Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now KFP vs AKT: Which RACGP Exam Is Harder? (AKT KFP Resources) Last updated: October 2025 Buy Now KFP vs AKT: Which RACGP Exam Is Harder? (AKT KFP Resources) Last updated: October 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Understanding AKT and KFP exam differences helps you prepare with confidence, efficiency, and focus. This comprehensive guide compares both exams in structure, purpose, and preparation strategy, while sharing proven akt KFP resources for GP trainees, international medical graduates (IMGs), and supervisors who want to optimise their study and performance. Recent statistics show why understanding these exams matters. The average KFP pass rate since 2021 has been 71% [1 ], while the AKT has averaged 81% [1 ]. In the 2024.2 exam cycle alone, AKT recorded an 82.15% pass rate [2 ], while the KFP achieved 67.83% [3 ]. These numbers highlight how preparation strategies must adapt for each exam’s format and difficulty. Overview: AKT vs KFP The RACGP Fellowship journey requires you to pass both the AKT (Applied Knowledge Test) and KFP (Key Feature Problem) exams. They assess complementary but distinct skill sets. AKT: Focuses on your breadth of clinical knowledge, including diagnostic, management, ethical, and population health competencies. KFP: Focuses on your depth of reasoning, requiring you to demonstrate logical decision making and prioritisation in realistic patient scenarios. While both are essential, the KFP’s case-based design often feels more challenging because it demands precise judgment under exam conditions. Across 2021–2024, KFP pass rates have averaged 71%, compared to 81% for AKT [1 ]. This distinction means you cannot rely solely on memorisation: the KFP measures how you think as a GP in real time. Exam Structure and Format Comparison Each exam has unique timing, marking, and question structures. Knowing these differences early helps tailor your preparation. AKT format : 150 multiple choice questions (MCQs) Duration: 4 hours Exam type: Single-best-answer and extended-matching Pass rate: 82.15% in 2024.2 [2 ] Focus: Breadth of knowledge KFP format: 70 multiple choice case-based questions (new format introduced mid-2025) Duration: 4 hours Focus: Clinical reasoning and prioritisation Pass rate: 67.83% in 2024.2 [3 ] AKT vs KFP: Key Differences Question Style AKT: Multiple choice, single best answer KFP: Case-based multiple selection Exam Duration Both: 4 hours Focus AKT: Broad factual medical knowledge KFP: Clinical decision making Average Pass Rate (2021–2024) AKT: 81% [1 ] KFP: 71% [1 ] Recent Result (2024.2) AKT: 82.15% [2 ] KFP: 67.83% [3 ] Both exams are held twice per year, often on consecutive days, allowing candidates to attempt both within the same cycle. For additional structural details, see our [RACGP Exam Day Checklist]. How Preparation Differs Between the Two Each exam demands a different study rhythm and technique. Preparing for the AKT AKT success depends on breadth of content knowledge and speed. Focus on: Regular timed MCQ practice (simulate 150 questions in 4 hours). Reviewing RACGP curriculum topics weekly. Using resources like Therapeutic Guidelines, Australian Immunisation Handbook, and PBS database to ensure currency. Practising recall under timed conditions. Example: If you’re studying diabetes, cover diagnostic thresholds, first-line therapies, and PBS prescribing rules. For the AKT, memorising these details is essential. Tip: Use Fellow Academy’s AKT flashcards and question banks to build recall speed while reinforcing clinical context. Preparing for the KFP The KFP rewards depth of reasoning and contextual decision making. Effective strategies include: Practising clinical reasoning through case-based learning. Writing out key steps in diagnosis and management for each case. Limiting yourself to what’s clinically justified. Reviewing real RACGP case reports to learn from common candidate errors. Example: If presented with a 65-year-old with breathlessness and oedema, identify red flags, prioritise urgent heart failure management, and avoid unnecessary investigations. Tip: Join structured KFP study groups that mirror RACGP’s case approach. Discussing reasoning aloud enhances your ability to think clearly under exam pressure. For a combined study plan, see our [Integrated AKT-KFP Study Schedule]. Resources That Cover Both Exams Efficiently High quality akt kfp resources are invaluable for streamlining preparation. The best tools integrate AKT knowledge testing with KFP reasoning practice. Recommended Resources: RACGP official materials: Self Assessment Progress Tests (SAPTs) and sample exams [5 ]. Therapeutic Guidelines (eTG): Ensures you are using up-to-date recommendations. Murtagh’s General Practice: Ideal for integrating clinical reasoning. Fellow Academy AKT & KFP Bundle : Combines realistic MCQs, case-based reasoning, and evidence-based summaries. Why Integrated Resources Work: They maintain alignment with RACGP expectations. They improve study efficiency by merging both exam approaches. They prevent knowledge fragmentation across two exams. For topic-specific strategies, explore our [KFP Case Practice Guide ]. Frequently Asked Questions 1. KFP vs AKT: Which RACGP Exam Is Harder? Statistically, most GP trainees find the KFP exam harder. Since 2021, the average KFP pass rate has been 71%, compared to 81% for the AKT [1 ]. The KFP’s difficulty comes from testing clinical reasoning, decision-making, and prioritisation under significant time pressure. 2. What is the difference between AKT and KFP? The AKT (Applied Knowledge Test) assesses clinical knowledge broadly through multiple-choice questions. The KFP (Key Feature Problem) tests clinical reasoning and decision-making through case-based scenarios requiring prioritisation and careful judgement. AKT is about breadth; KFP is about depth and reasoning [2 ]. 3. How hard is the AKT exam? The AKT is challenging but considered manageable with structured revision. In recent years, approximately 81% of candidates pass each cycle [ 1 ] . It requires robust factual recall, clinical knowledge application, and familiarity with Australian guidelines, making it rigorous but achievable with diligent preparation. 4. What is the pass rate for the GP AKT exam? The AKT pass rate averages around 81% over recent years (2021–2024). Specifically, in the most recent 2024.2 exam cycle, the AKT pass rate was 82.15% [2 ]. Effective exam strategies and structured revision significantly enhance your chance of success. 5. How many questions are on the AKT exam? The AKT consists of 150 multiple-choice questions (MCQs), which you have 4 hours to complete [2 ]. These questions typically involve single-best-answer and extended-matching formats that test applied clinical knowledge across the general practice curriculum. Should You Study for AKT and KFP Together? Yes, you should. Both exams share the same knowledge base, and studying together maximises efficiency. Candidates who integrate preparation tend to perform better overall [4 ]. Integrated Study Benefits: Reinforces knowledge through repetition in both formats. Reduces study time by covering shared curriculum areas once. Improves consistency between theoretical and applied reasoning. Practical Combined Plan: Start 4–5 months before the exam cycle. Allocate 3 days weekly to AKT-style MCQs. Allocate 2 days weekly to KFP-style case reasoning. Conduct weekly mixed-topic reviews combining both formats. Example: In “respiratory week,” practise 20 AKT MCQs on asthma, then tackle a KFP case on COPD management. Combined preparation builds stamina, a critical advantage when exams occur on consecutive days. What Each Exam Actually Tests Both exams draw from the same curriculum, but their goals differ. AKT: Testing Applied Knowledge The AKT evaluates whether you can apply clinical knowledge across the full scope of general practice. You are expected to: Recall diagnostic criteria, management plans, and guideline recommendations. Apply evidence-based reasoning to common general practice scenarios. Demonstrate familiarity with Australian guidelines and PBS prescribing standards. AKT questions are written by experienced GPs and aligned with the RACGP curriculum. For example, you may be asked: “Which of the following is the most appropriate initial investigation for this presentation?” Such questions reward candidates who can recall factual information quickly and apply it within context. KFP: Testing Clinical Reasoning The KFP focuses on judgment, prioritisation, and safe patient management. Each scenario mimics a consultation, where you must decide: What is the most likely diagnosis? Which investigations are justified? What are the critical next steps in management? Precision is crucial. Selecting unnecessary answers (known as overcoding) can reduce marks. The KFP tests not what you know, but how you think under time pressure. As an examiner, I often advise: think like you would in a real consultation, where each decision counts toward safe patient care. 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 insights shared are based on examiner experience and successful candidate feedback. 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 insights shared are based on examiner experience and successful candidate feedback. They serve as general study guidance only and should not be taken as official RACGP advice. References [1] Medical Republic. (2024, October 16). Major college exam to be fully multi choice. The Medical Republic. https://www.medicalrepublic.com.au/major-college-exam-to-be-fully-multi-choice/111729 [2] Royal Australian College of General Practitioners. (2024, August 27). RACGP releases final AKT exam report of the year. newsGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-final-akt-exam-report-of-the-year [3] Royal Australian College of General Practitioners. (2024, September 17). Latest FRACGP exam report released. newsGP. https://www1.racgp.org.au/newsgp/racgp/latest-fracgp-exam-report-released [4] Royal Australian College of General Practitioners. (2019). KFP public exam report 2019.2. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/KFP-exam-2019-2.pdf [5] Royal Australian College of General Practitioners. (2025). Exam planning, start here. RACGP. https://www.racgp.org.au/education/fracgp-exams/preparing-for-exams/exam-planning-start-here RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Understanding AKT and KFP exam differences helps you prepare with confidence, efficiency, and focus. This comprehensive guide compares both exams in structure, purpose, and preparation strategy, while sharing proven akt KFP resources for GP trainees, international medical graduates (IMGs), and supervisors who want to optimise their study and performance. Recent statistics show why understanding these exams matters. The average KFP pass rate since 2021 has been 71% [1 ], while the AKT has averaged 81% [1 ]. In the 2024.2 exam cycle alone, AKT recorded an 82.15% pass rate [2 ], while the KFP achieved 67.83% [3 ]. These numbers highlight how preparation strategies must adapt for each exam’s format and difficulty. Overview: AKT vs KFP The RACGP Fellowship journey requires you to pass both the AKT (Applied Knowledge Test) and KFP (Key Feature Problem) exams. They assess complementary but distinct skill sets. AKT: Focuses on your breadth of clinical knowledge, including diagnostic, management, ethical, and population health competencies. KFP: Focuses on your depth of reasoning, requiring you to demonstrate logical decision making and prioritisation in realistic patient scenarios. While both are essential, the KFP’s case-based design often feels more challenging because it demands precise judgment under exam conditions. Across 2021–2024, KFP pass rates have averaged 71%, compared to 81% for AKT [1 ]. This distinction means you cannot rely solely on memorisation: the KFP measures how you think as a GP in real time. Exam Structure and Format Comparison Each exam has unique timing, marking, and question structures. Knowing these differences early helps tailor your preparation. AKT format : 150 multiple choice questions (MCQs) Duration: 4 hours Exam type: Single-best-answer and extended-matching Pass rate: 82.15% in 2024.2 [2 ] Focus: Breadth of knowledge KFP format: 70 multiple choice case-based questions (new format introduced mid-2025) Duration: 4 hours Focus: Clinical reasoning and prioritisation Pass rate: 67.83% in 2024.2 [3 ] AKT vs KFP: Key Differences Question Style AKT: Multiple choice, single best answer KFP: Case-based multiple selection Exam Duration Both: 4 hours Focus AKT: Broad factual medical knowledge KFP: Clinical decision making Average Pass Rate (2021–2024) AKT: 81% [1 ] KFP: 71% [1 ] Recent Result (2024.2) AKT: 82.15% [2 ] KFP: 67.83% [3 ] Both exams are held twice per year, often on consecutive days, allowing candidates to attempt both within the same cycle. For additional structural details, see our [RACGP Exam Day Checklist]. How Preparation Differs Between the Two Each exam demands a different study rhythm and technique. Preparing for the AKT AKT success depends on breadth of content knowledge and speed. Focus on: Regular timed MCQ practice (simulate 150 questions in 4 hours). Reviewing RACGP curriculum topics weekly. Using resources like Therapeutic Guidelines, Australian Immunisation Handbook, and PBS database to ensure currency. Practising recall under timed conditions. Example: If you’re studying diabetes, cover diagnostic thresholds, first-line therapies, and PBS prescribing rules. For the AKT, memorising these details is essential. Tip: Use Fellow Academy’s AKT flashcards and question banks to build recall speed while reinforcing clinical context. Preparing for the KFP The KFP rewards depth of reasoning and contextual decision making. Effective strategies include: Practising clinical reasoning through case-based learning. Writing out key steps in diagnosis and management for each case. Limiting yourself to what’s clinically justified. Reviewing real RACGP case reports to learn from common candidate errors. Example: If presented with a 65-year-old with breathlessness and oedema, identify red flags, prioritise urgent heart failure management, and avoid unnecessary investigations. Tip: Join structured KFP study groups that mirror RACGP’s case approach. Discussing reasoning aloud enhances your ability to think clearly under exam pressure. For a combined study plan, see our [Integrated AKT-KFP Study Schedule]. 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. KFP vs AKT: Which RACGP Exam Is Harder? Statistically, most GP trainees find the KFP exam harder. Since 2021, the average KFP pass rate has been 71%, compared to 81% for the AKT [1 ]. The KFP’s difficulty comes from testing clinical reasoning, decision-making, and prioritisation under significant time pressure. 2. What is the difference between AKT and KFP? The AKT (Applied Knowledge Test) assesses clinical knowledge broadly through multiple-choice questions. The KFP (Key Feature Problem) tests clinical reasoning and decision-making through case-based scenarios requiring prioritisation and careful judgement. AKT is about breadth; KFP is about depth and reasoning [2 ]. 3. How hard is the AKT exam? The AKT is challenging but considered manageable with structured revision. In recent years, approximately 81% of candidates pass each cycle [ 1 ] . It requires robust factual recall, clinical knowledge application, and familiarity with Australian guidelines, making it rigorous but achievable with diligent preparation. 4. What is the pass rate for the GP AKT exam? The AKT pass rate averages around 81% over recent years (2021–2024). Specifically, in the most recent 2024.2 exam cycle, the AKT pass rate was 82.15% [2 ]. Effective exam strategies and structured revision significantly enhance your chance of success. 5. How many questions are on the AKT exam? The AKT consists of 150 multiple-choice questions (MCQs), which you have 4 hours to complete [2 ]. These questions typically involve single-best-answer and extended-matching formats that test applied clinical knowledge across the general practice curriculum. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now GP Exam Academy for IMGs: 7 Things to Check Before You Pay Last updated: November 2025 Buy Now GP Exam Academy for IMGs: 7 Things to Check Before You Pay Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Choosing a GP exam academy for IMGs might feel overwhelming right now. Maybe you have been worrying that your previous medical training will not match Australian standards or wondering if your current preparation is adequate for the rigorous RACGP exams. It is a feeling that can consume your confidence and motivation, especially when so much of your future depends on passing these exams. You are not alone in this uncertainty. As an international medical graduate, you have already invested significant effort, emotion, and sacrifice to reach this stage of your medical career in Australia. The anxiety of wondering whether you are studying the right material or investing in the right resources can sometimes feel heavier than the content itself. This guide provides clarity by showing you precisely what to look for before choosing a GP exam academy for IMGs. You will learn the key factors that genuinely impact your exam success: Australian guideline alignment, efficient revision tools, authentic exam style practice, and methods proven to enhance retention, such as flashcards and active recall techniques. Is the content Australian guideline based? Content must align clearly and explicitly with Australian GP guidelines to help you pass the RACGP exams. The exams specifically assess your ability to provide competent, safe, and effective care according to Australian standards and systems. Many IMGs struggle because their previous medical education was based on international guidelines, which differ from Australian standards. RACGP public exam reporting and guidance emphasise that KFP answers must be framed in the Australian general practice context, using Australian guidelines and systems [1] . You must ensure the resources you choose specifically cover and clearly reference: RACGP Red Book, preventive health guidelines [5] Therapeutic Guidelines, eTG, Australian general practice topics [3] Medicare billing and documentation requirements Pharmaceutical Benefits Scheme prescribing criteria [7] Australian Immunisation Handbook recommendations [6] Indigenous and rural healthcare considerations relevant to Australian general practice [4 ] A GP exam academy that meets these criteria usually employs Australian trained GPs or RACGP examiners in content development. This local perspective ensures the scenarios, guidelines, and clinical reasoning reflect exactly what RACGP examiners expect. For more strategies on aligning your study approach with the RACGP exams, see our internal resource on AKT timing and preparation. Can you revise topics without rewatching 3 hours? Effective revision is concise and efficient. You should not need to rewatch long lectures repeatedly just to grasp key concepts. This inefficient approach can quickly exhaust your motivation, limit productive study hours, and harm exam outcomes. The demands placed on IMGs working in busy clinical practices make extended study sessions difficult. Your GP exam academy for IMGs must respect these demands by offering short, targeted, and repeatable revision methods that fit around clinical and family responsibilities. Common real life constraints for IMGs: Long working days in general practice with limited dedicated study time On call rosters that disrupt planned revision sessions Family responsibilities that compete with revision blocks Cognitive fatigue after high volume clinics or complex consultations A well designed revision resource should let you review rapidly, even during brief intervals, using: Concise clinical summaries or single page revision notes Flashcards that cover high yield topics for quick review Quick reference diagnostic and management algorithms Short targeted audio or video refreshers, 10 to 20 minutes Practical checklists for core clinical topics and examination skills These methods turn short breaks during clinic into effective revision. For more practical strategies, explore our internal RACGP flashcard library. Does it include an active recall layer, flashcards or notes? Active recall is a proven way to strengthen long term memory. Rather than passively reviewing, you retrieve knowledge repeatedly until it is reliable under time pressure. This approach supports faster recognition of patterns and safer clinical decision making. Educational guidance from RACGP emphasises structured preparation. Integrating spaced practice and repeat testing is consistent with evidence informed exam readiness strategies in Australian medical assessment contexts [10 , 11 ]. Your chosen GP exam academy for IMGs should include: Topic specific flashcards for AKT, KFP, and common GP presentations Spaced repetition scheduling so difficult items resurface automatically Short self assessment quizzes that reinforce recall Progress dashboards that show mastery by topic High yield summary sheets that pair with flashcards for rapid refresh Used consistently, these tools improve confidence and performance. For more evidence based techniques, review our internal active recall study resources. FAQ: Your most common questions answered 1. What is the best way for an IMG to prepare for RACGP exams Combine active recall, authentic KFP and AKT practice, and resources aligned to Australian guidelines. This structured method improves knowledge retention and confidence for exam day [3 ,4 ,5 ,7 ,8 ]. 2. Why is Australian guideline based content crucial for IMGs RACGP assessments judge your readiness for unsupervised practice in Australia, so answers must reflect Australian systems, standards, and guidelines. RACGP reporting and guidance make clear that KFP responses must be framed in Australian general practice context [1 ,8 ]. 3. How can I quickly identify efficient revision resources Look for concise summaries, high yield flashcards, single page clinical checklists, and short, targeted refreshers that fit into 10 to 20 minute intervals. These formats enable productive study around clinical and family commitments. 4. Why are real exam style KFP questions important Authentic practice builds familiarity with structure and pace, reducing anxiety and improving decision making. The 2025.2 KFP recorded 79.57 percent pass rate with a mean 70.98 percent among 1160 candidates, while the 2024.2 KFP recorded 67.83 percent overall, showing consistent challenge across cycles [8 , 9] . 5. How do flashcards and active recall tools benefit exam preparation Flashcards and spaced repetition strengthen recall, especially under time pressure. Consistent retrieval practice supports safer reasoning and better performance in high stakes exams [10 ,11 ]. Where Fellow Academy fits Fellow Academy brings these elements together for IMGs preparing for RACGP exams. It aligns content to Australian guidelines, provides efficient revision supports, and mirrors exam expectations so your practice feels familiar by the time you sit. Here is how Fellow Academy aligns to your needs: Australian guideline alignment: Content maps to RACGP curriculum units, Therapeutic Guidelines, PBS prescribing, Medicare processes, and prevention frameworks like the Red Book [3 ,4 ,5 ,7] Concise revision tools: Structured summaries, flashcards, and quick reference notes reduce rewatching and allow targeted refreshers Real exam style KFP practice: Question sets are developed to match RACGP complexity and structure, with emphasis on Australian context and typical general practice presentations [8 ] Active recall integration: High yield flashcards, spaced review schedules, and progress checks enhance retention and readiness IMG focused context: Guidance addresses Medicare billing nuances, consultation style expectations in Australian practice, cultural safety, and rural or Indigenous contexts For a clear pathway that links these supports into a stepwise plan, see our internal exam preparation pathways. Are the KFP questions real exam style? Practising with authentic KFP questions is essential if you want to succeed. The KFP exam assesses clinical reasoning, prioritisation, and safe, context specific management in Australian general practice. Recent RACGP public reporting confirms that in the 2025.2 KFP exam cycle, the pass rate was 79.57 percent, with a mean score of 70.98 percent among 1160 candidates [8 ]. Earlier cycle data also shows variability across semesters, for example the 2024.2 KFP recorded an overall 67.83 percent pass rate from 945 candidates [9] . These figures illustrate both the challenge and the importance of realistic practice. To prepare effectively, your GP exam academy for IMGs should provide KFP questions that: Replicate RACGP marking logic and selection formats, aligned to current guidance and reporting [8 ] Present undifferentiated presentations with multi system comorbidities Reflect Australian constraints such as PBS prescribing, ethical issues, rural and Indigenous health contexts Use timed simulations to build pacing and resilience under exam stress Reference the current RACGP curriculum and syllabus so your study maps to blueprint expectations [4 ] Regular practice with authentic scenarios builds reasoning skills and reduces anxiety. For more detail on exam components, see our internal RACGP exam structure guide. If you are feeling overwhelmed by RACGP exam preparation, Fellow Academy offers high quality AKT and KFP questions, concise exam notes, and high yield flashcards designed to help IMGs study efficiently and perform with confidence. You will also find free KFP case packs, webinars, and practical study resources to support you each 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. 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] Royal Australian College of General Practitioners. 2025. Exam report 2025.2 KFP, public exam report . East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/getmedia/11d7eccd-21b3-45d4-b295-773a664cca1a/KFP-2025-2-Public-Exam-Report.pdf.aspx [2] Royal Australian College of General Practitioners. 2024. Fellowship Exam Attempts, FAQs . Page last updated 19 July 2024. Available at: https://www.racgp.org.au/education/gp-training/gp-training/education-policy-and-supporting-documents/program-handbooks-and-guidance-documents/guidance-documents/fellowship-exam-attempts-faqs [3] Therapeutic Guidelines Limited. 2024. Therapeutic Guidelines, Complete . Melbourne, TGL. Available at: https://www.tg.org.au/ [4] Royal Australian College of General Practitioners. 2022. RACGP Curriculum and Syllabus for Australian General Practice . East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/education/education-providers/curriculum/curriculum-and-syllabus/home [5] Royal Australian College of General Practitioners. 2025. Guidelines for preventive activities in general practice, Red Book, 10th edition . East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/getattachment/3eddf0a7-7cec-4064-a44b-5bde6c2515a5/Guidelines-for-preventive-activities-in-general-practice.aspx [6] Australian Government Department of Health and Aged Care. 2024. Australian Immunisation Handbook . Canberra, Commonwealth of Australia. Available at: https://immunisationhandbook.health.gov.au/ [7] Pharmaceutical Benefits Scheme. 2024. PBS Schedule and resources . Canberra, Commonwealth of Australia. Available at: https://www.pbs.gov.au/pbs/home [8] Royal Australian College of General Practitioners, newsGP. 2025. RACGP releases 2025.2 exam cycle results . Published 22 August 2025. Available at: https://www1.racgp.org.au/newsgp/racgp/racgp-releases-2025-2-exam-cycle-results [9] Royal Australian College of General Practitioners, newsGP. 2024. Latest FRACGP exam report released . Published 17 September 2024. Available at: https://www1.racgp.org.au/newsgp/racgp/latest-fracgp-exam-report-released [10] Royal Australian College of General Practitioners. 2025. Exam results and public reports, archive and guidance . East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-results [11] Royal Australian College of General Practitioners. 2025. Exam Support Program resources . East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-support-program-resources RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Choosing a GP exam academy for IMGs might feel overwhelming right now. Maybe you have been worrying that your previous medical training will not match Australian standards or wondering if your current preparation is adequate for the rigorous RACGP exams. It is a feeling that can consume your confidence and motivation, especially when so much of your future depends on passing these exams. You are not alone in this uncertainty. As an international medical graduate, you have already invested significant effort, emotion, and sacrifice to reach this stage of your medical career in Australia. The anxiety of wondering whether you are studying the right material or investing in the right resources can sometimes feel heavier than the content itself. This guide provides clarity by showing you precisely what to look for before choosing a GP exam academy for IMGs. You will learn the key factors that genuinely impact your exam success: Australian guideline alignment, efficient revision tools, authentic exam style practice, and methods proven to enhance retention, such as flashcards and active recall techniques. Is the content Australian guideline based? Content must align clearly and explicitly with Australian GP guidelines to help you pass the RACGP exams. The exams specifically assess your ability to provide competent, safe, and effective care according to Australian standards and systems. Many IMGs struggle because their previous medical education was based on international guidelines, which differ from Australian standards. RACGP public exam reporting and guidance emphasise that KFP answers must be framed in the Australian general practice context, using Australian guidelines and systems [1] . You must ensure the resources you choose specifically cover and clearly reference: RACGP Red Book, preventive health guidelines [5] Therapeutic Guidelines, eTG, Australian general practice topics [3] Medicare billing and documentation requirements Pharmaceutical Benefits Scheme prescribing criteria [7] Australian Immunisation Handbook recommendations [6] Indigenous and rural healthcare considerations relevant to Australian general practice [4 ] A GP exam academy that meets these criteria usually employs Australian trained GPs or RACGP examiners in content development. This local perspective ensures the scenarios, guidelines, and clinical reasoning reflect exactly what RACGP examiners expect. For more strategies on aligning your study approach with the RACGP exams, see our internal resource on AKT timing and preparation. Can you revise topics without rewatching 3 hours? Effective revision is concise and efficient. You should not need to rewatch long lectures repeatedly just to grasp key concepts. This inefficient approach can quickly exhaust your motivation, limit productive study hours, and harm exam outcomes. The demands placed on IMGs working in busy clinical practices make extended study sessions difficult. Your GP exam academy for IMGs must respect these demands by offering short, targeted, and repeatable revision methods that fit around clinical and family responsibilities. Common real life constraints for IMGs: Long working days in general practice with limited dedicated study time On call rosters that disrupt planned revision sessions Family responsibilities that compete with revision blocks Cognitive fatigue after high volume clinics or complex consultations A well designed revision resource should let you review rapidly, even during brief intervals, using: Concise clinical summaries or single page revision notes Flashcards that cover high yield topics for quick review Quick reference diagnostic and management algorithms Short targeted audio or video refreshers, 10 to 20 minutes Practical checklists for core clinical topics and examination skills These methods turn short breaks during clinic into effective revision. For more practical strategies, explore our internal RACGP flashcard library. Does it include an active recall layer, flashcards or notes? Active recall is a proven way to strengthen long term memory. Rather than passively reviewing, you retrieve knowledge repeatedly until it is reliable under time pressure. This approach supports faster recognition of patterns and safer clinical decision making. Educational guidance from RACGP emphasises structured preparation. Integrating spaced practice and repeat testing is consistent with evidence informed exam readiness strategies in Australian medical assessment contexts [10 , 11 ]. Your chosen GP exam academy for IMGs should include: Topic specific flashcards for AKT, KFP, and common GP presentations Spaced repetition scheduling so difficult items resurface automatically Short self assessment quizzes that reinforce recall Progress dashboards that show mastery by topic High yield summary sheets that pair with flashcards for rapid refresh Used consistently, these tools improve confidence and performance. For more evidence based techniques, review our internal active recall study resources. 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. FAQ: Your most common questions answered 1. What is the best way for an IMG to prepare for RACGP exams Combine active recall, authentic KFP and AKT practice, and resources aligned to Australian guidelines. This structured method improves knowledge retention and confidence for exam day [3 ,4 ,5 ,7 ,8 ]. 2. Why is Australian guideline based content crucial for IMGs RACGP assessments judge your readiness for unsupervised practice in Australia, so answers must reflect Australian systems, standards, and guidelines. RACGP reporting and guidance make clear that KFP responses must be framed in Australian general practice context [1 ,8 ]. 3. How can I quickly identify efficient revision resources Look for concise summaries, high yield flashcards, single page clinical checklists, and short, targeted refreshers that fit into 10 to 20 minute intervals. These formats enable productive study around clinical and family commitments. 4. Why are real exam style KFP questions important Authentic practice builds familiarity with structure and pace, reducing anxiety and improving decision making. The 2025.2 KFP recorded 79.57 percent pass rate with a mean 70.98 percent among 1160 candidates, while the 2024.2 KFP recorded 67.83 percent overall, showing consistent challenge across cycles [8 , 9] . 5. How do flashcards and active recall tools benefit exam preparation Flashcards and spaced repetition strengthen recall, especially under time pressure. Consistent retrieval practice supports safer reasoning and better performance in high stakes exams [10 ,11 ]. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Pass the RACGP Exams: Tips From Top Scoring Fellows Last updated: October 2025 Buy Now Pass the RACGP Exams: Tips From Top Scoring Fellows Last updated: October 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close 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. 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: 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. 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. 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 RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next 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: 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. 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. 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 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now How to Turn Any GP Exam Academy Course into a Pass Level Study System Last updated: November 2025 Buy Now How to Turn Any GP Exam Academy Course into a Pass Level Study System Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Learning how to turn any GP Exam Academy course into a pass level study system can dramatically shift your approach from anxious uncertainty to confident preparedness for your RACGP exams. It is natural to feel stressed when faced with the enormous amount of content you are expected to master. Perhaps you have already experienced disappointment after an unsuccessful attempt, or maybe you are a first time candidate overwhelmed by the complexity ahead. Either way, your worries are entirely normal and understandable. However, anxiety does not need to define your journey. With the right structured approach, you can channel your energy productively. I have supported hundreds of GP registrars and International Medical Graduates, and I have seen firsthand how a targeted strategy makes a real difference in exam outcomes. By methodically extracting high yield topics, mastering question techniques, developing clear notes, and reinforcing your memory with flashcards, you are not only studying smarter, you are cultivating the calm, strategic mindset necessary for exam success. This guide walks you through each step clearly, practically, and supportively, so you can confidently pass your RACGP exams. Extract the High Yield Content, for how to turn any GP Exam Academy course into a pass level study system High yield content includes the topics most frequently tested on RACGP exams, making them essential for your targeted study approach. Identifying and mastering these topics ensures your study sessions deliver maximum impact, significantly increasing your likelihood of passing. The RACGP exam consistently tests several key areas: Chronic diseases, diabetes, hypertension, asthma, COPD Acute presentations, chest pain, febrile children, acute abdominal pain Preventive health, immunisation schedules, cancer screening guidelines Paediatrics and mental health, common clinical scenarios encountered in everyday practice Special contexts, ethical considerations, Indigenous health, rural scenarios, medico legal issues Strategically prioritising these areas is essential. For instance, in the 2024.2 exam cycle, the AKT pass rate was 82.15% among 829 candidates [1 ], while the KFP pass rate was lower at 67.83% among 945 candidates [2 ], highlighting the KFP complexity and need for targeted preparation. To effectively extract high yield content from your GP Exam Academy course, consider the following practical steps: Review your course syllabus and align it with past RACGP public exam reports [1 ] [2 ] Highlight and annotate frequently tested guidelines, protocols, and clinical scenarios Create a dedicated list of topics requiring focused review sessions Schedule study sessions to systematically cover each topic, ensuring comprehensive syllabus coverage Plug in Higher Quality KFP Questions Practising with high quality KFP questions under exam conditions is critical for honing your clinical reasoning skills and significantly improving your exam performance. The KFP section is particularly challenging as it assesses not only your knowledge but your ability to apply it accurately within specific clinical contexts. Regular, structured practice is essential because: RACGP public reporting shows improved outcomes when candidates use official preparation resources, including SAPTs and exam reports, to guide practice and remediation [4 ] In the 2025.2 RACGP cycle, the pass rates were 79.41% for AKT and 79.57% for KFP [4 ]. Notably, first time AKT candidates achieved a pass rate of 85.9%, compared with 31.0% among candidates attempting for the fourth time or beyond [4 ] Practical steps to integrate quality KFP practice include: Regularly use RACGP style KFP practice questions that require precise, context specific answers Simulate realistic timed exam conditions with focused blocks, then complete full length practice under exam timing Carefully study each answer explanation to fully understand clinical reasoning, including why distractors are wrong Track your common mistakes, such as not tailoring answers to the clinical details or including unnecessary information, and correct these habits deliberately Finish with Flashcards, Fellow Academy Method Flashcards combined with spaced repetition are proven to enhance long term retention, transforming temporary recall into deeply ingrained knowledge. This technique forms a cornerstone of the Fellow Academy method and is ideal for high stakes exams like the RACGP assessments. Research demonstrates flashcards combined with spaced repetition: Enhance memory compared to traditional revision methods, using retrieval practice and spacing to improve durable learning [5 ] Promote active recall, reinforcing knowledge more effectively than passive reading [5 ] Practical steps for using flashcards effectively: Convert key facts from your notes into flashcards, with clear, concise questions and answers, for example what are red flag symptoms of cauda equina syndrome Use spaced repetition apps, Anki, Brainscape, or Fellow Academy tools, to schedule frequent and efficient reviews Commit to daily, brief review sessions, 10 to 20 minutes per day, rather than infrequent, prolonged sessions Immediately convert mistakes from practice questions into new flashcards, ensuring continuous learning and knowledge consolidation Build Exam Day Strategy and Time Management Clear exam day routines help you translate preparation into performance. You improve reliability when your timing plan is rehearsed, simple, and forgiving. Rehearse a pacing plan for each paper using focused blocks, then full dress rehearsals Use checkpoints to avoid time sinks and to ensure priority questions are answered first Finalise equipment, identification, and logistics a week early to reduce cognitive load Close the Loop With Supervisor Feedback and Reflection Feedback accelerates insight and prevents repeated errors. A short feedback loop keeps your system responsive and focused on what matters most. Meet a supervisor or study partner weekly to review errors, near misses, and improving answers Document one to two behaviour changes each week and check them against your next practice set File one exemplar answer per domain to create a bank of worked models Close the Loop With Supervisor Feedback and Reflection Feedback accelerates insight and prevents repeated errors. A short feedback loop keeps your system responsive and focused on what matters most. Meet a supervisor or study partner weekly to review errors, near misses, and improving answers Document one to two behaviour changes each week and check them against your next practice set File one exemplar answer per domain to create a bank of worked models FAQs, Mastering RACGP Exam Preparation 1. What exactly are high yield topics for RACGP exams? High yield topics frequently tested include chronic diseases, diabetes, hypertension, asthma, COPD, acute conditions, chest pain, febrile children, acute abdomen, preventive health guidelines, immunisation, screening, paediatrics, mental health, Indigenous health, rural medicine, ethical scenarios. Prioritising these significantly improves exam readiness. See recent RACGP public reports for emphasis and common pitfalls [1 ] [2 ]. 2. How do I create a realistic RACGP exam study plan? Aim for at least 6 months of structured study. Begin with high yield content, proceed to regular question practice, and finalise with spaced repetition review sessions. Set clear weekly objectives, for example completing 50 practice questions or summarising 1 clinical guideline per week, and adjust your schedule according to your progress. Use RACGP SAPTs and public exam reports to benchmark progress and plan remediation [1 ] [2 ] [4 ]. 3. How should IMGs specifically prepare for RACGP exams? IMGs should prioritise Australian specific contexts, PBS rules, Medicare procedures, Australian clinical guidelines, culturally relevant healthcare practices. Structured notes, frequent practice questions, and mentorship from Australian GP supervisors substantially improve preparedness and integration. Align preparation with RACGP exam reports and current guideline sources to ensure local accuracy [1 ] [2 ]. 4. How many practice questions or mock exams should I aim to complete? Target several hundred AKT questions and 40 to 50 KFP style scenarios over your preparation period, then complete at least 2 full length mocks under realistic conditions. Use official resources, SAPTs, and RACGP public exam reports to shape practice and track improvement [1 ] [2 ] [4 ]. 5. Are flashcards and spaced repetition effective for RACGP exam preparation? Yes. Extensive research shows spaced retrieval and active recall improve long term retention and knowledge transfer [5 ]. This method ensures essential exam knowledge becomes second nature, which supports performance in high stakes exams. Calibrate With Official RACGP Materials Anchoring your study to official RACGP materials ensures accuracy, alignment with current expectations, and efficient use of time. You should regularly consult public exam reports and candidate resources to refine your plan. Start each block by scanning recent RACGP public exam reports for themes, pitfalls, and exemplar reasoning [1 ] [2 ] Use the findings to update your weak topic list and your remediation plan Map practice sessions to the competencies emphasised in the most recent cycle [4 ] Add Topic Based Notes to Solidify Knowledge Topic based notes are concise, structured summaries that reinforce your learning and provide a handy reference for efficient revision. They are crucial for turning passive reading into active recall, which significantly boosts your knowledge retention and confidence. Your notes should clearly summarise: Clinical guidelines, concise lists of diagnostic criteria, medication dosages, treatment protocols, red flags Insights from past RACGP exam reports, including commonly made errors such as incorrect medication prescribing or missed diagnosis opportunities [1 ] [2 ] Relevant scenarios from your clinical experiences, particularly valuable for IMGs becoming familiar with Australian general practice To create highly effective notes: Organise topics systematically, by clinical presentations, body systems, or special scenarios, for example rural health or Indigenous healthcare Review and refine your notes weekly to reinforce learning and fill knowledge gaps identified during practice questions Discuss challenging notes with peers or supervisors to clarify complex topics and to validate local standards If RACGP exam preparation feels overwhelming, Fellow Academy offers targeted AKT and KFP question banks, concise, comprehensive notes, and evidence based flashcards designed specifically for Australian GP trainees and IMGs. Explore our free KFP case packs, webinars, and practical resources that provide structured guidance every step of the way. You have the ability to achieve Fellowship confidently and calmly, we are here to support you throughout your journey. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners. 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. 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] Royal Australian College of General Practitioners. 2024. 2024.2 AKT Public Exam Report. East Melbourne, VIC, RACGP. Link: https://www.racgp.org.au/education/education-examinations/registrars/fellowship-pathways/fracgp-exams/public-exam-reports [2] Royal Australian College of General Practitioners. 2024. 2024.2 KFP Public Exam Report. East Melbourne, VIC, RACGP. Link: https://www.racgp.org.au/education/education-examinations/registrars/fellowship-pathways/fracgp-exams/public-exam-reports [3] General Practice Registrars Australia. 2025. Study Tips for GP Trainees. Melbourne, VIC, GPRA. Link: https://gpra.org.au/ [4] Royal Australian College of General Practitioners. 2025. 2025.2 AKT and KFP Exam Results Summary. East Melbourne, VIC, RACGP. Link: https://www.racgp.org.au/education/education-examinations/registrars/fellowship-pathways/fracgp-exams/public-exam-reports [5] Carpenter, S. K., Pan, S. C., and Butler, A. C. 2022. The science of effective learning with spacing and retrieval practice. Nature Reviews Psychology, 1, 495 to 511. Link: https://www.nature.com/articles/s44159-022-00147-4 RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Learning how to turn any GP Exam Academy course into a pass level study system can dramatically shift your approach from anxious uncertainty to confident preparedness for your RACGP exams. It is natural to feel stressed when faced with the enormous amount of content you are expected to master. Perhaps you have already experienced disappointment after an unsuccessful attempt, or maybe you are a first time candidate overwhelmed by the complexity ahead. Either way, your worries are entirely normal and understandable. However, anxiety does not need to define your journey. With the right structured approach, you can channel your energy productively. I have supported hundreds of GP registrars and International Medical Graduates, and I have seen firsthand how a targeted strategy makes a real difference in exam outcomes. By methodically extracting high yield topics, mastering question techniques, developing clear notes, and reinforcing your memory with flashcards, you are not only studying smarter, you are cultivating the calm, strategic mindset necessary for exam success. This guide walks you through each step clearly, practically, and supportively, so you can confidently pass your RACGP exams. Extract the High Yield Content, for how to turn any GP Exam Academy course into a pass level study system High yield content includes the topics most frequently tested on RACGP exams, making them essential for your targeted study approach. Identifying and mastering these topics ensures your study sessions deliver maximum impact, significantly increasing your likelihood of passing. The RACGP exam consistently tests several key areas: Chronic diseases, diabetes, hypertension, asthma, COPD Acute presentations, chest pain, febrile children, acute abdominal pain Preventive health, immunisation schedules, cancer screening guidelines Paediatrics and mental health, common clinical scenarios encountered in everyday practice Special contexts, ethical considerations, Indigenous health, rural scenarios, medico legal issues Strategically prioritising these areas is essential. For instance, in the 2024.2 exam cycle, the AKT pass rate was 82.15% among 829 candidates [1 ], while the KFP pass rate was lower at 67.83% among 945 candidates [2 ], highlighting the KFP complexity and need for targeted preparation. To effectively extract high yield content from your GP Exam Academy course, consider the following practical steps: Review your course syllabus and align it with past RACGP public exam reports [1 ] [2 ] Highlight and annotate frequently tested guidelines, protocols, and clinical scenarios Create a dedicated list of topics requiring focused review sessions Schedule study sessions to systematically cover each topic, ensuring comprehensive syllabus coverage Plug in Higher Quality KFP Questions Practising with high quality KFP questions under exam conditions is critical for honing your clinical reasoning skills and significantly improving your exam performance. The KFP section is particularly challenging as it assesses not only your knowledge but your ability to apply it accurately within specific clinical contexts. Regular, structured practice is essential because: RACGP public reporting shows improved outcomes when candidates use official preparation resources, including SAPTs and exam reports, to guide practice and remediation [4 ] In the 2025.2 RACGP cycle, the pass rates were 79.41% for AKT and 79.57% for KFP [4 ]. Notably, first time AKT candidates achieved a pass rate of 85.9%, compared with 31.0% among candidates attempting for the fourth time or beyond [4 ] Practical steps to integrate quality KFP practice include: Regularly use RACGP style KFP practice questions that require precise, context specific answers Simulate realistic timed exam conditions with focused blocks, then complete full length practice under exam timing Carefully study each answer explanation to fully understand clinical reasoning, including why distractors are wrong Track your common mistakes, such as not tailoring answers to the clinical details or including unnecessary information, and correct these habits deliberately Finish with Flashcards, Fellow Academy Method Flashcards combined with spaced repetition are proven to enhance long term retention, transforming temporary recall into deeply ingrained knowledge. This technique forms a cornerstone of the Fellow Academy method and is ideal for high stakes exams like the RACGP assessments. Research demonstrates flashcards combined with spaced repetition: Enhance memory compared to traditional revision methods, using retrieval practice and spacing to improve durable learning [5 ] Promote active recall, reinforcing knowledge more effectively than passive reading [5 ] Practical steps for using flashcards effectively: Convert key facts from your notes into flashcards, with clear, concise questions and answers, for example what are red flag symptoms of cauda equina syndrome Use spaced repetition apps, Anki, Brainscape, or Fellow Academy tools, to schedule frequent and efficient reviews Commit to daily, brief review sessions, 10 to 20 minutes per day, rather than infrequent, prolonged sessions Immediately convert mistakes from practice questions into new flashcards, ensuring continuous learning and knowledge consolidation 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. FAQs, Mastering RACGP Exam Preparation 1. What exactly are high yield topics for RACGP exams? High yield topics frequently tested include chronic diseases, diabetes, hypertension, asthma, COPD, acute conditions, chest pain, febrile children, acute abdomen, preventive health guidelines, immunisation, screening, paediatrics, mental health, Indigenous health, rural medicine, ethical scenarios. Prioritising these significantly improves exam readiness. See recent RACGP public reports for emphasis and common pitfalls [1 ] [2 ]. 2. How do I create a realistic RACGP exam study plan? Aim for at least 6 months of structured study. Begin with high yield content, proceed to regular question practice, and finalise with spaced repetition review sessions. Set clear weekly objectives, for example completing 50 practice questions or summarising 1 clinical guideline per week, and adjust your schedule according to your progress. Use RACGP SAPTs and public exam reports to benchmark progress and plan remediation [1 ] [2 ] [4 ]. 3. How should IMGs specifically prepare for RACGP exams? IMGs should prioritise Australian specific contexts, PBS rules, Medicare procedures, Australian clinical guidelines, culturally relevant healthcare practices. Structured notes, frequent practice questions, and mentorship from Australian GP supervisors substantially improve preparedness and integration. Align preparation with RACGP exam reports and current guideline sources to ensure local accuracy [1 ] [2 ]. 4. How many practice questions or mock exams should I aim to complete? Target several hundred AKT questions and 40 to 50 KFP style scenarios over your preparation period, then complete at least 2 full length mocks under realistic conditions. Use official resources, SAPTs, and RACGP public exam reports to shape practice and track improvement [1 ] [2 ] [4 ]. 5. Are flashcards and spaced repetition effective for RACGP exam preparation? Yes. Extensive research shows spaced retrieval and active recall improve long term retention and knowledge transfer [5 ]. This method ensures essential exam knowledge becomes second nature, which supports performance in high stakes exams. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now The Complete Guide to the RACGP AKT Exam (2025 Update) Last updated: October 2025 Buy Now The Complete Guide to the RACGP AKT Exam (2025 Update) Last updated: October 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Preparing for your RACGP AKT exam is a major milestone in your general practice career, and naturally, it can feel daunting. Balancing clinical duties, family responsibilities, and the rigorous demands of exam preparation is challenging, but achieving Fellowship is within your grasp. With clarity, practical strategies, and reliable resources, succeeding in the RACGP AKT exam becomes not just possible, but highly achievable. This comprehensive guide explains exactly what the RACGP AKT exam covers, eligibility requirements, exam structure, marking methods, essential tips, common mistakes to avoid, recommended resources, and strategic considerations if you're planning to take both the AKT and KFP together. Let’s dive in step by step, preparing you confidently for exam success. What Is the RACGP AKT Exam? The RACGP AKT exam, known formally as the Applied Knowledge Test, is an essential component of your journey towards RACGP Fellowship . It evaluates your foundational medical knowledge, clinical reasoning skills, and ability to effectively apply evidence based Australian clinical guidelines [1 ,5 ]. When you pass the AKT, it confirms your competence in areas critical for safe, independent GP practice, including: Accurate clinical reasoning in common general practice scenarios. Comprehensive recall and application of core medical knowledge. Effective use of Australian clinical guidelines such as Therapeutic Guidelines, RACGP’s Red Book, and the Australian Immunisation Handbook. Essentially, passing the AKT reassures both you and the RACGP that you're ready to manage real world GP scenarios safely. Who Can Sit the RACGP AKT Exam? Understanding eligibility is your first practical step. To sit the RACGP AKT exam, you must meet conditions outlined by the RACGP and hold appropriate AHPRA registration [5 ]. You’re eligible if you: Are enrolled in recognised GP training programs such as AGPT or RVTS. Are an International Medical Graduate who meets specific RACGP criteria. Have completed hospital based terms and gained supervised GP experience before sitting the exam. Confirming your eligibility well in advance helps streamline your exam preparation and registration processes. What Does the RACGP AKT Exam Test? The RACGP AKT exam focuses on four core areas critical for competent GP practice [1 ,5 ]: Clinical Reasoning: tests your ability to diagnose accurately, manage priorities effectively, and develop safe management plans. Medical Knowledge Recall: covers pharmacology, therapeutics, preventive health strategies, vaccination schedules, and chronic disease guidelines. Evidence Based Guideline Application: emphasises correct application of Australian guidance including Therapeutic Guidelines, RACGP Preventive Activities Guidelines, and the Australian Immunisation Handbook. Data Interpretation: assesses skills interpreting pathology reports, diagnostic imaging, ECG results, and Pharmaceutical Benefits Scheme criteria. Mastering these areas helps ensure confident, evidence based practice throughout your career. RACGP AKT Exam Tips for First Time Candidates For first time candidates, focusing on simple yet powerful strategies can significantly improve your performance: Read each question carefully: avoid rushing. Misinterpretation can lead to avoidable errors. Pay attention to clinical context and specific wording. Manage your time strategically: allocate approximately 1 minute per question initially. This pace ensures enough time remains for revisiting flagged questions you note on your paper. Flag uncertain questions proactively: quickly circle or mark difficult items in your booklet, returning later after easier ones are confidently answered. For detailed strategies, see our comprehensive AKT timing guide . Common Mistakes to Avoid in the RACGP AKT Exam Avoiding common mistakes is equally as important as having the right strategies: Overthinking: your initial instinct is usually correct. Second guessing yourself can lead to errors. Guessing without elimination: always eliminate clearly incorrect options first. This increases your probability of selecting the correct answer. Ignoring Australian guidelines: international textbooks may not align with Australian clinical standards. Always verify information using Australian resources like Therapeutic Guidelines and RACGP Red Book. Common Mistakes to Avoid in the RACGP AKT Exam Avoiding common mistakes is equally as important as having the right strategies: Overthinking: your initial instinct is usually correct. Second guessing yourself can lead to errors. Guessing without elimination: always eliminate clearly incorrect options first. This increases your probability of selecting the correct answer. Ignoring Australian guidelines: international textbooks may not align with Australian clinical standards. Always verify information using Australian resources like Therapeutic Guidelines and RACGP Red Book. Recommended Study Resources for the RACGP AKT Exam High quality resources make a significant difference in your exam readiness: RACGP endorsed study materials and recent AKT public exam reports [1 ,3 ,5 ,4] . Murtagh’s General Practice, 2023 to 2024 edition. Therapeutic Guidelines, current edition. Australian Immunisation Handbook, current update. Interactive study resources proven beneficial include: AKT aligned flashcards promoting active recall. Comprehensive question banks simulating real exam conditions. Structured notes clearly outlining critical guideline information. Access these via our comprehensive AKT plus KFP exam bundle page . FAQs About the RACGP AKT Exam 1. What is the RACGP AKT exam pass rate? The 2024.2 AKT pass rate was 82.15% from 829 candidates [3] . In 2025.2, the AKT pass rate was 79.41% from 1049 candidates [4] . 2. How long is the RACGP AKT exam? Total testing time is 4 hours which includes 3.5 hours of exam time plus a 30 minute universal allowance, with 150 single best answer questions [1 ,5 ] . 3. Can International Medical Graduates sit the RACGP AKT Exam? Yes, IMGs who meet RACGP eligibility criteria and hold appropriate AHPRA registration can sit the exam [5 ]. 4. What study areas should I prioritise? Clinical reasoning, preventive healthcare guidelines, pharmacology, and Australian clinical standards [1 ,5] . 5. When is the ideal time to take the RACGP AKT exam? Plan your enrolment once you have adequate supervised GP experience and familiarity with Australian guidelines and exam style [5 ]. How Is the RACGP AKT Exam Marked? The RACGP uses criterion based standard setting, specifically a Modified Angoff method, to ensure fair and consistent marking [1 ]. Important statistics you need to know include: The 2024.2 AKT pass rate was 82.15% from 829 candidates [3 ]. Results vary by cycle. For example, 2025.2 AKT pass rate was 79.41% from 1049 candidates [4] . Understanding these statistics can inform your study strategy and expectations realistically. Structure and Format of the RACGP AKT Exam Knowing exactly what to expect on exam day helps reduce anxiety. The RACGP AKT comprises 150 single best answer questions delivered in a total testing time of 4 hours which includes 3.5 hours of exam time plus a 30 minute universal allowance [1 ,5] . The AKT is delivered on paper using a computer readable answer sheet [2 ]. Here’s a clear overview of the exam format: Total of 150 scenario based single best answer questions that reflect clinical GP practice [1 ,5 ]. Total testing time 4 hours which includes 3.5 hours of exam time plus a 30 minute universal allowance [1 ]. Effective time management is crucial. Aim to spend around 1 minute per question initially, leaving sufficient review time. If exam stress is affecting your confidence, remember Fellow Academy is here to guide you. Our high-quality AKT and KFP exam resources include carefully developed question banks, concise exam notes, evidence-based flashcards, and practical webinars. We provide the structured support you need to achieve your RACGP Fellowship goals confidently. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners (RACGP). The strategies shared are based on personal experiences and those of successful GP candidates. This guidance is general in nature and should not be considered official RACGP advice. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners (RACGP). The strategies shared are based on personal experiences and those of successful GP candidates. This guidance is general in nature and should not be considered official RACGP advice. References [1] Royal Australian College of General Practitioners. (2025). AKT and KFP guide (current edition). RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/Examinations-guide.pdf [2] Royal Australian College of General Practitioners. (2025). AKT and KFP information for candidates , delivery information page. RACGP. https://www.racgp.org.au/kfp-and-akt-exam-day-information [3] newsGP. (2024, August 27). RACGP releases final AKT exam report of the year , reports 82.15% pass rate for 2024.2. RACGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-final-akt-exam-report-of-the-year [4] newsGP. (2025, August 22). RACGP releases 2025.2 exam cycle results , reports 79.41% AKT pass rate for 2025.2. RACGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-2025-2-exam-cycle-results [5] Royal Australian College of General Practitioners. (2025, April 8). Assessments and examinations candidate handbook, Part 2: Glossary and exam overviews , confirms 150 AKT single best answer questions and current structures. RACGP. https://www.racgp.org.au/getattachment/ca26911a-6fd2-46e3-9f5c-e572174c154e/Glossary.aspx RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Preparing for your RACGP AKT exam is a major milestone in your general practice career, and naturally, it can feel daunting. Balancing clinical duties, family responsibilities, and the rigorous demands of exam preparation is challenging, but achieving Fellowship is within your grasp. With clarity, practical strategies, and reliable resources, succeeding in the RACGP AKT exam becomes not just possible, but highly achievable. This comprehensive guide explains exactly what the RACGP AKT exam covers, eligibility requirements, exam structure, marking methods, essential tips, common mistakes to avoid, recommended resources, and strategic considerations if you're planning to take both the AKT and KFP together. Let’s dive in step by step, preparing you confidently for exam success. What Is the RACGP AKT Exam? The RACGP AKT exam, known formally as the Applied Knowledge Test, is an essential component of your journey towards RACGP Fellowship . It evaluates your foundational medical knowledge, clinical reasoning skills, and ability to effectively apply evidence based Australian clinical guidelines [1 ,5 ]. When you pass the AKT, it confirms your competence in areas critical for safe, independent GP practice, including: Accurate clinical reasoning in common general practice scenarios. Comprehensive recall and application of core medical knowledge. Effective use of Australian clinical guidelines such as Therapeutic Guidelines, RACGP’s Red Book, and the Australian Immunisation Handbook. Essentially, passing the AKT reassures both you and the RACGP that you're ready to manage real world GP scenarios safely. Who Can Sit the RACGP AKT Exam? Understanding eligibility is your first practical step. To sit the RACGP AKT exam, you must meet conditions outlined by the RACGP and hold appropriate AHPRA registration [5 ]. You’re eligible if you: Are enrolled in recognised GP training programs such as AGPT or RVTS. Are an International Medical Graduate who meets specific RACGP criteria. Have completed hospital based terms and gained supervised GP experience before sitting the exam. Confirming your eligibility well in advance helps streamline your exam preparation and registration processes. What Does the RACGP AKT Exam Test? The RACGP AKT exam focuses on four core areas critical for competent GP practice [1 ,5 ]: Clinical Reasoning: tests your ability to diagnose accurately, manage priorities effectively, and develop safe management plans. Medical Knowledge Recall: covers pharmacology, therapeutics, preventive health strategies, vaccination schedules, and chronic disease guidelines. Evidence Based Guideline Application: emphasises correct application of Australian guidance including Therapeutic Guidelines, RACGP Preventive Activities Guidelines, and the Australian Immunisation Handbook. Data Interpretation: assesses skills interpreting pathology reports, diagnostic imaging, ECG results, and Pharmaceutical Benefits Scheme criteria. Mastering these areas helps ensure confident, evidence based practice throughout your career. 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. FAQs About the RACGP AKT Exam 1. What is the RACGP AKT exam pass rate? The 2024.2 AKT pass rate was 82.15% from 829 candidates [3] . In 2025.2, the AKT pass rate was 79.41% from 1049 candidates [4] . 2. How long is the RACGP AKT exam? Total testing time is 4 hours which includes 3.5 hours of exam time plus a 30 minute universal allowance, with 150 single best answer questions [1 ,5 ] . 3. Can International Medical Graduates sit the RACGP AKT Exam? Yes, IMGs who meet RACGP eligibility criteria and hold appropriate AHPRA registration can sit the exam [5 ]. 4. What study areas should I prioritise? Clinical reasoning, preventive healthcare guidelines, pharmacology, and Australian clinical standards [1 ,5] . 5. When is the ideal time to take the RACGP AKT exam? Plan your enrolment once you have adequate supervised GP experience and familiarity with Australian guidelines and exam style [5 ]. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Best RACGP CCE Resources: Question Banks, Mock Exams and Study Groups Last updated: November 2025 Buy Now Best RACGP CCE Resources: Question Banks, Mock Exams and Study Groups Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP You have worked incredibly hard to reach this point, looking forward to practising independently as a GP, making your own clinical decisions, and supporting your patients without oversight. But now, faced with the RACGP Clinical Competency Exam (CCE) , you might find yourself awake at 2 am, worried about how you will pass this final hurdle. Here is the truth: success in the RACGP CCE is not simply about luck or innate skill. Instead, it is about the careful selection of the right preparation resources, practising strategically, and finding structured support. Choosing wisely can transform your preparation from overwhelming uncertainty into confident mastery. This guide provides practical strategies and clearly outlines the Best RACGP CCE Resources: Question Banks, Mock Exams and Study Groups. It will help you identify exactly what resources you need, why they are effective, and how they align with the latest RACGP exam guidelines, ensuring you approach the exam with confidence and clarity. What to Look for in a CCE Resource Selecting appropriate resources for the RACGP Clinical Competency Exam can make all the difference between a confident pass and avoidable pitfalls. Ideal resources must replicate exam conditions, reflect current guidelines, and offer meaningful practice and feedback. Key elements of quality CCE resources: Accurate Exam Simulation: The RACGP CCE consists of 9 video based clinical scenarios, each lasting exactly 15 minutes, plus 5 minutes of preparation time beforehand [1] . Ensure your practice materials precisely reflect this structure, helping you master consultation timing and organisation. Current Clinical Content: The clinical information you use must always match the latest Australian guidelines, such as Therapeutic Guidelines, the Australian Immunisation Handbook, and PBS rules [5] ,[6] ,[7] . Outdated guidelines risk critical errors during the exam, leading to lost marks. Credible Authors: Ideal resources are authored or reviewed by FRACGP qualified educators or experienced RACGP examiners [4] RACGP CCE preparation modules offer trusted examples that meet current examiner expectations [4]. Detailed Explanations: Excellent resources emphasise clinical reasoning, patient centred care, and practical management strategies [2] . Look for explanations mapping directly to RACGP competency areas: communication, clinical management, and professionalism. Meaningful Feedback: Effective practice tools offer sample consultation scripts, scoring rubrics, or performance analytics to help identify strengths and areas for improvement. Immediate feedback ensures rapid learning and focused improvement. CCE Question Banks vs Written Exam Resources Relying solely on written exam resources like AKT or KFP question banks is insufficient preparation for the practical demands of the RACGP Clinical Competency Exam. These exams assess entirely different skills. Written exams like the AKT assess theoretical knowledge and factual recall. In the 2024.2 AKT exam cycle, for example, the pass rate was 82.15 percent across 829 candidates [3] . By contrast, the CCE requires real time reasoning and patient centred consultation skills. The 2024.1 CCE had a pass rate of 89.10 percent, reflecting its different assessment focus [2] . To maximise your effectiveness: Initially use AKT and KFP resources to consolidate foundational medical knowledge. Gradually transition to specific CCE practice tools , particularly resources simulating interactive consultations. Combine written knowledge with realistic consultation practice to create a robust preparation strategy. Study Groups for IMGs (How to Structure Sessions) For International Medical Graduates, structured study groups are not just beneficial, they are critical. Study groups provide practical experience, emotional support, and vital exposure to Australian clinical norms and expectations . How to effectively structure your IMG study groups: Optimal Group Size: Groups of 3 to 6 members balance personal attention with diverse peer feedback. Consistent Structure: Schedule regular weekly meetings. Each session should focus clearly on dedicated scenarios, clinical topics, or competency areas. Real Case Practice: Regularly practise realistic CCE scenarios, rotating roles between candidate, patient, and observer. Provide structured peer feedback aligned directly to RACGP competencies. Local Australian Insight: Include Australian trained GPs in your group to clarify local healthcare practices, cultural norms, referral patterns, and consultation expectations. Flexibility via Technology: If face to face sessions are impractical, online meetings via Zoom are highly effective and provide essential telehealth practice. Structured study groups not only boost your exam performance but also significantly reduce stress and isolation, offering a vital lifeline during your exam preparation journey. Frequently Asked Questions (FAQ) 1: What is the RACGP CCE format and timing? The RACGP CCE comprises 9 video based clinical scenarios, each 15 minutes, with 5 minutes of preparation before each case. Delivery is via videoconference, so telehealth focused skills and camera ready consulting are essential [1] . 2: When should I start preparing for the CCE if I am also sitting AKT or KFP? Begin CCE practice early, in parallel with written exam study, then increase simulation volume after AKT or KFP. Use written resources to consolidate knowledge first, then shift toward consultation simulation and feedback loops as the exam approaches [3] [4]. 3: How do I choose the best CCE question bank for my needs? Prioritise resources that mirror the exact CCE structure, include examiner style marking rubrics, and provide clear reasoning mapped to RACGP competencies. Confirm currency against Therapeutic Guidelines, PBS, and the Australian Immunisation Handbook, and look for transparent update notes on the provider page [4] ,[5] ,[6] ,[7] . 4: How should an IMG structure a weekly study group for CCE success? Form a group of 3 to 6 peers, schedule weekly sessions, rotate roles as candidate, patient, and observer, and debrief with a competency aligned rubric. Invite at least 1 Australian trained GP to help with local referral pathways, communication norms, and system navigation, and use Zoom to practise video etiquette that will be required on exam day [1] . 5: What does effective video practice look like for the CCE? Rehearse full length consults with strict timing, record each session, and review for structure, clarity, and patient centred communication. Focus on safety netting, shared decision making, and concise summaries, which align with examiner expectations shown in RACGP preparation resources [4] . How to Know if a CCE Resource is Up to Date Using outdated resources can sabotage your RACGP Clinical Competency Exam preparation. Resources must explicitly match current exam standards, competencies, and clinical guidelines to ensure accurate preparation. Key checks for resource currency: Explicitly Check Publication Dates: After the transition from OSCE to CCE format in 2021, ensure all resources clearly reference the new format. The 2024.2 CCE had a pass rate of 89.12 percent with 672 of 754 candidates passing [1] . Match Competency Expectations: Resources must reflect the current competency breakdown: communication 26 percent, clinical management 23 percent, diagnosis 15 percent, and preventive care 8 percent [1] . Official Guideline Cross Check: Verify content against authoritative Australian references, such as Therapeutic Guidelines, RACGP Red Book, and PBS regulations [5 ,6 ,7] . Recent Candidate Feedback: Prioritise resources positively reviewed by candidates who successfully sat their exams in the most recent 2024 and 2025 cycles. Maintaining rigorous checks ensures every study hour directly contributes to exam success. The Value of Video and Recorded CCE Consultations Since the RACGP Clinical Competency Exam is conducted entirely online via videoconferencing, video practice is crucial. It prepares you thoroughly for the telehealth focused exam environment. Familiarise Yourself with Telehealth: Practising video consultations regularly prepares you to manage practical aspects such as camera angle, eye contact, note taking, and maintaining empathy virtually [1] . Comfort with telehealth prevents unnecessary stress on exam day. Model Expert Consultations: Watching successful recorded consultations provided by RACGP shows how competent candidates manage time, structure consultations, and handle communication effectively [4]. You learn precisely what examiners expect in terms of patient interaction and clinical reasoning. Self Review and Improvement: Recording and reviewing your practice sessions reveals subtle errors or oversights not obvious in real time. Regular video review is a powerful self improvement tool, particularly regarding communication skills. Strengthen Communication Skills: Communication skills accounted for 26% of the competencies assessed in the 2024.2 CCE [1] . Improving your consultation style through video practice directly boosts your exam performance. Technical Preparation: Practising with your actual video conferencing setup reduces cognitive load and prevents distracting technical issues on exam day. If the thought of RACGP exam preparation feels overwhelming, Fellow Academy provides structured, evidence based resources to ease your anxiety. With high quality AKT and KFP question banks , concise exam notes , flashcards, free case packs , webinars, and practical study guides, Fellow Academy helps you study smarter and approach your exams with calm confidence. Your goal of becoming an Australian GP is within reach. With the right resources, practice, and structured support, exam success and professional independence await you. 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 experiences of GP candidates who passed their exams. They are general guidance only, not 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 experiences of GP candidates who passed their exams. They are general guidance only, not official RACGP advice. References [1] Royal Australian College of General Practitioners. (2024). 2024.2 Clinical Competency Exam, Public exam report . East Melbourne, VIC, RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-2-CCE-Public-Exam-Report.pdf [2] Royal Australian College of General Practitioners. (2024). 2024.1 Clinical Competency Exam, 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 [3] Royal Australian College of General Practitioners. (2024). 2024.2 Applied Knowledge Test, Public exam report . East Melbourne, VIC, RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/AKT-2024-2-Public-Exam-Report.pdf [4] Royal Australian College of General Practitioners. (2025). Exam Support Program resources Updated page. East Melbourne, VIC, RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-support-program-resources [5] Therapeutic Guidelines Limited. (2024). Therapeutic Guidelines Latest version. Melbourne, VIC, TGL. https://www.tg.org.au/ [6] Australian Government Department of Health and Aged Care. (2025). Pharmaceutical Benefits Scheme Home. Canberra, ACT, Commonwealth of Australia. https://www.pbs.gov.au/pbs/home [7] Australian Government Department of Health and Aged Care. (2025). The Australian Immunisation Handbook . Canberra, ACT, Commonwealth of Australia. https://immunisationhandbook.health.gov.au/ RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary You have worked incredibly hard to reach this point, looking forward to practising independently as a GP, making your own clinical decisions, and supporting your patients without oversight. But now, faced with the RACGP Clinical Competency Exam (CCE) , you might find yourself awake at 2 am, worried about how you will pass this final hurdle. Here is the truth: success in the RACGP CCE is not simply about luck or innate skill. Instead, it is about the careful selection of the right preparation resources, practising strategically, and finding structured support. Choosing wisely can transform your preparation from overwhelming uncertainty into confident mastery. This guide provides practical strategies and clearly outlines the Best RACGP CCE Resources: Question Banks, Mock Exams and Study Groups. It will help you identify exactly what resources you need, why they are effective, and how they align with the latest RACGP exam guidelines, ensuring you approach the exam with confidence and clarity. What to Look for in a CCE Resource Selecting appropriate resources for the RACGP Clinical Competency Exam can make all the difference between a confident pass and avoidable pitfalls. Ideal resources must replicate exam conditions, reflect current guidelines, and offer meaningful practice and feedback. Key elements of quality CCE resources: Accurate Exam Simulation: The RACGP CCE consists of 9 video based clinical scenarios, each lasting exactly 15 minutes, plus 5 minutes of preparation time beforehand [1] . Ensure your practice materials precisely reflect this structure, helping you master consultation timing and organisation. Current Clinical Content: The clinical information you use must always match the latest Australian guidelines, such as Therapeutic Guidelines, the Australian Immunisation Handbook, and PBS rules [5] ,[6] ,[7] . Outdated guidelines risk critical errors during the exam, leading to lost marks. Credible Authors: Ideal resources are authored or reviewed by FRACGP qualified educators or experienced RACGP examiners [4] RACGP CCE preparation modules offer trusted examples that meet current examiner expectations [4]. Detailed Explanations: Excellent resources emphasise clinical reasoning, patient centred care, and practical management strategies [2] . Look for explanations mapping directly to RACGP competency areas: communication, clinical management, and professionalism. Meaningful Feedback: Effective practice tools offer sample consultation scripts, scoring rubrics, or performance analytics to help identify strengths and areas for improvement. Immediate feedback ensures rapid learning and focused improvement. CCE Question Banks vs Written Exam Resources Relying solely on written exam resources like AKT or KFP question banks is insufficient preparation for the practical demands of the RACGP Clinical Competency Exam. These exams assess entirely different skills. Written exams like the AKT assess theoretical knowledge and factual recall. In the 2024.2 AKT exam cycle, for example, the pass rate was 82.15 percent across 829 candidates [3] . By contrast, the CCE requires real time reasoning and patient centred consultation skills. The 2024.1 CCE had a pass rate of 89.10 percent, reflecting its different assessment focus [2] . To maximise your effectiveness: Initially use AKT and KFP resources to consolidate foundational medical knowledge. Gradually transition to specific CCE practice tools , particularly resources simulating interactive consultations. Combine written knowledge with realistic consultation practice to create a robust preparation strategy. Study Groups for IMGs (How to Structure Sessions) For International Medical Graduates, structured study groups are not just beneficial, they are critical. Study groups provide practical experience, emotional support, and vital exposure to Australian clinical norms and expectations . How to effectively structure your IMG study groups: Optimal Group Size: Groups of 3 to 6 members balance personal attention with diverse peer feedback. Consistent Structure: Schedule regular weekly meetings. Each session should focus clearly on dedicated scenarios, clinical topics, or competency areas. Real Case Practice: Regularly practise realistic CCE scenarios, rotating roles between candidate, patient, and observer. Provide structured peer feedback aligned directly to RACGP competencies. Local Australian Insight: Include Australian trained GPs in your group to clarify local healthcare practices, cultural norms, referral patterns, and consultation expectations. Flexibility via Technology: If face to face sessions are impractical, online meetings via Zoom are highly effective and provide essential telehealth practice. Structured study groups not only boost your exam performance but also significantly reduce stress and isolation, offering a vital lifeline during your exam preparation journey. 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 (FAQ) 1: What is the RACGP CCE format and timing? The RACGP CCE comprises 9 video based clinical scenarios, each 15 minutes, with 5 minutes of preparation before each case. Delivery is via videoconference, so telehealth focused skills and camera ready consulting are essential [1] . 2: When should I start preparing for the CCE if I am also sitting AKT or KFP? Begin CCE practice early, in parallel with written exam study, then increase simulation volume after AKT or KFP. Use written resources to consolidate knowledge first, then shift toward consultation simulation and feedback loops as the exam approaches [3] [4]. 3: How do I choose the best CCE question bank for my needs? Prioritise resources that mirror the exact CCE structure, include examiner style marking rubrics, and provide clear reasoning mapped to RACGP competencies. Confirm currency against Therapeutic Guidelines, PBS, and the Australian Immunisation Handbook, and look for transparent update notes on the provider page [4] ,[5] ,[6] ,[7] . 4: How should an IMG structure a weekly study group for CCE success? Form a group of 3 to 6 peers, schedule weekly sessions, rotate roles as candidate, patient, and observer, and debrief with a competency aligned rubric. Invite at least 1 Australian trained GP to help with local referral pathways, communication norms, and system navigation, and use Zoom to practise video etiquette that will be required on exam day [1] . 5: What does effective video practice look like for the CCE? Rehearse full length consults with strict timing, record each session, and review for structure, clarity, and patient centred communication. Focus on safety netting, shared decision making, and concise summaries, which align with examiner expectations shown in RACGP preparation resources [4] . 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now How to Choose the Best AMC Question Bank (and Avoid Qbanks with Errors) Last updated: November 2025 Buy Now How to Choose the Best AMC Question Bank (and Avoid Qbanks with Errors) Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Choosing the best AMC question bank can dramatically improve your chances of passing your AMC exam. Given the substantial effort and investment required to become a registered medical professional in Australia, selecting accurate and reliable preparation materials is essential. This guide will clearly show you how to select a high quality AMC MCQ practice platform, avoid unreliable resources with errors, and evaluate key features such as alignment with Australian guidelines, question quality, clarity of explanations, regular updates, and overall value. As an international medical graduate, GP trainee, or supervisor supporting trainees, you need resources you can trust completely. The AMC reports candidate performance each year in its Annual Reports, which show that pass rates vary by exam and by year [1] . You cannot afford preparation mistakes. Let us carefully navigate exactly how you can confidently choose the best AMC question bank to ensure your study efforts genuinely lead to success. Why Accurate, Australian Guideline Answers Matter for AMC Prep Choosing AMC exam resources with accurate, Australian guideline aligned answers is essential because the AMC explicitly evaluates your ability to practise medicine according to Australian healthcare standards. The exam specifically tests clinical knowledge informed by: Therapeutic Guidelines, eTG Australia RACGP clinical guidance relevant to general practice care in Australia Pharmaceutical Benefits Scheme criteria and access considerations Australian immunisation schedules Indigenous health recommendations and culturally safe practice [2] If you study from question banks aligned to other countries’ medical standards, you risk confusing yourself and reinforcing incorrect clinical reasoning for the Australian context. The AMC emphasises Australian clinical practice and publishes authoritative specifications for both MCQ and Clinical examinations, including what knowledge and performance standards are assessed [3] [4] . Mistakes introduced by non Australian sources can cost you valuable marks on the AMC exam. To ensure accuracy and effective exam preparation: Verify your AMC question bank explicitly states adherence to Australian clinical guidelines. Check sample questions for clear citations of Australian authoritative resources, such as eTG, RACGP guidance, and the PBS. Regularly cross check challenging questions with official Australian guideline sources to build your confidence and accuracy. Comprehensive vs Bloated AMC Question Banks An effective AMC question bank should comprehensively cover the AMC examination specifications without overwhelming you with unnecessary content. The AMC CAT MCQ examination consists of 150 questions delivered in one session, with 120 scored items and 30 pilot items, over 3.5 hours, computer delivered, with one best answer from five options [5][6] . A bloated question bank with thousands of loosely curated questions may sound appealing but often includes irrelevant, repetitive, or outdated content that can drain your study energy without meaningfully improving readiness. To choose a genuinely comprehensive AMC question bank: Confirm clear alignment with the AMC CAT MCQ examination specifications and content scope published by the AMC. Ensure the questions reflect realistic AMC clinical scenarios and case vignettes, including investigation, therapy, and management decisions as outlined by the AMC. Be cautious with platforms promising extremely large catalogues without evidence of Australian guideline alignment or exam specification mapping. Prioritise quality over quantity, focusing on targeted, exam style questions that mirror the AMC format and Australian context [5][6] . One strong indicator of comprehensive and relevant AMC practice is an explicit mapping to the AMC’s own content descriptions and performance standards. Choose a bank that demonstrates this mapping, not just raw volume. Recalls, Recently Tested Topics, and Ongoing Updates Regularly updated AMC question banks enhance exam preparation because the AMC’s examination content is stable in structure but evolves with new or updated Australian guidance, medicines, and public health priorities. The AMC publishes specifications and candidate resources, including an official MCQ preparation app that contains 210 questions written by AMC contributors and refreshed annually, which illustrates the importance the AMC itself places on currency and alignment with the exam format [7] . Given this reality, the value of up to date content cannot be overstated. Reliable AMC question banks should integrate: Recent Australian guideline changes into questions and explanations, for example new vaccine schedules, updated antimicrobial guidance, or revised safety recommendations. Ongoing reviews of item accuracy when local guidance changes, with visible correction logs or update notes. Close alignment with the AMC’s published specifications and candidate resources, rather than relying on unverified community recalls, which can be inaccurate and are not endorsed by the AMC [3] [4] [7] . Exercise caution with free online recall lists that often contain inaccuracies or incomplete details. Instead, select AMC MCQ practice platforms that clearly commit to regular, verified content updates, and demonstrate responsiveness to Australian guideline changes and candidate feedback. Frequently Asked Questions, FAQs 1. What makes a Qbank the best AMC question bank? The best AMC question bank consistently provides Australian guideline aligned content, clear mapping to AMC examination specifications, detailed explanations that teach decision making, verified, regularly updated items, and strong overall value anchored to the real AMC format and Australian practice [2] [5][6] . 2. How many questions should I aim for when choosing an AMC MCQ practice platform? Aim for enough high quality, exam style items to cover the AMC specifications with repetition for weak areas, rather than chasing raw volume. Choose banks that explicitly match the AMC format, which is 150 questions, one best answer from five options, computer delivered, with 120 scored items and 30 pilot items across 3.5 hours [5][6] . 3. Why are guideline referenced explanations important for IMGs preparing for AMC exams? Australian guidance sometimes differs from international practice. Explanations referencing eTG, RACGP, PBS, and Australian Prescriber ensure you internalise correct local reasoning, medicine choices, and safety considerations expected in the AMC and in Australian clinical work [2]. 4. How important are recent topics and ongoing updates when choosing an AMC question bank? Very important. The AMC itself provides a 210 question preparation app written by AMC contributors and refreshed annually, underscoring the value of currency. Choose products that publish update cadences and correct items when guidance changes [7] . 5. How do I assess value for money in choosing an AMC Qbank? Evaluate alignment to AMC specifications, the quality and teaching value of explanations, visible update practices, and access to trials. Use the AMC’s public specifications and official resources as your benchmark for format and scope [5][6] [7] . Pricing, Free Trials, and Value for AMC Candidates Choosing an AMC question bank also involves practical considerations around cost and value. Since AMC exams are high stakes and time limited in booking windows, investing wisely in quality preparation is crucial. The AMC publishes the definitive exam structure, delivery method, and candidate resources, which you can use as a benchmark when assessing whether a product aligns with the real exam [5][6] [7] . To assess the genuine value of an AMC question bank, consider: Subscription duration options, for example monthly, quarterly, annual, and whether that matches your exam booking timeline. The number and quality of AMC specific questions that explicitly match the AMC format and Australian context. Availability of free trials or sample questions, allowing you to preview content quality and the teaching style of explanations. Additional supportive features such as full length mock exams in AMC format, performance analytics that identify weak domains aligned to the AMC specifications, mobile accessibility, and regular content update notes. Independent confirmation that the product references Australian guidance and AMC specifications, for example explicit citation of eTG, RACGP, PBS, and links to AMC resources [2] [5][6] [7] . A slightly higher initial cost for quality, targeted preparation aligned to AMC specifications and Australian guidance is often better value than cheaper, generic banks. Effective preparation ultimately saves time, money, and emotional strain associated with repeated attempts. What Good AMC Explanations Should Include Clear, detailed explanations in an AMC question bank turn every practice question into a valuable learning opportunity. Effective explanations justify the correct answer and clarify precisely why each incorrect option is unsuitable in the Australian clinical context. Strong AMC explanations should consistently include: A clear justification of the correct answer referencing Australian sources, for example eTG, RACGP guidance, Australian Prescriber, PBS listings, or state health guidance. Concise bullet points summarising critical reasoning and clinical steps that reflect Australian standard practice. Explicit reasons why each incorrect option is incorrect or less ideal in Australia, for example off guideline, not PBS subsidised where relevant, or not first line in local guidance. Practical clinical pearls and additional learning insights relevant to Australian GP practice , such as safety, cultural considerations, or follow up and monitoring aligned to local standards [2] . For instance, a robust explanation about hypertension management in pregnancy would reference eTG or recognised Australian guidance that specifies preferred first line options, contraindications, and monitoring steps, then contrast these with distractors that may be acceptable in other countries but not preferred in Australia. Avoid question banks providing superficial, single sentence explanations without citations to Australian guidance. Facing the AMC exam might feel overwhelming, but Fellow Academy is dedicated to supporting you throughout your AMC exam journey . Our AMC MCQ preparation resources focus on Australian guideline alignment, concise teaching explanations, practical exam strategies, and regular content updates that reflect the AMC’s published specifications. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies shared are based on personal experience and experiences of successful AMC exam candidates, intended as general study guidance only. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies shared are based on personal experience and experiences of successful AMC exam candidates, intended as general study guidance only. References [1] Australian Medical Council., 2023 to 2024. Annual Report. Canberra, ACT: AMC.,, https://www.amc.org.au/australian-medical-council-annual-reports/ [2] Therapeutic Guidelines., 2025. eTG complete. Melbourne, VIC: Therapeutic Guidelines Limited. https://gvhealth.libguides.com/eTG [3] Australian Medical Council., 2025. Examination specifications: AMC CAT MCQ examination specifications. Canberra, ACT: AMC., https://www.amc.org.au/examination-specifications/ [4] Australian Medical Council., 2024. Change to pass requirement for the Clinical Examination, 21 March 2024. Canberra, ACT: AMC., https://www.amc.org.au/news-and-updates/change-to-pass-requirement-for-the-clinical-examination/ [5] Australian Medical Council., 2025. AMC CAT MCQ examination, content and format. Canberra, ACT: AMC., https://www.amc.org.au/pathways/standard-pathway/amc-assessments/mcq-examination/ [6] Australian Medical Council., 2025. MCQ Examination Specifications, PDF, includes format, timing, pilot items. Canberra, ACT: AMC. [7] Australian Medical Council., 2025. AMC MCQ Preparation App, eMedici questions written by AMC contributors, refreshed annually. Canberra, ACT: AMC., https://www.amc.org.au/mcq-preparation-app/ RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Choosing the best AMC question bank can dramatically improve your chances of passing your AMC exam. Given the substantial effort and investment required to become a registered medical professional in Australia, selecting accurate and reliable preparation materials is essential. This guide will clearly show you how to select a high quality AMC MCQ practice platform, avoid unreliable resources with errors, and evaluate key features such as alignment with Australian guidelines, question quality, clarity of explanations, regular updates, and overall value. As an international medical graduate, GP trainee, or supervisor supporting trainees, you need resources you can trust completely. The AMC reports candidate performance each year in its Annual Reports, which show that pass rates vary by exam and by year [1] . You cannot afford preparation mistakes. Let us carefully navigate exactly how you can confidently choose the best AMC question bank to ensure your study efforts genuinely lead to success. Why Accurate, Australian Guideline Answers Matter for AMC Prep Choosing AMC exam resources with accurate, Australian guideline aligned answers is essential because the AMC explicitly evaluates your ability to practise medicine according to Australian healthcare standards. The exam specifically tests clinical knowledge informed by: Therapeutic Guidelines, eTG Australia RACGP clinical guidance relevant to general practice care in Australia Pharmaceutical Benefits Scheme criteria and access considerations Australian immunisation schedules Indigenous health recommendations and culturally safe practice [2] If you study from question banks aligned to other countries’ medical standards, you risk confusing yourself and reinforcing incorrect clinical reasoning for the Australian context. The AMC emphasises Australian clinical practice and publishes authoritative specifications for both MCQ and Clinical examinations, including what knowledge and performance standards are assessed [3] [4] . Mistakes introduced by non Australian sources can cost you valuable marks on the AMC exam. To ensure accuracy and effective exam preparation: Verify your AMC question bank explicitly states adherence to Australian clinical guidelines. Check sample questions for clear citations of Australian authoritative resources, such as eTG, RACGP guidance, and the PBS. Regularly cross check challenging questions with official Australian guideline sources to build your confidence and accuracy. Comprehensive vs Bloated AMC Question Banks An effective AMC question bank should comprehensively cover the AMC examination specifications without overwhelming you with unnecessary content. The AMC CAT MCQ examination consists of 150 questions delivered in one session, with 120 scored items and 30 pilot items, over 3.5 hours, computer delivered, with one best answer from five options [5][6] . A bloated question bank with thousands of loosely curated questions may sound appealing but often includes irrelevant, repetitive, or outdated content that can drain your study energy without meaningfully improving readiness. To choose a genuinely comprehensive AMC question bank: Confirm clear alignment with the AMC CAT MCQ examination specifications and content scope published by the AMC. Ensure the questions reflect realistic AMC clinical scenarios and case vignettes, including investigation, therapy, and management decisions as outlined by the AMC. Be cautious with platforms promising extremely large catalogues without evidence of Australian guideline alignment or exam specification mapping. Prioritise quality over quantity, focusing on targeted, exam style questions that mirror the AMC format and Australian context [5][6] . One strong indicator of comprehensive and relevant AMC practice is an explicit mapping to the AMC’s own content descriptions and performance standards. Choose a bank that demonstrates this mapping, not just raw volume. Recalls, Recently Tested Topics, and Ongoing Updates Regularly updated AMC question banks enhance exam preparation because the AMC’s examination content is stable in structure but evolves with new or updated Australian guidance, medicines, and public health priorities. The AMC publishes specifications and candidate resources, including an official MCQ preparation app that contains 210 questions written by AMC contributors and refreshed annually, which illustrates the importance the AMC itself places on currency and alignment with the exam format [7] . Given this reality, the value of up to date content cannot be overstated. Reliable AMC question banks should integrate: Recent Australian guideline changes into questions and explanations, for example new vaccine schedules, updated antimicrobial guidance, or revised safety recommendations. Ongoing reviews of item accuracy when local guidance changes, with visible correction logs or update notes. Close alignment with the AMC’s published specifications and candidate resources, rather than relying on unverified community recalls, which can be inaccurate and are not endorsed by the AMC [3] [4] [7] . Exercise caution with free online recall lists that often contain inaccuracies or incomplete details. Instead, select AMC MCQ practice platforms that clearly commit to regular, verified content updates, and demonstrate responsiveness to Australian guideline changes and candidate feedback. 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, FAQs 1. What makes a Qbank the best AMC question bank? The best AMC question bank consistently provides Australian guideline aligned content, clear mapping to AMC examination specifications, detailed explanations that teach decision making, verified, regularly updated items, and strong overall value anchored to the real AMC format and Australian practice [2] [5][6] . 2. How many questions should I aim for when choosing an AMC MCQ practice platform? Aim for enough high quality, exam style items to cover the AMC specifications with repetition for weak areas, rather than chasing raw volume. Choose banks that explicitly match the AMC format, which is 150 questions, one best answer from five options, computer delivered, with 120 scored items and 30 pilot items across 3.5 hours [5][6] . 3. Why are guideline referenced explanations important for IMGs preparing for AMC exams? Australian guidance sometimes differs from international practice. Explanations referencing eTG, RACGP, PBS, and Australian Prescriber ensure you internalise correct local reasoning, medicine choices, and safety considerations expected in the AMC and in Australian clinical work [2]. 4. How important are recent topics and ongoing updates when choosing an AMC question bank? Very important. The AMC itself provides a 210 question preparation app written by AMC contributors and refreshed annually, underscoring the value of currency. Choose products that publish update cadences and correct items when guidance changes [7] . 5. How do I assess value for money in choosing an AMC Qbank? Evaluate alignment to AMC specifications, the quality and teaching value of explanations, visible update practices, and access to trials. Use the AMC’s public specifications and official resources as your benchmark for format and scope [5][6] [7] . 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Are Your GP Academy KFP/MSQ Questions Too Easy for the Real RACGP Exam Last updated: November 2025 Buy Now Are Your GP Academy KFP/MSQ Questions Too Easy for the Real RACGP Exam Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Many GP registrars feel a sense of relief when they begin achieving high marks on their RACGP KFP practice questions. It is comforting to believe that consistently strong performance means you are on track for the real exam. Yet beneath that relief sits a quiet concern. You start to wonder if the questions you are using are genuinely representative of the real RACGP KFP exam. You wonder if they are challenging enough, contextual enough, and aligned to the complexity that the exam is known for. The KFP is one of the most demanding components of the RACGP Fellowship assessments. The overall pass rate for the 2024.2 KFP exam was 67.83 percent from 945 candidates [1 ]. The 2025.1 KFP reported a 76.89 percent pass rate based on a pass mark of 60.63 percent [1 ]. These figures tell us something important. If your practice questions feel consistently easy, they may not reflect the real depth of reasoning that the KFP demands. For context, the 2024.2 AKT recorded an 82.15 percent pass rate [2 ], and the 2022.2 CCE recorded an 84.26 percent pass rate [3 ]. This blog explains exactly what the real RACGP KFP exam tests, why some practice questions fall short, how Fellow Academy designs exam realistic questions, and how to blend lectures, notes, flashcards and question banks to strengthen your preparation. What Real KFPs Test (Reasoning, Key Features, Management Sequence) Real RACGP KFP exams are built to test clinical reasoning, prioritisation of care, key feature recognition, and your ability to make safe decisions within the constraints of general practice. The exam expects you to think like an independent GP, not like a student revising a textbook summary. The exam focuses on 3 crucial elements: Key clinical features Every scenario contains clues about what matters most for this patient. This includes age, practice setting, comorbidities, social factors, and risk levels. Your answer must reflect these details clearly. Decision making and prioritisation The exam tests whether you understand the difference between immediate care, next steps, and ongoing management. You must decide the correct sequence of actions. Context specific responses The answer must match the specific situation described. Generic responses, even if clinically correct in another context, do not score well. RACGP exam reports repeatedly note that many candidates lose marks for giving answers that do not align to the scenario. Common errors include: Non specific or overly broad answers Providing more answers than requested Not recognising the urgency level required Misreading or overlooking essential details The difficulty of the exam is reflected in its data. The overall pass rate for the 2024.2 cycle was 67.83 percent from 945 candidates [1 ]. For additional context, the 2025.1 KFP reported 76.89 percent [1 ]. Repeat attempts show a clear downward trend. Candidates on their first attempt achieved 83.8 percent, second attempt 48.6 percent, third attempt 36 percent, and fourth attempt or later 19.3 percent [4 ]. These numbers demonstrate the importance of strong first attempt preparation. If your RACGP KFP practice questions do not require this level of analysis, they may be too easy. For more strategies, see our guide on building exam realistic GP reasoning skills. Issues With Questions Modified From Older MSQs Many practice sets take older questions and convert them into the new Multiple Selection Question format. The difficulty is that these lightly reworked questions often lose the nuance and complexity of genuine exam items. From the 2025.2 exam cycle, the KFP moved to 70 MSQs in a four hour sitting and the short answer format was removed [5 ], with exam day information confirming four hours duration [6 ]. This new format still reflects the same assessment standard, but poorly updated question banks often fail to match it. You can often identify these simplified questions by noticing issues such as: Limited scenario detail Lack of social or contextual factors Incorrect or outdated guideline references Weak distractors that do not genuinely test reasoning Reduced emphasis on sequencing decisions Generic cases that resemble lists more than clinical narratives RACGP reports clearly warn that outdated or simplified questions do not prepare candidates adequately. When candidates practise repeatedly on low complexity material, they often struggle with the layered reasoning required in the real exam [4 ]. If your practice questions feel predictable, overly straightforward, or familiar from old resources, they may not align with the modern RACGP standard. For more insights on exam design changes, see our MSQ transition explainer. How to Mix Their Lectures With Our Questions, Notes and Flashcards High quality RACGP exam preparation involves more than answering questions. You need a structured learning pathway combining content, application, and repetition. An effective preparation structure includes: Lectures for foundation knowledge Use lectures to build a solid base in key curriculum areas such as chronic disease management, Aboriginal and Torres Strait Islander health, and rural general practice. Stick closely to Australian guidelines. Exam realistic question practice Begin practising with realistic questions early. Set a timer and aim for the exam standard pace of 3.4 minutes per question when working through MSQs, which aligns with 70 questions in 4 hours [5 ,6 ] Notes and flashcards for knowledge consolidation Break guidelines into summary tables and short notes. Use flashcards to embed key management steps and differentiate similar conditions. Apply active recall frequently for long term retention. Mock exams for timing and technique Use official RACGP Self Assessment Progress Tests regularly. The 2025.1 KFP reported 76.89 percent which provides a useful benchmark for your preparation [1 ]. Mock exams allow you to test your technique, stamina and reasoning under time pressure. This blended approach ensures you not only understand content but can apply it quickly and accurately in high pressure exam situations. For help developing an integrated study plan, explore our KFP study roadmap. Benchmarking And Self Assessment Using SAPTs Benchmarking helps you detect gaps that easy question sets hide. Use the official RACGP Self Assessment Progress Tests to calibrate difficulty and track readiness over time. Practical steps to apply now: Sit a timed SAPT to reveal weak domains early Review items by domain such as cardiovascular or paediatrics and log recurring errors Map errors to targeted notes and flashcards then repeat the SAPT after 2 weeks Compare your trend with cohort level insights described in RACGP exam reports such as 67.83 percent from 945 candidates in 2024.2 and 76.89 percent in 2025.1 [1] Use these checkpoints to make your study plan responsive. For a worked example, see our internal guide on SAPT driven revision loops. Supervisor And Peer Support To Sharpen Clinical Reasoning Support from supervisors and peers turns knowledge into performance. Use brief structured sessions that mirror exam constraints and keep feedback specific. Try these formats: Ten minute rapid case with two minute justification of immediate and next steps One page summary notes per topic and a three question viva at the end Weekly mini mock focusing on Indigenous health, rural access or PBS constraints Debrief using a checklist covering context, key features, sequencing, and rationale This structure builds speed, precision, and confidence. For a ready to use template, see our peer coaching checklist and mini mock schedule pages. Supervisor And Peer Support To Sharpen Clinical Reasoning Support from supervisors and peers turns knowledge into performance. Use brief structured sessions that mirror exam constraints and keep feedback specific. Try these formats: Ten minute rapid case with two minute justification of immediate and next steps One page summary notes per topic and a three question viva at the end Weekly mini mock focusing on Indigenous health, rural access or PBS constraints Debrief using a checklist covering context, key features, sequencing, and rationale This structure builds speed, precision, and confidence. For a ready to use template, see our peer coaching checklist and mini mock schedule pages. Frequently Asked Questions 1. Are my KFP practice questions too easy if I consistently score 90 percent or higher? Possibly. Real exam context shows 67.83 percent from 945 candidates for 2024.2 and 76.89 percent for 2025.1 [1 ]. SAPTs provide more realistic benchmarking. 2. Does the new MSQ format introduced in 2025.2 make the exam easier? No. The format shifted to 70 MSQs in four hours, while the college has confirmed the assessment standard remains the same [5 ,6 ]. 3. How long should I prepare for the KFP exam? Many candidates plan 6 months of structured study before a first attempt. Align the time you allocate with RACGP advice and your supervisor’s guidance, then combine lectures, questions, notes and SAPTs for best effect. 4. Why do pass rates drop sharply on repeat attempts? Data show a decline: 83.8 percent first attempt, 48.6 percent second attempt, 36 percent third attempt, 19.3 percent fourth attempt or later [4 ]. This demonstrates the importance of strong early preparation. 5. What should I look for in a high quality question bank? Look for context rich scenarios, accurate distractors, guideline alignment, detailed rationale, and updated content matching current RACGP standards. Are Your RACGP KFP Practice Questions Truly Exam Level Use this section as a quick audit to compare your current preparation materials with real exam expectations. Keep your evaluation honest and specific to your setting and patient population. Consider the following checks: Do your cases include clear patient context that changes management decisions Are distractors plausible enough to force you to reason rather than recall Are answers referenced to current Australian guidelines including PBS and Therapeutic Guidelines Do explanations teach sequencing of care such as immediate next and follow up Do cases simulate time pressure equal to the real exam pace of 3.4 minutes per question based on 70 questions in 4 hours [5 ,6 ] If several answers are no, lift question difficulty to match exam realistic standards. For related guidance, see our KFP study roadmap and our free KFP case pack pages for practical examples and structured pathways. Fellow Academy’s Question Standard (Harder but Exam Realistic) Fellow Academy deliberately designs questions that feel challenging, detailed, and fully aligned with the modern RACGP exam. The goal is not to discourage you, but to push your reasoning so that the real exam feels achievable and manageable. Our question design reflects 5 key principles: Detailed case scenarios Each question mirrors genuine GP consultation complexity, including practice setting, comorbidities, cultural and social factors, and ethical considerations. Guideline aligned reasoning All answers follow current Australian clinical guidelines including PBS, Therapeutic Guidelines and the Australian Immunisation Handbook. Challenging distractors Options are designed to feel clinically plausible, encouraging deeper thinking. Sequencing of care Questions emphasise what to do immediately, what to do next, and what to avoid. Exam realistic cognitive load Questions reflect the type of mental processing required in the real exam rather than simple recall. The benefit of harder practice is shown in outcomes. The 2025.1 KFP reported a 76.89 percent pass rate 1 , and the 2025.2 cycle reported 79.57 percent out of 1160 candidates [7 ]. This reinforces that using exam realistic questions, not simplified practice sets, makes a measurable difference. If you want to explore exam realistic practice, you can try our free KFP case pack for additional support. If RACGP exam preparation feels overwhelming, Fellow Academy offers structured support tailored to your needs. Explore high quality AKT and KFP question banks, concise and comprehensive exam notes, and evidence based flashcards designed to boost confidence. You can also access free KFP case packs, practical webinars, and study frameworks to guide you calmly toward Fellowship. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners. 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. 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] Royal Australian College of General Practitioners. (2025, April 2). Latest fellowship exam results surpass previous. newsGP. https://www1.racgp.org.au/newsgp/racgp/latest-fellowship-exam-results-surpass-previous [2] Royal Australian College of General Practitioners. (2024, August 27). RACGP releases final AKT exam report of the year. newsGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-final-akt-exam-report-of-the-year [3] Royal Australian College of General Practitioners. (2022, December 15). Results for 2022’s final Fellowship exam. newsGP. https://www1.racgp.org.au/newsgp/racgp/results-for-2022-s-final-fellowship-exam [4] Royal Australian College of General Practitioners. (2024, September 17). Latest FRACGP exam report released. newsGP. https://www1.racgp.org.au/newsgp/racgp/latest-fracgp-exam-report-released [5] Royal Australian College of General Practitioners. (2024, October 16). Key Feature Problem exam changes on the way. newsGP. https://www1.racgp.org.au/newsgp/racgp/key-feature-problem-exam-changes-on-the-way [6] Royal Australian College of General Practitioners. AKT and KFP information for candidates. RACGP. https://www.racgp.org.au/kfp-and-akt-exam-day-information [7] Royal Australian College of General Practitioners. (2025, August 22). RACGP releases 2025.2 exam cycle results. newsGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-2025-2-exam-cycle-results RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Many GP registrars feel a sense of relief when they begin achieving high marks on their RACGP KFP practice questions. It is comforting to believe that consistently strong performance means you are on track for the real exam. Yet beneath that relief sits a quiet concern. You start to wonder if the questions you are using are genuinely representative of the real RACGP KFP exam. You wonder if they are challenging enough, contextual enough, and aligned to the complexity that the exam is known for. The KFP is one of the most demanding components of the RACGP Fellowship assessments. The overall pass rate for the 2024.2 KFP exam was 67.83 percent from 945 candidates [1 ]. The 2025.1 KFP reported a 76.89 percent pass rate based on a pass mark of 60.63 percent [1 ]. These figures tell us something important. If your practice questions feel consistently easy, they may not reflect the real depth of reasoning that the KFP demands. For context, the 2024.2 AKT recorded an 82.15 percent pass rate [2 ], and the 2022.2 CCE recorded an 84.26 percent pass rate [3 ]. This blog explains exactly what the real RACGP KFP exam tests, why some practice questions fall short, how Fellow Academy designs exam realistic questions, and how to blend lectures, notes, flashcards and question banks to strengthen your preparation. What Real KFPs Test (Reasoning, Key Features, Management Sequence) Real RACGP KFP exams are built to test clinical reasoning, prioritisation of care, key feature recognition, and your ability to make safe decisions within the constraints of general practice. The exam expects you to think like an independent GP, not like a student revising a textbook summary. The exam focuses on 3 crucial elements: Key clinical features Every scenario contains clues about what matters most for this patient. This includes age, practice setting, comorbidities, social factors, and risk levels. Your answer must reflect these details clearly. Decision making and prioritisation The exam tests whether you understand the difference between immediate care, next steps, and ongoing management. You must decide the correct sequence of actions. Context specific responses The answer must match the specific situation described. Generic responses, even if clinically correct in another context, do not score well. RACGP exam reports repeatedly note that many candidates lose marks for giving answers that do not align to the scenario. Common errors include: Non specific or overly broad answers Providing more answers than requested Not recognising the urgency level required Misreading or overlooking essential details The difficulty of the exam is reflected in its data. The overall pass rate for the 2024.2 cycle was 67.83 percent from 945 candidates [1 ]. For additional context, the 2025.1 KFP reported 76.89 percent [1 ]. Repeat attempts show a clear downward trend. Candidates on their first attempt achieved 83.8 percent, second attempt 48.6 percent, third attempt 36 percent, and fourth attempt or later 19.3 percent [4 ]. These numbers demonstrate the importance of strong first attempt preparation. If your RACGP KFP practice questions do not require this level of analysis, they may be too easy. For more strategies, see our guide on building exam realistic GP reasoning skills. Issues With Questions Modified From Older MSQs Many practice sets take older questions and convert them into the new Multiple Selection Question format. The difficulty is that these lightly reworked questions often lose the nuance and complexity of genuine exam items. From the 2025.2 exam cycle, the KFP moved to 70 MSQs in a four hour sitting and the short answer format was removed [5 ], with exam day information confirming four hours duration [6 ]. This new format still reflects the same assessment standard, but poorly updated question banks often fail to match it. You can often identify these simplified questions by noticing issues such as: Limited scenario detail Lack of social or contextual factors Incorrect or outdated guideline references Weak distractors that do not genuinely test reasoning Reduced emphasis on sequencing decisions Generic cases that resemble lists more than clinical narratives RACGP reports clearly warn that outdated or simplified questions do not prepare candidates adequately. When candidates practise repeatedly on low complexity material, they often struggle with the layered reasoning required in the real exam [4 ]. If your practice questions feel predictable, overly straightforward, or familiar from old resources, they may not align with the modern RACGP standard. For more insights on exam design changes, see our MSQ transition explainer. How to Mix Their Lectures With Our Questions, Notes and Flashcards High quality RACGP exam preparation involves more than answering questions. You need a structured learning pathway combining content, application, and repetition. An effective preparation structure includes: Lectures for foundation knowledge Use lectures to build a solid base in key curriculum areas such as chronic disease management, Aboriginal and Torres Strait Islander health, and rural general practice. Stick closely to Australian guidelines. Exam realistic question practice Begin practising with realistic questions early. Set a timer and aim for the exam standard pace of 3.4 minutes per question when working through MSQs, which aligns with 70 questions in 4 hours [5 ,6 ] Notes and flashcards for knowledge consolidation Break guidelines into summary tables and short notes. Use flashcards to embed key management steps and differentiate similar conditions. Apply active recall frequently for long term retention. Mock exams for timing and technique Use official RACGP Self Assessment Progress Tests regularly. The 2025.1 KFP reported 76.89 percent which provides a useful benchmark for your preparation [1 ]. Mock exams allow you to test your technique, stamina and reasoning under time pressure. This blended approach ensures you not only understand content but can apply it quickly and accurately in high pressure exam situations. For help developing an integrated study plan, explore our KFP study roadmap. 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. Are my KFP practice questions too easy if I consistently score 90 percent or higher? Possibly. Real exam context shows 67.83 percent from 945 candidates for 2024.2 and 76.89 percent for 2025.1 [1 ]. SAPTs provide more realistic benchmarking. 2. Does the new MSQ format introduced in 2025.2 make the exam easier? No. The format shifted to 70 MSQs in four hours, while the college has confirmed the assessment standard remains the same [5 ,6 ]. 3. How long should I prepare for the KFP exam? Many candidates plan 6 months of structured study before a first attempt. Align the time you allocate with RACGP advice and your supervisor’s guidance, then combine lectures, questions, notes and SAPTs for best effect. 4. Why do pass rates drop sharply on repeat attempts? Data show a decline: 83.8 percent first attempt, 48.6 percent second attempt, 36 percent third attempt, 19.3 percent fourth attempt or later [4 ]. This demonstrates the importance of strong early preparation. 5. What should I look for in a high quality question bank? Look for context rich scenarios, accurate distractors, guideline alignment, detailed rationale, and updated content matching current RACGP standards. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

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Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now RACGP Exam Preparation: How to Study Using Active Recall and Spaced Repetition Last updated: October 2025 Buy Now RACGP Exam Preparation: How to Study Using Active Recall and Spaced Repetition Last updated: October 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Effective RACGP exam preparation is not about studying harder, it is about studying smarter. The methods you choose directly influence how well you retain critical clinical information. Active recall and spaced repetition are evidence based techniques used in Australian GP training to strengthen memory and improve performance. In this post, you will see why passive study often fails, how active recall and spacing work, and practical ways to apply both. You will also find actionable RACGP exam study tips to help you confidently pass RACGP exams. Why Traditional Study Methods Fail in RACGP Exam Preparation Traditional methods like reading again, reading textbooks, or highlighting notes rarely lead to lasting retention. Although these approaches can feel productive, Australian training guidance for GP registrars emphasises that passive methods underperform compared with strategies that require you to retrieve information and space your reviews [1 ]. Here is why passive methods fall short: They create an illusion of mastery without genuine retrieval. Reading again does not reliably strengthen the neural pathways needed for recall during exams. Australian guidance for registrars encourages techniques that actively test memory and distribute practice across time to improve retention and exam readiness [1 ]. Given the RACGP exams’ breadth and depth, relying only on passive study increases the risk of forgetting. To prepare effectively, you need methods that actively strengthen memory and are embedded in Australian GP training supports [1 ]. What is Active Recall and Why Does it Work? Active recall means testing your memory by retrieving information without prompts. It strengthens the pathways that support long term retention and improves your ability to apply knowledge under pressure. Australian registrar resources and RACGP support modules encourage candidates to practise with questions, debrief answers, and focus on retrieval based learning because it aligns with exam day demands [2 ,3 ,4 ]. Practical active recall methods suitable for RACGP exam preparation include: Practice questions - Regular, timed question practice mirrors the AKT and KFP. RACGP provides Self Assessment Progress Tests, each with 50 AKT questions and 20 KFP questions drawn from previous exam materials and new items, so you can practise authentic formats and receive rationale based feedback [2 ]. For a timing blueprint and stamina building ideas, see our RACGP exam timing and strategy resources . Flashcards - Use concise, high yield prompts for guidelines, diagnostic criteria, red flags, and first line management. Digital systems can schedule cards for you so you revisit items at the right time. This turns bite sized retrieval into a daily habit recommended in Australian study skills guidance [1 ]. Teaching and explaining - Teach a topic to a peer, or speak it out loud. Explaining antenatal visit schedules, chest pain workup, or childhood immunisation sequences without notes exposes gaps and strengthens recall, a technique encouraged in RACGP support modules and registrar study tips [3 ,4 ]. Brain dump technique - Close notes and write everything you remember on a topic, for example asthma stepwise management or type 2 diabetes annual cycle of care. Compare to guidelines, then turn misses into flashcards and schedule reviews. This pairs retrieval with a concrete improvement loop supported by registrar study guidance [1 ,4 ]. How Spaced Repetition Deeply Embeds Clinical Knowledge Spacing works best when it is structured and deliberate. Set review points for every topic you add to your plan, then keep those appointments. Australian registrar resources recommend distributing practice and using scheduled retrieval to convert new knowledge into stable memory over weeks and months [1 ,5 ]. A practical spacing outline for asthma management: Day 0 (Initial learning): Study the guideline, then immediately recall key steps from memory. Day 1: Short recall session to reinforce the pathway. Day 4: Retrieve the indications for oral corticosteroids, device technique points, and safety net advice. Week 2: Retrieve investigation and referral triggers, common pitfalls, and written action plan essentials. Week 4: Retrieve the whole pathway, then test with mixed questions. This structured repetition keeps critical RACGP exam topics accessible, building both confidence and speed on exam day [1 ,5 ]. Practical RACGP Exam Study Tips and Best Practices Additional strategies that complement retrieval and spacing: Start early and stay consistent Begin a structured plan at least 6 months before exams so you can distribute practice, run full mocks, and cycle reviews with less stress. This timeframe aligns with Australian registrar study advice and allows repeated coverage of high yield areas [4 ]. Use technology wisely Combine a question source with a flashcard system that schedules reviews. Australian registrar study resources promote organised, timed practice and spaced retrieval to drive retention [1 ,4 ]. Regular mock exams Complete timed AKT and KFP mocks and debrief your answers. RACGP support resources include self assessment tests and exam technique modules to help you practise under realistic conditions and review rationale based feedback [2 ,3 ]. Focus on understanding and application Go beyond recognition. Practise explaining why a management step is indicated, and write concise KFP style answers. Australian guidance emphasises clinical reasoning alongside knowledge recall [3 ,4 ]. Systematic error review Keep an error log, convert misses to flashcards, and schedule extra reviews. This turns mistakes into high value retrieval prompts in line with registrar study guidance [1 ,4 ] Prioritise personal wellness Sleep, short breaks, and routine exercise support memory consolidation and performance. Build rest into your plan so spacing remains sustainable across months of preparation [1 ,4 ]. For more detailed timing strategies and planning templates , see our RACGP exam timing and strategy resources. Frequently Asked Questions 1. How to Study for the RACGP Exams Using Active Recall and Spaced Repetition Active recall is testing your knowledge without looking at notes, while spaced repetition means revisiting topics at increasing intervals to strengthen memory. Both techniques are evidence based and widely recommended in Australian GP training [1 ,2 ,3 ,5 ]. Combine daily question practice, short flashcard sessions, and reviews scheduled at 1, 3, 7, and 14 days, then monthly, to reinforce what you have learned and retain it until exam day. 2. How to Practise Active Recall and Spaced Repetition Use an integrated system: Learn a topic such as asthma management, then close your notes and recall it aloud. Review that topic after 1, 3, 7, and 14 days, then monthly. Use flashcards or digital tools to schedule sessions automatically. Debrief after each RACGP practice test to convert errors into flashcards. Australian registrar study guides confirm that retrieval and distributed review improve exam performance and long term retention [1 ,3 ,4 ]. 3. What Is the 2-5-7 Study Method The 2-5-7 pattern is a version of spacing where you review a topic on day 2, day 5, and day 7 after first learning it. It is a simple way to introduce spacing principles without complex scheduling. The General Practice Supervisors Australia (GPSA) Study Skills Guide confirms that spreading reviews over multiple sessions consolidates learning far better than one long study block [1 ,5 ]. 4. How to Study with Spaced Repetition Set up a calendar or flashcard program that reminds you when topics are due. Start with short intervals between reviews and gradually extend them as recall improves. Australian educational research shows that spacing study sessions builds strong, durable memory networks, helping you remember clinical content across large curricula [1 ,5 ]. 5. What Is the Active Recall Method of Studying Active recall means generating answers from memory rather than rereading information. This can involve writing management steps for chest pain or explaining a differential diagnosis to a colleague without prompts. The method is central to RACGP study because exams like the AKT and KFP demand retrieval and reasoning, not simple recognition [2 ,3 ,4 ]. Combining Active Recall with Spaced Repetition for Effective RACGP Exam Preparation Active recall helps you learn, spacing helps you keep what you learned. Using both together creates a resilient preparation cycle. Australian registrar and RACGP supports encourage candidates to practise with questions, reflect, and plan distributed review across the study period to improve performance [1 ,2 ,3 ,4 ,5 ]. To combine them effectively: Engage in retrieval every study day, for example questions, flashcards, or teaching . Schedule topic reviews at increasing intervals and honour the calendar. Revisit complex areas more often, for example paediatrics dermatology, antenatal care, or ECG interpretation, until recall is reliable. By integrating both methods you build memory durability and exam technique in line with Australian GP training guidance [1 ,2 ,3 ,4 ,5 ]. What is Spaced Repetition and Why Does it Work? Spaced repetition means you revisit material at increasing intervals. Australian education and registrar guidance describe spaced retrieval as a practical way to consolidate learning in long term memory so information remains available for application in clinic and in exams [1 ,5 ]. It works because you refresh knowledge just before it fades, which strengthens memory more than massed review. Key benefits of spacing in the RACGP context: Reviews are timed to reinforce memory when it matters most [1 ,5 ]. Intervals lengthen as recall improves, which builds durable retention across the curriculum [1 ,5 ]. It keeps guidelines and core pathways accessible for exam day and daily practice [1 ,5 ]. A simple starter plan for a topic such as hypertension guidelines : Initial learning (Day 0) First review after 1 day Second review after 3 days Third review after 7 days Fourth review after 14 days Each spaced review strengthens recall and reduces forgetting, so details remain available when you need them [1 ,5 ]. If RACGP exam preparation feels overwhelming, Fellow Academy offers clear, structured support. Our carefully crafted AKT and KFP question banks , concise comprehensive exam notes, and evidence based flashcards help you study smarter, not harder, and confidently pass RACGP exams. Explore free webinars, detailed guides, and structured case packs to guide you from plan to performance. Your success matters to us, and we are committed to supporting 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. 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. 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] General Practice Supervisors Australia. 2025. Study Skills Guide for GP Registrars, Studying Smarter, Not Harder, Version 8. GPSA. https://gpsa.org.au/wp-content/uploads/2025/01/Guide_Study-Skills_V8.pdf [2] Royal Australian College of General Practitioners. 2025. Exam planning, start here, Self Assessment Progress Tests. RACGP. https://www.racgp.org.au/education/fracgp-exams/preparing-for-exams/exam-planning-start-here [3] Royal Australian College of General Practitioners. 2025. Exam Support Program resources, Exam Support Online modules. RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-support-program-resources [4] General Practice Registrars Australia. 2025. Study tips for GP trainees. GPRA. https://gpra.org.au/exams/study-tips/ [5] Australian Education Research Organisation. 2021. Spacing and retrieval practice guide. AERO. https://www.edresearch.edu.au/guides-resources/practice-guides/spacing-and-retrieval-practice-guide-full-publication RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary Effective RACGP exam preparation is not about studying harder, it is about studying smarter. The methods you choose directly influence how well you retain critical clinical information. Active recall and spaced repetition are evidence based techniques used in Australian GP training to strengthen memory and improve performance. In this post, you will see why passive study often fails, how active recall and spacing work, and practical ways to apply both. You will also find actionable RACGP exam study tips to help you confidently pass RACGP exams. Why Traditional Study Methods Fail in RACGP Exam Preparation Traditional methods like reading again, reading textbooks, or highlighting notes rarely lead to lasting retention. Although these approaches can feel productive, Australian training guidance for GP registrars emphasises that passive methods underperform compared with strategies that require you to retrieve information and space your reviews [1 ]. Here is why passive methods fall short: They create an illusion of mastery without genuine retrieval. Reading again does not reliably strengthen the neural pathways needed for recall during exams. Australian guidance for registrars encourages techniques that actively test memory and distribute practice across time to improve retention and exam readiness [1 ]. Given the RACGP exams’ breadth and depth, relying only on passive study increases the risk of forgetting. To prepare effectively, you need methods that actively strengthen memory and are embedded in Australian GP training supports [1 ]. What is Active Recall and Why Does it Work? Active recall means testing your memory by retrieving information without prompts. It strengthens the pathways that support long term retention and improves your ability to apply knowledge under pressure. Australian registrar resources and RACGP support modules encourage candidates to practise with questions, debrief answers, and focus on retrieval based learning because it aligns with exam day demands [2 ,3 ,4 ]. Practical active recall methods suitable for RACGP exam preparation include: Practice questions - Regular, timed question practice mirrors the AKT and KFP. RACGP provides Self Assessment Progress Tests, each with 50 AKT questions and 20 KFP questions drawn from previous exam materials and new items, so you can practise authentic formats and receive rationale based feedback [2 ]. For a timing blueprint and stamina building ideas, see our RACGP exam timing and strategy resources . Flashcards - Use concise, high yield prompts for guidelines, diagnostic criteria, red flags, and first line management. Digital systems can schedule cards for you so you revisit items at the right time. This turns bite sized retrieval into a daily habit recommended in Australian study skills guidance [1 ]. Teaching and explaining - Teach a topic to a peer, or speak it out loud. Explaining antenatal visit schedules, chest pain workup, or childhood immunisation sequences without notes exposes gaps and strengthens recall, a technique encouraged in RACGP support modules and registrar study tips [3 ,4 ]. Brain dump technique - Close notes and write everything you remember on a topic, for example asthma stepwise management or type 2 diabetes annual cycle of care. Compare to guidelines, then turn misses into flashcards and schedule reviews. This pairs retrieval with a concrete improvement loop supported by registrar study guidance [1 ,4 ]. How Spaced Repetition Deeply Embeds Clinical Knowledge Spacing works best when it is structured and deliberate. Set review points for every topic you add to your plan, then keep those appointments. Australian registrar resources recommend distributing practice and using scheduled retrieval to convert new knowledge into stable memory over weeks and months [1 ,5 ]. A practical spacing outline for asthma management: Day 0 (Initial learning): Study the guideline, then immediately recall key steps from memory. Day 1: Short recall session to reinforce the pathway. Day 4: Retrieve the indications for oral corticosteroids, device technique points, and safety net advice. Week 2: Retrieve investigation and referral triggers, common pitfalls, and written action plan essentials. Week 4: Retrieve the whole pathway, then test with mixed questions. This structured repetition keeps critical RACGP exam topics accessible, building both confidence and speed on exam day [1 ,5 ]. 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. How to Study for the RACGP Exams Using Active Recall and Spaced Repetition Active recall is testing your knowledge without looking at notes, while spaced repetition means revisiting topics at increasing intervals to strengthen memory. Both techniques are evidence based and widely recommended in Australian GP training [1 ,2 ,3 ,5 ]. Combine daily question practice, short flashcard sessions, and reviews scheduled at 1, 3, 7, and 14 days, then monthly, to reinforce what you have learned and retain it until exam day. 2. How to Practise Active Recall and Spaced Repetition Use an integrated system: Learn a topic such as asthma management, then close your notes and recall it aloud. Review that topic after 1, 3, 7, and 14 days, then monthly. Use flashcards or digital tools to schedule sessions automatically. Debrief after each RACGP practice test to convert errors into flashcards. Australian registrar study guides confirm that retrieval and distributed review improve exam performance and long term retention [1 ,3 ,4 ]. 3. What Is the 2-5-7 Study Method The 2-5-7 pattern is a version of spacing where you review a topic on day 2, day 5, and day 7 after first learning it. It is a simple way to introduce spacing principles without complex scheduling. The General Practice Supervisors Australia (GPSA) Study Skills Guide confirms that spreading reviews over multiple sessions consolidates learning far better than one long study block [1 ,5 ]. 4. How to Study with Spaced Repetition Set up a calendar or flashcard program that reminds you when topics are due. Start with short intervals between reviews and gradually extend them as recall improves. Australian educational research shows that spacing study sessions builds strong, durable memory networks, helping you remember clinical content across large curricula [1 ,5 ]. 5. What Is the Active Recall Method of Studying Active recall means generating answers from memory rather than rereading information. This can involve writing management steps for chest pain or explaining a differential diagnosis to a colleague without prompts. The method is central to RACGP study because exams like the AKT and KFP demand retrieval and reasoning, not simple recognition [2 ,3 ,4 ]. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next

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Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now RACGP CCE: What It Is, Who Sits It, and How It’s Assessed Last updated: November 2025 Buy Now RACGP CCE: What It Is, Who Sits It, and How It’s Assessed Last updated: November 2025 Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP The Clinical Competency Exam is the final gateway to Fellowship, and the RACGP CCE: What It Is, Who Sits It, and How It’s Assessed has become the defining milestone for every aspiring GP in Australia. Whether you are an AGPT registrar, an IMG navigating a new health system, or a doctor completing the Practice Experience Program, the CCE is the moment where your training, reasoning, empathy, and professionalism are evaluated in one carefully structured assessment. For many doctors, the CCE feels significant because it tests not only competence but readiness. It assesses whether you can listen with intention, communicate with clarity, and take confident action while juggling time, uncertainty, and patient emotion. This guide offers a warm, practical walkthrough of the exam, explaining exactly what it involves, who sits it, how it is marked, and what has changed since the OSCE era. What Is the RACGP Clinical Competency Exam, and how does the RACGP CCE: What It Is, Who Sits It, and How It’s Assessed shape readiness The RACGP Clinical Competency Exam is the final clinical examination that determines whether a doctor can safely practise unsupervised in general practice. It evaluates applied knowledge, clinical reasoning, professional judgement, and patient centred communication. It was introduced in 2021 as a replacement for the OSCE and the interim Remote Clinical Exam and was designed to more accurately replicate the complexity of real clinical encounters in Australian general practice [1 ,3 ]. The CCE is delivered via Zoom and presents candidates with realistic general practice scenarios. These cases reflect the diversity of Australian communities and require candidates to apply guidelines, demonstrate clear reasoning, and communicate safely and respectfully. The shift to Zoom also allows the exam to be delivered consistently across all training pathways, particularly supporting IMGs who may not live near major exam centres [1 ]. To help you picture the scenarios the CCE aims to simulate, consider these examples: A young adult presenting with vague chest discomfort where anxiety and cardiac red flags overlap. A new parent bringing in a baby with fever, expressing fear influenced by online misinformation. An older patient reporting functional decline and shortness of breath, with complex multimorbidity requiring stepwise reasoning. A patient with depression who is reluctant to begin pharmacological treatment and needs skilled motivational interviewing techniques. A patient from an Aboriginal or Torres Strait Islander background requiring culturally safe care and respectful rapport building. The goal is not only to judge your answers, but to observe how you think, speak, and make decisions in the moment. The RACGP explicitly states that CCE scenarios are designed to reflect real GP consultations, capturing the complexities that define general practice in Australia [1 ,3 ]. For CCE study techniques and guidance, see our curated CCE resources for structure, marking criteria, and timing strategies . Who Needs to Sit the RACGP CCE, IMGs, PEP, FSP, AGPT The CCE is required for every doctor seeking Fellowship of the RACGP, regardless of training pathway. This ensures that all doctors entering the Australian GP workforce meet the same safety and competency standards. According to RACGP Fellowship eligibility criteria, candidates must be in an eligible pathway and meet exam requirements before attempting the clinical exam [2 ]. AGPT registrars must complete the CCE as part of their formal GP training [2 ]. Doctors in the Practice Experience Program Standard Stream must pass all Fellowship exams including the CCE [2 ]. Doctors in the Fellowship Support Program require the CCE to obtain Fellowship recognition [2 ]. IMGs working through any recognised RACGP pathway also complete the CCE as the final step in demonstrating competency for independent practice [2 ]. In addition, candidates must have already passed the Applied Knowledge Test and the Key Feature Problem exam before sitting the CCE. This structure ensures that the CCE focuses on applied performance and communication rather than knowledge recall alone [2 ]. The performance statistics published by the RACGP reflect the importance of first time preparation: Overall pass rate: 85 percent [4 ]. First attempt pass rate: 90.09 percent [4 ]. Second attempt pass rate: 64.37 percent [4 ]. Third attempt pass rate: 57.89 percent [4 ]. Fourth or subsequent attempts: 27.78 percent [4 ]. These numbers highlight that initial preparation is critical. The consistent decline in pass rates across repeated attempts underscores the advantage of approaching the first sitting with structured, deliberate practice and strong supervisor guidance. Doctors preparing for the CCE can deepen their preparation by reading our exam timing frameworks and clinical reasoning modules for exam day performance calibration, including safe pacing and verbalisation strategies. How the RACGP CCE Is Marked The CCE uses a criterion referenced marking system, meaning you are assessed against defined standards rather than competing with other candidates. Examiners score cases according to how effectively you demonstrate core competencies expected of a new Fellow. Each case uses a structured rubric with a 4 point scale that ranges from competency not demonstrated to competency fully demonstrated [3 ]. What examiners look for Examiners consider: The clarity of your differential diagnosis and the reasoning behind it. Whether your management plan is aligned with current Australian guidelines, with safe follow up and safety netting. Your ability to communicate sensitively, particularly with anxious or vulnerable patients. Safe prescribing practices including explanation of medication effects and monitoring plans. Professional behaviour such as maintaining boundaries, noting red flags, and closing consultations with clear next steps. These statistics are essential for understanding exam readiness and underscore the value of deliberate practice, supervisor feedback, and structured exam training. Candidates preparing for the CCE can explore our internal guide on performance based marking , with annotated station transcripts and timing drills to build consistency across all cases. Frequently Asked Questions (FAQ) 1. What exactly does the RACGP CCE test? The CCE tests clinical reasoning , communication, professional judgement, and safe clinical management. It evaluates real world GP capability and readiness for independent practice in Australia, aligning with the RACGP curriculum and examiner rubrics that sample these competencies across multiple cases [3 ]. 2. Who must sit the RACGP CCE? All doctors pursuing RACGP Fellowship, including AGPT registrars, PEP Standard Stream participants, FSP candidates, and IMGs, must complete the CCE as part of their Fellowship pathway. Eligibility rules specify pathway enrolment and prerequisite exam requirements before clinical exam enrolment [2 ]. 3. How is the RACGP CCE structured? The RACGP CCE consists of 9 cases, 4 examiner led discussions and 5 patient role player consultations across 2 exam days. Each case lasts 15 minutes plus 5 minutes of preparation time. The whole exam is delivered online via Zoom with allocated sessions communicated in advance [1 ]. 4. What is the pass rate for the RACGP CCE? The RACGP reports an overall pass rate of 85 percent [4 ]. First attempt pass rate of 90.09 percent [4 ]. Second attempt pass rate of 64.37 percent [4 ]. Third attempt pass rate of 57.89 percent [4 ]. Fourth or later attempts at 27.78 percent [4 ]. These figures demonstrate the importance of a strong first sitting. 5. What major changes occurred from OSCE to CCE? The CCE replaced the OSCE by shifting to online delivery, reducing station number from 14 to 9, adding examiner led discussions, and adopting competency based marking to reflect deeper assessment of reasoning and communication. These updates were introduced to align the assessment with current practice and to ensure robust sampling of clinical competence [5 ,3 ]. What Has Changed from OSCE to CCE The shift from OSCE to CCE marked a significant evolution in RACGP assessment. The CCE was designed to capture deeper clinical reasoning, patient centred communication, and professional decision making not easily assessed in short OSCE stations. This change is documented in RACGP and newsGP communications that outlined the rationale and intended benefits of the new format [3 ,5 ]. Key differences reported in official RACGP updates OSCE required attendance at exam centres, whereas the CCE is delivered online, supporting consistent access across Australia [1 ,5 ]. OSCE used 14 short cases, while the CCE uses 9 extended cases, allowing more depth of reasoning and patient centred management [5 ,1 ]. OSCE relied heavily on checklists, while the CCE focuses on competency based rubric scoring that captures clinical reasoning quality [3 ]. The CCE includes examiner led discussions that test clinical thinking explicitly, without the need for a role player, which broadens the sampling of competencies [1 ,3 ]. The CCE emphasises holistic, contextual, and culturally safe care in alignment with modern general practice and current curriculum expectations [3 ]. This update was particularly important given the expansion of telehealth, changes in Australian general practice, and the increased emphasis on reasoning, documentation, and safety netting. The CCE format ensures that candidates are assessed on competencies that directly align with contemporary GP expectations. For further comparison between structures and to plan your practice schedule, read our OSCE to CCE transition resource with a week by week rehearsal plan and simulated circuit checklists. CCE Structure, Stations, Timing, Domains The RACGP CCE consists of 9 clinical scenarios delivered over 2 separate days through Zoom. These scenarios represent common general practice presentations, ensuring candidates demonstrate multiple competencies reflective of daily practice. Each case includes 15 minutes for the consultation and 5 minutes of reading time prior to the encounter. These delivery details and timings are defined in current RACGP guidance [1 ,3 ]. Core structure 9 cases total [1 ]. 4 examiner led case discussions [1 ]. 5 clinical encounters with a role player [1 ]. 15 minutes for each consultation [1 ]. 5 minutes of reading time prior to each case [1 ]. 2 separate exam days, usually 1 week apart, delivered online via Zoom [1 ]. Each scenario is designed to assess nuanced competencies across the RACGP teaching domains, which include communication, applied knowledge, public health awareness, professionalism, and organisational or legal understanding. These domains and related competencies are set out in the CCE candidate materials and curriculum mapping documents [3 ]. Realistic pressures represented in the exam General practice is known for time pressure, patient variation, and unpredictable complexity. The CCE replicates that through scenarios such as: A patient presenting with abdominal pain where red flags must be excluded within tight time limits. Management of chronic disease complications during a consultation that begins with a completely different agenda. Addressing medication safety when a patient has confusion about dosage or experiences new side effects. Providing shared decision making discussions for antidepressant initiation where patient hesitancy requires careful reassurance. Domains assessed in every case The CCE assesses competence across: Communication and rapport building. Clinical data gathering and reasoning. Management planning and shared decision making. Professionalism and ethical conduct. Organisational responsibilities including documentation and follow up. These domains are mapped closely to the RACGP Curriculum and Syllabus for Australian General Practice and are explicitly referenced in the CCE candidate guidance and examiner marking information [3 ]. If preparation feels stressful or unclear, Fellow Academy can support you with high quality AKT and KFP questions , comprehensive and concise exam notes , evidence based flashcards, and free KFP case packs and webinars to help you study with clarity and confidence. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners. It is intended as general study guidance based on experience 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. It is intended as general study guidance based on experience and should not be taken as official RACGP advice. References [1] Royal Australian College of General Practitioners. (2025, July 3). Clinical Competency Exam, CCE, format and delivery. East Melbourne, VIC, RACGP. https://www.racgp.org.au/getattachment/cb2a167e-a466-4f73-8f3b-f98d35f2e8e6/CCE-candidate-technical-guidelines.aspx [2] Royal Australian College of General Practitioners. (2025, May 27). Fellowship exam eligibility requirements, AKT, KFP, CCE. East Melbourne, VIC, RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-enrolment-instructions/exam-eligibility [3] Royal Australian College of General Practitioners. (2023, August 10). CCE candidate guidelines, format, marking, competencies. East Melbourne, VIC, RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/clinical-competency-exam-cce [4] Liotta, M. (2022, August 5). RACGP clinical exam report released. newsGP, Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/racgp/racgp-clinical-exam-report-released [5] Woodley, M. (2020, May 6). RACGP to replace OSCE with new clinical exam from 2021. newsGP, Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/racgp/racgp-to-replace-osce-with-new-clinical-exam-from RACGP Exam Mistakes: Common Pitfalls That Stop Candidates Passing the RACGP Exams AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) 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 Next Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner | Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP Summary The Clinical Competency Exam is the final gateway to Fellowship, and the RACGP CCE: What It Is, Who Sits It, and How It’s Assessed has become the defining milestone for every aspiring GP in Australia. Whether you are an AGPT registrar, an IMG navigating a new health system, or a doctor completing the Practice Experience Program, the CCE is the moment where your training, reasoning, empathy, and professionalism are evaluated in one carefully structured assessment. For many doctors, the CCE feels significant because it tests not only competence but readiness. It assesses whether you can listen with intention, communicate with clarity, and take confident action while juggling time, uncertainty, and patient emotion. This guide offers a warm, practical walkthrough of the exam, explaining exactly what it involves, who sits it, how it is marked, and what has changed since the OSCE era. What Is the RACGP Clinical Competency Exam, and how does the RACGP CCE: What It Is, Who Sits It, and How It’s Assessed shape readiness The RACGP Clinical Competency Exam is the final clinical examination that determines whether a doctor can safely practise unsupervised in general practice. It evaluates applied knowledge, clinical reasoning, professional judgement, and patient centred communication. It was introduced in 2021 as a replacement for the OSCE and the interim Remote Clinical Exam and was designed to more accurately replicate the complexity of real clinical encounters in Australian general practice [1 ,3 ]. The CCE is delivered via Zoom and presents candidates with realistic general practice scenarios. These cases reflect the diversity of Australian communities and require candidates to apply guidelines, demonstrate clear reasoning, and communicate safely and respectfully. The shift to Zoom also allows the exam to be delivered consistently across all training pathways, particularly supporting IMGs who may not live near major exam centres [1 ]. To help you picture the scenarios the CCE aims to simulate, consider these examples: A young adult presenting with vague chest discomfort where anxiety and cardiac red flags overlap. A new parent bringing in a baby with fever, expressing fear influenced by online misinformation. An older patient reporting functional decline and shortness of breath, with complex multimorbidity requiring stepwise reasoning. A patient with depression who is reluctant to begin pharmacological treatment and needs skilled motivational interviewing techniques. A patient from an Aboriginal or Torres Strait Islander background requiring culturally safe care and respectful rapport building. The goal is not only to judge your answers, but to observe how you think, speak, and make decisions in the moment. The RACGP explicitly states that CCE scenarios are designed to reflect real GP consultations, capturing the complexities that define general practice in Australia [1 ,3 ]. For CCE study techniques and guidance, see our curated CCE resources for structure, marking criteria, and timing strategies . Who Needs to Sit the RACGP CCE, IMGs, PEP, FSP, AGPT The CCE is required for every doctor seeking Fellowship of the RACGP, regardless of training pathway. This ensures that all doctors entering the Australian GP workforce meet the same safety and competency standards. According to RACGP Fellowship eligibility criteria, candidates must be in an eligible pathway and meet exam requirements before attempting the clinical exam [2 ]. AGPT registrars must complete the CCE as part of their formal GP training [2 ]. Doctors in the Practice Experience Program Standard Stream must pass all Fellowship exams including the CCE [2 ]. Doctors in the Fellowship Support Program require the CCE to obtain Fellowship recognition [2 ]. IMGs working through any recognised RACGP pathway also complete the CCE as the final step in demonstrating competency for independent practice [2 ]. In addition, candidates must have already passed the Applied Knowledge Test and the Key Feature Problem exam before sitting the CCE. This structure ensures that the CCE focuses on applied performance and communication rather than knowledge recall alone [2 ]. The performance statistics published by the RACGP reflect the importance of first time preparation: Overall pass rate: 85 percent [4 ]. First attempt pass rate: 90.09 percent [4 ]. Second attempt pass rate: 64.37 percent [4 ]. Third attempt pass rate: 57.89 percent [4 ]. Fourth or subsequent attempts: 27.78 percent [4 ]. These numbers highlight that initial preparation is critical. The consistent decline in pass rates across repeated attempts underscores the advantage of approaching the first sitting with structured, deliberate practice and strong supervisor guidance. Doctors preparing for the CCE can deepen their preparation by reading our exam timing frameworks and clinical reasoning modules for exam day performance calibration, including safe pacing and verbalisation strategies. How the RACGP CCE Is Marked The CCE uses a criterion referenced marking system, meaning you are assessed against defined standards rather than competing with other candidates. Examiners score cases according to how effectively you demonstrate core competencies expected of a new Fellow. Each case uses a structured rubric with a 4 point scale that ranges from competency not demonstrated to competency fully demonstrated [3 ]. What examiners look for Examiners consider: The clarity of your differential diagnosis and the reasoning behind it. Whether your management plan is aligned with current Australian guidelines, with safe follow up and safety netting. Your ability to communicate sensitively, particularly with anxious or vulnerable patients. Safe prescribing practices including explanation of medication effects and monitoring plans. Professional behaviour such as maintaining boundaries, noting red flags, and closing consultations with clear next steps. These statistics are essential for understanding exam readiness and underscore the value of deliberate practice, supervisor feedback, and structured exam training. Candidates preparing for the CCE can explore our internal guide on performance based marking , with annotated station transcripts and timing drills to build consistency across all cases. 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 (FAQ) 1. What exactly does the RACGP CCE test? The CCE tests clinical reasoning , communication, professional judgement, and safe clinical management. It evaluates real world GP capability and readiness for independent practice in Australia, aligning with the RACGP curriculum and examiner rubrics that sample these competencies across multiple cases [3 ]. 2. Who must sit the RACGP CCE? All doctors pursuing RACGP Fellowship, including AGPT registrars, PEP Standard Stream participants, FSP candidates, and IMGs, must complete the CCE as part of their Fellowship pathway. Eligibility rules specify pathway enrolment and prerequisite exam requirements before clinical exam enrolment [2 ]. 3. How is the RACGP CCE structured? The RACGP CCE consists of 9 cases, 4 examiner led discussions and 5 patient role player consultations across 2 exam days. Each case lasts 15 minutes plus 5 minutes of preparation time. The whole exam is delivered online via Zoom with allocated sessions communicated in advance [1 ]. 4. What is the pass rate for the RACGP CCE? The RACGP reports an overall pass rate of 85 percent [4 ]. First attempt pass rate of 90.09 percent [4 ]. Second attempt pass rate of 64.37 percent [4 ]. Third attempt pass rate of 57.89 percent [4 ]. Fourth or later attempts at 27.78 percent [4 ]. These figures demonstrate the importance of a strong first sitting. 5. What major changes occurred from OSCE to CCE? The CCE replaced the OSCE by shifting to online delivery, reducing station number from 14 to 9, adding examiner led discussions, and adopting competency based marking to reflect deeper assessment of reasoning and communication. These updates were introduced to align the assessment with current practice and to ensure robust sampling of clinical competence [5 ,3 ]. 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. 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 AKT Exam Preparation: Study Strategies That Work AKT vs KFP: Which RACGP Exam Is Harder (and How to Prepare for Both) Which exam are you sitting next?* AKT only KFP only Both AKT and KFP Next