top of page
Hero Section (7).png

Pass the RACGP Exams: Tips From Top Scoring Fellows

Last updated: October 2025

Pass the RACGP Exams: Tips From Top Scoring Fellows

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

Facing the Fellowship Exams Without Fear


Every GP registrar knows that feeling, the quiet dread of opening exam results, the uncertainty over whether your study strategies were effective enough. Feeling nervous does not mean you are unprepared or inadequate, it simply shows how much you care about becoming a capable GP. Successful RACGP Fellows consistently share that structured study plans, smart resource selection, and exam day composure make a profound difference, far more than innate intelligence or luck.


This guide is filled with practical, evidence based how to pass GP exam tips, real world GP exam success stories, and actionable RACGP pass rate advice, helping you confidently prepare for your Fellowship exams.

Understanding Exactly What You Are Up Against

The RACGP Fellowship consists of three challenging but achievable exams:


  • Applied Knowledge Test, AKT:
    Approximately 150 multiple choice questions, completed over 4 hours, testing clinical knowledge, diagnostic reasoning, and decision making abilities [1, 2].

  • Key Feature Problem, KFP:
    As of 2025.2, the KFP is a paper based multiple selection exam with 70 scenarios, each answered on a bubble sheet, lasting 4 hours [1]. Each question contributes 1.43% of the overall score, and a 0.35% penalty is applied for each additional bubble shaded beyond what is requested [1]. This format focuses on case specific clinical reasoning and safe decision making.

  • Clinical Competency Exam, CCE:
    A practical, scenario based exam assessing consultation and communication skills. In 2024.1, the CCE recorded a pass rate of 89.10%, with 711 of 798 candidates passing [3]. In 2025.1 the overall pass rate was 79.66% [4]. The structure remains 9 cases delivered via Zoom across 2 sessions [4, 12].


These exams test not only what you know but how effectively you apply your knowledge in real world general practice.

Why Starting Early Makes the Difference

Starting your preparation 6 to 12 months ahead gives you the strongest foundation for success. Most successful Fellows dedicate about 10 to 15 hours per week to study over several months, balancing this alongside clinical work [5].


Why early preparation matters:


  • Strengthens long term memory through regular revision and spaced repetition.

  • Allows incremental, structured learning without burnout.

  • Reduces anxiety by avoiding last minute cramming.


Common challenges for GP trainees:


  • Managing study while handling busy clinical loads.

  • Preventing fatigue and burnout from combined responsibilities.

  • Staying consistent with a structured plan across months of preparation.


Many registrars gradually reduce consulting hours closer to the exam to allow time for focused revision and practice exams. For structured timelines and planners, visit Fellow Academy’s AKT and KFP study guide to map your study blocks effectively.

Building a Strong Foundation of Clinical Reasoning

The Fellowship exams evaluate your clinical reasoning, your ability to apply knowledge safely and logically. Strengthening this skill requires deliberate practice and reflection.


High yield strategies for clinical reasoning:


  • Focus on conditions frequently encountered in Australian general practice, based on RACGP Health of the Nation data and recent public exam reports [8, 13].

  • Use Murtagh’s diagnostic framework, considering the most likely diagnosis, serious conditions not to miss, and patient perspective.

  • After each clinic day, reflect on 2 to 3 patient cases. Revisit relevant guidelines that evening to reinforce learning.


RACGP assessment advisors highlight that “the biggest tip for candidates is to learn from seeing patients every day in general practice” [4]. Discuss cases weekly with peers or mentors, and simulate focused KFP style questions under exam timing to reinforce this reasoning.

Inspiration and Practical Advice from GP Exam Success Stories

Real life gp exam success stories illustrate what persistence and planning can achieve:


  • A registrar who failed twice transformed performance by converting all incorrect answers into flashcards and holding weekly peer review sessions.

  • Another candidate structured revision into daily 30 minute micro sessions and longer weekend study blocks, prioritising consistency over volume.

  • One Fellow overcame severe anxiety by integrating brief daily mindfulness routines with realistic mock consultations.


CCE data further highlight the importance of being fully prepared: in 2024.1, the first attempt pass rate was 92.56%, and the third attempt rate was 38.89% [3]. In 2025.1, these figures were 83.86% and 46.15% respectively [4]. The takeaway? Aim to clear the exam on your first sitting by preparing comprehensively.


For more motivating stories, visit Fellow Academy’s testimonials page.

Prioritising Your Own Wellbeing

Peak performance is impossible without wellbeing. Candidates who perform best treat self care as part of their study strategy.


Practical wellbeing habits:


  • Plan downtime, short breaks between study blocks improve memory retention.

  • Maintain consistent sleep patterns and light daily exercise.

  • Use brief mindfulness resets between study sessions to manage stress.


Explore Fellow Academy’s wellbeing tools for daily checklists, guided mindfulness audio, and weekly reset routines tailored to busy GP trainees preparing for 4 hour exams and CCE simulations.

Frequently Asked Questions

1. What is the easiest way to pass exams?


From the perspective of a mentor guiding GP trainees, the easiest path to passing your exams is the one you plan deliberately, rather than hoping for a shortcut. That means:


  • Begin early and follow a structured revision schedule rather than cramming at the last minute.

  • Use exam aligned resources and practise actual exam style questions so you are familiar with the format.

  • Convert your clinic cases into purposeful revision: after each session reflect on what you saw and tie it back into guideline review.

  • Focus on what you do correctly and refine your technique, as well as your knowledge base.
    In short, consistency and deliberate practice make the process easier and more predictable.


2. What strategy will you use to prepare for the exam?


As a mentor speaking directly to you, I recommend a three phase strategy:


  1. Foundation phase: Map out your timeline, 6 to 12 months ideally, identify your weaker areas in the GP curriculum, and select your core resources, for example Therapeutic Guidelines, RACGP Red Book, National Immunisation Handbook.

  2. Integration phase: Turn your day job into study. After each clinic day, choose 2 to 3 cases, review them via current guidelines, and practise exam style questions related to them. Join a weekly discussion or peer group for accountability.

  3. Simulation and refinement phase: In the last 2 to 3 months run timed full mixed exams, AKT style, KFP style. Review every wrong answer or time pressure issue. Practise under realistic conditions, 4 hour blocks. Use this for fine tuning time management, question technique, and your ability to perform under exam conditions.


3. What are KFP questions?


KFP stands for Key Feature Problem. According to the current exam information from the RACGP, the KFP is designed to assess clinical reasoning and decision making in the context of Australian general practice. The exam format now includes 70 multiple selection questions, each beginning with a clinical vignette, stem, and followed by several possible responses. You must shade the correct number of options requested, a wrong or extra selection can incur a small penalty, for example 0.35% [1]. The key features are the critical steps in managing a clinical scenario, for example what to ask next, what investigation to order, what management is most appropriate, not simply recalling facts. As your mentor, I emphasise: when you practise KFP questions, think like the exam writer: safe, practical, evidence based decisions you would make in a busy GP clinic.


4. What is the format of the AKT exam?


The AKT, Applied Knowledge Test, is a multiple choice exam that tests applied clinical knowledge in general practice. According to the RACGP guide, it comprises 150 single best answer questions, completed in 4 hours, 3.5 hours plus a universal allowance of 30 minutes [1]. All questions hold equal value, there is no negative marking for incorrect answers. As your mentor I advise you to practise timing of approximately 1.6 minutes per question so you do not run out of time. Good question technique and efficient decision making are just as important as knowledge in this format.


5. gp exam success stories, What is the hardest exam in the medical field?


In the context of Australian general practice, many candidates regard the KFP as one of the harder written examinations because it tests deep reasoning under tight time constraints and with multiple selection types, rather than rote recall. That said, as a mentor I remind you that difficulty depends on your preparation: if you build targeted reasoning skills and exam technique, no exam is insurmountable. Other specialties may report even tougher high stakes assessments, but the key takeaway is: treat the exam you face, in this case the RACGP exams, with respect, prepare deliberately, and the hardest label becomes less relevant.

Exam Technique and Time Management: The Hidden Skills of Success

Mastering exam technique and pacing is as critical as mastering content.


  • The AKT’s 150 items over 4 hours equate to about 1.6 minutes per question. Practise completing question blocks within these time limits [2].

  • For the KFP, rehearse reading prompts precisely to avoid the 0.35% penalty for extra bubbles [1].

  • Always read carefully for qualifiers like “initial,” “most appropriate,” and “next step,” as these words shift context and scoring focus.


Exam day readiness checklist:


  • Practise mindfulness or short breathing resets between question blocks to sustain focus.

  • Ensure adequate rest, hydration, and nutrition before sitting a 4 hour exam.

  • For the CCE, rehearse clear case openings, focused data gathering, and structured explanations via video, mirroring the actual online setting [12].


For detailed pacing templates and practice blocks, access Fellow Academy’s AKT timing and CCE simulation resources.

Choosing Resources That Actually Work

Choosing high quality, exam aligned resources dramatically improves outcomes. The data speak clearly:


  • In the 2019.1 AKT, candidates who completed the official online practice exam achieved a 69.8% pass rate, compared with 35.8% for those who did not [6].

  • In the 2019.1 KFP, the same trend occurred: candidates who attempted the official practice exam achieved a 64.2% pass rate, compared with 35.1% for non attempters [7].

  • The 2025.2 cycle recorded strong national pass rates, with AKT 79.41% and KFP 79.57% 8.


Primary resources to prioritise:


  • Therapeutic Guidelines, eTG for evidence based management [9].

  • RACGP Red Book for preventive activities [10].

  • Australian Immunisation Handbook for vaccination schedules and clinical scenarios [11].


Real world examples of effective resource use:


  • A registrar who had previously failed multiple attempts introduced structured daily flashcards and weekly practice sessions, achieving success in the next cycle.

  • Another registrar used concise mobile notes and eTG lookups during breaks between patients, maximising revision time throughout the workday.


For curated notes, question banks, and full length mock exams, explore Fellow Academy’s RACGP preparation hub.

If you’re feeling overwhelmed, Fellow Academy is here with carefully designed AKT and KFP question banks, concise notes, and practical flashcards to guide your preparation compassionately and effectively. You're not alone—we’re here 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 experiences shared are based on insights from successful GP candidates. They serve 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 experiences shared are based on insights from successful GP candidates. They serve as general study guidance only and should not be taken as official RACGP advice.

References

[1] Royal Australian College of General Practitioners. 2025, July 31. AKT and KFP information for candidates. East Melbourne, VIC: RACGP. https://www.racgp.org.au/kfp-and-akt-exam-day-information

[2] Royal Australian College of General Practitioners. 2024. AKT and KFP guide, examinations guide. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/Examinations-guide.pdf

[3] Royal Australian College of General Practitioners. 2024. Exam report 2024.1 CCE, public exam report. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-1-CCE-Public-Exam-Report.pdf

[4] Royal Australian College of General Practitioners. 2025. Exam report 2025.1 CCE, public exam report. East Melbourne, VIC: RACGP. https://www.racgp.org.au/getmedia/f4fc7ea1-ba17-4eae-86ea-d4369d22e5aa/2025-1-CCE-Public-Exam-Report.pdf.aspx

[5] General Practice Supervisors Australia. 2023. Study skills guidance for GP registrars: Studying smarter, not harder. Melbourne, VIC: GPSA. https://gpsa.org.au/study-skills-guide-for-gp-registrars-studying-smarter-not-harder/

[6] Royal Australian College of General Practitioners. 2019. Exam report 2019.1 AKT, public exam report. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/AKT-20191-Public-exam-report.pdf

[7] Royal Australian College of General Practitioners. 2019. Exam report 2019.1 KFP, public exam report. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/KFP-20191-Public-exam-report.pdf

[8] Liotta, M. 2025, Aug 22. RACGP releases 2025.2 exam cycle results. newsGP, RACGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-2025-2-exam-cycle-results

[9] Therapeutic Guidelines Limited. 2023. Therapeutic Guidelines, eTG Complete. Melbourne, VIC: TGL. https://www.tg.org.au/?gad_source=1&gad_campaignid=20703326793&gbraid=0AAAAAqSSgA9FXBMlAL1SiHkKcRCvJf3hb&gclid=CjwKCAjwgeLHBhBuEiwAL5gNEet1e9hFoSGfZFXwroNTE6DXr2CqYEgJBDewh95GA2ZYujv4tmaPtxoCQKcQAvD_BwE

[10] Royal Australian College of General Practitioners. 2023. Guidelines for preventive activities in general practice, Red Book 10th ed. East Melbourne, VIC: RACGP. https://www.racgp.org.au/getattachment/3eddf0a7-7cec-4064-a44b-5bde6c2515a5/Guidelines-for-preventive-activities-in-general-practice.aspx

[11] Australian Government Department of Health and Aged Care. 2023. Australian Immunisation Handbook. Canberra, ACT: Commonwealth of Australia. https://immunisationhandbook.health.gov.au/

[12] Royal Australian College of General Practitioners. 2025, July 3. Clinical Competency Exam overview, candidate information. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam

[13] Royal Australian College of General Practitioners. 2024. Health of the Nation Report. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Health-of-the-Nation-2024.pdf

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

Facing the Fellowship Exams Without Fear


Every GP registrar knows that feeling, the quiet dread of opening exam results, the uncertainty over whether your study strategies were effective enough. Feeling nervous does not mean you are unprepared or inadequate, it simply shows how much you care about becoming a capable GP. Successful RACGP Fellows consistently share that structured study plans, smart resource selection, and exam day composure make a profound difference, far more than innate intelligence or luck.


This guide is filled with practical, evidence based how to pass GP exam tips, real world GP exam success stories, and actionable RACGP pass rate advice, helping you confidently prepare for your Fellowship exams.

Understanding Exactly What You Are Up Against

The RACGP Fellowship consists of three challenging but achievable exams:


  • Applied Knowledge Test, AKT:
    Approximately 150 multiple choice questions, completed over 4 hours, testing clinical knowledge, diagnostic reasoning, and decision making abilities [1, 2].

  • Key Feature Problem, KFP:
    As of 2025.2, the KFP is a paper based multiple selection exam with 70 scenarios, each answered on a bubble sheet, lasting 4 hours [1]. Each question contributes 1.43% of the overall score, and a 0.35% penalty is applied for each additional bubble shaded beyond what is requested [1]. This format focuses on case specific clinical reasoning and safe decision making.

  • Clinical Competency Exam, CCE:
    A practical, scenario based exam assessing consultation and communication skills. In 2024.1, the CCE recorded a pass rate of 89.10%, with 711 of 798 candidates passing [3]. In 2025.1 the overall pass rate was 79.66% [4]. The structure remains 9 cases delivered via Zoom across 2 sessions [4, 12].


These exams test not only what you know but how effectively you apply your knowledge in real world general practice.

Why Starting Early Makes the Difference

Starting your preparation 6 to 12 months ahead gives you the strongest foundation for success. Most successful Fellows dedicate about 10 to 15 hours per week to study over several months, balancing this alongside clinical work [5].


Why early preparation matters:


  • Strengthens long term memory through regular revision and spaced repetition.

  • Allows incremental, structured learning without burnout.

  • Reduces anxiety by avoiding last minute cramming.


Common challenges for GP trainees:


  • Managing study while handling busy clinical loads.

  • Preventing fatigue and burnout from combined responsibilities.

  • Staying consistent with a structured plan across months of preparation.


Many registrars gradually reduce consulting hours closer to the exam to allow time for focused revision and practice exams. For structured timelines and planners, visit Fellow Academy’s AKT and KFP study guide to map your study blocks effectively.

Building a Strong Foundation of Clinical Reasoning

The Fellowship exams evaluate your clinical reasoning, your ability to apply knowledge safely and logically. Strengthening this skill requires deliberate practice and reflection.


High yield strategies for clinical reasoning:


  • Focus on conditions frequently encountered in Australian general practice, based on RACGP Health of the Nation data and recent public exam reports [8, 13].

  • Use Murtagh’s diagnostic framework, considering the most likely diagnosis, serious conditions not to miss, and patient perspective.

  • After each clinic day, reflect on 2 to 3 patient cases. Revisit relevant guidelines that evening to reinforce learning.


RACGP assessment advisors highlight that “the biggest tip for candidates is to learn from seeing patients every day in general practice” [4]. Discuss cases weekly with peers or mentors, and simulate focused KFP style questions under exam timing to reinforce this reasoning.

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 the easiest way to pass exams?


From the perspective of a mentor guiding GP trainees, the easiest path to passing your exams is the one you plan deliberately, rather than hoping for a shortcut. That means:


  • Begin early and follow a structured revision schedule rather than cramming at the last minute.

  • Use exam aligned resources and practise actual exam style questions so you are familiar with the format.

  • Convert your clinic cases into purposeful revision: after each session reflect on what you saw and tie it back into guideline review.

  • Focus on what you do correctly and refine your technique, as well as your knowledge base.
    In short, consistency and deliberate practice make the process easier and more predictable.


2. What strategy will you use to prepare for the exam?


As a mentor speaking directly to you, I recommend a three phase strategy:


  1. Foundation phase: Map out your timeline, 6 to 12 months ideally, identify your weaker areas in the GP curriculum, and select your core resources, for example Therapeutic Guidelines, RACGP Red Book, National Immunisation Handbook.

  2. Integration phase: Turn your day job into study. After each clinic day, choose 2 to 3 cases, review them via current guidelines, and practise exam style questions related to them. Join a weekly discussion or peer group for accountability.

  3. Simulation and refinement phase: In the last 2 to 3 months run timed full mixed exams, AKT style, KFP style. Review every wrong answer or time pressure issue. Practise under realistic conditions, 4 hour blocks. Use this for fine tuning time management, question technique, and your ability to perform under exam conditions.


3. What are KFP questions?


KFP stands for Key Feature Problem. According to the current exam information from the RACGP, the KFP is designed to assess clinical reasoning and decision making in the context of Australian general practice. The exam format now includes 70 multiple selection questions, each beginning with a clinical vignette, stem, and followed by several possible responses. You must shade the correct number of options requested, a wrong or extra selection can incur a small penalty, for example 0.35% [1]. The key features are the critical steps in managing a clinical scenario, for example what to ask next, what investigation to order, what management is most appropriate, not simply recalling facts. As your mentor, I emphasise: when you practise KFP questions, think like the exam writer: safe, practical, evidence based decisions you would make in a busy GP clinic.


4. What is the format of the AKT exam?


The AKT, Applied Knowledge Test, is a multiple choice exam that tests applied clinical knowledge in general practice. According to the RACGP guide, it comprises 150 single best answer questions, completed in 4 hours, 3.5 hours plus a universal allowance of 30 minutes [1]. All questions hold equal value, there is no negative marking for incorrect answers. As your mentor I advise you to practise timing of approximately 1.6 minutes per question so you do not run out of time. Good question technique and efficient decision making are just as important as knowledge in this format.


5. gp exam success stories, What is the hardest exam in the medical field?


In the context of Australian general practice, many candidates regard the KFP as one of the harder written examinations because it tests deep reasoning under tight time constraints and with multiple selection types, rather than rote recall. That said, as a mentor I remind you that difficulty depends on your preparation: if you build targeted reasoning skills and exam technique, no exam is insurmountable. Other specialties may report even tougher high stakes assessments, but the key takeaway is: treat the exam you face, in this case the RACGP exams, with respect, prepare deliberately, and the hardest label becomes less relevant.

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