ios/app/acp-mksap/id6739636797)

Access comprehensive internal medicine knowledge and practice exam-style questions offline. This app syncs your progress with the online version when connected to the internet. It's designed for physicians to stay updated on the latest evidence and enhance their clinical decision-making skills.

**Highlights:** Offline access to text and questions, Thousands of exam-like multiple-choice questions, Patient-based clinical scenarios, Syncs progress with online version, Includes figures, charts, and tables, Targets knowledge gaps

**Features:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Non-member in-app price | $999.99 | per year |


### Oxford Foundation Programme

[App page](https://appshunter.io/ios/app/oxford-foundation-programme/id6753218955)

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Oxford Foundation Program | $49.99 | one-time |


## Frequently asked questions

### Is ACP MKSAP free?

ACP MKSAP is free to download, with in-app purchases available.

### Is Oxford Foundation Programme free?

Oxford Foundation Programme is free to download, with in-app purchases available.

### Do ACP MKSAP or Oxford Foundation Programme have ads?

Neither ACP MKSAP nor Oxford Foundation Programme shows ads.

### Which is updated more often, ACP MKSAP or Oxford Foundation Programme?

ACP MKSAP ships an update every 10 days, and Oxford Foundation Programme every 2 months. Most recently, ACP MKSAP was updated on October 29, 2026 and Oxford Foundation Programme on October 24, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*