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- How to Choose the Right GP Exam Academy (and Why Structure Matters) | Fellow Academy (Formerly PassRACGP)
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 Right GP Exam Academy (and Why Structure Matters) Last updated: November 2025 Buy Now How to Choose the Right GP Exam Academy (and Why Structure Matters) 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 right GP exam academy can be the difference between confidently achieving your RACGP Fellowship and facing unnecessary setbacks. In this comprehensive guide, I will explain exactly what features a high quality GP exam academy should offer, highlight why structured study significantly impacts your RACGP exam success, and demonstrate how Fellow Academy specifically supports IMGs to achieve exam excellence. I understand the anxiety and uncertainty you are likely feeling about these pivotal exams. You might worry about wasting valuable time, repeating exams unnecessarily, or struggling to balance your study with clinical duties. For example, RACGP reporting shows that first time KFP candidates can achieve strong results, yet performance drops with repeat sittings. A recent RACGP news cycle reported first time KFP pass rates of 83.8%, with performance falling to 48.6% on second attempts and 19% by fourth attempts [1 ]. Choosing a structured, reliable GP exam academy early in your preparation journey dramatically improves your chances of passing exams confidently and efficiently. What a GP Exam Academy Should Actually Give You A truly effective GP exam academy provides structured, comprehensive support that covers every aspect of the RACGP exams, AKT, KFP and CCE . It ensures thorough curriculum coverage, effective revision methods, realistic practice, and personalised guidance. Look for these essential features when choosing your academy: Complete curriculum coverage: A structured academy ensures systematic revision of both clinical medicine and often overlooked areas such as Aboriginal and Torres Strait Islander health, ethics, and practice management. The AKT format is officially 150 single best answer questions with a total of 4 hours test time, 3.5 hours plus 30 minutes universal allowance, which underscores the breadth and pacing required [2 ]. Comprehensive coverage is critical to passing on the first attempt. Clearly structured study plans: RACGP guidance emphasises planned, structured preparation using endorsed exam handbooks and the AKT and KFP Guide. Many candidates benefit from a staged plan across several months. Aim for a sustained plan, often around 6 months for complete coverage, and align your resources with RACGP exam guides and calendars [2 ],[9 ]. Active recall methods: Passive lecture based learning is less efficient for long term retention. Prioritise active recall and spaced practice using flashcards, question banks, and timed drills. If you currently rely mainly on lectures, convert that time into question driven sessions and spaced repetition reviews. Realistic exam practice: High quality academies provide AKT single best answer items for timed sets, KFP multiple selection questions structured as per the current guide, and CCE case discussions and clinical encounters that mirror RACGP exam design [2 ],[3 ],[6 ]. Personalised mentorship: As repeat sittings are associated with falling pass rates, 83.8% down to 48.6% then 19% across attempts in one RACGP news cycle, targeted feedback and mentor review can protect against common errors and help you course correct earlier [1 ]. Dedicated IMG support: IMGs make up a large portion of the GP workforce in Australia. AIHW estimates indicate that 42% of GPs were internationally trained in 2022, which highlights the need for IMG specific guidance on Australian prescribing norms, PBS, and context driven exam preparation [4 ]. Explore further insights in our comprehensive Fellow Academy RACGP exam preparation tips guide for staged planning and checklists. Lectures vs Organised Notes vs Flashcards: Finding the Right Study Mix Successfully passing RACGP exams requires balancing several methods, lectures, organised notes, and flashcards, tailored to your busy GP trainee schedule. Each method brings different strengths: Lectures: Useful for first pass concept building and listening to expert framing, but alone they are not sufficient for the decision making and time pressure in AKT, KFP, and CCE. Organised notes: Concise, guideline aligned notes mapped against the RACGP curriculum help you review systematically across rotations. They also help you translate broad reading into short pre exam refreshers. Flashcards and quizzes: Spaced repetition platforms and timed question sessions build recall speed and exam fluency. Align your decks to RACGP domains and common primary care presentations. Real world GP trainee example: after a demanding clinic session, you may lack energy for long lectures. Instead, run a 30 minute set of AKT single best answer questions, then tag weak topics to your KFP list for a 15 minute spaced review later in the week. For KFP, practise selecting the exact number of responses requested and avoid over selection penalties described in RACGP exam day guidance [5 ]. Discover practical revision strategies in our Fellow Academy structured revision techniques. Why Structure Matters for GP Exam Success Structured study programmes improve RACGP exam success by ensuring comprehensive revision, better retention, effective time management, and reduced anxiety. Here is how structure delivers returns: Systematic syllabus coverage: A mapped schedule prevents you from overlooking topics like ethics, Aboriginal and Torres Strait Islander health, prescribing safety, quality and safety in practice, and practice systems. Align your plan to RACGP exam guides and calendars [2 ],[9 ]. Retention through repetition: Spaced reviews improve recall and reduce decay between study blocks. If you plan to quote numeric retention gains, ensure you use an Australian, peer reviewed medical education source. Time management: Translate large topics into weekly micro goals and track completion. Use timed AKT blocks, KFP sets of 10, and short CCE consultation rehearsals. Anxiety reduction: Visible milestones and periodic mock checks give you clarity and reduce cognitive load in the final month. Targeted feedback: Use mentor or peer review to prioritise weaknesses. Re check these topics in the following cycle. For detailed planning strategies, explore our Fellow Academy study planning resources . FAQ: GP Exam Preparation and Academies 1. What should I look for when choosing a GP exam academy in Australia? Structured, RACGP aligned curriculum mapped to official exam guides [2 ]. Realistic AKT, KFP, and CCE practice aligned to current formats [2 ],[3 ],[6 ]. Proven first attempt outcomes supported by staged planning and mentor review, noting that repeat attempt performance can drop from 83.8% to 48.6% to 19% in one RACGP news cycle [1 ]. Dedicated IMG support with Australian context and PBS literacy [4 ]. 2. How are the AKT, KFP, and CCE exams different, and how do I prepare for each? AKT, 150 single best answer items in 4 hours [2 ]. Recent RACGP news reported first attempt AKT success around 85.9%, with 31% at fourth attempt [8 ]. KFP, 70 multiple selection questions in 4 hours that assess clinical reasoning and decision making [2 ]. CCE, 9 cases across 2 weekends, sessions up to 3 hours, with performance judged against Fellowship standard [3 ],[6 ]. Prepare with format matched practice and timed rehearsal. 3. Why is a structured study programme important for passing RACGP exams? Structured study ensures complete coverage, protects recall with spaced reviews, and reduces anxiety through clear milestones. Use official RACGP guides to define the weekly scope and calibrate workload [2 ],[9 ]. 4. How can an IMG focused GP exam academy help me as an international medical graduate It addresses Australian prescribing norms, PBS rules, and consultation standards, while providing targeted CCE communication practice. Given that 42% of the GP workforce were internationally trained in 2022, IMG tailored support is essential for parity and confidence [4 ]. 5. Are flashcards and organised notes really more effective than only lectures for GP exam study? Active recall and spaced practice improve durable recall compared with passive review, especially when aligned to RACGP formats and done in short, frequent sessions. If you want to include a numeric improvement figure, ensure it comes from an Australian, peer reviewed medical education source. Why Fellow Academy is Built for IMGs Fellow Academy specifically supports IMGs by directly addressing common gaps and aligning preparation to Australian practice. Workforce data shows that 42% of GPs were internationally trained in 2022, underscoring the scale and the importance of IMG focused support [4 ]. Fellow Academy’s specialised IMG support includes: Australian specific curriculum: Guidance through PBS, Therapeutic Guidelines, and Australian preventive health schedules as they appear in common primary care contexts. Communication skills for the CCE : Focused rehearsal for case discussions and clinical encounters using the Fellow at Fellowship standard rubric language used by examiners [6 ]. Dedicated IMG mentorship: Personalised coaching on consultation structure and safety netting statements commonly scrutinised in Australian general practice. Flexible structured learning: Plans that fit clinic days, visa or family responsibilities, and leave room for late cycle revision sprints. Exam Standard KFP and CCE Questions, Not Simplified MCQs Practising authentic exam standard questions significantly improves your success in RACGP exams. Effective G P exam academy programs deliver practice exactly matching AKT, KFP, and CCE formats. Detailed exam breakdown and corrections aligned to current RACGP guides: AKT: Officially 150 single best answer items in 4 hours total time, 3.5 hours plus 30 minutes universal allowance [2 ]. A recent RACGP news cycle reported first time AKT pass rates of 85.9%, with performance around 31% by the fourth attempt, reinforcing the value of preparing to pass on the first sitting [8 ]. Build speed and accuracy using timed blocks and post set review. KFP: As per the current AKT and KFP Guide, the KFP now comprises 70 multiple selection questions over 4 hours, 3.5 hours plus 30 minutes universal allowance. This format explicitly tests clinical reasoning and decision making using patient vignettes and defined correct options, including penalties for additional answers beyond the requested number [2 ],[5 ]. Practise with realistic stems and carefully count the number requested before selecting. CCE: The CCE is delivered over 2 consecutive weekends, with each session up to 3 hours. Candidates sit 4 case discussions and 5 clinical encounters, totalling 9 cases. There is no minimum number of cases to pass, and performance is judged against Fellowship standard rather than a fixed station pass requirement [3 ],[6 ]. Design your practice around case discussions, clinical encounters, and examiner rubric language. Fellow Academy prioritises realistic practice to build exam day familiarity and confidence. For specific KFP and CCE strategies, visit our Fellow Academy guide to mastering KFP and CCE exam questions, internal link. If you feel overwhelmed by RACGP exam preparation, Fellow Academy offers quality AKT and KFP questions , comprehensive notes, evidence based flashcards, free KFP case packs, webinars, and practical resources to confidently guide your success. 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] Liotta, M. (2024, September 17). Latest FRACGP exam report released. newsGP, Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/racgp/latest-fracgp-exam-report-released [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. (2025). Clinical Competency Exam overview. Page last updated 3 July 2025. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam [4] Australian Institute of Health and Welfare. (2024, July 2). Health workforce. Proportion overseas trained by specialty shows General Practice 42% in 2022. Canberra, ACT: AIHW. https://www.aihw.gov.au/reports/workforce/health-workforce [5] Royal Australian College of General Practitioners. (2025). AKT and KFP information for candidates. Exam day information and marking notes, including guidance on KFP selection. https://www.racgp.org.au/kfp-and-akt-exam-day-information [6] Royal Australian College of General Practitioners. (2023, August 10). Determination of a passing grade in the CCE. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam/candidate-guidelines-for-the-clinical-competency-e/results/determination-of-a-passing-grade [7] Australian Doctor, AusDoc. (2019). IMG disparity in RACGP exam results revealed. Historical context. https://www.ausdoc.com.au/news/img-disparity-racgp-exam-results-revealed [8] Liotta, M. (2025, March 11). Results out for first Fellowship exam of 2025. newsGP, Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/racgp/results-out-for-first-fellowship-exam-of-2025 [9] Royal Australian College of General Practitioners. (2022). Examination Guide. RACGP Exam Support Program resources. https://www.racgp.org.au/education/fracgp-exams/exam-support-program-resources/examination-guide 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 right GP exam academy can be the difference between confidently achieving your RACGP Fellowship and facing unnecessary setbacks. In this comprehensive guide, I will explain exactly what features a high quality GP exam academy should offer, highlight why structured study significantly impacts your RACGP exam success, and demonstrate how Fellow Academy specifically supports IMGs to achieve exam excellence. I understand the anxiety and uncertainty you are likely feeling about these pivotal exams. You might worry about wasting valuable time, repeating exams unnecessarily, or struggling to balance your study with clinical duties. For example, RACGP reporting shows that first time KFP candidates can achieve strong results, yet performance drops with repeat sittings. A recent RACGP news cycle reported first time KFP pass rates of 83.8%, with performance falling to 48.6% on second attempts and 19% by fourth attempts [1 ]. Choosing a structured, reliable GP exam academy early in your preparation journey dramatically improves your chances of passing exams confidently and efficiently. What a GP Exam Academy Should Actually Give You A truly effective GP exam academy provides structured, comprehensive support that covers every aspect of the RACGP exams, AKT, KFP and CCE . It ensures thorough curriculum coverage, effective revision methods, realistic practice, and personalised guidance. Look for these essential features when choosing your academy: Complete curriculum coverage: A structured academy ensures systematic revision of both clinical medicine and often overlooked areas such as Aboriginal and Torres Strait Islander health, ethics, and practice management. The AKT format is officially 150 single best answer questions with a total of 4 hours test time, 3.5 hours plus 30 minutes universal allowance, which underscores the breadth and pacing required [2 ]. Comprehensive coverage is critical to passing on the first attempt. Clearly structured study plans: RACGP guidance emphasises planned, structured preparation using endorsed exam handbooks and the AKT and KFP Guide. Many candidates benefit from a staged plan across several months. Aim for a sustained plan, often around 6 months for complete coverage, and align your resources with RACGP exam guides and calendars [2 ],[9 ]. Active recall methods: Passive lecture based learning is less efficient for long term retention. Prioritise active recall and spaced practice using flashcards, question banks, and timed drills. If you currently rely mainly on lectures, convert that time into question driven sessions and spaced repetition reviews. Realistic exam practice: High quality academies provide AKT single best answer items for timed sets, KFP multiple selection questions structured as per the current guide, and CCE case discussions and clinical encounters that mirror RACGP exam design [2 ],[3 ],[6 ]. Personalised mentorship: As repeat sittings are associated with falling pass rates, 83.8% down to 48.6% then 19% across attempts in one RACGP news cycle, targeted feedback and mentor review can protect against common errors and help you course correct earlier [1 ]. Dedicated IMG support: IMGs make up a large portion of the GP workforce in Australia. AIHW estimates indicate that 42% of GPs were internationally trained in 2022, which highlights the need for IMG specific guidance on Australian prescribing norms, PBS, and context driven exam preparation [4 ]. Explore further insights in our comprehensive Fellow Academy RACGP exam preparation tips guide for staged planning and checklists. Lectures vs Organised Notes vs Flashcards: Finding the Right Study Mix Successfully passing RACGP exams requires balancing several methods, lectures, organised notes, and flashcards, tailored to your busy GP trainee schedule. Each method brings different strengths: Lectures: Useful for first pass concept building and listening to expert framing, but alone they are not sufficient for the decision making and time pressure in AKT, KFP, and CCE. Organised notes: Concise, guideline aligned notes mapped against the RACGP curriculum help you review systematically across rotations. They also help you translate broad reading into short pre exam refreshers. Flashcards and quizzes: Spaced repetition platforms and timed question sessions build recall speed and exam fluency. Align your decks to RACGP domains and common primary care presentations. Real world GP trainee example: after a demanding clinic session, you may lack energy for long lectures. Instead, run a 30 minute set of AKT single best answer questions, then tag weak topics to your KFP list for a 15 minute spaced review later in the week. For KFP, practise selecting the exact number of responses requested and avoid over selection penalties described in RACGP exam day guidance [5 ]. Discover practical revision strategies in our Fellow Academy structured revision techniques. Why Structure Matters for GP Exam Success Structured study programmes improve RACGP exam success by ensuring comprehensive revision, better retention, effective time management, and reduced anxiety. Here is how structure delivers returns: Systematic syllabus coverage: A mapped schedule prevents you from overlooking topics like ethics, Aboriginal and Torres Strait Islander health, prescribing safety, quality and safety in practice, and practice systems. Align your plan to RACGP exam guides and calendars [2 ],[9 ]. Retention through repetition: Spaced reviews improve recall and reduce decay between study blocks. If you plan to quote numeric retention gains, ensure you use an Australian, peer reviewed medical education source. Time management: Translate large topics into weekly micro goals and track completion. Use timed AKT blocks, KFP sets of 10, and short CCE consultation rehearsals. Anxiety reduction: Visible milestones and periodic mock checks give you clarity and reduce cognitive load in the final month. Targeted feedback: Use mentor or peer review to prioritise weaknesses. Re check these topics in the following cycle. For detailed planning strategies, explore our Fellow Academy study planning 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: GP Exam Preparation and Academies 1. What should I look for when choosing a GP exam academy in Australia? Structured, RACGP aligned curriculum mapped to official exam guides [2 ]. Realistic AKT, KFP, and CCE practice aligned to current formats [2 ],[3 ],[6 ]. Proven first attempt outcomes supported by staged planning and mentor review, noting that repeat attempt performance can drop from 83.8% to 48.6% to 19% in one RACGP news cycle [1 ]. Dedicated IMG support with Australian context and PBS literacy [4 ]. 2. How are the AKT, KFP, and CCE exams different, and how do I prepare for each? AKT, 150 single best answer items in 4 hours [2 ]. Recent RACGP news reported first attempt AKT success around 85.9%, with 31% at fourth attempt [8 ]. KFP, 70 multiple selection questions in 4 hours that assess clinical reasoning and decision making [2 ]. CCE, 9 cases across 2 weekends, sessions up to 3 hours, with performance judged against Fellowship standard [3 ],[6 ]. Prepare with format matched practice and timed rehearsal. 3. Why is a structured study programme important for passing RACGP exams? Structured study ensures complete coverage, protects recall with spaced reviews, and reduces anxiety through clear milestones. Use official RACGP guides to define the weekly scope and calibrate workload [2 ],[9 ]. 4. How can an IMG focused GP exam academy help me as an international medical graduate It addresses Australian prescribing norms, PBS rules, and consultation standards, while providing targeted CCE communication practice. Given that 42% of the GP workforce were internationally trained in 2022, IMG tailored support is essential for parity and confidence [4 ]. 5. Are flashcards and organised notes really more effective than only lectures for GP exam study? Active recall and spaced practice improve durable recall compared with passive review, especially when aligned to RACGP formats and done in short, frequent sessions. If you want to include a numeric improvement figure, ensure it comes from an Australian, peer reviewed medical education source. 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
- RACGP Exam Preparation: How to Study Using Active Recall and Spaced Repetition | Fellow Academy (Formerly PassRACGP)
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
- Can You Use GP Academy and Fellow Academy Together? (Yes, Here’s the Stack) | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Can You Use GP Academy and Fellow Academy Together? (Yes, Here’s the Stack) Last updated: November 2025 Buy Now Can You Use GP Academy and Fellow Academy Together? (Yes, Here’s the Stack) 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 If you're preparing for RACGP exams, you might be asking yourself, "Can you use GP Academy and Fellow Academy together?" The short and reassuring answer is yes. Using GP Academy and Fellow Academy in combination for your RACGP exam preparation is a smart move, significantly boosting your chances of passing the exams on your first attempt. In this comprehensive guide, we'll clearly outline how to integrate both resources, focusing on structured teaching, quality practice questions, concise revision notes, flashcards, and a practical 4 week preparation strategy. GP Academy for Initial Teaching and Lectures GP Academy is ideal as your starting point, offering comprehensive lectures and interactive webinars that thoroughly cover the RACGP exam syllabus. It provides a structured, topic by topic approach ideal for trainees who appreciate clear guidance at the outset of their preparation. GP Academy is widely trusted among GP trainees and supervisors across Australia. Some key reasons why GP Academy is highly recommended include: Systematic weekly lectures covering essential RACGP domains, such as chronic disease management, preventive healthcare, acute care scenarios, mental health, women’s health, paediatrics, and rural medicine [5 ]. Clear prioritisation of high yield topics within the RACGP curriculum, significantly reducing confusion and overwhelm. Proven to effectively lower anxiety among candidates by providing a clear, structured learning pathway and building confidence progressively. In short, GP Academy lays the essential groundwork, ensuring you fully grasp core content before jumping into intensive question practice with Fellow Academy. Fellow Academy for High Quality Exam Standard Questions Once you've built your foundational knowledge, Fellow Academy steps in to provide targeted, high quality RACGP practice questions designed specifically to mirror the real exam environment. This resource effectively moves you from foundational knowledge to confident, exam level application. The importance of high quality practice questions cannot be overstated, especially considering recent RACGP exam pass rate statistics: The RACGP AKT 2024.2 exam had an overall pass rate of 82.15% among 829 candidates, with first time candidates achieving a significantly higher pass rate of 91.3%, compared with 72.6% on the second attempt [1 ]. Similarly, for the KFP 2024.2 exam, first attempt pass rates stood at 83.8%, dropping sharply to 48.6% on second attempts and down to just 19.3% by the fourth attempt [2 ]. Clearly, getting it right the first time is crucial, making Fellow Academy's realistic practice questions invaluable. Practical strategies to maximise your use of Fellow Academy questions include: Regularly engaging in timed question sessions that replicate exam conditions. Carefully reviewing detailed explanations provided after each question, enabling you to quickly identify your weaknesses and address them effectively. Keeping track of weaker areas and deliberately revisiting these repeatedly to reinforce understanding and improve exam performance. Official RACGP Exam Facts, AKT, KFP, CCE It helps to anchor your plan to the current official exam parameters. These facts are drawn directly from RACGP pages and guides. AKT delivery and venues: The AKT is delivered face to face in RACGP approved venues in capital cities and selected regional centres [7 ]. AKT and KFP candidate information hub: RACGP hosts a central page for AKT and KFP exam day information and links to official guides [6 ]. AKT and KFP guide: RACGP publishes a consolidated guide that outlines format and preparation details for both exams, candidates should consult the most recent version prior to each sitting [3 , 6 ]. KFP format changes from 2025.2: RACGP announced that from 2025.2 the KFP will consist of 70 scenarios, each with a multiple selection question, with short answer questions removed, the change updates format while maintaining what is assessed [8 ]. CCE structure and timing: The CCE is delivered across two consecutive weekends, with each candidate allocated sessions of up to 3 hours. RACGP publishes session logistics and dates on its official CCE page and enrolment information pages [9 , 10 ]. Study Analytics, Tracking and Review To stay efficient and calm, use simple analytics to guide what you do next. The goal is steady, targeted improvement rather than volume for its own sake. Use item analysis from your practice sets to rank topics by error frequency, revisit the top 5 problem areas twice weekly. Track AKT pacing with a visible timer, aim to hold your average near 96 seconds per item while preserving accuracy. After each KFP practice block, summarise 3 learning points and 1 process tweak, store these in a running revision note. Align weekly targets to the RACGP Curriculum and Syllabus domains so coverage remains comprehensive [5 ]. Cross check your plan against the RACGP exam planning hub to ensure you are using current resources and dates [11 ]. Frequently Asked Questions 1. Can I use GP Academy and Fellow Academy together for RACGP exam preparation Yes, combining GP Academy's structured teaching approach with Fellow Academy's targeted exam questions, concise notes, and flashcards ensures comprehensive and highly effective RACGP exam preparation. 2. How does GP Academy complement Fellow Academy's question bank effectively GP Academy first establishes your essential foundational knowledge clearly. Afterwards, Fellow Academy's RACGP practice questions solidify this understanding by improving your decision making under timed exam conditions, crucial given the substantial difference in AKT first attempt 91.3% and second attempt 72.6% pass rates [1 ]. 3. When should I start using Fellow Academy flashcards Begin integrating Fellow Academy's flashcards after completing initial structured teaching, approximately 2 months into your study. Daily use thereafter significantly enhances retention, supported by evidence showing spaced repetition dramatically boosts memory, Academic Medicine 2025 [4 ]. 4. Does combining GP Academy and Fellow Academy boost first attempt success Absolutely. RACGP data demonstrates that first attempt pass rates for AKT 91.3% and KFP 83.8% far exceed second and subsequent attempts 72.6% and 48.6%, respectively [1 , 2 ]. Thus, combining these two robust resources aligns with successful, evidence based RACGP exam strategies. 5. Are GP Academy and Fellow Academy suitable for IMGs preparing for RACGP exams Yes, both platforms are highly beneficial for International Medical Graduates. GP Academy provides structured content and critical Australian clinical context, while Fellow Academy's high quality exam questions and notes help IMGs quickly adapt and become proficient in Australian RACGP exam standards. 4 Week Integration Plan Before the Exam As the RACGP exam date approaches, having a strategic revision plan is vital. Below is an evidence based, practical 4 week integration strategy to help you effectively combine GP Academy and Fellow Academy resources: Week 4: Refine Weak Areas Complete one full mock exam, AKT and KFP, provided by GP Academy under timed exam conditions. Engage in daily Fellow Academy flashcard sessions for memory enhancement. Week 3: Strengthen Exam Technique Alternate daily between Fellow Academy timed question sets and full length GP Academy mock exams. Aim for AKT question pacing of approximately 96 seconds per question to closely mirror exam conditions. Week 2: Simulate Full Exam Conditions Conduct consecutive AKT and KFP mock exams, ideally back to back, to simulate real exam stamina demands. Practise Clinical Competency Exam, CCE, scenarios using Fellow Academy's structured case frameworks alongside peers or supervisors. Week 1: Consolidate Knowledge and Build Confidence Use analytics from GP Academy and Fellow Academy to pinpoint remaining weaker areas. Focus exclusively on revision via flashcards and structured notes without adding new information. This structured revision strategy is critically important given the RACGP's official pass rate data: KFP exam first time pass rate was 83.8%, which sharply decreased to 48.6% on second attempts and plummeted to 19.3% by the fourth attempt [2 ]. Similarly, the Clinical Competency Exam, CCE, pass rate for the 2024.1 exam cycle was 89.1% for nearly 800 candidates, demonstrating clear benefits of thorough preparation [3 ]. Fellow Academy for Structured Notes and Flashcards Besides high quality questions, Fellow Academy is also widely recognised for its concise and structured RACGP exam notes and innovative flashcards designed around active recall and spaced repetition techniques. This resource is crucial for maintaining long term retention and quick recall during the exam itself. Spaced repetition has strong evidence supporting its effectiveness. For instance, research by Price et al. 2025 found that spaced repetition significantly improved long term retention among physicians, boosting their ability to accurately recall critical clinical information [4 ]. To integrate flashcards and notes into your preparation effectively, you should: Dedicate 10 to 20 minutes daily to using Fellow Academy flashcards, even during short breaks between patients or commutes. Pair your GP Academy lectures immediately with corresponding Fellow Academy flashcards and notes for rapid consolidation. Regularly review structured notes weekly, helping to solidify your long term memory of critical RACGP topics. If RACGP exam preparation feels overwhelming, Fellow Academy provides high quality AKT and KFP practice questions, concise and comprehensive exam notes, and high yield, evidence based flashcards. You will also find free KFP case packs, informative webinars, and practical resources designed specifically for IMGs, guiding you confidently 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] Liotta, M. 2024. RACGP releases final AKT exam report of the year. newsGP, Royal Australian College of General Practitioners, East Melbourne, VIC, RACGP. Available at: https://www1.racgp.org.au/newsgp/racgp/racgp-releases-final-akt-exam-report-of-the-year [2] Royal Australian College of General Practitioners. 2024. 2024.2 KFP public exam report. East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/2024-2-KFP-Public-Exam-Report.pdf [3] Liotta, M. 2024. RACGP celebrates collective effort of recent Clinical Competency Exam cohort, 2024.1. newsGP, Royal Australian College of General Practitioners, East Melbourne, VIC, RACGP. Available at: https://www1.racgp.org.au/newsgp/racgp/racgp-celebrates-collective-effort-of-recent-clini [4] Price, D. W., Miller, E. K., Rahm, A. K., Brace, N. E., and Larson, R. S. 2025. The effect of spaced repetition on learning and knowledge transfer in a large cohort of practising physicians. Academic Medicine, 100, 1, 94 to 102. Available at: https://journals.lww.com/academicmedicine/Fulltext/2025/01000/The_Effect_of_Spaced_Repetition_on_Learning_and.9.aspx [5] Royal Australian College of General Practitioners. 2024. RACGP Curriculum and Syllabus for Australian General Practice. East Melbourne, VIC, RACGP. Available at: https://www.racgp.org.au/education/gps/curriculum-and-syllabus [6] Royal Australian College of General Practitioners. 2025. AKT and KFP information for candidates, exam day information, and links to official guides. RACGP. Available at: https://www.racgp.org.au/kfp-and-akt-exam-day-information [7] Royal Australian College of General Practitioners. 2025. Exam venues for AKT and KFP. RACGP. Available at: https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-enrolment-instructions/exam-venues [8] Wisbey, M. 2024. Key Feature Problem exam changes on the way, from 2025.2. newsGP, RACGP. Available at: https://www1.racgp.org.au/newsgp/racgp/key-feature-problem-exam-changes-on-the-way [9] Royal Australian College of General Practitioners. 2025. Clinical Competency Exam, CCE, overview and logistics. RACGP. Available at: https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam [10] Royal Australian College of General Practitioners. 2025. Exam enrolment information and exam dates. RACGP. Available at: https://www.racgp.org.au/education/fracgp-exams/racgp-exams/exam-enrolment-instructions/enrolment-periods [11] Royal Australian College of General Practitioners. 2025. Exam planning, start here. RACGP. Available at: 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 If you're preparing for RACGP exams, you might be asking yourself, "Can you use GP Academy and Fellow Academy together?" The short and reassuring answer is yes. Using GP Academy and Fellow Academy in combination for your RACGP exam preparation is a smart move, significantly boosting your chances of passing the exams on your first attempt. In this comprehensive guide, we'll clearly outline how to integrate both resources, focusing on structured teaching, quality practice questions, concise revision notes, flashcards, and a practical 4 week preparation strategy. GP Academy for Initial Teaching and Lectures GP Academy is ideal as your starting point, offering comprehensive lectures and interactive webinars that thoroughly cover the RACGP exam syllabus. It provides a structured, topic by topic approach ideal for trainees who appreciate clear guidance at the outset of their preparation. GP Academy is widely trusted among GP trainees and supervisors across Australia. Some key reasons why GP Academy is highly recommended include: Systematic weekly lectures covering essential RACGP domains, such as chronic disease management, preventive healthcare, acute care scenarios, mental health, women’s health, paediatrics, and rural medicine [5 ]. Clear prioritisation of high yield topics within the RACGP curriculum, significantly reducing confusion and overwhelm. Proven to effectively lower anxiety among candidates by providing a clear, structured learning pathway and building confidence progressively. In short, GP Academy lays the essential groundwork, ensuring you fully grasp core content before jumping into intensive question practice with Fellow Academy. Fellow Academy for High Quality Exam Standard Questions Once you've built your foundational knowledge, Fellow Academy steps in to provide targeted, high quality RACGP practice questions designed specifically to mirror the real exam environment. This resource effectively moves you from foundational knowledge to confident, exam level application. The importance of high quality practice questions cannot be overstated, especially considering recent RACGP exam pass rate statistics: The RACGP AKT 2024.2 exam had an overall pass rate of 82.15% among 829 candidates, with first time candidates achieving a significantly higher pass rate of 91.3%, compared with 72.6% on the second attempt [1 ]. Similarly, for the KFP 2024.2 exam, first attempt pass rates stood at 83.8%, dropping sharply to 48.6% on second attempts and down to just 19.3% by the fourth attempt [2 ]. Clearly, getting it right the first time is crucial, making Fellow Academy's realistic practice questions invaluable. Practical strategies to maximise your use of Fellow Academy questions include: Regularly engaging in timed question sessions that replicate exam conditions. Carefully reviewing detailed explanations provided after each question, enabling you to quickly identify your weaknesses and address them effectively. Keeping track of weaker areas and deliberately revisiting these repeatedly to reinforce understanding and improve exam performance. Official RACGP Exam Facts, AKT, KFP, CCE It helps to anchor your plan to the current official exam parameters. These facts are drawn directly from RACGP pages and guides. AKT delivery and venues: The AKT is delivered face to face in RACGP approved venues in capital cities and selected regional centres [7 ]. AKT and KFP candidate information hub: RACGP hosts a central page for AKT and KFP exam day information and links to official guides [6 ]. AKT and KFP guide: RACGP publishes a consolidated guide that outlines format and preparation details for both exams, candidates should consult the most recent version prior to each sitting [3 , 6 ]. KFP format changes from 2025.2: RACGP announced that from 2025.2 the KFP will consist of 70 scenarios, each with a multiple selection question, with short answer questions removed, the change updates format while maintaining what is assessed [8 ]. CCE structure and timing: The CCE is delivered across two consecutive weekends, with each candidate allocated sessions of up to 3 hours. RACGP publishes session logistics and dates on its official CCE page and enrolment information pages [9 , 10 ]. Tools That Make Active Recall Easy Digital tools simplify the process of integrating active recall and spaced repetition into your RACGP exam preparation. Brainscape: Uses adaptive algorithms to determine when you should review each flashcard based on your confidence level. Anki: Allows custom deck creation for topics like PBS rules or emergency management. Quizlet: Offers collaborative decks for study groups. Using these tools allows you to: Review flashcards during commutes or between patients. Automatically revisit topics you’re struggling with. Track progress and identify weak areas. These platforms bring structure to your study plan, ensuring regular reinforcement and better recall. (For time management strategies, see our AKT Study Planner.) How to Combine These Methods for Peak Performance When you combine active recall with spaced repetition, the results are exponential. This combination, known as “spaced retrieval practice”, creates a continuous cycle of learning, forgetting, and relearning that strengthens memory. Start early (at least 6–12 months before your exam). Create flashcards for each guideline or high-yield topic. Use Brainscape or Anki daily to review material in spaced cycles. Schedule mock exams every 3–4 weeks to test your applied knowledge. Research indicates spaced repetition can significantly increase long-term retention, with spaced learners achieving approximately 58% accuracy compared to 43% among traditional learners (p<0.001) [4]. By six months into this method, most candidates report not only improved recall but also better confidence under pressure. You’re no longer scrambling to remember—you’re retrieving information automatically. Frequently Asked Questions 1. Can I use GP Academy and Fellow Academy together for RACGP exam preparation Yes, combining GP Academy's structured teaching approach with Fellow Academy's targeted exam questions, concise notes, and flashcards ensures comprehensive and highly effective RACGP exam preparation. 2. How does GP Academy complement Fellow Academy's question bank effectively GP Academy first establishes your essential foundational knowledge clearly. Afterwards, Fellow Academy's RACGP practice questions solidify this understanding by improving your decision making under timed exam conditions, crucial given the substantial difference in AKT first attempt 91.3% and second attempt 72.6% pass rates [1 ]. 3. When should I start using Fellow Academy flashcards Begin integrating Fellow Academy's flashcards after completing initial structured teaching, approximately 2 months into your study. Daily use thereafter significantly enhances retention, supported by evidence showing spaced repetition dramatically boosts memory, Academic Medicine 2025 [4 ]. 4. Does combining GP Academy and Fellow Academy boost first attempt success Absolutely. RACGP data demonstrates that first attempt pass rates for AKT 91.3% and KFP 83.8% far exceed second and subsequent attempts 72.6% and 48.6%, respectively [1 , 2 ]. Thus, combining these two robust resources aligns with successful, evidence based RACGP exam strategies. 5. Are GP Academy and Fellow Academy suitable for IMGs preparing for RACGP exams Yes, both platforms are highly beneficial for International Medical Graduates. GP Academy provides structured content and critical Australian clinical context, while Fellow Academy's high quality exam questions and notes help IMGs quickly adapt and become proficient in Australian RACGP exam 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
- 5 Pitfalls Stopping You from Passing the RACGP Exam | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now 5 Pitfalls Stopping You from Passing the RACGP Exam Last updated: October 2025 Buy Now 5 Pitfalls Stopping You from Passing the RACGP Exam 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 The RACGP exam is a significant milestone in your medical career, marking the transition from registrar to Fellow. But even the most dedicated GP trainees sometimes stumble, not due to a lack of knowledge or effort, but because they unknowingly repeat common RACGP exam mistakes . I have guided many talented doctors through these exams, and the good news is these pitfalls are entirely avoidable. In this article, I will share practical RACGP exam tips to help you recognise these errors, understand why they occur, and confidently pass the RACGP exam . Starting Practice Too Late A major RACGP exam mistake is starting your serious revision too close to exam day. This error severely impacts your ability to cover the comprehensive RACGP syllabus, leading to incomplete knowledge and unnecessary stress. Starting early is critical for exam success. Consider these eye opening statistics from the RACGP: the pass rate for first time KFP exam candidates is 83.8% [1] . This success rate drops drastically to 48.6% for second attempts [1]. By the fourth attempt, only 19.3% succeed [1] . Clearly, being adequately prepared from the start pays dividends. An early start means: Covering all curriculum areas comprehensively, including weaker topics. Spaced revision that improves long term retention and recall. Sufficient time for multiple realistic mock exams . Lower stress, making room to manage unexpected personal or work related demands. For example, balancing on call shifts or running busy clinics alongside your revision is tough enough without being pressured by last minute cramming. Starting at least 6 months before exam day ensures steady progress and a calm, confident approach. Neglecting the KFP Reasoning Format The Key Feature Problem, KFP, exam uniquely assesses clinical reasoning, not just clinical facts. Many strong candidates falter because they treat KFP questions like standard knowledge tests rather than applying precise, focused reasoning [2] . Common errors include: Giving overly broad or vague answers. Listing several diagnoses rather than identifying the single most relevant one. Failing to use the specific details provided in the patient scenario. Overcoding, providing extra or irrelevant information, which costs marks. To avoid these pitfalls: Regularly practise KFP style questions under timed, realistic exam conditions. Identify precisely what each question is asking before answering. Provide clear, concise answers tailored to the scenario’s context. Review official RACGP exam reports regularly to understand common pitfalls and improve your strategy [2] . For instance, instead of writing “order blood tests,” specify precisely which tests, for example full blood count, iron studies, thyroid function tests, and relate them clearly to the clinical scenario. Using Non Australian Resources Another critical RACGP exam mistake involves using non Australian resources for your preparation. This issue particularly impacts International Medical Graduates, IMGs, who often unintentionally overlook essential local guidelines. For IMGs, the challenge is significant: the pass rate in RACGP written Fellowship exams among IMGs outside the registrar training program has been reported as 37%, nearly half that of GP registrars, based on RACGP data reported by Australian Doctor in 2019 [5] . Provide current context if you cite this figure in other materials. Crucial Australian specific differences include: Immunisation schedules, clearly outlined in the Australian Immunisation Handbook [4] . Medications subsidised through the Pharmaceutical Benefits Scheme, PBS. Disease epidemiology, such as Australia’s high melanoma incidence. Local healthcare rules, referral pathways, and ethical guidelines. To tackle this effectively: Prioritise studying Australian specific resources such as RACGP’s Red Book, Therapeutic Guidelines, eTG, Australian Prescriber, and PBS guidelines. Always cross check international information with Australian standards. Engage deeply with the local healthcare system context through official Australian resources. An example: guidelines for antibiotic prescribing can differ significantly between Australia and overseas resources. Misunderstanding these nuances can result in critical errors during the exam. How to Avoid These RACGP Exam Mistakes Avoiding these common pitfalls involves strategic preparation. Here are clear, practical RACGP exam tips to ensure exam success: Start early: begin your structured preparation at least 6 months before the exam date. Master KFP reasoning: regularly practise precise, targeted answers focused explicitly on the given scenarios. Balance your revision: allocate equal time across AKT, KFP, and CCE preparation. Use exclusively Australian resources: familiarise yourself with RACGP guidelines, PBS resources, and Australian therapeutic standards. Regularly simulate exam conditions: consistently undertake full length mock exams under timed, realistic settings. Frequently Asked Questions 1. Common Pitfalls That Stop Candidates Passing the RACGP Exams The most frequent RACGP exam mistakes are starting preparation late, neglecting the KFP’s reasoning format, over focusing on AKT content while under preparing for the CCE, relying on non Australian resources, and failing to simulate real exam conditions. Candidates who complete official practice exams have pass rates that are 20% to 37% higher, which shows the value of realistic mocks [6] , [2] . Anchor your study in Australian guidelines and practise under timed conditions to pass the RACGP exam. 2. What to avoid during an examination? Avoid reading stems superficially, answering a different question to the one asked, and adding unsafe or irrelevant options that can negate marks in multi selection items. Avoid poor time management, for example spending too long on one case, and avoid outdated or non Australian recommendations that do not reflect PBS availability or local standards [5] , [8] , [10] . Keep answers specific, safe, and aligned to Australian practice. 3. What is problem representation in RACGP? Problem representation is a concise one sentence summary that captures the defining features of a case using semantic qualifiers to support clinical reasoning, for example 68 year old man, subacute progressive exertional dyspnoea with orthopnoea, likely cardiac cause [11] . It translates a presentation into a coherent case that can be matched to illness scripts and guides the differential diagnosis [11] . Practising clear problem representations improves KFP and CCE performance. 4. What is the Situational Judgement Test for RACGP? For RACGP AGPT selection, the online Situational Judgement Test assesses responses to interpersonal and professional dilemmas across nine competencies, including collaboration, communication, empathy, fairness, ethics, self awareness, resilience, problem solving, and motivation [7] . It does not assess clinical knowledge, although scenarios may be set in clinical contexts [7] . Use Australian professional standards to guide responses. 5. What are KFP questions? KFP questions are clinical vignettes designed to assess clinical decision making and clinical reasoning in Australian general practice [5] . From 2025.2 the KFP consists of 70 individual scenarios that each require a multiple selection response, with short answer questions removed [1], [2] , [5] . The assessment targets key features in care rather than exhaustive lists. Failing to Simulate Real Exam Conditions A key RACGP exam mistake is not practising under real exam conditions. Knowing the syllabus thoroughly is important, but inadequate preparation for the actual exam setting can jeopardise your performance. Statistically, candidates who complete official RACGP practice exams significantly outperform those who do not: pass rates are 20% to 37% higher for candidates who simulate exam conditions beforehand [2] , [6] . Potential pitfalls include: Poor time management and not completing the exam. Increased fatigue, reduced concentration, and impaired decision making. Technical or logistical issues with the online exam format, especially for the CCE. To ensure you are fully prepared: Regularly undertake full length timed mock AKT and KFP exams. Practise realistic CCE consultations under accurate exam conditions, including technology setup. Carefully review your performance after each mock session to identify weaknesses. Build stamina and resilience through repeated exposure to timed exam stress. Practical tip: aim to complete several complete mock exams under strict timed conditions to eliminate surprises on the actual exam day. Over Focusing on AKT Content, Ignoring CCE 1 subtle but serious RACGP exam mistake is over investing in AKT, Applied Knowledge Test, preparation while under preparing for the CCE, Clinical Competency Exam. While AKT assesses your foundational medical knowledge, the CCE tests your ability to apply this knowledge practically through consultation skills. Important RACGP exam statistics highlight this clearly: in the 2022.2 cohort, 11.1% of candidates passed the AKT but failed the KFP, whereas 2.6% failed the AKT and passed the KFP [3] . This reveals that mastering clinical reasoning skills, as required in the KFP and CCE, can have a powerful effect on overall exam success. Balanced preparation means: Practising structured patient consultations early in your revision. Focusing on clear, empathetic patient communication and effective consultation management. Consistently seeking detailed feedback from mentors and colleagues to refine your approach. Regularly undertaking realistic mock CCE consultations , including online formats. Real world scenario: imagine having robust medical knowledge but failing to build rapport or safety net adequately during consultations. Such issues significantly affect performance during the CCE. If you are feeling anxious or overwhelmed by RACGP exam preparation, Fellow Academy provides comprehensive support to guide you every step of the way. You will find meticulously designed AKT and KFP questions , concise and thorough exam notes, evidence based flashcards, free KFP case packs, informative webinars, and practical study resources. We are here to ensure you feel fully prepared and confident for exam day. Dr Shaun Tan, FRACGP, MD, BMSC Medical Examiner, Associate Lecturer Scored 90% on the AKT & Top 15th percentile in the KFP 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 those of successful candidates, intended for 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 shared are based on personal experience and those of successful candidates, intended for general study guidance only, and should not be taken as official RACGP advice. References [1] Royal Australian College of General Practitioners. 2024. Exam report 2024.2 KFP, Public exam report. East Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/fellowship%20pathways/Exams/2024-2-KFP-Public-Exam-Report.pdf [2] Liotta, M. 2020, April 2. KFP 2020.1 exam report: Tips to improve outcomes. newsGP, Royal Australian College of General Practitioners. Retrieved from https://www1.racgp.org.au/newsgp/racgp/racgp-s-kfp-exam-report-tips-to-improve-outcomes-1 [3] Royal Australian College of General Practitioners. 2022. Exam report 2022.2 KFP, Public exam report. East Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/fellowship%20pathways/Exams/2022-2-KFP-public-exam-report.pdf [4] Australian Government Department of Health and Aged Care. Australian Immunisation Handbook. Canberra, ACT. Continually updated. Retrieved October 2025 from https://immunisationhandbook.health.gov.au [5] O’Rourke, G. 2019, September 10. IMG disparity in RACGP exam results revealed. Australian Doctor. Retrieved from https://www.ausdoc.com.au/news/img-disparity-racgp-exam-results-revealed/ [6] Liotta, M. 2019, March 27. KFP 2019.1 exam report: Tips to improve outcomes. newsGP, Royal Australian College of General Practitioners. Retrieved from https://www1.racgp.org.au/newsgp/racgp/kfp-2019-1-exam-report-tips-to-improve-outcomes [7] Royal Australian College of General Practitioners. 2025, August 25. AGPT selection assessment. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/gp-training/explore-a-gp-career/australian-general-practice-training/agpt-selection-assessment [8] Royal Australian College of General Practitioners. 2025. AKT and KFP, information for candidates. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/kfp-and-akt-exam-day-information [9] Royal Australian College of General Practitioners. 2025, April 29. Assessments and examinations, candidate handbook, Part 2. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/registrars/fellowship-pathways/policy-framework/program-handbooks-and-guidance-documents/assessments-and-examinations-candidate-handbook/part-2/introduction [10] Royal Australian College of General Practitioners. 2025, July 22. The RACGP assessment framework, Appendix 1, Current assessments. Melbourne, VIC: RACGP. Retrieved from https://www.racgp.org.au/education/education-providers/curriculum/the-racgp-assessment-framework/racgp-assessment-framework/appendices/current-racgp-assessments [11] Stone, L. 2007. Reasoning for registrars. Royal Australian College of General Practitioners. Retrieved from https://www.racgp.org.au/getattachment/f97a4067-8223-4264-960f-0ad6828d86e4/attachment.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 The RACGP exam is a significant milestone in your medical career, marking the transition from registrar to Fellow. But even the most dedicated GP trainees sometimes stumble, not due to a lack of knowledge or effort, but because they unknowingly repeat common RACGP exam mistakes . I have guided many talented doctors through these exams, and the good news is these pitfalls are entirely avoidable. In this article, I will share practical RACGP exam tips to help you recognise these errors, understand why they occur, and confidently pass the RACGP exam . Starting Practice Too Late A major RACGP exam mistake is starting your serious revision too close to exam day. This error severely impacts your ability to cover the comprehensive RACGP syllabus, leading to incomplete knowledge and unnecessary stress. Starting early is critical for exam success. Consider these eye opening statistics from the RACGP: the pass rate for first time KFP exam candidates is 83.8% [1] . This success rate drops drastically to 48.6% for second attempts [1]. By the fourth attempt, only 19.3% succeed [1] . Clearly, being adequately prepared from the start pays dividends. An early start means: Covering all curriculum areas comprehensively, including weaker topics. Spaced revision that improves long term retention and recall. Sufficient time for multiple realistic mock exams . Lower stress, making room to manage unexpected personal or work related demands. For example, balancing on call shifts or running busy clinics alongside your revision is tough enough without being pressured by last minute cramming. Starting at least 6 months before exam day ensures steady progress and a calm, confident approach. Neglecting the KFP Reasoning Format The Key Feature Problem, KFP, exam uniquely assesses clinical reasoning, not just clinical facts. Many strong candidates falter because they treat KFP questions like standard knowledge tests rather than applying precise, focused reasoning [2] . Common errors include: Giving overly broad or vague answers. Listing several diagnoses rather than identifying the single most relevant one. Failing to use the specific details provided in the patient scenario. Overcoding, providing extra or irrelevant information, which costs marks. To avoid these pitfalls: Regularly practise KFP style questions under timed, realistic exam conditions. Identify precisely what each question is asking before answering. Provide clear, concise answers tailored to the scenario’s context. Review official RACGP exam reports regularly to understand common pitfalls and improve your strategy [2] . For instance, instead of writing “order blood tests,” specify precisely which tests, for example full blood count, iron studies, thyroid function tests, and relate them clearly to the clinical scenario. Using Non Australian Resources Another critical RACGP exam mistake involves using non Australian resources for your preparation. This issue particularly impacts International Medical Graduates, IMGs, who often unintentionally overlook essential local guidelines. For IMGs, the challenge is significant: the pass rate in RACGP written Fellowship exams among IMGs outside the registrar training program has been reported as 37%, nearly half that of GP registrars, based on RACGP data reported by Australian Doctor in 2019 [5] . Provide current context if you cite this figure in other materials. Crucial Australian specific differences include: Immunisation schedules, clearly outlined in the Australian Immunisation Handbook [4] . Medications subsidised through the Pharmaceutical Benefits Scheme, PBS. Disease epidemiology, such as Australia’s high melanoma incidence. Local healthcare rules, referral pathways, and ethical guidelines. To tackle this effectively: Prioritise studying Australian specific resources such as RACGP’s Red Book, Therapeutic Guidelines, eTG, Australian Prescriber, and PBS guidelines. Always cross check international information with Australian standards. Engage deeply with the local healthcare system context through official Australian resources. An example: guidelines for antibiotic prescribing can differ significantly between Australia and overseas resources. Misunderstanding these nuances can result in critical errors during the exam. 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. Common Pitfalls That Stop Candidates Passing the RACGP Exams The most frequent RACGP exam mistakes are starting preparation late, neglecting the KFP’s reasoning format, over focusing on AKT content while under preparing for the CCE, relying on non Australian resources, and failing to simulate real exam conditions. Candidates who complete official practice exams have pass rates that are 20% to 37% higher, which shows the value of realistic mocks [6] , [2] . Anchor your study in Australian guidelines and practise under timed conditions to pass the RACGP exam. 2. What to avoid during an examination? Avoid reading stems superficially, answering a different question to the one asked, and adding unsafe or irrelevant options that can negate marks in multi selection items. Avoid poor time management, for example spending too long on one case, and avoid outdated or non Australian recommendations that do not reflect PBS availability or local standards [5] , [8] , [10] . Keep answers specific, safe, and aligned to Australian practice. 3. What is problem representation in RACGP? Problem representation is a concise one sentence summary that captures the defining features of a case using semantic qualifiers to support clinical reasoning, for example 68 year old man, subacute progressive exertional dyspnoea with orthopnoea, likely cardiac cause [11] . It translates a presentation into a coherent case that can be matched to illness scripts and guides the differential diagnosis [11] . Practising clear problem representations improves KFP and CCE performance. 4. What is the Situational Judgement Test for RACGP? For RACGP AGPT selection, the online Situational Judgement Test assesses responses to interpersonal and professional dilemmas across nine competencies, including collaboration, communication, empathy, fairness, ethics, self awareness, resilience, problem solving, and motivation [7] . It does not assess clinical knowledge, although scenarios may be set in clinical contexts [7] . Use Australian professional standards to guide responses. 5. What are KFP questions? KFP questions are clinical vignettes designed to assess clinical decision making and clinical reasoning in Australian general practice [5] . From 2025.2 the KFP consists of 70 individual scenarios that each require a multiple selection response, with short answer questions removed [1], [2] , [5] . The assessment targets key features in care rather than exhaustive lists. 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
- Common KFP Scenarios and How to Approach Them | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Common KFP Scenarios and How to Approach Them Last updated: October 2025 Buy Now Common KFP Scenarios and How to Approach Them 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 KFP scenarios , or Key Feature Problems, are concise clinical cases designed to assess your clinical reasoning and practical decision making in the RACGP exam. To pass comfortably, you need a clear grasp of exactly what these scenarios involve, how examiners award marks, how KFP is scored, including KFP partial marks, and how best to approach each clinical case. Many GP trainees and IMGs preparing for RACGP exams feel apprehensive about tackling KFP scenarios. That is completely normal. By clearly understanding common KFP scenarios, mastering how they are assessed, and developing an effective practice strategy, you will significantly boost your exam day confidence and clinical performance. This comprehensive guide covers: • Detailed breakdown of what a KFP case entails • In depth examples: diabetes management, asthma exacerbation, contraception counselling • Practical, examiner approved study techniques • Answers to frequently asked questions about KFP scenarios What KFP Scenarios Look Like A KFP scenario presents a realistic patient consultation with specific questions designed to test key clinical decision making steps. Each RACGP KFP exam includes exactly 70 multiple selection questions to be completed within 4 hours [1 ]. Therefore, careful time management and precision are essential. Key points about KFP scenarios: • Reflect real world general practice presentations. • Require succinct, targeted answers, unnecessary details or irrelevant information reduce your score [1 ] . • Questions test diagnostic reasoning, management decisions, and patient education. • Marking focuses on clinical reasoning rather than rote memorisation [1 ]. Commonly tested areas include: • Chronic diseases, diabetes, hypertension, asthma • Acute conditions, asthma attacks, chest pain, infections • Women’s and reproductive health, contraception, antenatal care • Paediatrics, growth, infections, developmental milestones • Mental health, anxiety, depression, suicide risk assessment • Ethics and professional practice, confidentiality, consent, boundaries • Aboriginal and Torres Strait Islander health, culturally safe care, chronic conditions Example 1: Diabetes Management Case Diabetes is a frequent topic, given it impacts 1 in 20 Australians, approximately 5.1% of the population [2 ]. Diabetes related KFP cases typically involve patients struggling to achieve optimal glycaemic control or those with complications. When approaching a diabetes KFP scenario: • Conduct a comprehensive review: Examine current medications, adherence, lifestyle habits, and symptoms of complications such as neuropathy, retinopathy, or nephropathy. • Optimise therapy: Metformin remains the first line treatment unless contraindicated. Add an SGLT2 inhibitor or GLP 1 agonist for patients with cardiovascular or renal risk factors [3 ]. • Monitor regularly: Order HbA1c tests every 3–6 months, and perform essential annual checks of feet, eyes, and kidney function [3 ]. • Provide holistic education: Involve diabetes educators, dietitians, and podiatrists for multidisciplinary care and empower patients through tailored education. For example, you may encounter a patient whose diabetes remains poorly controlled despite adherence to medications. In such a scenario, appropriate adjustments, early recognition of complications, and consistent follow up are crucial. For comprehensive diabetes management strategies, see our Diabetes Management Guide. Example 3: Contraception and Counselling Case Effective contraception counselling is a core part of general practice. Australian data show that about 26% of pregnancies in the past 10 years among surveyed women were unintended [6 ]. These KFP scenarios test your ability to communicate sensitively, tailor contraception to the patient, and apply safety considerations. When handling a contraception KFP case: • Take a detailed history: Discuss reproductive goals, previous contraceptive use, menstrual history, and coexisting medical conditions. • Provide individualised counselling: Explain the benefits and potential side effects of options such as oral contraceptives, implants, and intrauterine devices, IUDs. • Identify contraindications: Avoid oestrogen containing methods in women with migraine aura or thromboembolic history. • Offer clear guidance: Explain proper use, missed dose protocols, side effect management, and follow up requirements. Picture counselling a young woman with migraines who requests contraception. Guiding her toward safer alternatives and explaining the rationale demonstrates competent patient centred care. For detailed contraception guidelines, refer to Family Planning Clinical Recommendations or the AJGP Women’s Health Updates. Frequently Asked Questions 1. What is a KFP scenario in the RACGP exam? A KFP scenario, Key Feature Problem, is a short clinical case designed specifically to test clinical reasoning. Each scenario requires succinct identification of essential diagnostic or management steps to safely care for the patient. 2. How is the KFP exam structured? The RACGP KFP exam consists of 70 multiple selection questions completed within 4 hours [1 ] . Each question instructs candidates on the number of responses to select, assessing clinical judgement and reasoning rather than rote recall. 3. What topics are commonly tested in KFP scenarios ? Frequently tested topics include chronic diseases, diabetes, hypertension, asthma, acute care, chest pain, asthma attacks, women’s health, contraception, antenatal care, paediatrics, growth and development, mental health, anxiety, depression, ethics, confidentiality, consent, and Aboriginal and Torres Strait Islander health, culturally appropriate chronic disease management. 4. How can I practise KFP sample questions effectively? Complete timed practice sessions regularly, review answers critically, and align them with RACGP endorsed guidelines. Focus on concise, clinically relevant reasoning and efficient time use. 5. What mistakes should I avoid when answering KFP scenarios? Common pitfalls include providing too many or overly detailed responses, over answering, vague responses lacking detail, under answering, ignoring scenario specific context, and not strictly adhering to question instructions. Precise, relevant answers aligned with guidelines are essential. How to Practise KFP Cases Effectively Preparing for KFP scenarios requires consistent, structured practice and reflection. The goal is not memorisation but mastery of applied reasoning and prioritisation. Practical KFP preparation strategies: • Simulate exam conditions: Regularly complete timed sets of realistic KFP scenarios to improve accuracy and pacing. • Stay updated: Rely on authoritative Australian resources such as RACGP guidelines, the Australian Asthma Handbook, and AIHW epidemiological reports. • Be concise and specific: Tailor responses directly to the question stem, avoid over answering or under answering. • Reflect critically: Review model answers, identify reasoning gaps, and strengthen weaker clinical areas. Common challenges faced by trainees: • Managing study time while balancing long clinic hours or on call duties. • Maintaining motivation during extended preparation periods. • Balancing professional commitments and family life while studying. Addressing these challenges proactively will enhance both your exam readiness and your long term clinical confidence. For more practical study techniques, see our AKT Timing Guide . Example 2: Asthma Exacerbation Case Asthma commonly features in exams due to its prevalence, affecting around 11% of Australians, approximately 2.8 million people [4 ]. These KFP scenarios usually centre on acute exacerbations that test your emergency management and follow up planning skills. Steps for managing asthma in KFP scenarios: • Assess severity promptly: Observe speech, respiratory rate, oxygen saturation, and peak expiratory flow readings. • Initiate immediate treatment: Administer inhaled salbutamol, via spacer or nebuliser, prescribe oral corticosteroids, and provide oxygen if needed. • Identify triggers: Address infections, allergen exposure, or poor inhaler technique contributing to exacerbations. • Implement preventive care: Supply a written Asthma Action Plan and arrange ongoing follow up to optimise control [5 ]. Imagine an anxious parent presenting with their wheezing child. Remaining calm, explaining management clearly, and ensuring continuity of care reflect the competence expected in the KFP exam. For further reading, consult the Australian Asthma Handbook. If exam preparation feels overwhelming, Fellow Academy offers high quality AKT and KFP questions , concise and comprehensive exam notes, and evidence based flashcards designed to help you study smarter and perform confidently. Explore free KFP case packs, webinars, and practical study resources that 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. Strategies and approaches shared are based on personal experiences of successful GP candidates and are 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. Strategies and approaches shared are based on personal experiences of successful GP candidates and are intended as general study guidance only. References [1] Royal Australian College of General Practitioners. 2025. AKT and KFP Examinations Guide. East Melbourne, VIC, RACGP. Retrieved 31 July 2025. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/Examinations-guide.pdf [2] Australian Institute of Health and Welfare. 2024. Diabetes: Australian facts, summary. Canberra, ACT: AIHW. https://www.aihw.gov.au/reports/diabetes/diabetes [3] Royal Australian College of General Practitioners. 2024. Management of Type 2 Diabetes: A Handbook for General Practice. East Melbourne, VIC: RACGP. https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/introduction [4] Australian Institute of Health and Welfare. 2024. Asthma: Chronic Respiratory Conditions. Canberra, ACT: AIHW. https://www.aihw.gov.au/reports/chronic-respiratory-conditions/asthma [5] National Asthma Council Australia. 2025. Australian Asthma Handbook, Version current. South Melbourne, National Asthma Council Australia. https://www.asthmahandbook.org.au [6] Taft, A. J., Shankar, M., Black, K. I., Mazza, D., Hussainy, S., Lucke, J., & Pirotta, M. 2018. Unintended and unwanted pregnancy in Australia, a cross sectional, national random telephone survey of prevalence and outcomes. Medical Journal of Australia, 209, 407–408. https://www.mja.com.au/journal/2018/209/9/unintended-and-unwanted-pregnancy-australia-cross-sectional-national-random 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 KFP scenarios , or Key Feature Problems, are concise clinical cases designed to assess your clinical reasoning and practical decision making in the RACGP exam. To pass comfortably, you need a clear grasp of exactly what these scenarios involve, how examiners award marks, how KFP is scored, including KFP partial marks, and how best to approach each clinical case. Many GP trainees and IMGs preparing for RACGP exams feel apprehensive about tackling KFP scenarios. That is completely normal. By clearly understanding common KFP scenarios, mastering how they are assessed, and developing an effective practice strategy, you will significantly boost your exam day confidence and clinical performance. This comprehensive guide covers: • Detailed breakdown of what a KFP case entails • In depth examples: diabetes management, asthma exacerbation, contraception counselling • Practical, examiner approved study techniques • Answers to frequently asked questions about KFP scenarios What KFP Scenarios Look Like A KFP scenario presents a realistic patient consultation with specific questions designed to test key clinical decision making steps. Each RACGP KFP exam includes exactly 70 multiple selection questions to be completed within 4 hours [1 ]. Therefore, careful time management and precision are essential. Key points about KFP scenarios: • Reflect real world general practice presentations. • Require succinct, targeted answers, unnecessary details or irrelevant information reduce your score [1 ] . • Questions test diagnostic reasoning, management decisions, and patient education. • Marking focuses on clinical reasoning rather than rote memorisation [1 ]. Commonly tested areas include: • Chronic diseases, diabetes, hypertension, asthma • Acute conditions, asthma attacks, chest pain, infections • Women’s and reproductive health, contraception, antenatal care • Paediatrics, growth, infections, developmental milestones • Mental health, anxiety, depression, suicide risk assessment • Ethics and professional practice, confidentiality, consent, boundaries • Aboriginal and Torres Strait Islander health, culturally safe care, chronic conditions Example 1: Diabetes Management Case Diabetes is a frequent topic, given it impacts 1 in 20 Australians, approximately 5.1% of the population [2 ]. Diabetes related KFP cases typically involve patients struggling to achieve optimal glycaemic control or those with complications. When approaching a diabetes KFP scenario: • Conduct a comprehensive review: Examine current medications, adherence, lifestyle habits, and symptoms of complications such as neuropathy, retinopathy, or nephropathy. • Optimise therapy: Metformin remains the first line treatment unless contraindicated. Add an SGLT2 inhibitor or GLP 1 agonist for patients with cardiovascular or renal risk factors [3 ]. • Monitor regularly: Order HbA1c tests every 3–6 months, and perform essential annual checks of feet, eyes, and kidney function [3 ]. • Provide holistic education: Involve diabetes educators, dietitians, and podiatrists for multidisciplinary care and empower patients through tailored education. For example, you may encounter a patient whose diabetes remains poorly controlled despite adherence to medications. In such a scenario, appropriate adjustments, early recognition of complications, and consistent follow up are crucial. For comprehensive diabetes management strategies, see our Diabetes Management Guide. Example 3: Contraception and Counselling Case Effective contraception counselling is a core part of general practice. Australian data show that about 26% of pregnancies in the past 10 years among surveyed women were unintended [6 ]. These KFP scenarios test your ability to communicate sensitively, tailor contraception to the patient, and apply safety considerations. When handling a contraception KFP case: • Take a detailed history: Discuss reproductive goals, previous contraceptive use, menstrual history, and coexisting medical conditions. • Provide individualised counselling: Explain the benefits and potential side effects of options such as oral contraceptives, implants, and intrauterine devices, IUDs. • Identify contraindications: Avoid oestrogen containing methods in women with migraine aura or thromboembolic history. • Offer clear guidance: Explain proper use, missed dose protocols, side effect management, and follow up requirements. Picture counselling a young woman with migraines who requests contraception. Guiding her toward safer alternatives and explaining the rationale demonstrates competent patient centred care. For detailed contraception guidelines, refer to Family Planning Clinical Recommendations or the AJGP Women’s Health Updates. 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 a KFP scenario in the RACGP exam? A KFP scenario, Key Feature Problem, is a short clinical case designed specifically to test clinical reasoning. Each scenario requires succinct identification of essential diagnostic or management steps to safely care for the patient. 2. How is the KFP exam structured? The RACGP KFP exam consists of 70 multiple selection questions completed within 4 hours [1 ] . Each question instructs candidates on the number of responses to select, assessing clinical judgement and reasoning rather than rote recall. 3. What topics are commonly tested in KFP scenarios ? Frequently tested topics include chronic diseases, diabetes, hypertension, asthma, acute care, chest pain, asthma attacks, women’s health, contraception, antenatal care, paediatrics, growth and development, mental health, anxiety, depression, ethics, confidentiality, consent, and Aboriginal and Torres Strait Islander health, culturally appropriate chronic disease management. 4. How can I practise KFP sample questions effectively? Complete timed practice sessions regularly, review answers critically, and align them with RACGP endorsed guidelines. Focus on concise, clinically relevant reasoning and efficient time use. 5. What mistakes should I avoid when answering KFP scenarios? Common pitfalls include providing too many or overly detailed responses, over answering, vague responses lacking detail, under answering, ignoring scenario specific context, and not strictly adhering to question instructions. Precise, relevant answers aligned with guidelines are essential. 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
- How to Pass RACGP Exam: Complete 2025 Guide | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now How to Pass RACGP Exam: Complete 2025 Guide Last updated: October 2025 Buy Now How to Pass RACGP Exam: Complete 2025 Guide 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 Have you ever imagined the moment you finally open your exam results, heart racing, to discover that you've passed the GP exams? Picture the wave of relief and pride knowing that the late nights, early mornings, and the countless sacrifices away from family and friends were worth it. Passing your RACGP exams means more than letters after your name; it represents the doorway to your future as a confident, independent GP in Australia. But I also know how daunting the journey can feel: sometimes it seems that despite your hardest efforts, you're still uncertain about whether your study approach is enough. Whether you’re an Australian GP trainee, an International Medical Graduate (IMG), or a supportive GP supervisor, understanding exactly how to pass RACGP exam is your priority. You're looking for practical, evidence-based guidance and reassurance from someone who’s walked this path before. That’s precisely what you’ll find here. This comprehensive guide will provide you with detailed insights, specific preparation strategies, and the most recent exam statistics (from the 2025.2 RACGP exam cycle) so that you know exactly how to study for GP exam success. Overview: The RACGP Fellowship Exams Explained To pass GP exam, candidates must succeed in three key assessments: Applied Knowledge Test (AKT): Assesses clinical knowledge relevant to general practice. Key Feature Problem (KFP) Exam: Tests clinical reasoning via multiple-selection clinical scenarios. Clinical Competency Exam (CCE) : Evaluates real-world consultation skills, empathy, and patient communication. These exams collectively ensure you're ready to safely practise independently as a GP in Australia. What It Takes to Pass the GP Exams The latest statistics from the 2025.2 exam cycle show clear insights into exam performance: The AKT pass rate was 79.41% among 1,049 candidates [1 ]. The KFP pass rate reached 79.57% from 1,160 candidates [1 ] . The CCE pass rate stood at 79.66%, with 611 of 767 candidates passing [2 ]. Importantly, first-time exam sitters had notably higher success rates: First-time AKT candidates achieved an 85.9% pass rate, compared to 31% for those attempting the exam four or more times [1 ] . First-attempt CCE candidates had a pass rate of 83.86% [2 ]. Key traits of successful candidates typically include: Regular use of official RACGP preparation resources. Comprehensive coverage of both clinical and nonclinical curriculum topics. Effective exam strategies and strong time management. Practical consultation experience prior to the CCE. Proven Study Strategies That Work Effective study methods grounded in educational research include: Active Recall: Regular self-testing enhances memory retention. Spaced Repetition: Frequent, short revision sessions reinforce learning over time. Guideline-First Learning: Base studies around current Australian guidelines (e.g., Therapeutic Guidelines, PBS). Integrated Question Practice : Regular practice with exam-style questions significantly boosts confidence and readiness. Common Reasons Candidates Fail (and How to Avoid Them) Candidates commonly encounter pitfalls such as: Misreading or misinterpreting exam questions. Poor time management, resulting in incomplete sections. Outdated or superficial knowledge that lacks depth. Neglect of nonclinical domains (ethics, practice management). Anxiety during exams negatively affecting performance. Avoid these issues by: Carefully reading each question and identifying critical keywords. Regularly practising timed exams and questions. Keeping study materials and clinical guidelines current. Including all curriculum aspects in your preparation. Implementing effective anxiety management techniques such as mindfulness and adequate rest. Best Resources to Pass the GP Exams Essential resources for successful RACGP exam preparation include: Official RACGP SAPTs, practice exams, and online support modules. Australian clinical guidelines (Therapeutic Guidelines, PBS, RANZCOG). Fellow Academy’s high-quality exam notes, concise revision materials, and comprehensive question banks. For more tailored resources, visit our [RACGP exam resources page]. Best Resources to Pass the GP Exams Essential resources for successful RACGP exam preparation include: Official RACGP SAPTs, practice exams, and online support modules. Australian clinical guidelines (Therapeutic Guidelines, PBS, RANZCOG). Fellow Academy’s high-quality exam notes, concise revision materials, and comprehensive question banks. For more tailored resources, visit our [RACGP exam resources page]. Final Week Preparation Tips Maximise your readiness in the final week by: Ensuring adequate sleep (7 to 8 hours per night). Engaging in targeted, light revision. Checking exam logistics and technical setups in advance. Approaching each exam calmly and confidently, trusting your thorough preparation. If exam preparation feels overwhelming, Fellow Academy provides comprehensive AKT and KFP questions , concise and evidence-based exam notes, and flashcards designed specifically for smarter studying. Additionally, access free KFP case packs, expert-led webinars, and practical resources that support you at every step. Frequently Asked Questions 1. What is the difference between AKT and KFP? The Applied Knowledge Test (AKT) assesses your factual recall and understanding of guidelines and clinical knowledge through single best-answer multiple-choice questions. In contrast, the Key Feature Problem (KFP) exam evaluates your applied clinical reasoning and decision-making abilities through clinical scenarios, where you select multiple correct answers from provided options. Essentially, the AKT checks your clinical knowledge foundation, while the KFP tests your practical clinical decision-making skills under realistic conditions [1 , 3 ]. 2. What is the new KFP format? Starting from the 2025.2 exam cycle, the KFP consists of 70 multiple selection questions. The previous short-answer format has been replaced entirely with multiple-choice questions. Each clinical scenario now requires you to identify several correct responses from a provided list, enhancing consistency and reliability of assessments [3 ]. 3. How to study for GP exams? The most effective way to study for GP exams involves active recall, guideline-based learning, and spaced repetition. Specifically: Regularly test yourself with practice questions similar to RACGP exam formats AKT, KFP, and CCE. Prioritise understanding current Australian clinical guidelines for example Therapeutic Guidelines, PBS, RANZCOG guidelines. Incorporate timed practice exams to develop effective exam-taking techniques and improve time management [1 , 2 ]. 4. What is the best way to pass a test? The best way to pass a test, especially RACGP exams, includes: Consistent study schedules over at least 12 weeks, allowing frequent revision. Utilising official RACGP resources practice tests, SAPTs. Focusing heavily on areas identified as personal weaknesses through early diagnostic assessments. Practising mindfulness and stress reduction techniques to manage exam anxiety effectively [1 , 2 ]. 5. What is the most effective way to prepare for an exam? Effective exam preparation involves combining active recall with spaced repetition methods. Specifically for RACGP exams, ensure your studies revolve around current Australian clinical guidelines. Regular practice with exam-style questions and structured mock tests helps build confidence, improve memory retention, and enhances your performance under exam conditions [1 , 2 ]. How to Create a Study Plan That Fits Your Schedule A structured 12-week RACGP exam preparation schedule can significantly improve your outcomes: Weeks 1 to 2: Foundation topics, initial diagnostic testing, and identification of weak areas. Weeks 3 to 5: Systematic coverage of curriculum, integrating nonclinical topics. Week 6: Mid-course assessment through mock exams. Weeks 7 to 9: Intensive question practice, focusing on identified weak areas. Week 10: Comprehensive full-length mock exams. Weeks 11 to 12: Final revisions, logistics checks, and maintaining overall well-being. How to Prepare for Each Component AKT: Factual Recall and Guideline Mastery Successfully passing the AKT requires mastery of Australian clinical guidelines and general practice knowledge: Use active recall methods, such as flashcards, to improve retention. Regularly practise timed MCQs to enhance speed and accuracy. Complete RACGP’s official practice exams and Self-Assessment Progress Tests (SAPTs) to familiarise yourself with the exam format. For detailed strategies, visit our [AKT timing guide ]. KFP: Applied Reasoning and Clinical Prioritisation The KFP exam evaluates your ability to prioritise clinical information effectively. Since the 2025.2 cycle, the exam consists of 70 multiple-selection questions [3 ] : Practise identifying key clinical issues quickly in scenario-based questions. Familiarise yourself thoroughly with Australian guidelines for precise prioritisation. Regularly engage in timed practice sessions using the updated multiple-selection format. Explore our detailed [KFP exam strategy guide ] for further insights. CCE: Communication, Empathy, and Safety Netting The CCE focuses on your ability to manage real-world consultations effectively: Regularly participate in timed role-play consultations. Practise clear, empathetic, patient-centred communication. Ensure consistent use of appropriate safety-netting advice and follow-up strategies. Read more in our [CCE preparation tips ]. If exam preparation feels overwhelming, Fellow Academy offers high quality AKT and KFP questions, concise and comprehensive exam notes, and evidence based flashcards designed to help you study smarter and perform confidently. Explore free KFP case packs, webinars, and practical study resources that 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. 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. RACGP releases 2025.2 exam cycle results. newsGP. 22 August 2025. East Melbourne, VIC: RACGP. Retrieved from https://www1.racgp.org.au/newsgp/racgp/racgp-releases-2025-2-exam-cycle-results [2] Royal Australian College of General Practitioners. 2025. RACGP 2025.1 Clinical Competency Exam Public Exam Report. East Melbourne, VIC: RACGP. Published July 2025. Retrieved from https://www.racgp.org.au/getmedia/f4fc7ea1-ba17-4eae-86ea-d4369d22e5aa/2025-1-CCE-Public-Exam-Report.pdf.aspx [3] Royal Australian College of General Practitioners. 2024. Key Feature Problem exam changes on the way, multi choice from 2025.2. newsGP, 16 October 2024. East Melbourne, VIC: RACGP. Retrieved from https://www1.racgp.org.au/newsgp/racgp/key-feature-problem-exam-changes-on-the-way 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 Have you ever imagined the moment you finally open your exam results, heart racing, to discover that you've passed the GP exams? Picture the wave of relief and pride knowing that the late nights, early mornings, and the countless sacrifices away from family and friends were worth it. Passing your RACGP exams means more than letters after your name; it represents the doorway to your future as a confident, independent GP in Australia. But I also know how daunting the journey can feel: sometimes it seems that despite your hardest efforts, you're still uncertain about whether your study approach is enough. Whether you’re an Australian GP trainee, an International Medical Graduate (IMG), or a supportive GP supervisor, understanding exactly how to pass RACGP exam is your priority. You're looking for practical, evidence-based guidance and reassurance from someone who’s walked this path before. That’s precisely what you’ll find here. This comprehensive guide will provide you with detailed insights, specific preparation strategies, and the most recent exam statistics (from the 2025.2 RACGP exam cycle) so that you know exactly how to study for GP exam success. Overview: The RACGP Fellowship Exams Explained To pass GP exam, candidates must succeed in three key assessments: Applied Knowledge Test (AKT): Assesses clinical knowledge relevant to general practice. Key Feature Problem (KFP) Exam: Tests clinical reasoning via multiple-selection clinical scenarios. Clinical Competency Exam (CCE) : Evaluates real-world consultation skills, empathy, and patient communication. These exams collectively ensure you're ready to safely practise independently as a GP in Australia. What It Takes to Pass the GP Exams The latest statistics from the 2025.2 exam cycle show clear insights into exam performance: The AKT pass rate was 79.41% among 1,049 candidates [1 ]. The KFP pass rate reached 79.57% from 1,160 candidates [1 ] . The CCE pass rate stood at 79.66%, with 611 of 767 candidates passing [2 ]. Importantly, first-time exam sitters had notably higher success rates: First-time AKT candidates achieved an 85.9% pass rate, compared to 31% for those attempting the exam four or more times [1 ] . First-attempt CCE candidates had a pass rate of 83.86% [2 ]. Key traits of successful candidates typically include: Regular use of official RACGP preparation resources. Comprehensive coverage of both clinical and nonclinical curriculum topics. Effective exam strategies and strong time management. Practical consultation experience prior to the CCE. Proven Study Strategies That Work Effective study methods grounded in educational research include: Active Recall: Regular self-testing enhances memory retention. Spaced Repetition: Frequent, short revision sessions reinforce learning over time. Guideline-First Learning: Base studies around current Australian guidelines (e.g., Therapeutic Guidelines, PBS). Integrated Question Practice : Regular practice with exam-style questions significantly boosts confidence and readiness. 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 difference between AKT and KFP? The Applied Knowledge Test (AKT) assesses your factual recall and understanding of guidelines and clinical knowledge through single best-answer multiple-choice questions. In contrast, the Key Feature Problem (KFP) exam evaluates your applied clinical reasoning and decision-making abilities through clinical scenarios, where you select multiple correct answers from provided options. Essentially, the AKT checks your clinical knowledge foundation, while the KFP tests your practical clinical decision-making skills under realistic conditions [1 , 3 ]. 2. What is the new KFP format? Starting from the 2025.2 exam cycle, the KFP consists of 70 multiple selection questions. The previous short-answer format has been replaced entirely with multiple-choice questions. Each clinical scenario now requires you to identify several correct responses from a provided list, enhancing consistency and reliability of assessments [3 ]. 3. How to study for GP exams? The most effective way to study for GP exams involves active recall, guideline-based learning, and spaced repetition. Specifically: Regularly test yourself with practice questions similar to RACGP exam formats AKT, KFP, and CCE. Prioritise understanding current Australian clinical guidelines for example Therapeutic Guidelines, PBS, RANZCOG guidelines. Incorporate timed practice exams to develop effective exam-taking techniques and improve time management [1 , 2 ]. 4. What is the best way to pass a test? The best way to pass a test, especially RACGP exams, includes: Consistent study schedules over at least 12 weeks, allowing frequent revision. Utilising official RACGP resources practice tests, SAPTs. Focusing heavily on areas identified as personal weaknesses through early diagnostic assessments. Practising mindfulness and stress reduction techniques to manage exam anxiety effectively [1 , 2 ]. 5. What is the most effective way to prepare for an exam? Effective exam preparation involves combining active recall with spaced repetition methods. Specifically for RACGP exams, ensure your studies revolve around current Australian clinical guidelines. Regular practice with exam-style questions and structured mock tests helps build confidence, improve memory retention, and enhances your performance under exam conditions [1 , 2 ]. 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
- Study Plan to Pass the RACGP Exams: A Week by Week Strategy | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Study Plan to Pass the RACGP Exams: A Week by Week Strategy Last updated: October 2025 Buy Now Study Plan to Pass the RACGP Exams: A Week by Week Strategy 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 Creating an effective GP exam study plan is your best bet if you aim to pass the RACGP exams confidently on your first attempt. Passing these exams means not only having the right knowledge but organising that knowledge systematically, covering every crucial area clearly, and reducing stress as you go. This detailed guide provides a practical 6-month week-by-week strategy, carefully outlining exactly how to study for GP exams , including the Applied Knowledge Test (AKT) , Key Feature Problem (KFP) exam, and Clinical Competency Exam (CCE) . Drawing on authoritative research, official RACGP statistics, and proven exam prep strategies, this structured plan is designed specifically for Australian GP trainees and International Medical Graduates (IMGs). As you work through this guide, you will learn exactly what topics to prioritise, when to focus on practice questions, how often to revise, and importantly, how to effectively manage your busy clinical schedules without feeling overwhelmed. Why You Need a Study Plan to Pass the RACGP Exams A structured GP exam study plan ensures thorough coverage of the extensive curriculum and significantly boosts your chance of success. Evidence consistently shows that trainees who follow a clear study schedule from the outset achieve higher pass rates and experience less exam-related stress. RACGP statistics clearly show that candidates attempting the AKT for the first time have a notably higher pass rate of 91.3%, compared to 72.6% on a second attempt, 53.8% on a third attempt, and 23.9% on a fourth attempt (RACGP NewsGP, 2024) [1 ]. Clearly, your best chance of success is getting it right on your first try. A structured approach means: You will avoid critical gaps in your knowledge. Your revision will be more targeted and effective. Regular checkpoint reviews dramatically improve retention. The RACGP specifically recommends using Self-Assessment Progress Tests (SAPTs) and the official practice exam to build familiarity and time management, which supports readiness for the real exam (RACGP Exam Planning, SAPT guidance) [2 ]. 6-Month Study Plan for the AKT (Applied Knowledge Test) The AKT is a paper-delivered multiple-choice exam consisting of 150 questions completed over 4 hours (RACGP, 2025) [3a ]. It covers broad clinical knowledge across all domains of general practice, testing applied reasoning and safe management decisions. You will need consistent revision, regular practice questions, and focused guideline reviews. Months 1 and 2: Building Foundations These initial months are for developing solid foundations in your clinical knowledge base. Map weekly topics directly to the RACGP curriculum—for example, cardiology in week 1, respiratory medicine in week 2 (RACGP Curriculum, 2023) [3 ]. Read essential texts like Murtagh’s General Practice , the Therapeutic Guidelines (eTG), and the Australian Immunisation Handbook [4 ,5 ]. Use flashcards daily for 10–15 minutes to reinforce guideline details, drug dosages, and screening intervals. Complete your first mock AKT exam at the end of month 2. Analyse your results thoroughly, identifying areas needing more attention. Months 3 and 4: Active Question Practice In months 3 and 4, consistently integrating practice questions is essential. Completing 10–20 AKT questions each week reinforces knowledge and improves your test-taking strategies. Join a study group or discuss challenging questions with peers weekly to sharpen your reasoning skills. Perform checkpoint reviews every 3–4 weeks, reinforcing earlier learning through spaced repetition. Keep track of repeated errors, and allocate extra revision time for topics where you frequently struggle. Month 5: Exam Simulations In month 5, intensify your preparation by simulating the AKT exam realistically. Complete at least 2 full-length timed AKT mock exams under exam conditions. Carefully audit each mock exam result to identify knowledge gaps and common exam errors (e.g., misreading questions, timing issues). Discuss exam strategies such as how to manage exam stress, efficient question triage, and elimination techniques with a mentor or experienced supervisor. Month 6: Final Consolidation Month 6 is for refining your knowledge and building confidence. Focus your revision on high-yield topics, especially recent guideline updates or commonly tested clinical scenarios. Take one final mock exam approximately 2 weeks before the actual AKT to confirm readiness. During the final week, rest, review key flashcards gently, and prepare your exam-day logistics (location, timings, and materials). 6-Month Study Plan for the CCE (Clinical Competency Exam) The CCE consists of 9 cases delivered across 2 days via Zoom, including 5 clinical encounters and 4 case discussions, with each case lasting about 15 minutes (RACGP, 2025) [5a ]. It assesses practical consultation, communication, and management skills essential for independent GP practice. Months 1 and 2: Essential Foundations Start by observing experienced GPs closely to grasp effective consultation structures. Practise informal role-play consultations weekly to build confidence. Identify and address communication or knowledge gaps early to ensure a solid consultation foundation. Months 3 and 4: Regular Practical Training Practise simulated consultations weekly, varying across acute, chronic, mental health, paediatric, and Aboriginal and Torres Strait Islander health cases. Prioritise clear communication, structured consultation methods, shared decision-making, and effective safety-netting. Regularly obtain structured feedback from peers or mentors to refine consultation skills. Month 5: Comprehensive Mock Sessions Arrange realistic mock sessions simulating a series of cases just like the actual CCE exam. Conduct mock consultations back-to-back to build stamina and familiarity. Collect detailed feedback highlighting where improvement is required—clinical content, communication, or structure. Month 6: Final Readiness In month 6, refine your consultation skills and practise managing stress and logistics. Focus on clear, structured communication during consultations. Practise exam-day logistics thoroughly, ensuring comfort with all technical and timing details. Rest adequately before exam day to ensure peak performance. Frequently Asked Questions 1. How long should I study for the RACGP exams? Most candidates should allow at least 6–9 months of structured study for the RACGP exams, planning around 15 hours per week, totalling approximately 300–750 study hours by exam day. Starting late significantly reduces your chance of passing. 2. How can I create a GP exam study plan? Download a dedicated study planner and map your timeline into weeks. Assign topics, question blocks, review sessions, and mock exams. Use weekly key outcome indicators (KOIs) such as: Complete 50 AKT questions Do 1 KFP case Review flashcards for 15 minutes daily This becomes your structured GP exam study plan. 3. What are the differences between the AKT, KFP, and CCE exams ? The AKT tests applied knowledge via multiple-choice questions across general practice. The KFP tests clinical reasoning in scenario-based format focusing on key features of cases. The CCE tests practical consultation and management skills in real-time simulated GP consults. Each requires distinct yet overlapping preparation strategies. 4. What resources should I use to study for the GP exams? Use Australian-specific guidelines (e.g., Therapeutic Guidelines, Australian Immunisation Handbook), the RACGP Curriculum, question banks for AKT/KFP, review flashcards, and mentor-led study groups. Also review exam-technique modules and past exam reports. 5. Any study tips for International Medical Graduates (IMGs) preparing for RACGP exams? IMGs should become familiar with Australian guidelines and GP practice context (e.g., Aboriginal and Torres Strait Islander health, local screening programs). Practise English clinical language, focus on consultation style for the CCE, join IMG study groups, and use a structured weekly schedule to balance work, life, and study. Essential Study Tools and Resources for GP Exam Preparation Effective GP exam preparation involves strategic use of high-quality, evidence-based resources: RACGP Curriculum and Syllabus for topic guidance [3 ]. Therapeutic Guidelines (eTG) for accurate clinical management decisions [4 ]. Australian Immunisation Handbook for vaccination and preventive care [5 ]. High-quality GP exam flashcards for daily spaced repetition (available in Fellow Academy’s Flashcards Collection ). AKT and KFP question banks for realistic exam practice (available through Fellow Academy’s Exam Prep Bundles ). Structured study planner to organise your study (download the free Fellow Academy GP Exam Study Planner). Regular participation in study groups and mentorship sessions. RACGP exam support pages outlining SAPTs, practice exams, and technique modules to build familiarity and time management [2 ]. If exam preparation feels overwhelming, Fellow Academy offers structured resources including AKT and KFP question banks , concise comprehensive exam notes, and evidence-based flashcards designed to maximise your performance. You can also access free KFP case packs, webinars, and other practical resources to build your confidence. Remember, structured, consistent study using reliable resources is your surest path to exam success. Trust your preparation, manage your schedule clearly, and reach out for structured support when needed. 6-Month Study Plan for the KFP (Key Feature Problem) The KFP is a paper-delivered exam consisting of approximately 70 multi-selection questions completed over 4 hours, each question worth 1.43% of the total score, with a 0.35% penalty for over-shading (RACGP, 2025) [4a ]. It tests clinical reasoning and decision-making rather than simple recall. Clear, concise answers directly linked to patient scenarios are crucial. Months 1 and 2: Reasoning Skills In the early months, developing structured clinical reasoning skills is key. Identify critical decision points for each clinical topic (e.g., must-not-miss diagnoses or essential investigations). Start practising short-answer KFP questions early, focusing on brevity and relevance. Avoid common pitfalls such as overcoding (providing irrelevant information) or missing key patient-specific details like age, pregnancy status, or comorbidities. Months 3 and 4: Scenario Focus Active scenario practice is essential in these months. Complete at least 1 detailed KFP scenario each week, simulating real-world patient encounters. Regularly integrate clinical cases from your practice to provide realistic scenario practice. Engage mentors or study-group peers weekly for detailed feedback on your responses. Month 5: Realistic Simulation Month 5 should include realistic full mock exams to assess your readiness under exam conditions. Perform 1–2 complete mock KFP exams, mimicking the testing conditions. Carefully analyse each response and identify clear reasons for errors. Practise writing concise and relevant answers, ensuring each response directly addresses the scenario details provided. Month 6: Polishing and Confidence In your final month, hone your KFP response precision. Practise meticulous scenario reading to ensure no critical details are overlooked. Focus final revision on weaker clinical domains identified from previous mocks. Calmly organise your final study and rest schedule leading up to exam day. If you find RACGP exam preparation overwhelming, Fellow Academy is here to help. We provide high-quality AKT and KFP question banks, concise comprehensive exam notes, and evidence-based flashcards tailored to GP trainees. You’ll also find supportive webinars, free KFP case packs, 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. 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. (2024). RACGP releases final AKT exam report of the year. NewsGP, 27 August 2024. East Melbourne, VIC: RACGP. https://www1.racgp.org.au/newsgp/racgp/racgp-releases-final-akt-exam-report-of-the-year [2] Royal Australian College of General Practitioners. (2025). Exam planning: start here and Self-Assessment Progress Tests (SAPTs). East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fracgp-exams/preparing-for-exams/exam-planning-start-here [3] Royal Australian College of General Practitioners. (2023). RACGP Curriculum and Syllabus for Australian General Practice 2022. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/education-providers/curriculum/curriculum-and-syllabus/home [3a] Royal Australian College of General Practitioners. (2025). Applied Knowledge Test (AKT) – Information for candidates. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/Examinations-guide.pdf [4] Therapeutic Guidelines Limited. (2024). eTG Complete. Melbourne, VIC: Therapeutic Guidelines. https://www.tg.org.au/ [4a] Royal Australian College of General Practitioners. (2025). Key Feature Problem (KFP) – Information for candidates. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fracgp-exams/kfp-and-akt-exam-day-information [5] Australian Government Department of Health and Aged Care. (2023). Australian Immunisation Handbook. Canberra, ACT: Commonwealth of Australia. https://immunisationhandbook.health.gov.au/ [5a] Royal Australian College of General Practitioners. (2025). Clinical Competency Exam (CCE) – Candidate Guidelines. East Melbourne, VIC: RACGP. https://www.racgp.org.au/getattachment/a5a6a184-7266-4d2b-a9f7-fc924320db68/Candidate-guidelines-for-the-Clinical-Competency-Exam.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 Creating an effective GP exam study plan is your best bet if you aim to pass the RACGP exams confidently on your first attempt. Passing these exams means not only having the right knowledge but organising that knowledge systematically, covering every crucial area clearly, and reducing stress as you go. This detailed guide provides a practical 6-month week-by-week strategy, carefully outlining exactly how to study for GP exams , including the Applied Knowledge Test (AKT) , Key Feature Problem (KFP) exam, and Clinical Competency Exam (CCE) . Drawing on authoritative research, official RACGP statistics, and proven exam prep strategies, this structured plan is designed specifically for Australian GP trainees and International Medical Graduates (IMGs). As you work through this guide, you will learn exactly what topics to prioritise, when to focus on practice questions, how often to revise, and importantly, how to effectively manage your busy clinical schedules without feeling overwhelmed. Why You Need a Study Plan to Pass the RACGP Exams A structured GP exam study plan ensures thorough coverage of the extensive curriculum and significantly boosts your chance of success. Evidence consistently shows that trainees who follow a clear study schedule from the outset achieve higher pass rates and experience less exam-related stress. RACGP statistics clearly show that candidates attempting the AKT for the first time have a notably higher pass rate of 91.3%, compared to 72.6% on a second attempt, 53.8% on a third attempt, and 23.9% on a fourth attempt (RACGP NewsGP, 2024) [1 ]. Clearly, your best chance of success is getting it right on your first try. A structured approach means: You will avoid critical gaps in your knowledge. Your revision will be more targeted and effective. Regular checkpoint reviews dramatically improve retention. The RACGP specifically recommends using Self-Assessment Progress Tests (SAPTs) and the official practice exam to build familiarity and time management, which supports readiness for the real exam (RACGP Exam Planning, SAPT guidance) [2 ]. 6-Month Study Plan for the AKT (Applied Knowledge Test) The AKT is a paper-delivered multiple-choice exam consisting of 150 questions completed over 4 hours (RACGP, 2025) [3a ]. It covers broad clinical knowledge across all domains of general practice, testing applied reasoning and safe management decisions. You will need consistent revision, regular practice questions, and focused guideline reviews. Months 1 and 2: Building Foundations These initial months are for developing solid foundations in your clinical knowledge base. Map weekly topics directly to the RACGP curriculum—for example, cardiology in week 1, respiratory medicine in week 2 (RACGP Curriculum, 2023) [3 ]. Read essential texts like Murtagh’s General Practice , the Therapeutic Guidelines (eTG), and the Australian Immunisation Handbook [4 ,5 ]. Use flashcards daily for 10–15 minutes to reinforce guideline details, drug dosages, and screening intervals. Complete your first mock AKT exam at the end of month 2. Analyse your results thoroughly, identifying areas needing more attention. Months 3 and 4: Active Question Practice In months 3 and 4, consistently integrating practice questions is essential. Completing 10–20 AKT questions each week reinforces knowledge and improves your test-taking strategies. Join a study group or discuss challenging questions with peers weekly to sharpen your reasoning skills. Perform checkpoint reviews every 3–4 weeks, reinforcing earlier learning through spaced repetition. Keep track of repeated errors, and allocate extra revision time for topics where you frequently struggle. Month 5: Exam Simulations In month 5, intensify your preparation by simulating the AKT exam realistically. Complete at least 2 full-length timed AKT mock exams under exam conditions. Carefully audit each mock exam result to identify knowledge gaps and common exam errors (e.g., misreading questions, timing issues). Discuss exam strategies such as how to manage exam stress, efficient question triage, and elimination techniques with a mentor or experienced supervisor. Month 6: Final Consolidation Month 6 is for refining your knowledge and building confidence. Focus your revision on high-yield topics, especially recent guideline updates or commonly tested clinical scenarios. Take one final mock exam approximately 2 weeks before the actual AKT to confirm readiness. During the final week, rest, review key flashcards gently, and prepare your exam-day logistics (location, timings, and materials). 6-Month Study Plan for the CCE (Clinical Competency Exam) The CCE consists of 9 cases delivered across 2 days via Zoom, including 5 clinical encounters and 4 case discussions, with each case lasting about 15 minutes (RACGP, 2025) [5a ]. It assesses practical consultation, communication, and management skills essential for independent GP practice. Months 1 and 2: Essential Foundations Start by observing experienced GPs closely to grasp effective consultation structures. Practise informal role-play consultations weekly to build confidence. Identify and address communication or knowledge gaps early to ensure a solid consultation foundation. Months 3 and 4: Regular Practical Training Practise simulated consultations weekly, varying across acute, chronic, mental health, paediatric, and Aboriginal and Torres Strait Islander health cases. Prioritise clear communication, structured consultation methods, shared decision-making, and effective safety-netting. Regularly obtain structured feedback from peers or mentors to refine consultation skills. Month 5: Comprehensive Mock Sessions Arrange realistic mock sessions simulating a series of cases just like the actual CCE exam. Conduct mock consultations back-to-back to build stamina and familiarity. Collect detailed feedback highlighting where improvement is required—clinical content, communication, or structure. Month 6: Final Readiness In month 6, refine your consultation skills and practise managing stress and logistics. Focus on clear, structured communication during consultations. Practise exam-day logistics thoroughly, ensuring comfort with all technical and timing details. Rest adequately before exam day to ensure peak performance. 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 long should I study for the RACGP exams? Most candidates should allow at least 6–9 months of structured study for the RACGP exams, planning around 15 hours per week, totalling approximately 300–750 study hours by exam day. Starting late significantly reduces your chance of passing. 2. How can I create a GP exam study plan? Download a dedicated study planner and map your timeline into weeks. Assign topics, question blocks, review sessions, and mock exams. Use weekly key outcome indicators (KOIs) such as: Complete 50 AKT questions Do 1 KFP case Review flashcards for 15 minutes daily This becomes your structured GP exam study plan. 3. What are the differences between the AKT, KFP, and CCE exams ? The AKT tests applied knowledge via multiple-choice questions across general practice. The KFP tests clinical reasoning in scenario-based format focusing on key features of cases. The CCE tests practical consultation and management skills in real-time simulated GP consults. Each requires distinct yet overlapping preparation strategies. 4. What resources should I use to study for the GP exams? Use Australian-specific guidelines (e.g., Therapeutic Guidelines, Australian Immunisation Handbook), the RACGP Curriculum, question banks for AKT/KFP, review flashcards, and mentor-led study groups. Also review exam-technique modules and past exam reports. 5. Any study tips for International Medical Graduates (IMGs) preparing for RACGP exams? IMGs should become familiar with Australian guidelines and GP practice context (e.g., Aboriginal and Torres Strait Islander health, local screening programs). Practise English clinical language, focus on consultation style for the CCE, join IMG study groups, and use a structured weekly schedule to balance work, life, and study. 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
- The Ultimate Guide to the FRACGP Pathway (2025 Update) | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now The Ultimate Guide to the FRACGP Pathway (2025 Update) Last updated: October 2025 Buy Now The Ultimate Guide to the FRACGP Pathway (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 The FRACGP, Fellowship of the Royal Australian College of General Practitioners, is the key credential allowing GPs to practise independently in Australia. For search consistency, you may also see this written online as FRACGP. Whether you are an Australian trained doctor or an International Medical Graduate, achieving your FRACGP Fellowship unlocks greater professional opportunities, increased earning potential, and full autonomy in your career. In this guide, we walk through the entire FRACGP pathway, explaining clearly each exam, AKT, KFP, CCE , outlining eligibility criteria, sharing practical exam tips, highlighting common mistakes to avoid, and guiding you through your next steps after Fellowship. Let us demystify the process so you can approach your exams confidently and effectively. What Exactly Does FRACGP Mean? FRACGP stands for the Fellowship of the Royal Australian College of General Practitioners. It is the nationally recognised specialist qualification for general practice accredited by the Australian Medical Council. Achieving FRACGP means: Official recognition as a specialist GP [1] Ability to work independently without supervision [1] Eligibility for higher tier Medicare rebates, A1 rates [1] Professional credibility and enhanced career prospects [1] Why FRACGP Fellowship Matters So Much FRACGP Fellowship significantly impacts your career by providing: Vocational recognition. Since 16 June 2021, unrestricted access to Medicare GP items broadly requires Fellowship or an approved training placement under relevant programmes. The Vocational Register closed to new participants on that date [8] . Independence in practice locations and patient management decisions [1] Higher Medicare rebates, directly boosting earning potential [8] Expanded opportunities in academia, practice ownership, and specialisation [1] Eligibility Criteria and Entry Requirements Key FRACGP entry requirements include: Completion of a medical degree and internship, PGY1 [9] Current general registration with AHPRA [9] Australian citizenship, permanent residency, or NZ citizenship for AGPT applicants [9] IMGs under Section 19AB training in Distribution Priority Areas or rural locations [8] Current employment in accredited general practice for FSP candidates [6] Recognised overseas specialist qualifications for the Specialist Pathway [7] Proven Tips for Preparing Successfully for the FRACGP Exams Effective FRACGP exam preparation includes: Creating structured study plans starting at least 6 months before the exam cycle [1] Using active recall and spaced repetition , for example flashcards, question banks Reviewing patient cases from daily practice to reinforce guidelines, for example debrief a diabetes follow up and revisit RACGP and PBS advice that evening Practising mock exams under realistic conditions, for more strategies, see our comprehensive AKT timing guide Joining peer study groups for shared accountability and motivation Completing official RACGP practice materials, RACGP advises candidates to use exam preparation resources and sample materials as part of a balanced study plan [1] How Long Does It Take to Get FRACGP Fellowship? Typical timeframes for achieving FRACGP Fellowship vary: AGPT : approximately 3 years, combining hospital rotations, general practice terms, and an extended skills term [9] FSP : 2 years structured education and training with up to 3 years consolidation for examinations and final Fellowship requirements [5 ,6] Specialist Pathway : typically 6 months to 2 years, depending on comparability outcomes and exam requirements [7] How Long Does It Take to Get FRACGP Fellowship? Typical timeframes for achieving FRACGP Fellowship vary: AGPT : approximately 3 years, combining hospital rotations, general practice terms, and an extended skills term [9] FSP : 2 years structured education and training with up to 3 years consolidation for examinations and final Fellowship requirements [5 ,6] Specialist Pathway : typically 6 months to 2 years, depending on comparability outcomes and exam requirements [7] Practical Advice for Passing on Your First Attempt Key tips to enhance your likelihood of passing on the first attempt include: Maintain consistent daily study rather than last minute cramming Understand FRACGP marking and format rules to avoid preventable penalties, for example the KFP 0.35% per extra option rule [1] Simulate full exam conditions frequently to build pacing and decision making Prioritise self care, sleep, exercise, and protected downtime to maintain cognitive performance For case pitfalls and scoring nuance, see our KFP mistakes guide FAQ, Frequently Asked Questions 1. What exactly is the FRACGP Pathway? The FRACGP Pathway encompasses structured training and assessment programmes such as AGPT, FSP, and the Specialist Pathway for IMGs, leading to specialist GP qualification [4 ,5 ,6 ,7 ,9] . 2. How important is FRACGP for practising as a GP in Australia? FRACGP is essential for independent practice, vocational recognition, and access to full Medicare rebates since 16 June 2021 policy changes regarding recognition and the Vocational Register [8] . 3. What are the main FRACGP exams? The primary assessments are AKT, 150 items and 4 hours [1] , KFP, 70 questions and 4 hours with the 0.35% over selection penalty [1] , and CCE, 9 cases of 15 minutes plus 5 minutes reading [3] . 4. How can I best prepare for the FRACGP exams? Use structured schedules, official practice resources [1] , active recall, group learning, and realistic timed mocks. Apply learning directly from your clinics. 5. What happens after completing the FRACGP Fellowship? You become eligible for specialist registration and unrestricted Medicare billing recognition [8 ], with options to subspecialise, teach, lead, or own a practice. FRACGP Exams Overview: AKT, KFP, and CCE The FRACGP exam suite evaluates comprehensive GP skills: Applied Knowledge Test, AKT : - 150 single best answer questions [1] - Total time 4 hours for all candidates, 3.5 hours plus a 30 minute universal allowance [1] - Delivered on paper with computer readable answer sheets [2] Key Feature Problem, KFP : - 70 multiple selection questions [1] - Total time 4 hours for all candidates, 3.5 hours plus a 30 minute universal allowance [1] - If you select more options than requested, a 0.35% penalty is applied per extra response to your overall exam score [1] - Delivered on paper with computer readable answer sheets [2] Clinical Competency Exam, CCE : - 9 interactive online clinical cases, 5 clinical encounters and 4 case discussions [3] - Each case 15 minutes plus 5 minutes reading time [3 ] The Different FRACGP Pathways Explained Clearly Several pathways lead to the same FRACGP qualification: General Pathway, AGPT : Primarily urban and outer metropolitan training, with a requirement for at least 52 weeks in outer metropolitan, rural, non capital city locations, or an Aboriginal and Torres Strait Islander health training post [4 ]. Rural Pathway, AGPT : Dedicated training entirely in rural and remote areas, Modified Monash Model 2 to 7, often with advanced procedural skills such as obstetrics or emergency care [4 ]. Practice Experience Program, PEP : Now replaced by the Fellowship Support Program, but historically allowed non vocationally recognised doctors structured progression to Fellowship. Fellowship Support Program, FSP : Introduced in 2023, a self funded pathway that involves: - Structured education and training lasting 24 months - A consolidation phase of up to 36 months for exams and final Fellowship requirements [5 ,6] Specialist Pathway for IMGs : Evaluates overseas trained specialists for comparability. Substantially comparable candidates typically complete 6 months of supervised practice within the PEP Specialist stream before admission to Fellowship [7] . If you are feeling overwhelmed by FRACGP exam preparation, Fellow Academy offers high quality AKT and KFP questions, concise and comprehensive exam notes, and evidence based flashcards. You can also access free KFP case packs, webinars, and resources designed to help you study smarter, boost your confidence, and successfully navigate the FRACGP pathway. Disclaimer: This content is not affiliated with, endorsed by, or representative of the RACGP. The strategies shared are based on professional experience and the experiences of other successful GP candidates and are intended as general study guidance only. Disclaimer: This content is not affiliated with, endorsed by, or representative of the RACGP. The strategies shared are based on professional experience and the experiences of other successful GP candidates and are intended as general study guidance only. References [1] Royal Australian College of General Practitioners. 2025. AKT and KFP guide , candidate examinations guide, version current in 2025. East Melbourne, VIC: 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 exam day information , delivery and candidate instructions, page current in 2025. East Melbourne, VIC: RACGP. https://www.racgp.org.au/kfp-and-akt-exam-day-information [3] Royal Australian College of General Practitioners. 2025. Clinical Competency Exam, candidate guidelines and overview , pages current in 2025. East Melbourne, VIC: RACGP. https://www.racgp.org.au/getattachment/a5a6a184-7266-4d2b-a9f7-fc924320db68/Candidate-guidelines-for-the-Clinical-Competency-Exam.aspx [4] Royal Australian College of General Practitioners. 2024. AGPT training pathway eligibility and location requirements , page current in 2024, including 52 weeks requirement. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/gp-training/explore-a-gp-career/australian-general-practice-training [5] Royal Australian College of General Practitioners. 2025. Fellowship Support Program overview , structure including 24 months education and up to 36 months consolidation. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/imgs/fellowship-pathways/fellowship-programs-for-imgs/fellowship-support-program [6] Royal Australian College of General Practitioners. 2025. Your FSP application handbook , programme structure, timelines and requirements, version current in 2025. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/FSP/FSP-Application-handbook.pdf [7] Royal Australian College of General Practitioners. 2025. Practice Experience Program, Specialist Stream , programme overview and policy, including typical 6 months education and supervised practice. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/imgs/fellowship-pathways/fellowship-programs-for-imgs/practice-experience-program/practice-experience-program-specialist-stream [8] Australian Government, Department of Health and Aged Care. 2025. Medicare Benefits Schedule General Notes GN.4.13 , Vocational Register closure 16 June 2021 and arrangements for GP recognition. Canberra: Commonwealth of Australia. https://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=GN.4.13&q2=noteID [9] Royal Australian College of General Practitioners. 2025. AGPT program guide , training structure describing hospital, GP terms, and extended skills that total approximately 3 years. East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/AGPT/Program-guide.pdf [10] Royal Australian College of General Practitioners. 2025. Guidelines for preventive activities in general practice, Red Book, 10th ed. , preventive health schedules including immunisation and screening. East Melbourne, VIC: RACGP. https://www.racgp.org.au/getattachment/3eddf0a7-7cec-4064-a44b-5bde6c2515a5/Guidelines-for-preventive-activities-in-general-practice.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 The FRACGP, Fellowship of the Royal Australian College of General Practitioners, is the key credential allowing GPs to practise independently in Australia. For search consistency, you may also see this written online as FRACGP. Whether you are an Australian trained doctor or an International Medical Graduate, achieving your FRACGP Fellowship unlocks greater professional opportunities, increased earning potential, and full autonomy in your career. In this guide, we walk through the entire FRACGP pathway, explaining clearly each exam, AKT, KFP, CCE , outlining eligibility criteria, sharing practical exam tips, highlighting common mistakes to avoid, and guiding you through your next steps after Fellowship. Let us demystify the process so you can approach your exams confidently and effectively. What Exactly Does FRACGP Mean? FRACGP stands for the Fellowship of the Royal Australian College of General Practitioners. It is the nationally recognised specialist qualification for general practice accredited by the Australian Medical Council. Achieving FRACGP means: Official recognition as a specialist GP [1] Ability to work independently without supervision [1] Eligibility for higher tier Medicare rebates, A1 rates [1] Professional credibility and enhanced career prospects [1] Why FRACGP Fellowship Matters So Much FRACGP Fellowship significantly impacts your career by providing: Vocational recognition. Since 16 June 2021, unrestricted access to Medicare GP items broadly requires Fellowship or an approved training placement under relevant programmes. The Vocational Register closed to new participants on that date [8] . Independence in practice locations and patient management decisions [1] Higher Medicare rebates, directly boosting earning potential [8] Expanded opportunities in academia, practice ownership, and specialisation [1] Eligibility Criteria and Entry Requirements Key FRACGP entry requirements include: Completion of a medical degree and internship, PGY1 [9] Current general registration with AHPRA [9] Australian citizenship, permanent residency, or NZ citizenship for AGPT applicants [9] IMGs under Section 19AB training in Distribution Priority Areas or rural locations [8] Current employment in accredited general practice for FSP candidates [6] Recognised overseas specialist qualifications for the Specialist Pathway [7] 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, Frequently Asked Questions 1. What exactly is the FRACGP Pathway? The FRACGP Pathway encompasses structured training and assessment programmes such as AGPT, FSP, and the Specialist Pathway for IMGs, leading to specialist GP qualification [4 ,5 ,6 ,7 ,9] . 2. How important is FRACGP for practising as a GP in Australia? FRACGP is essential for independent practice, vocational recognition, and access to full Medicare rebates since 16 June 2021 policy changes regarding recognition and the Vocational Register [8] . 3. What are the main FRACGP exams? The primary assessments are AKT, 150 items and 4 hours [1] , KFP, 70 questions and 4 hours with the 0.35% over selection penalty [1] , and CCE, 9 cases of 15 minutes plus 5 minutes reading [3] . 4. How can I best prepare for the FRACGP exams? Use structured schedules, official practice resources [1] , active recall, group learning, and realistic timed mocks. Apply learning directly from your clinics. 5. What happens after completing the FRACGP Fellowship? You become eligible for specialist registration and unrestricted Medicare billing recognition [8 ], with options to subspecialise, teach, lead, or own a practice. 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
- GP Academy is Huge, Here’s How to Beat GP Exam Burnout | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now GP Academy is Huge, Here’s How to Beat GP Exam Burnout Last updated: November 2025 Buy Now GP Academy is Huge, Here’s How to Beat GP Exam Burnout 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 Feeling mentally exhausted, constantly anxious, or overwhelmed by your studies is a common experience known as GP exam burnout. Over 75% of GP registrars report moderate to high levels of burnout during training [1 ]. This blog will provide you with practical, evidence based strategies to manage the extensive GP Academy curriculum, avoid content overload, apply structured revision systems, create and use efficient notes, and integrate active recall resources to reduce burnout risk. For additional timing strategies, see our comprehensive AKT timing guide. Content Overload and Cognitive Fatigue Content overload happens when you try to memorise every possible topic for the exam, which leads to cognitive fatigue. Cognitive fatigue impairs concentration, retention, and clinical decision making, and it can escalate anxiety if not addressed early [2 ]. The outcome is predictable, less effective study, reduced recall, and growing stress just when you need clarity most. Common signs of cognitive fatigue include: Difficulty concentrating for prolonged periods Increased forgetfulness, even shortly after revising Persistent mental exhaustion, despite resting adequately Frustration and irritability over minor study setbacks Poorer performance in practice exams and clinical reasoning tasks To manage content overload and cognitive fatigue: Prioritise key topics based on their relevance in RACGP exams. Use the official RACGP exam blueprint to guide your focus. Engage with material through active learning, summarise aloud, teach a peer, build mind maps. Take frequent breaks during study sessions, ideally every 30 to 60 minutes, to reset mentally. Recognise signs early and seek support from colleagues, mentors, or professional services such as the RACGP GP Support Program [6 ]. Structure study around clinic hours and protect rest time daily. For more structured methods of managing your study load, see our AKT timing guide. Two Pass System for GP Exam Burnout, Learn Once, Revise Often The two pass revision system reduces GP exam burnout by improving retention and lowering the cognitive burden of continuous learning. First learn concepts broadly, then revisit regularly with active techniques. This aligns with spaced repetition, a well established memory approach that strengthens recall over time without cramming [4 ]. To implement the two pass system: First pass, gain a broad overview of each topic area without excessive detail Schedule regular revision sessions, weekly initially, then monthly as retention strengthens During revision, test yourself actively using flashcards, practice questions, or brief teaching huddles with colleagues Pay extra attention to topics where you feel less confident Gradually increase intervals between revisions as confidence and retention improve By using the two pass method, you reduce the stress of trying to memorise extensive guidelines quickly and you build durable knowledge. For specific spacing templates, see our spaced repetition guide. Add High Quality Questions, Flashcards and Notes to GP Academy with Fellow Academy Active recall methods consistently outperform passive study for learning and long term retention. Testing yourself strengthens memory traces and makes weaknesses visible early, supporting calmer and more efficient preparation [5 ]. Fellow Academy resources are built to align with RACGP exam formats and content scope, which reduces noise and helps you focus on the essentials. Benefits of using Fellow Academy resources: Daily structured flashcards for brief, targeted reinforcement of essential topics Realistic AKT and KFP question banks that mirror exam conditions and styles Concise structured notes that summarise complex topics for quick review Regular updates that track RACGP guidance and curriculum developments To explore these methods further, see our comprehensive Fellow Academy KFP preparation guide. Rapid Review Playbooks for High Yield Topics A repeatable rapid review helps you close loops on common presentations without getting lost in rabbit holes. Build 1 page playbooks with consistent headings and stick to them in every review pass. Define must know differentials, first line investigations, red flags, first line management and safety netting. Clip a table for drug classes that commonly appear in AKT and KFP options, dose ranges, contraindications, monitoring. Add 5 must remember traps for each topic, for example, when not to prescribe, when to escalate, PBS pitfalls. Finish each playbook with 5 self test items you answer in 2 minutes, cementing retrieval under light pressure. Link each playbook to 10 flashcards, one stem per card, so you can refresh in under 5 minutes on busy days. For note structures that match exam styles, see our note making templates for AKT and KFP. Memory Safeguards, Error Logs and Retrieval Practice Your memory strengthens when you face what you nearly forgot. A light touch error log combined with retrieval practice keeps you honest and efficient [4 ] [5 ]. After each quiz block, record only the missed concept and the reason, do not rewrite the whole answer. Tag each error as concept gap, misread stem, distractor trap, or time pressure issue. Schedule a 48 hour retrieval check for each logged item and a 7 day review if still fragile. Convert frequent errors into 2 line flashcards and a single line rule to avoid the trap next time. End the week with a 20 item mixed retrieval set to sample broad coverage without fatigue. Memory Safeguards, Error Logs and Retrieval Practice Your memory strengthens when you face what you nearly forgot. A light touch error log combined with retrieval practice keeps you honest and efficient [4 ] [5 ]. After each quiz block, record only the missed concept and the reason, do not rewrite the whole answer. Tag each error as concept gap, misread stem, distractor trap, or time pressure issue. Schedule a 48 hour retrieval check for each logged item and a 7 day review if still fragile. Convert frequent errors into 2 line flashcards and a single line rule to avoid the trap next time. End the week with a 20 item mixed retrieval set to sample broad coverage without fatigue. Stress Circuit Breakers, Sleep and Micro Recovery Short, predictable breaks prevent spirals into overwork and preserve recall without adding hours. Treat recovery as part of the study plan rather than a reward after study. Use a 2 minute reset between blocks, stand, breathe, hydrate, and reset posture. Cap late night sessions, stop screens 60 minutes before sleep, and place a 5 card retrieval set at the bedside for the morning. Keep one protected non study evening per week, restore energy and sustain momentum. Plan 1 low stakes clinic day lunch block for a 10 card refresh, maintain recall without mental drain. When energy is low, run a 10 minute quick win, 10 flashcards or 5 questions, then stop. For additional wellbeing support options, consider the RACGP GP Support Program [6 ]. Frequently Asked Questions 1. What is GP exam burnout GP exam burnout is chronic mental and physical exhaustion from sustained study pressure during exam preparation. Over 75% of GP registrars experience moderate to high burnout during training [1 ]. Typical features include persistent fatigue, irritability, reduced motivation, and difficulty concentrating and recalling information. 2. How can structured notes reduce burnout Structured notes reduce burnout by making revision faster and clearer, removing the need to repeatedly watch long recordings. They encourage active engagement, improve retention, and shorten total study time, which eases exam stress and supports steady progress [4 ]. 3. Why is active recall effective for GP exam preparation Active recall requires you to retrieve information from memory, which strengthens learning more than passive re reading or rewatching. It improves long term retention and reduces the cognitive load by focusing on what you do not yet know well [5 ]. Pair active recall with spaced repetition for best results [4 ]. 4. How often should I revise content using the two pass method Initially, revisit topics weekly after your first broad review, then extend intervals to monthly as your retention improves. Regular, spaced repetition boosts long term recall and reduces the anxiety associated with last minute cramming, without adding unnecessary study hours [4 ]. 5. Where can I find reliable GP exam resources to avoid burnout Fellow Academy provides structured notes, targeted flashcards, and comprehensive question banks that manage content overload, improve retention through active recall, and reduce burnout risk. For case based practice, see our free KFP case packs and recorded webinars. Time Boxing and Study Scheduling with Clinic Realities Balancing clinics, on call responsibilities, and exam study is demanding, and it becomes easier when you time box and standardise your daily template. A predictable routine reduces switching costs and preserves cognitive energy for high value tasks. Block 25 to 45 minute focus sessions for new learning, then 10 minute resets for movement and hydration. Protect 2 to 3 blocks on clinic days and 4 to 6 blocks on non clinic days. Reserve 1 evening micro block for retrieval only, flashcards or 10 mixed questions, rather than heavy new content. Park non urgent admin on a single weekly slot, batch messaging and paperwork so it does not bleed into study hours. Create a red list for topics that reliably drain time, tackle them in short bursts and stop on the timer. Review your plan every 7 days, keep what worked, retire what did not, and log one change that improved focus. For more structured pacing templates and examples, see our spaced repetition guide and our AKT timing guide. Using Structured Notes Instead of Rewatching Lectures Passively rewatching lengthy lectures increases fatigue and reduces study efficiency. Active note taking, which involves summarising, organising, and rephrasing content, supports stronger retention than passive viewing [4 ]. Structured notes also make rapid pre exam reviews feasible and consistent. Structured notes should: Clearly summarise essential guidelines and clinical points relevant to RACGP exams Use visual aids such as tables, flowcharts, or diagrams to simplify complex topics Be updated consistently to reflect insights from practice and revision Be designed for fast revision, with high yield points prominent for quick scanning Real world example, after an intensive clinic day, revisiting structured notes allows an efficient 20 minute check of key topics rather than spending hours rewatching lectures. This approach cuts fatigue and improves recall when it matters most. For practical note frameworks, see our note making templates for AKT and KFP. Feeling overwhelmed by RACGP exam preparation is entirely natural, and effective help is available. Fellow Academy offers concise, evidence based flashcards, structured notes, and realistic AKT and KFP practice questions that help you study smarter, build confidence, and avoid burnout. You will also find useful free resources including KFP case packs, webinars, and practical study guides designed to support you at every step. You have come a long way in your GP training journey. With the right support, you can approach your exams with calmness, clarity, and confidence. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies and approaches shared are based on personal experience and the experiences of other GP candidates who successfully passed their exams. They are intended as general study guidance only and should not be taken as official RACGP advice. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners, RACGP. The strategies and approaches shared are based on personal experience and the experiences of other GP candidates who successfully passed their exams. They are intended as general study guidance only and should not be taken as official RACGP advice. References [1] Hoffman, R., Mullan, J., and Bonney, A. 2023. A cross sectional study of burnout among Australian general practice registrars. BMC Medical Education, 23 (1), 47. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04043-4 [2] Lewin, E. 2021, March 5. I cannot do this anymore, How burnout affects doctors and patients. newsGP . Royal Australian College of General Practitioners. https://www1.racgp.org.au/newsgp/clinical/i-can-t-do-this-anymore-how-burnout-affects-doctor [3] Prentice, S., Elliott, T., Dorstyn, D., and Benson, J. 2022. A qualitative exploration of burnout prevention and reduction strategies for general practice registrars. Australian Journal of General Practice, 51 (11), 935 to 941. https://www1.racgp.org.au/ajgp/2022/november/burnout-prevention-and-reduction-strategies [4] Dunlosky, J., Rawson, K. A., Marsh, E. J., Nathan, M. J., and Willingham, D. T. 2013. Improving students learning with effective learning techniques, Promising directions from cognitive and educational psychology. Psychological Science in the Public Interest, 14 (1), 4 to 58. https://journals.sagepub.com/doi/10.1177/1529100612453266 [5] Roediger, H. L., and Karpicke, J. D. 2006. Test enhanced learning, Taking memory tests improves long term retention. Psychological Science, 17 (3), 249 to 255. https://journals.sagepub.com/doi/10.1111/j.1467-9280.2006.01693.x [6] Royal Australian College of General Practitioners. 2025. GP Support Program, free confidential counselling. RACGP. https://www.racgp.org.au/member-services/practice-support/workplace-wellbeing/gpsp 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 Feeling mentally exhausted, constantly anxious, or overwhelmed by your studies is a common experience known as GP exam burnout. Over 75% of GP registrars report moderate to high levels of burnout during training [1 ]. This blog will provide you with practical, evidence based strategies to manage the extensive GP Academy curriculum, avoid content overload, apply structured revision systems, create and use efficient notes, and integrate active recall resources to reduce burnout risk. For additional timing strategies, see our comprehensive AKT timing guide. Content Overload and Cognitive Fatigue Content overload happens when you try to memorise every possible topic for the exam, which leads to cognitive fatigue. Cognitive fatigue impairs concentration, retention, and clinical decision making, and it can escalate anxiety if not addressed early [2 ]. The outcome is predictable, less effective study, reduced recall, and growing stress just when you need clarity most. Common signs of cognitive fatigue include: Difficulty concentrating for prolonged periods Increased forgetfulness, even shortly after revising Persistent mental exhaustion, despite resting adequately Frustration and irritability over minor study setbacks Poorer performance in practice exams and clinical reasoning tasks To manage content overload and cognitive fatigue: Prioritise key topics based on their relevance in RACGP exams. Use the official RACGP exam blueprint to guide your focus. Engage with material through active learning, summarise aloud, teach a peer, build mind maps. Take frequent breaks during study sessions, ideally every 30 to 60 minutes, to reset mentally. Recognise signs early and seek support from colleagues, mentors, or professional services such as the RACGP GP Support Program [6 ]. Structure study around clinic hours and protect rest time daily. For more structured methods of managing your study load, see our AKT timing guide. Two Pass System for GP Exam Burnout, Learn Once, Revise Often The two pass revision system reduces GP exam burnout by improving retention and lowering the cognitive burden of continuous learning. First learn concepts broadly, then revisit regularly with active techniques. This aligns with spaced repetition, a well established memory approach that strengthens recall over time without cramming [4 ]. To implement the two pass system: First pass, gain a broad overview of each topic area without excessive detail Schedule regular revision sessions, weekly initially, then monthly as retention strengthens During revision, test yourself actively using flashcards, practice questions, or brief teaching huddles with colleagues Pay extra attention to topics where you feel less confident Gradually increase intervals between revisions as confidence and retention improve By using the two pass method, you reduce the stress of trying to memorise extensive guidelines quickly and you build durable knowledge. For specific spacing templates, see our spaced repetition guide. Add High Quality Questions, Flashcards and Notes to GP Academy with Fellow Academy Active recall methods consistently outperform passive study for learning and long term retention. Testing yourself strengthens memory traces and makes weaknesses visible early, supporting calmer and more efficient preparation [5 ]. Fellow Academy resources are built to align with RACGP exam formats and content scope, which reduces noise and helps you focus on the essentials. Benefits of using Fellow Academy resources: Daily structured flashcards for brief, targeted reinforcement of essential topics Realistic AKT and KFP question banks that mirror exam conditions and styles Concise structured notes that summarise complex topics for quick review Regular updates that track RACGP guidance and curriculum developments To explore these methods further, see our comprehensive Fellow Academy KFP preparation guide. Tools That Make Active Recall Easy Digital tools simplify the process of integrating active recall and spaced repetition into your RACGP exam preparation. Brainscape: Uses adaptive algorithms to determine when you should review each flashcard based on your confidence level. Anki: Allows custom deck creation for topics like PBS rules or emergency management. Quizlet: Offers collaborative decks for study groups. Using these tools allows you to: Review flashcards during commutes or between patients. Automatically revisit topics you’re struggling with. Track progress and identify weak areas. These platforms bring structure to your study plan, ensuring regular reinforcement and better recall. (For time management strategies, see our AKT Study Planner.) How to Combine These Methods for Peak Performance When you combine active recall with spaced repetition, the results are exponential. This combination, known as “spaced retrieval practice”, creates a continuous cycle of learning, forgetting, and relearning that strengthens memory. Start early (at least 6–12 months before your exam). Create flashcards for each guideline or high-yield topic. Use Brainscape or Anki daily to review material in spaced cycles. Schedule mock exams every 3–4 weeks to test your applied knowledge. Research indicates spaced repetition can significantly increase long-term retention, with spaced learners achieving approximately 58% accuracy compared to 43% among traditional learners (p<0.001) [4]. By six months into this method, most candidates report not only improved recall but also better confidence under pressure. You’re no longer scrambling to remember—you’re retrieving information automatically. Frequently Asked Questions 1. What is GP exam burnout GP exam burnout is chronic mental and physical exhaustion from sustained study pressure during exam preparation. Over 75% of GP registrars experience moderate to high burnout during training [1 ]. Typical features include persistent fatigue, irritability, reduced motivation, and difficulty concentrating and recalling information. 2. How can structured notes reduce burnout Structured notes reduce burnout by making revision faster and clearer, removing the need to repeatedly watch long recordings. They encourage active engagement, improve retention, and shorten total study time, which eases exam stress and supports steady progress [4 ]. 3. Why is active recall effective for GP exam preparation Active recall requires you to retrieve information from memory, which strengthens learning more than passive re reading or rewatching. It improves long term retention and reduces the cognitive load by focusing on what you do not yet know well [5 ]. Pair active recall with spaced repetition for best results [4 ]. 4. How often should I revise content using the two pass method Initially, revisit topics weekly after your first broad review, then extend intervals to monthly as your retention improves. Regular, spaced repetition boosts long term recall and reduces the anxiety associated with last minute cramming, without adding unnecessary study hours [4 ]. 5. Where can I find reliable GP exam resources to avoid burnout Fellow Academy provides structured notes, targeted flashcards, and comprehensive question banks that manage content overload, improve retention through active recall, and reduce burnout risk. For case based practice, see our free KFP case packs and recorded webinars. If you’re feeling overwhelmed by RACGP exam preparation, Fellow Academy offers high quality AKT and KFP questions, exam notes in concise and comprehensive format, and high yield, evidence based flashcards designed to help you study smarter and perform with confidence. You’ll also find free KFP case packs, webinars, and practical study resources to guide you every step of the way. Disclaimer: This content is not affiliated with, endorsed by, or representative of the Royal Australian College of General Practitioners (RACGP). The strategies and approaches shared are based on personal experience and the experiences of other GP candidates who successfully passed their exams. They are intended as general study guidance only and should not be taken as official RACGP advice. References GP Supervisors Australia. (2025). Study Skills Guide for GP Registrars: Studying Smarter, Not Harder. GPSA. Carpenter, S. K., Pan, S. C., & Butler, A. C. (2022). The science of effective learning with spacing and retrieval practice. Nature Reviews Psychology, 1(10), 496–511. 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
- GP Academy lectures vs exam style KFP questions: which one lifts your mark? | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now GP Academy lectures vs exam style KFP questions: which one lifts your mark? Last updated: November 2025 Buy Now GP Academy lectures vs exam style KFP questions: which one lifts your mark? 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 Every GP trainee knows the feeling. That quiet pressure in the background. That awareness that the RACGP KFP exam is coming, and that your preparation will determine how confident you feel walking into the room. It is not just about passing. It is about proving to yourself that all the long days in clinic have built something solid. This is exactly why so many registrars and IMGs eventually ask the same question: GP Academy lectures vs exam style KFP questions: which one lifts your mark? You want to know which strategy will genuinely shift your score, which method will strengthen your clinical reasoning, and which approach will help you perform under the very particular pressures of the KFP. This guide breaks that down simply and clearly. You will see what GP Academy lectures offer, why realistic KFP questions matter, and how to use both in a structured, reassuring way that fits around clinic days, after hours revision, and family responsibilities. Think of this as a calm conversation with an examiner who understands exactly what you need. What GP Academy lectures do well (breadth and foundations) GP Academy lectures provide a strong, structured entry point into exam preparation. They help you build the broad foundational knowledge that the KFP expects, before you layer on more complex decision making. A structured lecture pathway helps you systematically revise core topics aligned to the Fellowship curriculum and common Australian primary care presentations, while keeping your study organised and less overwhelming [1], [3] . Key strengths of GP Academy lectures include: Breadth of coverage: You receive guided explanations across a wide range of GP topics that map to the RACGP curriculum and exam blueprint [3] . Strong foundations: Clarifies complex clinical guidelines and decision points so you can move from knowledge to application [1], [3] . Structured progression: A logical order reduces the cognitive load of planning your own sequence and supports steady knowledge consolidation [1] . Guideline alignment: Encourages use of current Australian guidelines and college resources so content remains contemporary and exam relevant [1], [3] . Supportive learning environment: A lower pressure space to understand concepts before applying them under exam conditions [1], [4] . As a GP trainee, these strengths matter. Your clinic work is already mentally demanding. You need your study to feel organised rather than chaotic. GP Academy lectures provide this, giving you a reliable base to build on. For many trainees, this structure is the first step in transforming overwhelm into clarity. For more ways to structure your exam preparation, see our guide on effective KFP study planning. Limitations of simplified or modified KFP MSQs Despite their appeal, simplified or modified MSQs often do not come close to the authentic complexity of real KFP exam questions. These questions are sometimes shorter, easier, or less clinically nuanced. While they can feel reassuring early in your study, they rarely prepare you for high level reasoning under pressure. Common limitations include: Overly short vignettes that remove contextual detail needed for clinical reasoning, unlike the fuller stems used in RACGP KFP style tasks [1]. Obvious answer choices that do not force you to discriminate between plausible options or prioritise actions [1]. No clear instruction on answer count, even though KFP tasks specify the number of responses required and expect concise, relevant answers [1], [2]. Weak explanations that do not reference authoritative Australian guidelines or articulate examiner style rationale [1], [4]. These simplified questions may create an impression that the exam is straightforward, when in reality the KFP requires depth, accuracy, and nuanced decision making. When trainees rely heavily on these types of questions, exam performance often plateaus because core exam skills have not been built. If you want to explore exam technique further, see our detailed breakdown of RACGP KFP exam structure. Fellow Academy’s highest quality KFPs (correct answer count, nuanced distractors, guideline screenshots) Fellow Academy’s KFP questions are designed to replicate real exam conditions as closely as possible. This authenticity matters for exam readiness. It ensures that the skills you practise are the ones you will need on exam day. Complex vignettes, precise answer counts, and carefully designed distractors mirror the reasoning challenges used in the RACGP KFP. This approach aligns with RACGP guidance that candidates should practise applying knowledge through clinical reasoning and engage with practice style assessments to build familiarity and technique [1], [2] . Fellow Academy’s questions include: Realistic clinical scenarios that reflect exam level detail and complexity, including comorbidity and prioritisation [1], [2]. Clear answer count instructions, training accuracy in response structure and brevity [1]. Nuanced distractors that reflect genuine clinical errors candidates commonly make, improving decision discrimination [1]. Detailed explanations with guideline referencing, helping you understand and apply current Australian guideline logic in context [1], [4]. The emphasis here is not on passive exposure to content, but on the active application that the college emphasises. RACGP explicitly recommends using practice style resources to understand format, timing, and the expectations around concise, relevant answers that address key features [1], [2]. You can explore more high quality cases in our free KFP sample case pack. RACGP KFP format essentials for study focus Knowing the format you are working towards helps you study with purpose. RACGP guidance explains how KFP tasks expect candidates to identify key features, prioritise safe and relevant actions, and provide concise responses within strict time limits [1], [2] . Practical implications for your study: Prioritise key features: Train yourself to extract the main clinical problems and safety issues from a stem before you list actions [1] . Practise concise responses: Aim for brief, relevant statements rather than long narratives. This mirrors exam expectations and saves time [1] . Rehearse timing: Use timed sets to build a steady rhythm for reading, extracting features, and writing answers within the allowed period [2] . Use Australian guidelines: Anchor choices to current national guidance to reduce indecision and keep actions defensible [3] . For a deeper understanding of how to target the marking expectations, see our explainer on RACGP KFP exam structure. FAQs: GP Academy lectures vs exam style KFP questions 1. Are GP Academy lectures enough to pass the RACGP KFP exam? GP Academy lectures provide important foundational learning but generally require complementing with realistic KFP questions. The KFP is an exam of clinical reasoning and application, and RACGP guidance highlights the importance of applying knowledge in a clinical context and using practice style tasks to build technique [1], [2] . Trainees who combine both theory and practice consistently report greater improvement in confidence and performance [4] . 2. How can I prepare effectively for the RACGP KFP exam? Use a balanced combination of content learning, realistic question practice, structured revision, and regular guideline review. RACGP recommends familiarising yourself with format and timing using practice style assessments, then focusing on concise, relevant answers to key features [1], [2] . Add retrieval practice and spaced repetition to strengthen retention [5] , [6] . 3. Should my study emphasise notes or practice questions? Start with notes early if topics feel unfamiliar, then shift emphasis to realistic KFP questions as the exam approaches to build exam technique, timing, and decision making. This aligns with RACGP guidance to practise applying knowledge and with GPRA advice to use active, evidence based strategies [1] , [4] . 4. What study strategies help trainees perform well in the KFP exam? Combine spaced repetition, flashcards, peer based case discussions, and regular timed KFP practice. Review Australian guidelines after each session to close knowledge gaps and refine concise, relevant answers. This blends learning science with RACGP exam expectations [1] , [4] , [6] . 5.1GP Academy vs Fellow Academy, which is better for KFP preparation? GP Academy builds strong foundational knowledge. Fellow Academy builds strong exam technique through realistic KFP practice. The best outcomes come from integrating both, consistent with RACGP’s emphasis on applied knowledge, practice assessments, and familiarity with exam expectations [1], [2], [4] . Weekly study plan that fits a registrar schedule A plan that respects your clinic workload is more likely to be followed. Blend short active sessions on busy days with longer, structured blocks when you are off roster [1], [4], [6]. A simple template you can adapt: On clinic days: 20 to 30 minutes of hard KFP questions at lunch or after clinic, followed by a quick targeted guideline read and 10 minutes of flashcards [6] . On study days: Two focused 60 to 90 minute blocks. Start with a timed KFP set, then do a guided review against Australian guidelines, close with a short flashcard session [1], [3] . End of week: One full timed mini paper, brief reflection on missed marks, update your flashcards and priority list for the next week [2], [4] . For more ways to structure your exam preparation week, see effective KFP study planning. Best study order: hard KFP questions, notes, then flashcards Your study sequence matters as much as your study materials. Using a thoughtful structure helps you retain information longer and apply it more accurately. The cycle of hard KFP questions first, followed by notes, then flashcards, is grounded in strong education evidence on retrieval practice and spaced repetition, which improve retention and exam performance compared with passive study [5], [6]. This sequence also matches RACGP and GPRA guidance to move beyond reading into active application and timed practice [1], [4]. Here is how the cycle strengthens your learning: Start with hard KFP questions Activate retrieval and surface knowledge gaps before reviewing. This improves long term retention and highlights exactly what to study next [5], [6]. Review notes and guidelines Target the gaps you identified. Revisiting RACGP aligned notes and Australian guidelines after attempting questions makes study time efficient and clinically grounded [1], [3], [4]. Reinforce using flashcards Use spaced repetition and active recall to convert fresh learning into dependable memory that stands up under exam timing [6]. When repeated consistently, this study cycle transforms how you approach exam preparation. You are no longer passively consuming information. You are actively identifying what you do not know, strengthening it, then reinforcing it. This is one of the most powerful ways to build exam day confidence. For a deeper look at retention techniques, see our guide on spaced repetition for KFP success. If you feel uncertain or overwhelmed by your RACGP preparation, you do not have to navigate it alone. Fellow Academy offers high quality AKT and KFP questions, clear and comprehensive notes, and high yield flashcards designed to support you in studying with confidence and clarity. You will also find free KFP case packs, webinars, and step by step guidance designed to walk with you through the entire journey. 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. (2024). AKT and KFP examination guide, preparing for the FRACGP exams, expectations, answer format, timing, and preparation advice. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fellowship/gp-fellowship-exams [2] Royal Australian College of General Practitioners. (2024). Exam support, practice assessments for AKT and KFP, format familiarisation and timing guidance. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fellowship/exams/preparation-resources [3] Royal Australian College of General Practitioners. (2022). RACGP curriculum and syllabus for Australian general practice. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/education-providers/curriculum [4] General Practice Registrars Australia. (2025). Study strategies for GP trainees, active learning, timed practice, feedback, and guideline alignment. Melbourne, VIC: GPRA. https://gpra.org.au/resources [5] Clemmons, K. R., Vuk, J., & Jarrett, D. M. (2023). Educational videos versus question banks, maximising medical student performance on a high stakes exam. Cureus, 15(4), e38110. https://doi.org/10.7759/cureus.38110 [6] Augustin, M. (2014). How to learn effectively in medical school, test yourself, learn actively, and repeat in intervals. Yale Journal of Biology and Medicine, 87(2), 207 to 212. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031794/ 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 What GP Academy lectures do well (breadth and foundations) GP Academy lectures provide a strong, structured entry point into exam preparation. They help you build the broad foundational knowledge that the KFP expects, before you layer on more complex decision making. A structured lecture pathway helps you systematically revise core topics aligned to the Fellowship curriculum and common Australian primary care presentations, while keeping your study organised and less overwhelming [1], [3] . Key strengths of GP Academy lectures include: Breadth of coverage: You receive guided explanations across a wide range of GP topics that map to the RACGP curriculum and exam blueprint [3] . Strong foundations: Clarifies complex clinical guidelines and decision points so you can move from knowledge to application [1], [3] . Structured progression: A logical order reduces the cognitive load of planning your own sequence and supports steady knowledge consolidation [1] . Guideline alignment: Encourages use of current Australian guidelines and college resources so content remains contemporary and exam relevant [1], [3] . Supportive learning environment: A lower pressure space to understand concepts before applying them under exam conditions [1], [4] . As a GP trainee, these strengths matter. Your clinic work is already mentally demanding. You need your study to feel organised rather than chaotic. GP Academy lectures provide this, giving you a reliable base to build on. For many trainees, this structure is the first step in transforming overwhelm into clarity. For more ways to structure your exam preparation, see our guide on effective KFP study planning. Limitations of simplified or modified KFP MSQs Despite their appeal, simplified or modified MSQs often do not come close to the authentic complexity of real KFP exam questions. These questions are sometimes shorter, easier, or less clinically nuanced. While they can feel reassuring early in your study, they rarely prepare you for high level reasoning under pressure. Common limitations include: Overly short vignettes that remove contextual detail needed for clinical reasoning, unlike the fuller stems used in RACGP KFP style tasks [1]. Obvious answer choices that do not force you to discriminate between plausible options or prioritise actions [1]. No clear instruction on answer count, even though KFP tasks specify the number of responses required and expect concise, relevant answers [1], [2]. Weak explanations that do not reference authoritative Australian guidelines or articulate examiner style rationale [1], [4]. These simplified questions may create an impression that the exam is straightforward, when in reality the KFP requires depth, accuracy, and nuanced decision making. When trainees rely heavily on these types of questions, exam performance often plateaus because core exam skills have not been built. If you want to explore exam technique further, see our detailed breakdown of RACGP KFP exam structure. Fellow Academy’s highest quality KFPs (correct answer count, nuanced distractors, guideline screenshots) Fellow Academy’s KFP questions are designed to replicate real exam conditions as closely as possible. This authenticity matters for exam readiness. It ensures that the skills you practise are the ones you will need on exam day. Complex vignettes, precise answer counts, and carefully designed distractors mirror the reasoning challenges used in the RACGP KFP. This approach aligns with RACGP guidance that candidates should practise applying knowledge through clinical reasoning and engage with practice style assessments to build familiarity and technique [1], [2] . Fellow Academy’s questions include: Realistic clinical scenarios that reflect exam level detail and complexity, including comorbidity and prioritisation [1], [2]. Clear answer count instructions, training accuracy in response structure and brevity [1]. Nuanced distractors that reflect genuine clinical errors candidates commonly make, improving decision discrimination [1]. Detailed explanations with guideline referencing, helping you understand and apply current Australian guideline logic in context [1], [4]. The emphasis here is not on passive exposure to content, but on the active application that the college emphasises. RACGP explicitly recommends using practice style resources to understand format, timing, and the expectations around concise, relevant answers that address key features [1], [2]. You can explore more high quality cases in our free KFP sample case pack. RACGP KFP format essentials for study focus Knowing the format you are working towards helps you study with purpose. RACGP guidance explains how KFP tasks expect candidates to identify key features, prioritise safe and relevant actions, and provide concise responses within strict time limits [1], [2] . Practical implications for your study: Prioritise key features: Train yourself to extract the main clinical problems and safety issues from a stem before you list actions [1] . Practise concise responses: Aim for brief, relevant statements rather than long narratives. This mirrors exam expectations and saves time [1] . Rehearse timing: Use timed sets to build a steady rhythm for reading, extracting features, and writing answers within the allowed period [2] . Use Australian guidelines: Anchor choices to current national guidance to reduce indecision and keep actions defensible [3] . For a deeper understanding of how to target the marking expectations, see our explainer on RACGP KFP exam structure. 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: GP Academy lectures vs exam style KFP questions 1. Are GP Academy lectures enough to pass the RACGP KFP exam? GP Academy lectures provide important foundational learning but generally require complementing with realistic KFP questions. The KFP is an exam of clinical reasoning and application, and RACGP guidance highlights the importance of applying knowledge in a clinical context and using practice style tasks to build technique [1], [2] . Trainees who combine both theory and practice consistently report greater improvement in confidence and performance [4] . 2. How can I prepare effectively for the RACGP KFP exam? Use a balanced combination of content learning, realistic question practice, structured revision, and regular guideline review. RACGP recommends familiarising yourself with format and timing using practice style assessments, then focusing on concise, relevant answers to key features [1], [2] . Add retrieval practice and spaced repetition to strengthen retention [5] , [6] . 3. Should my study emphasise notes or practice questions? Start with notes early if topics feel unfamiliar, then shift emphasis to realistic KFP questions as the exam approaches to build exam technique, timing, and decision making. This aligns with RACGP guidance to practise applying knowledge and with GPRA advice to use active, evidence based strategies [1] , [4] . 4. What study strategies help trainees perform well in the KFP exam? Combine spaced repetition, flashcards, peer based case discussions, and regular timed KFP practice. Review Australian guidelines after each session to close knowledge gaps and refine concise, relevant answers. This blends learning science with RACGP exam expectations [1] , [4] , [6] . 5.1GP Academy vs Fellow Academy, which is better for KFP preparation? GP Academy builds strong foundational knowledge. Fellow Academy builds strong exam technique through realistic KFP practice. The best outcomes come from integrating both, consistent with RACGP’s emphasis on applied knowledge, practice assessments, and familiarity with exam expectations [1], [2], [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
- Top 10 GP Exam Tips to Avoid Common RACGP Mistakes | Fellow Academy (Formerly PassRACGP)
Buy Now Home AKT/KFP CCE Cases CCE Coaching Clinical Team Topics Summary Testimonial Blogs Exam notes Menu Close Buy Now Top 10 GP Exam Tips to Avoid Common RACGP Mistakes Last updated: October 2025 Buy Now Top 10 GP Exam Tips to Avoid Common RACGP Mistakes 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 the RACGP exams can feel overwhelming, but it doesn’t have to be. Common RACGP exam mistakes frequently undermine capable candidates, preventing them from passing their GP exams on the first attempt. By knowing these pitfalls and using proven GP exam tips, you can avoid common errors and significantly increase your chances of success. Drawing on years of experience as an examiner and mentor, I'll guide you through the 10 most frequent mistakes GP trainees make and practical strategies to overcome them. 1. Starting Practice Questions Too Late Starting your practice questions too late is one of the most common errors candidates make. Leaving question practice until the final weeks limits your ability to identify weaknesses, develop effective exam strategies, and build the stamina you need for a 4-hour exam. Begin practising exam-style questions at least 3 to 6 months before your exam date. Regular timed practice sessions simulate the real exam environment and reduce anxiety. In the 2024.2 AKT exam cycle, first-attempt candidates achieved a pass rate of 91.3%, while fourth-attempt candidates had just 23.9%, demonstrating the power of early preparation [1] . Track weekly progress to spot recurring weaknesses early and refine your study plan. Practical tip: If you struggle with dermatology or ECG interpretation, dedicate targeted sessions early to develop these core competencies. 2. Neglecting the KFP Reasoning Format The KFP exam is not a memory test — it assesses clinical reasoning and decision-making. Many candidates fail because they treat it like a recall exercise instead of demonstrating logical thinking. Focus on key decision points: diagnostic reasoning, investigations, and immediate management. Keep your responses concise and relevant. As of July 2025, the KFP comprises 70 multi-selection questions completed in 4 hours, reinforcing the need for accuracy and efficient reasoning [2] . RACGP exam reports repeatedly note that candidates lose marks for providing irrelevant details or unfocused answers [2]. Practical tip: When practising, write down your reasoning for each case. Explaining your thought process trains you to think like an examiner. 4. Over-Focusing on Rare Topics Overemphasising rare diseases is a time trap. RACGP exams focus primarily on common, high-yield presentations encountered in everyday GP practice. 48% of GP consultations involve the 30 most common conditions, such as hypertension, diabetes, depression, respiratory infections, and preventive care [4] . Prioritise these topics over uncommon diseases to align with exam emphasis. Practical tip: Use the RACGP curriculum as your map. Ensure you can confidently manage the top chronic and acute presentations seen in general practice. 6. Relying on Passive Study Methods Passive study, such as rereading notes or highlighting text, may feel productive but doesn’t prepare you for real exam pressure. Replace passive study with active recall: quiz yourself, teach peers, or write practice summaries. Use spaced repetition flashcards to reinforce long-term memory. Research shows active engagement improves knowledge retention and retrieval accuracy [3] . Practical tip: Convert your reading into short-answer questions and attempt them daily. 7. Underestimating the CCE’s Communication Component Strong communication often separates pass from fail. Many candidates with correct diagnoses lose marks because they fail to demonstrate empathy, patient partnership, and clarity. The Clinical Competency Exam (CCE) consists of 9 cases, each 15 minutes long with a 5-minute reading period, conducted online via Zoom [5 ]. The CCE assesses communication, professionalism, and reasoning as much as clinical accuracy. RACGP examiners highlight poor rapport-building, excessive jargon, or missing patient concerns as common reasons for failure [1] . Practical tip: Role-play real cases with peers. Focus on open questioning, summarising, and safety-netting. 7. Underestimating the CCE’s Communication Component Strong communication often separates pass from fail. Many candidates with correct diagnoses lose marks because they fail to demonstrate empathy, patient partnership, and clarity. The Clinical Competency Exam (CCE) consists of 9 cases, each 15 minutes long with a 5-minute reading period, conducted online via Zoom [5 ]. The CCE assesses communication, professionalism, and reasoning as much as clinical accuracy. RACGP examiners highlight poor rapport-building, excessive jargon, or missing patient concerns as common reasons for failure [1] . Practical tip: Role-play real cases with peers. Focus on open questioning, summarising, and safety-netting. 8. Failing to Build Exam-Day Stamina RACGP exams are long, intense, and require sustained concentration. Many candidates perform poorly simply because they run out of mental energy halfway through. Regularly practise full-length, 4-hour mock exams under timed conditions to build endurance. Gradually increase your study block lengths to mirror exam conditions. Candidates who perform repeated full-length simulations report improved focus, reduced fatigue, and better pacing [3] . Practical tip: Treat your study plan like a training program — balance high-intensity practice with adequate rest. FAQs: GP Exam Tips & RACGP Exam Mistakes 1. What are the Top 10 Mistakes GP Trainees Make When Preparing for the RACGP Exams? The top mistakes include starting practice questions too late, ignoring the clinical reasoning required for KFP, relying on passive learning methods, studying outdated guidelines, over-focusing on rare topics, neglecting feedback, underestimating communication in CCE, inadequate stamina preparation, failing to review RACGP marking criteria, and delaying the use of critical study resources [1 ,3] . 2. How to study for GP exams ? Use active learning techniques such as self-testing, flashcards, and spaced repetition rather than passive reading. Regularly practise exam-style questions in timed conditions. Refer closely to current Australian clinical guidelines (eTG, RACGP Red Book, Australian Immunisation Handbook) and participate in structured study groups and workshops to reinforce knowledge and reasoning [1 ,3] . 3. What are KFP questions ? Key Feature Problem (KFP) questions assess your clinical reasoning skills rather than pure knowledge recall. Each question presents a clinical scenario requiring concise answers focused on diagnosis, investigation, or immediate management. The RACGP’s KFP exam currently consists of 70 multi-selection questions completed in 4 hours [2 ]. 4. What is the Murtagh's restricted rule out framework? Murtagh’s restricted rule-out framework guides clinical reasoning by focusing first on serious conditions ("red flags") that must be urgently excluded, followed by common conditions, less likely conditions, and masquerades. This structured approach ensures safe clinical decision-making and efficient problem-solving in primary care, crucial for both KFP and clinical practice[4] . 5. What is the new KFP format? As of July 2025, the KFP exam consists of 70 multi-selection questions, each requiring careful selection of multiple correct answers without providing irrelevant details. The exam duration is 4 hours, completed on paper-based answer sheets [2]. 5. Ignoring Feedback From Practice Cases Failing to apply feedback keeps you stuck at the same level. Reviewing your mistakes critically is one of the most effective ways to improve exam performance. Maintain a “learning log” of incorrect answers or weak areas. Seek feedback from supervisors or study partners and revisit corrected cases. RACGP examiners frequently report candidates repeating the same reasoning mistakes, such as missing red flags or failing to prioritise urgent management [1] . Practical tip: After each mock exam, analyse why you got a question wrong — not just what the right answer was. 3. Not Studying From Official Guidelines Using outdated or non-Australian resources can cost you marks. The RACGP expects candidates to use current national guidelines that reflect best practice in Australian primary care. Review the RACGP Red Book (preventive care), Therapeutic Guidelines (eTG), and Australian Immunisation Handbook. Incorporate PBS-listed therapies and management algorithms from the Australian Prescriber. Active learning using up-to-date guidelines improves exam outcomes compared with passive reading [3] . Practical tip: Allocate one study session weekly to reviewing newly released guideline updates relevant to general practice. If you find RACGP exam preparation overwhelming, Fellow Academy is here to help. We provide high-quality AKT and KFP question banks, concise comprehensive exam notes, and evidence-based flashcards tailored to GP trainees. You’ll also find supportive webinars, free KFP case packs, 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 shared are based on personal experience and the experiences of GP candidates who successfully passed their exams. They are intended as general 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 shared are based on personal experience and the experiences of GP candidates who successfully passed their exams. They are intended as general guidance only and should not be taken as official RACGP advice. References [1] Royal Australian College of General Practitioners. (2024, December). Examination report 2024.2 Applied Knowledge Test (AKT). East Melbourne, VIC: RACGP. https://www.racgp.org.au/FSDEDEV/media/documents/Education/Registrars/Fellowship%20Pathways/Exams/AKT-2024-2-Public-Exam-Report.pdf [2] 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 [3] Liotta, M. for RACGP newsGP. (2019, September 11). RACGP’s KFP exam report: Tips to improve outcomes. East Melbourne, VIC: RACGP. https://www1.racgp.org.au/newsgp/racgp/racgp-s-kfp-exam-report-tips-to-improve-outcomes [4] Glasziou, P., Britt, H., Cooke, G., & Valenti, L. (2013). Common general practice presentations and publication frequency. Australian Family Physician, 42 (1), 65–68. https://www.racgp.org.au/afp/2013/january-february/common-general-practice-presentations [5] Royal Australian College of General Practitioners. (2025, July). CCE Candidate Information. East Melbourne, VIC: RACGP. https://www.racgp.org.au/education/fracgp-exams/racgp-exams/clinical-competency-exam 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 the RACGP exams can feel overwhelming, but it doesn’t have to be. Common RACGP exam mistakes frequently undermine capable candidates, preventing them from passing their GP exams on the first attempt. By knowing these pitfalls and using proven GP exam tips, you can avoid common errors and significantly increase your chances of success. Drawing on years of experience as an examiner and mentor, I'll guide you through the 10 most frequent mistakes GP trainees make and practical strategies to overcome them. 1. Starting Practice Questions Too Late Starting your practice questions too late is one of the most common errors candidates make. Leaving question practice until the final weeks limits your ability to identify weaknesses, develop effective exam strategies, and build the stamina you need for a 4-hour exam. Begin practising exam-style questions at least 3 to 6 months before your exam date. Regular timed practice sessions simulate the real exam environment and reduce anxiety. In the 2024.2 AKT exam cycle, first-attempt candidates achieved a pass rate of 91.3%, while fourth-attempt candidates had just 23.9%, demonstrating the power of early preparation [1] . Track weekly progress to spot recurring weaknesses early and refine your study plan. Practical tip: If you struggle with dermatology or ECG interpretation, dedicate targeted sessions early to develop these core competencies. 2. Neglecting the KFP Reasoning Format The KFP exam is not a memory test — it assesses clinical reasoning and decision-making. Many candidates fail because they treat it like a recall exercise instead of demonstrating logical thinking. Focus on key decision points: diagnostic reasoning, investigations, and immediate management. Keep your responses concise and relevant. As of July 2025, the KFP comprises 70 multi-selection questions completed in 4 hours, reinforcing the need for accuracy and efficient reasoning [2] . RACGP exam reports repeatedly note that candidates lose marks for providing irrelevant details or unfocused answers [2]. Practical tip: When practising, write down your reasoning for each case. Explaining your thought process trains you to think like an examiner. 4. Over-Focusing on Rare Topics Overemphasising rare diseases is a time trap. RACGP exams focus primarily on common, high-yield presentations encountered in everyday GP practice. 48% of GP consultations involve the 30 most common conditions, such as hypertension, diabetes, depression, respiratory infections, and preventive care [4] . Prioritise these topics over uncommon diseases to align with exam emphasis. Practical tip: Use the RACGP curriculum as your map. Ensure you can confidently manage the top chronic and acute presentations seen in general practice. 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: GP Exam Tips & RACGP Exam Mistakes 1. What are the Top 10 Mistakes GP Trainees Make When Preparing for the RACGP Exams? The top mistakes include starting practice questions too late, ignoring the clinical reasoning required for KFP, relying on passive learning methods, studying outdated guidelines, over-focusing on rare topics, neglecting feedback, underestimating communication in CCE, inadequate stamina preparation, failing to review RACGP marking criteria, and delaying the use of critical study resources [1 ,3] . 2. How to study for GP exams ? Use active learning techniques such as self-testing, flashcards, and spaced repetition rather than passive reading. Regularly practise exam-style questions in timed conditions. Refer closely to current Australian clinical guidelines (eTG, RACGP Red Book, Australian Immunisation Handbook) and participate in structured study groups and workshops to reinforce knowledge and reasoning [1 ,3] . 3. What are KFP questions ? Key Feature Problem (KFP) questions assess your clinical reasoning skills rather than pure knowledge recall. Each question presents a clinical scenario requiring concise answers focused on diagnosis, investigation, or immediate management. The RACGP’s KFP exam currently consists of 70 multi-selection questions completed in 4 hours [2 ]. 4. What is the Murtagh's restricted rule out framework? Murtagh’s restricted rule-out framework guides clinical reasoning by focusing first on serious conditions ("red flags") that must be urgently excluded, followed by common conditions, less likely conditions, and masquerades. This structured approach ensures safe clinical decision-making and efficient problem-solving in primary care, crucial for both KFP and clinical practice[4] . 5. What is the new KFP format? As of July 2025, the KFP exam consists of 70 multi-selection questions, each requiring careful selection of multiple correct answers without providing irrelevant details. The exam duration is 4 hours, completed on paper-based answer sheets [2]. 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
- Pass the RACGP Exams: Tips From Top Scoring Fellows | Fellow Academy (Formerly PassRACGP)
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
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