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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
Many GP trainees and International Medical Graduates, IMGs, understandably feel nervous when facing the RACGP Clinical Competency Exam, CCE. With endless possible scenarios, it can feel impossible to cover every single topic thoroughly. But here is the good news, the RACGP does not test obscure, rare presentations, they focus on everyday situations you will regularly encounter in Australian general practice.
By prioritising RACGP CCE Cases: High Yield Presentations You Must Practise, you are strategically focusing your revision to gain maximum results from your study time. In this comprehensive blog, we will walk through five essential areas that regularly feature in the exam, chronic disease management, diabetes, COPD, CKD, women’s health and antenatal care, paediatrics and adolescent scenarios, mental health and risk assessments, and cultural safety for Aboriginal and Torres Strait Islander patients. Each section includes clear clinical priorities, up to date statistics, and practical exam tips.
Let us dive in, so you can feel calm, prepared, and exam ready.
Chronic Disease CCE Cases, Diabetes, COPD, CKD
Chronic diseases dominate Australian general practice consultations, with approximately 50 percent of Australians living with at least 1 chronic condition [1]. Examiners frequently test these cases to ensure you have structured, evidence based approaches to ongoing patient management.
Diabetes affects approximately 1.3 million Australians, around 1 in 20 [2].
RACGP examiners Expect you to clearly demonstrate:
- Lifestyle counselling on diet and exercise.
- Patient education about home glucose monitoring and hypoglycaemia management
- Regular complication screenings, annual foot and eye examinations.
- Appropriate medication titration based on RACGP and Diabetes Australia guidelines.
COPD impacts about 1 in 20 Australians aged over 45 years [3].
Ensure your answers include:
- Confirming COPD diagnosis with spirometry.
- Checking and reinforcing correct inhaler technique.
- Smoking cessation counselling, supported by practical advice.
- Annual influenza vaccinations and pneumococcal vaccinations when indicated.
- Clear action plans for managing exacerbations at home.
CKD, Chronic Kidney Disease, is seen in over 10 percent of Australian adults [4].
Essential Management points include:
- Routine kidney function tests, eGFR and albumin creatinine ratio.
- Medication reviews, particularly ACE inhibitors or ARBs.
- Early identification and management of hypertension, diabetes, and cardiovascular risk factors.
- Patient education on lifestyle changes and regular follow ups to prevent progression.
For more comprehensive revision, see our chronic disease management notes and case walkthroughs on Fellow Academy.
Women’s Health and Antenatal CCE Scenarios
Women’s health issues, especially antenatal care, frequently appear in the RACGP CCE. Antenatal care is a core activity in Australian general practice, and national guidance recommends a schedule of around 7 to 10 routine visits for uncomplicated pregnancies [5]. Examiners focus on structured, evidence based, and empathetic care.
Prioritise the following areas clearly:
Routine antenatal schedules and screenings:
- Early blood tests, FBE, blood group, infections.
- Gestational diabetes screening at 24 to 28 weeks.
- Morphology ultrasound at approximately 18 to 20 weeks.
- Group B Streptococcus swabs around 36 weeks [6].
Antenatal complications:
- Early identification and management pathways for gestational diabetes, hypertension, pre eclampsia, and vaginal bleeding.
- Clear knowledge of when urgent specialist referral or hospital admission is required.
Postnatal care and contraception:
- Thorough 6 week postnatal checks, including physical recovery, breastfeeding support, contraception planning, and mental health screening, as postnatal depression affects around 1 in 7 women [7].
- Effective contraception counselling, especially promoting Long Acting Reversible Contraceptives, LARCs, which are currently used by only 11% of Australian contraceptive users [8].
Consider reviewing Fellow Academy’s women’s health revision guides for deeper insights and quick recall tables.
Mental Health, Risk, and Safety Assessments
Mental health is a major part of GP workloads, with about 12 percent of Australians seeing a GP for a mental health concern in 2021 to 2022 [10]. RACGP examiners frequently present mental health scenarios due to their critical nature, especially regarding patient safety.
Critical elements include:
Clear and direct risk assessments for suicide and self harm:
- Suicide causes approximately 1.6 percent of all deaths in Australia, and accounts for over 20 percent of deaths in young adult men [11].
- Ask openly and sensitively about suicidal ideation, intention, and planning.
- Immediate safety planning and crisis intervention strategies.
Thorough Mental State Examinations, MSE:
- Document mood, affect, thought content, insight, and judgement clearly.
- Demonstrate structured thinking in your clinical notes and verbal responses.
Holistic management plans:
- Mental Health Treatment Plans with psychological therapies.
- Evidence based pharmacological treatments, such as SSRIs, when appropriate.
- Early and regular follow up appointments, involving carers when relevant.
Clear ethical and legal considerations:
- Know precisely when confidentiality must be breached for safety reasons.
- Awareness of your legal responsibilities under relevant Mental Health Acts.
For a thorough revision, see Fellow Academy’s mental health assessment toolkit and our OSCE style role play scripts.
Frequently asked questions, RACGP exams
1. What is the pass rate for the GP exam?
Pass rates vary by sitting and by exam segment, so there is no single number. Recent RACGP public reports show CCE pass rates of 79.66 percent in 2025.1, 89.12 percent in 2024.2, and 89.10 percent in 2024.1 [13, 14, 15]. For knowledge based exams, AKT had a pass rate of 82.15 percent in 2024.2 and KFP had a pass rate of 67.83 percent in 2024.2 [16, 17]. The RACGP states there are no quotas, and the pass mark is set using recognised standard setting methods for each sitting [13, 16, 17].
2. How to pass the RACGP exam?
Focus on fundamentals across the curriculum, practise under timed conditions, and align with official marking expectations. Use the RACGP AKT and KFP guide for standard setting and preparation advice, and the CCE preparation and marking pages to understand competencies, case structure, and how performance is judged, then build a study plan that rehearses these exact behaviours [18, 19, 20]. For targeted practice cases and timing strategies, see our CCE case blueprints and AKT, KFP timing walkthroughs on Fellow Academy.
3. What is the RACGP CCE course?
The CCE is not a course, it is the final Fellowship exam, delivered online via Zoom, comprising 9 clinical cases that include case discussions and clinical encounters, each with structured pre case reading and strict timing. Official CCE pages outline the format, competencies, and technical requirements so you can prepare effectively [21, 22, 23]. For structured preparation resources, see our Fellow Academy CCE study hub and simulation checklists.
4. Is it hard to become a GP in Australia?
Becoming a GP requires accredited training, eligibility, and passing all three Fellowship exams, AKT, KFP, CCE. You must also meet professional, ethical, and administrative requirements before Fellowship is awarded. The RACGP pathway and requirements pages outline the steps and timelines, including candidacy limits and eligibility criteria [24, 25, 26, 27]. If you want staged guidance, review our Fellow Academy pathway overview and planning worksheets.
5. What are the passing marks for CCE?
The CCE pass mark is determined after each sitting using the borderline regression method. The overall pass mark equals the sum of the individual case pass marks. There are no quotas, no negative scoring, and you are not required to pass a minimum number of cases to achieve an overall pass. These details are set out in the CCE candidate guidelines and confirmed in public exam reports [28, 13, 14, 15].
Aboriginal and Torres Strait Islander Health and Cultural Safety
There remain significant health disparities between Indigenous and non Indigenous Australians, notably an approximately 8 years shorter life expectancy for Aboriginal and Torres Strait Islander peoples [12]. Diabetes prevalence is about 3 times higher in Indigenous populations [12]. RACGP examiners test your cultural competency explicitly in these cases.
Key competencies include:
Respectful, culturally safe communication:
- Build trust by actively listening and showing genuine empathy.
- Never assume or stereotype, treat each patient as an individual.
Understanding historical and social contexts:
- Recognise ongoing impacts of historical trauma and healthcare access barriers.
- Appropriately adapt your approach and recommendations accordingly.
Preventative health and chronic disease screening:
- Actively promote annual Medicare Indigenous Health Checks, item 715.
- Early identification and intensive management of chronic diseases.
Collaboration and use of community resources:
- Work alongside Aboriginal Health Workers or Liaison Officers.
- Utilise Closing the Gap initiatives and other community based supports.
For more detailed advice, review Fellow Academy’s Indigenous health and cultural safety guidelines and case blueprints.
Paediatrics and Adolescent CCE Scenarios
Paediatric and adolescent health represents a significant portion of general practice, with about 4.8 million children in Australia, many of whom are seen in general practice [9]. Most presentations can be managed in general practice, so independent management skills are essential.
Examiners expect competency in:
Common acute paediatric presentations:
- Fever and febrile illnesses.
- Asthma exacerbations and respiratory distress.
- Gastroenteritis, dehydration, and common childhood rashes.
Developmental assessments and immunisation:
- Regular milestone checks and understanding when specialist referral is necessary.
- Immunisation schedules and catch up planning as part of routine general practice.
Adolescent confidentiality and psychosocial care:
- Clear use of the HEADSS, Home, Education, Activities, Drugs, Sexuality, Suicide, framework.
- Understanding and application of Gillick competence.
- Respectful, supportive, and confidential communication with teenagers.
Safeguarding and child protection:
- Early recognition of potential abuse or neglect.
- Clear understanding and application of mandatory reporting obligations in your state or territory.
For additional paediatric preparation tips, see our dedicated paediatrics exam strategy guide and consultation checklists on Fellow Academy.
If you are feeling overwhelmed by RACGP exam preparation, Fellow Academy can provide practical support to boost your confidence and preparation. Access high quality AKT and KFP questions, concise and comprehensive exam notes, and high yield, evidence based flashcards designed specifically for GP trainees and IMGs. We also offer free KFP case packs, informative webinars, and practical resources to ensure your revision is efficient and effective.
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] Australian Bureau of Statistics, 2023, National Health Survey 2021 to 2022, Health conditions prevalence. https://www.abs.gov.au/statistics/health/health-conditions-and-risks/health-conditions-prevalence/latest-release
[2] Australian Institute of Health and Welfare, 2023, Diabetes, Australian facts, summary, prevalence and counts. https://www.aihw.gov.au/reports/diabetes/diabetes
[3] Australian Institute of Health and Welfare, 2020 to 2023 updates, Chronic respiratory conditions, COPD, age band prevalence, adults 45 years and older. https://www.aihw.gov.au/reports/chronic-respiratory-conditions/copd
[4] Australian Institute of Health and Welfare, 2023, Chronic kidney disease, Australian facts, prevalence in adults. https://www.aihw.gov.au/reports/chronic-kidney-disease/chronic-kidney-disease
[5] Australian Government Department of Health and Aged Care, 2023, Pregnancy Care Guidelines, schedule of visits for uncomplicated pregnancy. https://www.pregnancycareguidelines.health.gov.au
[6] Australian Pregnancy Care Guidelines and ACSQHC, 2022 to 2024, GDM screening 24 to 28 weeks, morphology ultrasound 18 to 20 weeks, GBS screening 35 to 37 weeks. https://www.pregnancycareguidelines.health.gov.au
[7] Healthdirect Australia, 2023, Postnatal depression, national overview and prevalence. https://www.healthdirect.gov.au/postnatal-depression
[8] Australian Prescriber, 2025, Long acting reversible contraception in Australia, update on uptake, national estimates around 11 percent. https://australianprescriber.tg.org.au/articles/long-acting-reversible-contraception
[9] Australian Institute of Health and Welfare, 2024, Australia’s children, national population counts and health service use context. https://www.australiashealth.aihw.gov.au/our-reports/children-and-young-people/health-of-children/contents/summary
[10] Australian Bureau of Statistics, 2023, Patient experiences and mental health service use, 2021 to 2022, proportion of Australians who saw a GP for mental health. https://www.abs.gov.au/statistics/health/health-care-use-and-expenditure/patient-experiences-australia/latest-release
[11] Australian Bureau of Statistics, 2024, Causes of Death, Australia, Intentional self harm deaths, counts and age specific patterns. https://www.abs.gov.au/statistics/health/causes-death/causes-death-australia/latest-release
[12] Australian Institute of Health and Welfare, 2023 to 2024, Indigenous life expectancy gap reports and diabetes prevalence comparisons. https://www.aihw.gov.au/reports/australias-health/indigenous-health-and-wellbeing
[13] Royal Australian College of General Practitioners, 2025, Exam report 2025.1 CCE, public report, pass rate and psychometrics. https://www.racgp.org.au/getmedia/f4fc7ea1-ba17-4eae-86ea-d4369d22e5aa/2025-1-CCE-Public-Exam-Report.pdf.aspx
[14] Royal Australian College of General Practitioners, 2024, Exam report 2024.2 CCE, public report, pass rate and psychometrics. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-2-CCE-Public-Exam-Report.pdf
[15] Royal Australian College of General Practitioners, 2024, Exam report 2024.1 CCE, public report, pass rate and psychometrics. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-1-CCE-Public-Exam-Report.pdf
[16] Royal Australian College of General Practitioners, 2024, AKT 2024.2 Public Exam Report, pass mark and pass rate. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/AKT-2024-2-Public-Exam-Report.pdf
[17] Royal Australian College of General Practitioners, 2024, KFP 2024.2 Public Exam Report, pass mark and pass rate. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-2-KFP-Public-Exam-Report.pdf
[18] Royal Australian College of General Practitioners, 2024, AKT and KFP guide, preparation and standard setting. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/Examinations-guide.pdf
[19] Royal Australian College of General Practitioners, 2023, CCE preparation resource, competencies and marking overview. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/cce-preparation/exam-preparation-resources
[20] Royal Australian College of General Practitioners, 2023, How CCE cases are marked, competencies and criteria. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/clinical-competency-exam-cce/how-are-cce-cases-marked
[21] Royal Australian College of General Practitioners, 2025, Clinical Competency Exam, overview and delivery. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam
[22] Royal Australian College of General Practitioners, 2025, Assessments and examinations candidate handbook, CCE format and components. https://www.racgp.org.au/education/registrars/fellowship-pathways/policy-framework/program-handbooks-and-guidance-documents/assessments-and-examinations-candidate-handbook/part-2/introduction
[23] Royal Australian College of General Practitioners, 2025, CCE candidate technical guidelines, online format and timings. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/cce-preparation
[24] Royal Australian College of General Practitioners, 2025, The pathway to Fellowship, exam components and steps. https://www.racgp.org.au/the-pathway-to-fellowship
[25] Royal Australian College of General Practitioners, 2025, Requirements for Fellowship, assessment and professional requirements. https://www.racgp.org.au/education/gp-training/gp-training/education-policy-and-supporting-documents/training-program-policies/requirements-for-fellowship-policy
[26] Royal Australian College of General Practitioners, 2025, Exam eligibility, training time and registration requirements.https://www.racgp.org.au/education/gp-training/gp-training/education-policy-and-supporting-documents/training-program-policies/fellowship-exams-policy
[27] Royal Australian College of General Practitioners, 2025, Enrolment information, candidacy time limits and attempts.https://www.racgp.org.au/education/registrars/fellowship-pathways/policy-framework/program-handbooks-and-guidance-documents/agpt-registrar-training-handbook/fellowship-exams/exam-eligibility
[28] Royal Australian College of General Practitioners, 2025, CCE Candidate Guide, borderline regression, case pass marks and overall pass calculation. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/results/determination-of-a-passing-grade
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
Many GP trainees and International Medical Graduates, IMGs, understandably feel nervous when facing the RACGP Clinical Competency Exam, CCE. With endless possible scenarios, it can feel impossible to cover every single topic thoroughly. But here is the good news, the RACGP does not test obscure, rare presentations, they focus on everyday situations you will regularly encounter in Australian general practice.
By prioritising RACGP CCE Cases: High Yield Presentations You Must Practise, you are strategically focusing your revision to gain maximum results from your study time. In this comprehensive blog, we will walk through five essential areas that regularly feature in the exam, chronic disease management, diabetes, COPD, CKD, women’s health and antenatal care, paediatrics and adolescent scenarios, mental health and risk assessments, and cultural safety for Aboriginal and Torres Strait Islander patients. Each section includes clear clinical priorities, up to date statistics, and practical exam tips.
Let us dive in, so you can feel calm, prepared, and exam ready.
Chronic Disease CCE Cases, Diabetes, COPD, CKD
Chronic diseases dominate Australian general practice consultations, with approximately 50 percent of Australians living with at least 1 chronic condition [1]. Examiners frequently test these cases to ensure you have structured, evidence based approaches to ongoing patient management.
Diabetes affects approximately 1.3 million Australians, around 1 in 20 [2].
RACGP examiners Expect you to clearly demonstrate:
- Lifestyle counselling on diet and exercise.
- Patient education about home glucose monitoring and hypoglycaemia management
- Regular complication screenings, annual foot and eye examinations.
- Appropriate medication titration based on RACGP and Diabetes Australia guidelines.
COPD impacts about 1 in 20 Australians aged over 45 years [3].
Ensure your answers include:
- Confirming COPD diagnosis with spirometry.
- Checking and reinforcing correct inhaler technique.
- Smoking cessation counselling, supported by practical advice.
- Annual influenza vaccinations and pneumococcal vaccinations when indicated.
- Clear action plans for managing exacerbations at home.
CKD, Chronic Kidney Disease, is seen in over 10 percent of Australian adults [4].
Essential Management points include:
- Routine kidney function tests, eGFR and albumin creatinine ratio.
- Medication reviews, particularly ACE inhibitors or ARBs.
- Early identification and management of hypertension, diabetes, and cardiovascular risk factors.
- Patient education on lifestyle changes and regular follow ups to prevent progression.
For more comprehensive revision, see our chronic disease management notes and case walkthroughs on Fellow Academy.
Women’s Health and Antenatal CCE Scenarios
Women’s health issues, especially antenatal care, frequently appear in the RACGP CCE. Antenatal care is a core activity in Australian general practice, and national guidance recommends a schedule of around 7 to 10 routine visits for uncomplicated pregnancies [5]. Examiners focus on structured, evidence based, and empathetic care.
Prioritise the following areas clearly:
Routine antenatal schedules and screenings:
- Early blood tests, FBE, blood group, infections.
- Gestational diabetes screening at 24 to 28 weeks.
- Morphology ultrasound at approximately 18 to 20 weeks.
- Group B Streptococcus swabs around 36 weeks [6].
Antenatal complications:
- Early identification and management pathways for gestational diabetes, hypertension, pre eclampsia, and vaginal bleeding.
- Clear knowledge of when urgent specialist referral or hospital admission is required.
Postnatal care and contraception:
- Thorough 6 week postnatal checks, including physical recovery, breastfeeding support, contraception planning, and mental health screening, as postnatal depression affects around 1 in 7 women [7].
- Effective contraception counselling, especially promoting Long Acting Reversible Contraceptives, LARCs, which are currently used by only 11% of Australian contraceptive users [8].
Consider reviewing Fellow Academy’s women’s health revision guides for deeper insights and quick recall tables.
Mental Health, Risk, and Safety Assessments
Mental health is a major part of GP workloads, with about 12 percent of Australians seeing a GP for a mental health concern in 2021 to 2022 [10]. RACGP examiners frequently present mental health scenarios due to their critical nature, especially regarding patient safety.
Critical elements include:
Clear and direct risk assessments for suicide and self harm:
- Suicide causes approximately 1.6 percent of all deaths in Australia, and accounts for over 20 percent of deaths in young adult men [11].
- Ask openly and sensitively about suicidal ideation, intention, and planning.
- Immediate safety planning and crisis intervention strategies.
Thorough Mental State Examinations, MSE:
- Document mood, affect, thought content, insight, and judgement clearly.
- Demonstrate structured thinking in your clinical notes and verbal responses.
Holistic management plans:
- Mental Health Treatment Plans with psychological therapies.
- Evidence based pharmacological treatments, such as SSRIs, when appropriate.
- Early and regular follow up appointments, involving carers when relevant.
Clear ethical and legal considerations:
- Know precisely when confidentiality must be breached for safety reasons.
- Awareness of your legal responsibilities under relevant Mental Health Acts.
For a thorough revision, see Fellow Academy’s mental health assessment toolkit and our OSCE style role play scripts.
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.
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Start early (at least 6–12 months before your exam).
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Create flashcards for each guideline or high-yield topic.
-
Use Brainscape or Anki daily to review material in spaced cycles.
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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, RACGP exams
1. What is the pass rate for the GP exam?
Pass rates vary by sitting and by exam segment, so there is no single number. Recent RACGP public reports show CCE pass rates of 79.66 percent in 2025.1, 89.12 percent in 2024.2, and 89.10 percent in 2024.1 [13, 14, 15]. For knowledge based exams, AKT had a pass rate of 82.15 percent in 2024.2 and KFP had a pass rate of 67.83 percent in 2024.2 [16, 17]. The RACGP states there are no quotas, and the pass mark is set using recognised standard setting methods for each sitting [13, 16, 17].
2. How to pass the RACGP exam?
Focus on fundamentals across the curriculum, practise under timed conditions, and align with official marking expectations. Use the RACGP AKT and KFP guide for standard setting and preparation advice, and the CCE preparation and marking pages to understand competencies, case structure, and how performance is judged, then build a study plan that rehearses these exact behaviours [18, 19, 20]. For targeted practice cases and timing strategies, see our CCE case blueprints and AKT, KFP timing walkthroughs on Fellow Academy.
3. What is the RACGP CCE course?
The CCE is not a course, it is the final Fellowship exam, delivered online via Zoom, comprising 9 clinical cases that include case discussions and clinical encounters, each with structured pre case reading and strict timing. Official CCE pages outline the format, competencies, and technical requirements so you can prepare effectively [21, 22, 23]. For structured preparation resources, see our Fellow Academy CCE study hub and simulation checklists.
4. Is it hard to become a GP in Australia?
Becoming a GP requires accredited training, eligibility, and passing all three Fellowship exams, AKT, KFP, CCE. You must also meet professional, ethical, and administrative requirements before Fellowship is awarded. The RACGP pathway and requirements pages outline the steps and timelines, including candidacy limits and eligibility criteria [24, 25, 26, 27]. If you want staged guidance, review our Fellow Academy pathway overview and planning worksheets.
5. What are the passing marks for CCE?
The CCE pass mark is determined after each sitting using the borderline regression method. The overall pass mark equals the sum of the individual case pass marks. There are no quotas, no negative scoring, and you are not required to pass a minimum number of cases to achieve an overall pass. These details are set out in the CCE candidate guidelines and confirmed in public exam reports [28, 13, 14, 15].
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
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GP Supervisors Australia. (2025). Study Skills Guide for GP Registrars: Studying Smarter, Not Harder. GPSA.
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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.
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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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