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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
Feeling mentally exhausted, constantly anxious, or overwhelmed by your studies is a common experience known as GP exam burnout. Over 75% of GP registrars report moderate to high levels of burnout during training [1]. This blog will provide you with practical, evidence based strategies to manage the extensive GP Academy curriculum, avoid content overload, apply structured revision systems, create and use efficient notes, and integrate active recall resources to reduce burnout risk. For additional timing strategies, see our comprehensive AKT timing guide.
Content Overload and Cognitive Fatigue
Content overload happens when you try to memorise every possible topic for the exam, which leads to cognitive fatigue. Cognitive fatigue impairs concentration, retention, and clinical decision making, and it can escalate anxiety if not addressed early [2]. The outcome is predictable, less effective study, reduced recall, and growing stress just when you need clarity most.
Common signs of cognitive fatigue include:
Difficulty concentrating for prolonged periods
Increased forgetfulness, even shortly after revising
Persistent mental exhaustion, despite resting adequately
Frustration and irritability over minor study setbacks
Poorer performance in practice exams and clinical reasoning tasks
To manage content overload and cognitive fatigue:
Prioritise key topics based on their relevance in RACGP exams. Use the official RACGP exam blueprint to guide your focus.
Engage with material through active learning, summarise aloud, teach a peer, build mind maps.
Take frequent breaks during study sessions, ideally every 30 to 60 minutes, to reset mentally.
Recognise signs early and seek support from colleagues, mentors, or professional services such as the RACGP GP Support Program [6].
Structure study around clinic hours and protect rest time daily.
For more structured methods of managing your study load, see our AKT timing guide.
Two Pass System for GP Exam Burnout, Learn Once, Revise Often
The two pass revision system reduces GP exam burnout by improving retention and lowering the cognitive burden of continuous learning. First learn concepts broadly, then revisit regularly with active techniques. This aligns with spaced repetition, a well established memory approach that strengthens recall over time without cramming [4].
To implement the two pass system:
First pass, gain a broad overview of each topic area without excessive detail
Schedule regular revision sessions, weekly initially, then monthly as retention strengthens
During revision, test yourself actively using flashcards, practice questions, or brief teaching huddles with colleagues
Pay extra attention to topics where you feel less confident
Gradually increase intervals between revisions as confidence and retention improve
By using the two pass method, you reduce the stress of trying to memorise extensive guidelines quickly and you build durable knowledge. For specific spacing templates, see our spaced repetition guide.
Add High Quality Questions, Flashcards and Notes to GP Academy with Fellow Academy
Active recall methods consistently outperform passive study for learning and long term retention. Testing yourself strengthens memory traces and makes weaknesses visible early, supporting calmer and more efficient preparation [5]. Fellow Academy resources are built to align with RACGP exam formats and content scope, which reduces noise and helps you focus on the essentials.
Benefits of using Fellow Academy resources:
Daily structured flashcards for brief, targeted reinforcement of essential topics
Realistic AKT and KFP question banks that mirror exam conditions and styles
Concise structured notes that summarise complex topics for quick review
Regular updates that track RACGP guidance and curriculum developments
To explore these methods further, see our comprehensive Fellow Academy KFP preparation guide.
Rapid Review Playbooks for High Yield Topics
A repeatable rapid review helps you close loops on common presentations without getting lost in rabbit holes. Build 1 page playbooks with consistent headings and stick to them in every review pass.
Define must know differentials, first line investigations, red flags, first line management and safety netting.
Clip a table for drug classes that commonly appear in AKT and KFP options, dose ranges, contraindications, monitoring.
Add 5 must remember traps for each topic, for example, when not to prescribe, when to escalate, PBS pitfalls.
Finish each playbook with 5 self test items you answer in 2 minutes, cementing retrieval under light pressure.
Link each playbook to 10 flashcards, one stem per card, so you can refresh in under 5 minutes on busy days.
For note structures that match exam styles, see our note making templates for AKT and KFP.
Memory Safeguards, Error Logs and Retrieval Practice
Your memory strengthens when you face what you nearly forgot. A light touch error log combined with retrieval practice keeps you honest and efficient [4] [5].
After each quiz block, record only the missed concept and the reason, do not rewrite the whole answer.
Tag each error as concept gap, misread stem, distractor trap, or time pressure issue.
Schedule a 48 hour retrieval check for each logged item and a 7 day review if still fragile.
Convert frequent errors into 2 line flashcards and a single line rule to avoid the trap next time.
End the week with a 20 item mixed retrieval set to sample broad coverage without fatigue.
Stress Circuit Breakers, Sleep and Micro Recovery
Short, predictable breaks prevent spirals into overwork and preserve recall without adding hours. Treat recovery as part of the study plan rather than a reward after study.
Use a 2 minute reset between blocks, stand, breathe, hydrate, and reset posture.
Cap late night sessions, stop screens 60 minutes before sleep, and place a 5 card retrieval set at the bedside for the morning.
Keep one protected non study evening per week, restore energy and sustain momentum.
Plan 1 low stakes clinic day lunch block for a 10 card refresh, maintain recall without mental drain.
When energy is low, run a 10 minute quick win, 10 flashcards or 5 questions, then stop.
For additional wellbeing support options, consider the RACGP GP Support Program [6].
Frequently Asked Questions
1. What is GP exam burnout
GP exam burnout is chronic mental and physical exhaustion from sustained study pressure during exam preparation. Over 75% of GP registrars experience moderate to high burnout during training [1]. Typical features include persistent fatigue, irritability, reduced motivation, and difficulty concentrating and recalling information.
2. How can structured notes reduce burnout
Structured notes reduce burnout by making revision faster and clearer, removing the need to repeatedly watch long recordings. They encourage active engagement, improve retention, and shorten total study time, which eases exam stress and supports steady progress [4].
3. Why is active recall effective for GP exam preparation
Active recall requires you to retrieve information from memory, which strengthens learning more than passive re reading or rewatching. It improves long term retention and reduces the cognitive load by focusing on what you do not yet know well [5]. Pair active recall with spaced repetition for best results [4].
4. How often should I revise content using the two pass method
Initially, revisit topics weekly after your first broad review, then extend intervals to monthly as your retention improves. Regular, spaced repetition boosts long term recall and reduces the anxiety associated with last minute cramming, without adding unnecessary study hours [4].
5. Where can I find reliable GP exam resources to avoid burnout
Fellow Academy provides structured notes, targeted flashcards, and comprehensive question banks that manage content overload, improve retention through active recall, and reduce burnout risk. For case based practice, see our free KFP case packs and recorded webinars.
Time Boxing and Study Scheduling with Clinic Realities
Balancing clinics, on call responsibilities, and exam study is demanding, and it becomes easier when you time box and standardise your daily template. A predictable routine reduces switching costs and preserves cognitive energy for high value tasks.
Block 25 to 45 minute focus sessions for new learning, then 10 minute resets for movement and hydration. Protect 2 to 3 blocks on clinic days and 4 to 6 blocks on non clinic days.
Reserve 1 evening micro block for retrieval only, flashcards or 10 mixed questions, rather than heavy new content.
Park non urgent admin on a single weekly slot, batch messaging and paperwork so it does not bleed into study hours.
Create a red list for topics that reliably drain time, tackle them in short bursts and stop on the timer.
Review your plan every 7 days, keep what worked, retire what did not, and log one change that improved focus.
For more structured pacing templates and examples, see our spaced repetition guide and our AKT timing guide.
Using Structured Notes Instead of Rewatching Lectures
Passively rewatching lengthy lectures increases fatigue and reduces study efficiency. Active note taking, which involves summarising, organising, and rephrasing content, supports stronger retention than passive viewing [4]. Structured notes also make rapid pre exam reviews feasible and consistent.
Structured notes should:
Clearly summarise essential guidelines and clinical points relevant to RACGP exams
Use visual aids such as tables, flowcharts, or diagrams to simplify complex topics
Be updated consistently to reflect insights from practice and revision
Be designed for fast revision, with high yield points prominent for quick scanning
Real world example, after an intensive clinic day, revisiting structured notes allows an efficient 20 minute check of key topics rather than spending hours rewatching lectures. This approach cuts fatigue and improves recall when it matters most. For practical note frameworks, see our note making templates for AKT and KFP.
Feeling overwhelmed by RACGP exam preparation is entirely natural, and effective help is available. Fellow Academy offers concise, evidence based flashcards, structured notes, and realistic AKT and KFP practice questions that help you study smarter, build confidence, and avoid burnout. You will also find useful free resources including KFP case packs, webinars, and practical study guides designed to support you at every step. You have come a long way in your GP training journey. With the right support, you can approach your exams with calmness, clarity, and confidence.
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] Hoffman, R., Mullan, J., and Bonney, A. 2023. A cross sectional study of burnout among Australian general practice registrars. BMC Medical Education, 23(1), 47. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04043-4
[2] Lewin, E. 2021, March 5. I cannot do this anymore, How burnout affects doctors and patients. newsGP. Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/clinical/i-can-t-do-this-anymore-how-burnout-affects-doctor
[3] Prentice, S., Elliott, T., Dorstyn, D., and Benson, J. 2022. A qualitative exploration of burnout prevention and reduction strategies for general practice registrars. Australian Journal of General Practice, 51(11), 935 to 941. https://www1.racgp.org.au/ajgp/2022/november/burnout-prevention-and-reduction-strategies
[4] Dunlosky, J., Rawson, K. A., Marsh, E. J., Nathan, M. J., and Willingham, D. T. 2013. Improving students learning with effective learning techniques, Promising directions from cognitive and educational psychology. Psychological Science in the Public Interest, 14(1), 4 to 58. https://journals.sagepub.com/doi/10.1177/1529100612453266
[5] Roediger, H. L., and Karpicke, J. D. 2006. Test enhanced learning, Taking memory tests improves long term retention. Psychological Science, 17(3), 249 to 255. https://journals.sagepub.com/doi/10.1111/j.1467-9280.2006.01693.x
[6] Royal Australian College of General Practitioners. 2025. GP Support Program, free confidential counselling. RACGP. https://www.racgp.org.au/member-services/practice-support/workplace-wellbeing/gpsp
AKT Exam Preparation: Study Strategies That Work
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
Feeling mentally exhausted, constantly anxious, or overwhelmed by your studies is a common experience known as GP exam burnout. Over 75% of GP registrars report moderate to high levels of burnout during training [1]. This blog will provide you with practical, evidence based strategies to manage the extensive GP Academy curriculum, avoid content overload, apply structured revision systems, create and use efficient notes, and integrate active recall resources to reduce burnout risk. For additional timing strategies, see our comprehensive AKT timing guide.
Content Overload and Cognitive Fatigue
Content overload happens when you try to memorise every possible topic for the exam, which leads to cognitive fatigue. Cognitive fatigue impairs concentration, retention, and clinical decision making, and it can escalate anxiety if not addressed early [2]. The outcome is predictable, less effective study, reduced recall, and growing stress just when you need clarity most.
Common signs of cognitive fatigue include:
Difficulty concentrating for prolonged periods
Increased forgetfulness, even shortly after revising
Persistent mental exhaustion, despite resting adequately
Frustration and irritability over minor study setbacks
Poorer performance in practice exams and clinical reasoning tasks
To manage content overload and cognitive fatigue:
Prioritise key topics based on their relevance in RACGP exams. Use the official RACGP exam blueprint to guide your focus.
Engage with material through active learning, summarise aloud, teach a peer, build mind maps.
Take frequent breaks during study sessions, ideally every 30 to 60 minutes, to reset mentally.
Recognise signs early and seek support from colleagues, mentors, or professional services such as the RACGP GP Support Program [6].
Structure study around clinic hours and protect rest time daily.
For more structured methods of managing your study load, see our AKT timing guide.
Two Pass System for GP Exam Burnout, Learn Once, Revise Often
The two pass revision system reduces GP exam burnout by improving retention and lowering the cognitive burden of continuous learning. First learn concepts broadly, then revisit regularly with active techniques. This aligns with spaced repetition, a well established memory approach that strengthens recall over time without cramming [4].
To implement the two pass system:
First pass, gain a broad overview of each topic area without excessive detail
Schedule regular revision sessions, weekly initially, then monthly as retention strengthens
During revision, test yourself actively using flashcards, practice questions, or brief teaching huddles with colleagues
Pay extra attention to topics where you feel less confident
Gradually increase intervals between revisions as confidence and retention improve
By using the two pass method, you reduce the stress of trying to memorise extensive guidelines quickly and you build durable knowledge. For specific spacing templates, see our spaced repetition guide.
Add High Quality Questions, Flashcards and Notes to GP Academy with Fellow Academy
Active recall methods consistently outperform passive study for learning and long term retention. Testing yourself strengthens memory traces and makes weaknesses visible early, supporting calmer and more efficient preparation [5]. Fellow Academy resources are built to align with RACGP exam formats and content scope, which reduces noise and helps you focus on the essentials.
Benefits of using Fellow Academy resources:
Daily structured flashcards for brief, targeted reinforcement of essential topics
Realistic AKT and KFP question banks that mirror exam conditions and styles
Concise structured notes that summarise complex topics for quick review
Regular updates that track RACGP guidance and curriculum developments
To explore these methods further, see our comprehensive Fellow Academy KFP preparation guide.
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. What is GP exam burnout
GP exam burnout is chronic mental and physical exhaustion from sustained study pressure during exam preparation. Over 75% of GP registrars experience moderate to high burnout during training [1]. Typical features include persistent fatigue, irritability, reduced motivation, and difficulty concentrating and recalling information.
2. How can structured notes reduce burnout
Structured notes reduce burnout by making revision faster and clearer, removing the need to repeatedly watch long recordings. They encourage active engagement, improve retention, and shorten total study time, which eases exam stress and supports steady progress [4].
3. Why is active recall effective for GP exam preparation
Active recall requires you to retrieve information from memory, which strengthens learning more than passive re reading or rewatching. It improves long term retention and reduces the cognitive load by focusing on what you do not yet know well [5]. Pair active recall with spaced repetition for best results [4].
4. How often should I revise content using the two pass method
Initially, revisit topics weekly after your first broad review, then extend intervals to monthly as your retention improves. Regular, spaced repetition boosts long term recall and reduces the anxiety associated with last minute cramming, without adding unnecessary study hours [4].
5. Where can I find reliable GP exam resources to avoid burnout
Fellow Academy provides structured notes, targeted flashcards, and comprehensive question banks that manage content overload, improve retention through active recall, and reduce burnout risk. For case based practice, see our free KFP case packs and recorded webinars.
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
-
GP Supervisors Australia. (2025). Study Skills Guide for GP Registrars: Studying Smarter, Not Harder. GPSA.
-
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.
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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.
-
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.
RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams
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AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both)