top of page
Hero Section (7).png

FRACGP Pathway for International Medical Graduates (IMGs): Your Complete Guide

Last updated: October 2025

FRACGP Pathway for International Medical Graduates (IMGs): Your Complete Guide

Last updated: October 2025

Hero Section (8).png
Untitled.png

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

Moving to a new country to practise medicine is a brave step, especially when you are aiming to achieve FRACGP. While it might initially seem daunting, hundreds of International Medical Graduates (IMGs) successfully achieve Fellowship each year. The FRACGP pathway is your route to practising independently as a GP in Australia, providing specialist recognition, full Medicare billing rights, and the freedom to practise anywhere across the country [1].


In this comprehensive guide, I will clearly explain:


  • How IMGs can achieve FRACGP

  • The pathways available, Specialist vs Standard

  • Step by step assessment processes

  • Realistic timeframes

  • Effective study strategies for RACGP exams

  • Resources specifically tailored for IMGs


Let us start by clarifying who is eligible.

Can International Doctors Get FRACGP in Australia?

Absolutely, international doctors regularly earn their FRACGP. RACGP highly values global experience but maintains rigorous local standards [1]. Once you earn Fellowship, you will be fully recognised as a specialist GP with independent practice rights, full Medicare access, and the ability to practise in any Australian region.


  • Every year, hundreds of IMGs complete FRACGP through RACGP-approved pathways.

  • Success depends on structured preparation, supervision, and successful completion of exams, if applicable.


The two main pathways available are:


Understanding the Specialist Pathway vs Practice Experience Program, PEP

Specialist Pathway (PEP Specialist)


If you are an IMG who already holds a recognised overseas GP qualification, for example, the UK MRCGP, RACGP assesses your credentials through a Comparability Assessment [2].


There are two outcomes:


  • Substantially Comparable:

          - Minimal differences with Australian standards

          - Approximately 6 months supervised practice [2]

          - No requirement to pass RACGP exams


  • Partially Comparable:

          - Some differences identified

          - Requires 12 months supervised practice [2]

          - Must successfully complete RACGP Fellowship exams: AKT, KFP, and CCE [2]



Example: a GP from the UK holding MRCGP typically meets substantially comparable standards, completing requirements within 6 to 12 months [2].


Standard Pathway (FSP or AGPT)


If your qualification is not recognised as equivalent, you will enter a structured GP training programme similar to local registrars [2].


This involves:



For a deeper comparison, see our Comprehensive Guide to GP Training in Australia.

How Long Does It Take to Get FRACGP as an IMG?

The timeline varies based on comparability status:



Candidates have up to 6 exam semesters within a 3-year candidacy window to pass all RACGP exams [6].


Check our detailed FRACGP Study Timeline Planner to structure your preparation effectively.

Resources Tailored for IMGs

To succeed as an IMG, use resources designed specifically to bridge international gaps:


Official RACGP resources


  • RACGP curriculum and exam day information, plus public exam reports [3]

  • GP Learning modules


Authoritative Australian Texts


  • Murtagh’s General Practice

  • Therapeutic Guidelines


IMG-Oriented Platforms (for example Fellow Academy)


  • Comprehensive exam notes and structured flashcards

  • Extensive AKT and KFP question banks

  • Free KFP case packs and study webinars


Peer Mentoring and Online Communities


  • Professional forums offering peer insights and moral support

Frequently Asked Questions

1. Can IMGs practise anywhere in Australia after achieving FRACGP?


Yes, FRACGP provides nationwide specialist GP registration and unrestricted Medicare billing rights [1].


2. Must all IMGs sit FRACGP exams?


No, only partially comparable or standard pathway IMGs must complete AKT, KFP, and CCE. Substantially comparable IMGs typically skip exams [2].


3. How long does FRACGP take?


The FRACGP timeframe depends on the IMG's comparability status and pathway:


  • Substantially comparable: approximately 6 to 12 months [2].

  • Partially comparable: about 2 to 3 years [2].

  • Standard Pathway (FSP or AGPT): generally 3 to 4 years [2].


4. How many exam attempts are allowed?


Candidates have 6 exam semesters within a 3-year candidacy window to pass all RACGP exams [6].


5. How can an IMG become a GP in Australia?


An IMG becomes a GP in Australia by following the appropriate FRACGP pathway and meeting RACGP comparability, supervision, and exam requirements:


  • Choose the Specialist Pathway or the Standard Pathway (FSP or AGPT), based on RACGP comparability assessment [2].

  • Secure an RACGP-approved position, typically in a Distribution Priority Area (DPA).

  • Successfully complete supervised practice and relevant RACGP exams, then apply for FRACGP and specialist registration.

How to Prepare for FRACGP Exams as an IMG

Effective FRACGP exam preparation combines clinical knowledge, structured study, and practice in real-world scenarios:


Master Australian Clinical Guidelines


  • RACGP Red Book for preventive care

  • Therapeutic Guidelines for clinical treatment and prescribing


Clinical Reasoning Development (KFP)



Communication Skills (CCE)


  • Simulate patient consultations focusing on empathy, clarity, and patient-centred care

  • Practise breaking down medical jargon into understandable patient language


Exam Simulation


  • Regularly complete full-length timed practice exams: AKT, KFP, CCE

  • Manage stress through realistic mock exam conditions


Structured Support


  • IMG-focused study groups

  • Mentorship programmes

  • Preparation courses specifically designed for IMGs

Assessment Process for IMGs

Here is a simplified yet thorough outline of your assessment process:


1. Comparability Assessment


RACGP evaluates your overseas qualifications and experience [2]:


  • Substantially Comparable, minimal supervision, no exams

  • Partially Comparable, extended supervision, mandatory exams

  • Not Comparable, enrol in FSP or AGPT standard training


2. Securing a GP Position and Registration


  • Usually involves positions in Distribution Priority Areas (DPAs)

  • Position and supervisor must be RACGP-approved before starting practice [2]


3. Supervised Practice


  • Substantially Comparable IMGs, 6 months minimum [2]

  • Partially Comparable IMGs, 12 months minimum, with regular assessments [2]


4. Fellowship Exams (for Partially Comparable or Standard Pathway IMGs)



The RACGP AKT pass rate was 82.15% in 2024.2, highlighting that structured, strategic preparation leads to strong exam performance [3].


5. Fellowship and Specialist Recognition


Upon completion of supervised practice and passing exams (where required), FRACGP is awarded, granting full specialist GP status and independent practice rights.


For more details on RACGP exam structure, see our AKT, KFP, and CCE preparation overview.

While the FRACGP pathway may initially seem challenging, it is undoubtedly achievable. Hundreds of IMGs successfully complete this journey annually, reinforcing that with focused preparation, structured resources, and strong community support, you can confidently become a fully recognised GP in Australia.


If exam preparation feels overwhelming, Fellow Academy provides extensive question banks, concise exam notes, and evidence-based flashcards specifically designed for IMGs. Plus, free KFP case packs and informative webinars to guide your journey step by step.

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.

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] RACGP. (2025). Exam Eligibility Requirements. RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-enrolment-instructions/exam-eligibility
[2] Medical Board of Australia (AHPRA). (2025). Pathways to Registration for International Medical Graduates. https://www.medicalboard.gov.au/registration/international-medical-graduates.aspx
[3] RACGP. (2024). AKT 2024.2 Public Exam Report. RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/AKT-2024-2-Public-Exam-Report.pdf
[4] RACGP NewsGP. (2024). Key Feature Problem exam changes for 2025.2. https://www1.racgp.org.au/newsgp/racgp/key-feature-problem-exam-changes-on-the-way
[5] RACGP. (2025). Clinical Competency Exam (CCE) Guidelines. RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam
[6] RACGP. (2025). Fellowship Exam Attempts Policy. RACGP. https://www.racgp.org.au/education/gp-training/gp-training/education-policy-and-supporting-documents/policies/fellowship-exam-attempts

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

Trial Fellow Academy for Free

Complete the Form to Access 30 FREE KFP MSQs & AKTs + Invite to Our Free 2026.1 RACGP Exam Prep Webinar

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

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

Summary

Moving to a new country to practise medicine is a brave step, especially when you are aiming to achieve FRACGP. While it might initially seem daunting, hundreds of International Medical Graduates (IMGs) successfully achieve Fellowship each year. The FRACGP pathway is your route to practising independently as a GP in Australia, providing specialist recognition, full Medicare billing rights, and the freedom to practise anywhere across the country [1].


In this comprehensive guide, I will clearly explain:


  • How IMGs can achieve FRACGP

  • The pathways available, Specialist vs Standard

  • Step by step assessment processes

  • Realistic timeframes

  • Effective study strategies for RACGP exams

  • Resources specifically tailored for IMGs


Let us start by clarifying who is eligible.

Can International Doctors Get FRACGP in Australia?

Absolutely, international doctors regularly earn their FRACGP. RACGP highly values global experience but maintains rigorous local standards [1]. Once you earn Fellowship, you will be fully recognised as a specialist GP with independent practice rights, full Medicare access, and the ability to practise in any Australian region.


  • Every year, hundreds of IMGs complete FRACGP through RACGP-approved pathways.

  • Success depends on structured preparation, supervision, and successful completion of exams, if applicable.


The two main pathways available are:


​

​

Understanding the Specialist Pathway vs Practice Experience Program, PEP

Specialist Pathway (PEP Specialist)


If you are an IMG who already holds a recognised overseas GP qualification, for example, the UK MRCGP, RACGP assesses your credentials through a Comparability Assessment [2].


There are two outcomes:


  • Substantially Comparable:

          - Minimal differences with Australian standards

          - Approximately 6 months supervised practice [2]

          - No requirement to pass RACGP exams


  • Partially Comparable:

          - Some differences identified

          - Requires 12 months supervised practice [2]

          - Must successfully complete RACGP Fellowship exams: AKT, KFP, and CCE [2]



Example: a GP from the UK holding MRCGP typically meets substantially comparable standards, completing requirements within 6 to 12 months [2].


Standard Pathway (FSP or AGPT)


If your qualification is not recognised as equivalent, you will enter a structured GP training programme similar to local registrars [2].


This involves:



For a deeper comparison, see our Comprehensive Guide to GP Training in Australia.

How Long Does It Take to Get FRACGP as an IMG?

The timeline varies based on comparability status:



Candidates have up to 6 exam semesters within a 3-year candidacy window to pass all RACGP exams [6].


Check our detailed FRACGP Study Timeline Planner to structure your preparation effectively.

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. Can IMGs practise anywhere in Australia after achieving FRACGP?


Yes, FRACGP provides nationwide specialist GP registration and unrestricted Medicare billing rights [1].


2. Must all IMGs sit FRACGP exams?


No, only partially comparable or standard pathway IMGs must complete AKT, KFP, and CCE. Substantially comparable IMGs typically skip exams [2].


3. How long does FRACGP take?


The FRACGP timeframe depends on the IMG's comparability status and pathway:


  • Substantially comparable: approximately 6 to 12 months [2].

  • Partially comparable: about 2 to 3 years [2].

  • Standard Pathway (FSP or AGPT): generally 3 to 4 years [2].


4. How many exam attempts are allowed?


Candidates have 6 exam semesters within a 3-year candidacy window to pass all RACGP exams [6].


5. How can an IMG become a GP in Australia?


An IMG becomes a GP in Australia by following the appropriate FRACGP pathway and meeting RACGP comparability, supervision, and exam requirements:


  • Choose the Specialist Pathway or the Standard Pathway (FSP or AGPT), based on RACGP comparability assessment [2].

  • Secure an RACGP-approved position, typically in a Distribution Priority Area (DPA).

  • Successfully complete supervised practice and relevant RACGP exams, then apply for FRACGP and specialist registration.

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.

pexels-tima-miroshnichenko-5452229.jpg

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
bottom of page