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5 Pitfalls Stopping You from Passing the RACGP Exam

Last updated: October 2025

5 Pitfalls Stopping You from Passing the RACGP Exam

Last updated: October 2025

Untitled.png

Dr Shaun Tan, FRACGP, MD, BMSC
Medical Examiner | Associate Lecturer
Scored 90% on the AKT & Top 15th percentile in the KFP

The RACGP exam is a significant milestone in your medical career, marking the transition from registrar to Fellow. But even the most dedicated GP trainees sometimes stumble, not due to a lack of knowledge or effort, but because they unknowingly repeat common RACGP exam mistakes.


I have guided many talented doctors through these exams, and the good news is these pitfalls are entirely avoidable. In this article, I will share practical RACGP exam tips to help you recognise these errors, understand why they occur, and confidently pass the RACGP exam.

Starting Practice Too Late

A major RACGP exam mistake is starting your serious revision too close to exam day. This error severely impacts your ability to cover the comprehensive RACGP syllabus, leading to incomplete knowledge and unnecessary stress. Starting early is critical for exam success.


Consider these eye opening statistics from the RACGP: the pass rate for first time KFP exam candidates is 83.8% [1]. This success rate drops drastically to 48.6% for second attempts [1]. By the fourth attempt, only 19.3% succeed [1].
Clearly, being adequately prepared from the start pays dividends.


An early start means:


  • Covering all curriculum areas comprehensively, including weaker topics.

  • Spaced revision that improves long term retention and recall.

  • Sufficient time for multiple realistic mock exams.

  • Lower stress, making room to manage unexpected personal or work related demands.


For example, balancing on call shifts or running busy clinics alongside your revision is tough enough without being pressured by last minute cramming. Starting at least 6 months before exam day ensures steady progress and a calm, confident approach.

Neglecting the KFP Reasoning Format

The Key Feature Problem, KFP, exam uniquely assesses clinical reasoning, not just clinical facts. Many strong candidates falter because they treat KFP questions like standard knowledge tests rather than applying precise, focused reasoning [2].


Common errors include:


  • Giving overly broad or vague answers.

  • Listing several diagnoses rather than identifying the single most relevant one.

  • Failing to use the specific details provided in the patient scenario.

  • Overcoding, providing extra or irrelevant information, which costs marks.


To avoid these pitfalls:


  • Regularly practise KFP style questions under timed, realistic exam conditions.

  • Identify precisely what each question is asking before answering.

  • Provide clear, concise answers tailored to the scenario’s context.

  • Review official RACGP exam reports regularly to understand common pitfalls and improve your strategy [2].


For instance, instead of writing “order blood tests,” specify precisely which tests, for example full blood count, iron studies, thyroid function tests, and relate them clearly to the clinical scenario.

Using Non Australian Resources

Another critical RACGP exam mistake involves using non Australian resources for your preparation. This issue particularly impacts International Medical Graduates, IMGs, who often unintentionally overlook essential local guidelines.


For IMGs, the challenge is significant: the pass rate in RACGP written Fellowship exams among IMGs outside the registrar training program has been reported as 37%, nearly half that of GP registrars, based on RACGP data reported by Australian Doctor in 2019 [5]. Provide current context if you cite this figure in other materials.


Crucial Australian specific differences include:


  • Immunisation schedules, clearly outlined in the Australian Immunisation Handbook [4].

  • Medications subsidised through the Pharmaceutical Benefits Scheme, PBS.

  • Disease epidemiology, such as Australia’s high melanoma incidence.

  • Local healthcare rules, referral pathways, and ethical guidelines.


To tackle this effectively:


  • Prioritise studying Australian specific resources such as RACGP’s Red Book, Therapeutic Guidelines, eTG, Australian Prescriber, and PBS guidelines.

  • Always cross check international information with Australian standards.

  • Engage deeply with the local healthcare system context through official Australian resources.


An example: guidelines for antibiotic prescribing can differ significantly between Australia and overseas resources. Misunderstanding these nuances can result in critical errors during the exam.

How to Avoid These RACGP Exam Mistakes

Avoiding these common pitfalls involves strategic preparation. Here are clear, practical RACGP exam tips to ensure exam success:


  • Start early: begin your structured preparation at least 6 months before the exam date.

  • Master KFP reasoning: regularly practise precise, targeted answers focused explicitly on the given scenarios.

  • Balance your revision: allocate equal time across AKT, KFP, and CCE preparation.

  • Use exclusively Australian resources: familiarise yourself with RACGP guidelines, PBS resources, and Australian therapeutic standards.

  • Regularly simulate exam conditions: consistently undertake full length mock exams under timed, realistic settings.

Frequently Asked Questions

1. Common Pitfalls That Stop Candidates Passing the RACGP Exams


The most frequent RACGP exam mistakes are starting preparation late, neglecting the KFP’s reasoning format, over focusing on AKT content while under preparing for the CCE, relying on non Australian resources, and failing to simulate real exam conditions. Candidates who complete official practice exams have pass rates that are 20% to 37% higher, which shows the value of realistic mocks [6], [2]. Anchor your study in Australian guidelines and practise under timed conditions to pass the RACGP exam.


2. What to avoid during an examination?


Avoid reading stems superficially, answering a different question to the one asked, and adding unsafe or irrelevant options that can negate marks in multi selection items. Avoid poor time management, for example spending too long on one case, and avoid outdated or non Australian recommendations that do not reflect PBS availability or local standards [5], [8], [10]. Keep answers specific, safe, and aligned to Australian practice.



3. What is problem representation in RACGP?


Problem representation is a concise one sentence summary that captures the defining features of a case using semantic qualifiers to support clinical reasoning, for example 68 year old man, subacute progressive exertional dyspnoea with orthopnoea, likely cardiac cause [11]. It translates a presentation into a coherent case that can be matched to illness scripts and guides the differential diagnosis [11]. Practising clear problem representations improves KFP and CCE performance.


4. What is the Situational Judgement Test for RACGP?


For RACGP AGPT selection, the online Situational Judgement Test assesses responses to interpersonal and professional dilemmas across nine competencies, including collaboration, communication, empathy, fairness, ethics, self awareness, resilience, problem solving, and motivation [7]. It does not assess clinical knowledge, although scenarios may be set in clinical contexts [7]. Use Australian professional standards to guide responses.


5. What are KFP questions?


KFP questions are clinical vignettes designed to assess clinical decision making and clinical reasoning in Australian general practice [5]. From 2025.2 the KFP consists of 70 individual scenarios that each require a multiple selection response, with short answer questions removed [1], [2], [5]. The assessment targets key features in care rather than exhaustive lists.

Failing to Simulate Real Exam Conditions

A key RACGP exam mistake is not practising under real exam conditions. Knowing the syllabus thoroughly is important, but inadequate preparation for the actual exam setting can jeopardise your performance.


Statistically, candidates who complete official RACGP practice exams significantly outperform those who do not: pass rates are 20% to 37% higher for candidates who simulate exam conditions beforehand [2], [6].
Potential pitfalls include:


  • Poor time management and not completing the exam.

  • Increased fatigue, reduced concentration, and impaired decision making.

  • Technical or logistical issues with the online exam format, especially for the CCE.


To ensure you are fully prepared:


  • Regularly undertake full length timed mock AKT and KFP exams.

  • Practise realistic CCE consultations under accurate exam conditions, including technology setup.

  • Carefully review your performance after each mock session to identify weaknesses.

  • Build stamina and resilience through repeated exposure to timed exam stress.


Practical tip: aim to complete several complete mock exams under strict timed conditions to eliminate surprises on the actual exam day.

Over Focusing on AKT Content, Ignoring CCE

1 subtle but serious RACGP exam mistake is over investing in AKT, Applied Knowledge Test, preparation while under preparing for the CCE, Clinical Competency Exam. While AKT assesses your foundational medical knowledge, the CCE tests your ability to apply this knowledge practically through consultation skills.


Important RACGP exam statistics highlight this clearly: in the 2022.2 cohort, 11.1% of candidates passed the AKT but failed the KFP, whereas 2.6% failed the AKT and passed the KFP [3]. This reveals that mastering clinical reasoning skills, as required in the KFP and CCE, can have a powerful effect on overall exam success.


Balanced preparation means:


  • Practising structured patient consultations early in your revision.

  • Focusing on clear, empathetic patient communication and effective consultation management.

  • Consistently seeking detailed feedback from mentors and colleagues to refine your approach.

  • Regularly undertaking realistic mock CCE consultations, including online formats.


Real world scenario: imagine having robust medical knowledge but failing to build rapport or safety net adequately during consultations. Such issues significantly affect performance during the CCE.

If you are feeling anxious or overwhelmed by RACGP exam preparation, Fellow Academy provides comprehensive support to guide you every step of the way. You will find meticulously designed AKT and KFP questions, concise and thorough exam notes, evidence based flashcards, free KFP case packs, informative webinars, and practical study resources. We are here to ensure you feel fully prepared and confident for exam day.


Dr Shaun Tan, FRACGP, MD, BMSC
Medical Examiner, Associate Lecturer
Scored 90% on the AKT & Top 15th percentile in the KFP

Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies shared are based on personal experience and those of successful candidates, intended for general study guidance only, and should not be taken as official RACGP advice.

Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies shared are based on personal experience and those of successful candidates, intended for general study guidance only, and should not be taken as official RACGP advice.

References

[1] Royal Australian College of General Practitioners. 2024. Exam report 2024.2 KFP, Public exam report. East Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/fellowship%20pathways/Exams/2024-2-KFP-Public-Exam-Report.pdf

[2] Liotta, M. 2020, April 2. KFP 2020.1 exam report: Tips to improve outcomes. newsGP, Royal Australian College of General Practitioners. Retrieved from https://www1.racgp.org.au/newsgp/racgp/racgp-s-kfp-exam-report-tips-to-improve-outcomes-1

[3] Royal Australian College of General Practitioners. 2022. Exam report 2022.2 KFP, Public exam report. East Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/fellowship%20pathways/Exams/2022-2-KFP-public-exam-report.pdf

[4] Australian Government Department of Health and Aged Care. Australian Immunisation Handbook. Canberra, ACT. Continually updated. Retrieved October 2025 from https://immunisationhandbook.health.gov.au

[5] O’Rourke, G. 2019, September 10. IMG disparity in RACGP exam results revealed. Australian Doctor. Retrieved from https://www.ausdoc.com.au/news/img-disparity-racgp-exam-results-revealed/

[6] Liotta, M. 2019, March 27. KFP 2019.1 exam report: Tips to improve outcomes. newsGP, Royal Australian College of General Practitioners. Retrieved from https://www1.racgp.org.au/newsgp/racgp/kfp-2019-1-exam-report-tips-to-improve-outcomes

[7] Royal Australian College of General Practitioners. 2025, August 25. AGPT selection assessment. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/gp-training/explore-a-gp-career/australian-general-practice-training/agpt-selection-assessment

[8] Royal Australian College of General Practitioners. 2025. AKT and KFP, information for candidates. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/kfp-and-akt-exam-day-information

[9] Royal Australian College of General Practitioners. 2025, April 29. Assessments and examinations, candidate handbook, Part 2. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/registrars/fellowship-pathways/policy-framework/program-handbooks-and-guidance-documents/assessments-and-examinations-candidate-handbook/part-2/introduction

[10] Royal Australian College of General Practitioners. 2025, July 22. The RACGP assessment framework, Appendix 1, Current assessments. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/education-providers/curriculum/the-racgp-assessment-framework/racgp-assessment-framework/appendices/current-racgp-assessments

[11] Stone, L. 2007. Reasoning for registrars. Royal Australian College of General Practitioners. Retrieved from https://www.racgp.org.au/getattachment/f97a4067-8223-4264-960f-0ad6828d86e4/attachment.aspx

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AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both)

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Dr Shaun Tan, FRACGP, MD, BMSC
Medical Examiner | Associate Lecturer
Scored 90% on the AKT & Top 15th percentile in the KFP

Summary

The RACGP exam is a significant milestone in your medical career, marking the transition from registrar to Fellow. But even the most dedicated GP trainees sometimes stumble, not due to a lack of knowledge or effort, but because they unknowingly repeat common RACGP exam mistakes.


I have guided many talented doctors through these exams, and the good news is these pitfalls are entirely avoidable. In this article, I will share practical RACGP exam tips to help you recognise these errors, understand why they occur, and confidently pass the RACGP exam.

Starting Practice Too Late

A major RACGP exam mistake is starting your serious revision too close to exam day. This error severely impacts your ability to cover the comprehensive RACGP syllabus, leading to incomplete knowledge and unnecessary stress. Starting early is critical for exam success.


Consider these eye opening statistics from the RACGP: the pass rate for first time KFP exam candidates is 83.8% [1]. This success rate drops drastically to 48.6% for second attempts [1]. By the fourth attempt, only 19.3% succeed [1].
Clearly, being adequately prepared from the start pays dividends.


An early start means:


  • Covering all curriculum areas comprehensively, including weaker topics.

  • Spaced revision that improves long term retention and recall.

  • Sufficient time for multiple realistic mock exams.

  • Lower stress, making room to manage unexpected personal or work related demands.


For example, balancing on call shifts or running busy clinics alongside your revision is tough enough without being pressured by last minute cramming. Starting at least 6 months before exam day ensures steady progress and a calm, confident approach.

Neglecting the KFP Reasoning Format

The Key Feature Problem, KFP, exam uniquely assesses clinical reasoning, not just clinical facts. Many strong candidates falter because they treat KFP questions like standard knowledge tests rather than applying precise, focused reasoning [2].


Common errors include:


  • Giving overly broad or vague answers.

  • Listing several diagnoses rather than identifying the single most relevant one.

  • Failing to use the specific details provided in the patient scenario.

  • Overcoding, providing extra or irrelevant information, which costs marks.


To avoid these pitfalls:


  • Regularly practise KFP style questions under timed, realistic exam conditions.

  • Identify precisely what each question is asking before answering.

  • Provide clear, concise answers tailored to the scenario’s context.

  • Review official RACGP exam reports regularly to understand common pitfalls and improve your strategy [2].


For instance, instead of writing “order blood tests,” specify precisely which tests, for example full blood count, iron studies, thyroid function tests, and relate them clearly to the clinical scenario.

Using Non Australian Resources

Another critical RACGP exam mistake involves using non Australian resources for your preparation. This issue particularly impacts International Medical Graduates, IMGs, who often unintentionally overlook essential local guidelines.


For IMGs, the challenge is significant: the pass rate in RACGP written Fellowship exams among IMGs outside the registrar training program has been reported as 37%, nearly half that of GP registrars, based on RACGP data reported by Australian Doctor in 2019 [5]. Provide current context if you cite this figure in other materials.


Crucial Australian specific differences include:


  • Immunisation schedules, clearly outlined in the Australian Immunisation Handbook [4].

  • Medications subsidised through the Pharmaceutical Benefits Scheme, PBS.

  • Disease epidemiology, such as Australia’s high melanoma incidence.

  • Local healthcare rules, referral pathways, and ethical guidelines.


To tackle this effectively:


  • Prioritise studying Australian specific resources such as RACGP’s Red Book, Therapeutic Guidelines, eTG, Australian Prescriber, and PBS guidelines.

  • Always cross check international information with Australian standards.

  • Engage deeply with the local healthcare system context through official Australian resources.


An example: guidelines for antibiotic prescribing can differ significantly between Australia and overseas resources. Misunderstanding these nuances can result in critical errors during the exam.

Tools That Make Active Recall Easy

Digital tools simplify the process of integrating active recall and spaced repetition into your RACGP exam preparation.
 

  • Brainscape: Uses adaptive algorithms to determine when you should review each flashcard based on your confidence level.

  • Anki: Allows custom deck creation for topics like PBS rules or emergency management.

  • Quizlet: Offers collaborative decks for study groups.
     

Using these tools allows you to:
 

  • Review flashcards during commutes or between patients.

  • Automatically revisit topics you’re struggling with.

  • Track progress and identify weak areas.
     

These platforms bring structure to your study plan, ensuring regular reinforcement and better recall.
 
(For time management strategies, see our AKT Study Planner.)

How to Combine These Methods for Peak Performance

When you combine active recall with spaced repetition, the results are exponential. This combination, known as “spaced retrieval practice”, creates a continuous cycle of learning, forgetting, and relearning that strengthens memory.
 

  • Start early (at least 6–12 months before your exam).

  • Create flashcards for each guideline or high-yield topic.

  • Use Brainscape or Anki daily to review material in spaced cycles.

  • Schedule mock exams every 3–4 weeks to test your applied knowledge.
     

Research indicates spaced repetition can significantly increase long-term retention, with spaced learners achieving approximately 58% accuracy compared to 43% among traditional learners (p<0.001) [4].

 

By six months into this method, most candidates report not only improved recall but also better confidence under pressure. You’re no longer scrambling to remember—you’re retrieving information automatically.

Frequently Asked Questions

1. Common Pitfalls That Stop Candidates Passing the RACGP Exams


The most frequent RACGP exam mistakes are starting preparation late, neglecting the KFP’s reasoning format, over focusing on AKT content while under preparing for the CCE, relying on non Australian resources, and failing to simulate real exam conditions. Candidates who complete official practice exams have pass rates that are 20% to 37% higher, which shows the value of realistic mocks [6], [2]. Anchor your study in Australian guidelines and practise under timed conditions to pass the RACGP exam.


2. What to avoid during an examination?


Avoid reading stems superficially, answering a different question to the one asked, and adding unsafe or irrelevant options that can negate marks in multi selection items. Avoid poor time management, for example spending too long on one case, and avoid outdated or non Australian recommendations that do not reflect PBS availability or local standards [5], [8], [10]. Keep answers specific, safe, and aligned to Australian practice.



3. What is problem representation in RACGP?


Problem representation is a concise one sentence summary that captures the defining features of a case using semantic qualifiers to support clinical reasoning, for example 68 year old man, subacute progressive exertional dyspnoea with orthopnoea, likely cardiac cause [11]. It translates a presentation into a coherent case that can be matched to illness scripts and guides the differential diagnosis [11]. Practising clear problem representations improves KFP and CCE performance.


4. What is the Situational Judgement Test for RACGP?


For RACGP AGPT selection, the online Situational Judgement Test assesses responses to interpersonal and professional dilemmas across nine competencies, including collaboration, communication, empathy, fairness, ethics, self awareness, resilience, problem solving, and motivation [7]. It does not assess clinical knowledge, although scenarios may be set in clinical contexts [7]. Use Australian professional standards to guide responses.


5. What are KFP questions?


KFP questions are clinical vignettes designed to assess clinical decision making and clinical reasoning in Australian general practice [5]. From 2025.2 the KFP consists of 70 individual scenarios that each require a multiple selection response, with short answer questions removed [1], [2], [5]. The assessment targets key features in care rather than exhaustive lists.

If you’re feeling overwhelmed by RACGP exam preparation, Fellow Academy offers high quality AKT and KFP questions, exam notes in concise and comprehensive format, and high yield, evidence based flashcards designed to help you study smarter and perform with confidence. You’ll also find free KFP case packs, webinars, and practical study resources to guide you every step of the way. 

Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners (RACGP). The strategies and approaches shared are based on personal experience and the experiences of other GP candidates who successfully passed their exams. They are intended as general study guidance only and should not be taken as official RACGP advice.

References

  1. GP Supervisors Australia. (2025). Study Skills Guide for GP Registrars: Studying Smarter, Not Harder. GPSA.

  2. Carpenter, S. K., Pan, S. C., & Butler, A. C. (2022). The science of effective learning with spacing and retrieval practice. Nature Reviews Psychology, 1(10), 496–511.

  3. Durrani, S. F., Yousuf, N., Ali, R., et al. (2024). Effectiveness of spaced repetition for clinical problem solving amongst undergraduate medical students studying paediatrics in Pakistan. BMC Medical Education, 24(1), 676.

  4. Price, D. W., Wang, T., O’Neill, T. R., et al. (2025). The effect of spaced repetition on learning and knowledge transfer in a large cohort of practising physicians. Academic Medicine, 100(1), 94–102.

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RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams

pexels-cottonbro-5722164.jpg

AKT Exam Preparation: Study Strategies That Work

pexels-mart-production-8076179.jpg

AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both)

Rationales.png
Which exam are you sitting next?
AKT only
KFP only
Both AKT and KFP
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