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australia img roadmap: standard vs competent authority vs specialist pathways (ahpra/medical board)

a decision tree for imgs: which australian pathway fits your profile, what the amc does, and how to avoid the wrong 12-month plan.

The Bottom Line

  • Australia’s IMG routes are structured: most non-specialists enter via the Standard Pathway (AMC exams → AMC Certificate → provisional registration → supervised practice).
  • If you have eligible training in a “competent authority” system and have practised there, the Competent Authority pathway can bypass AMC exams.
  • Specialists follow specialist assessment routes, and the Medical Board has an Expedited Specialist pathway for specific specialties/qualifications (not universal).

The biggest IMG waste: starting the wrong pathway

If you begin Standard Pathway prep (AMC CAT MCQ) but you were actually eligible for Competent Authority — or you assume Competent Authority without meeting the Board’s criteria — you lose time, money, and momentum. Choose the pathway first, then build the plan.

The Australian mental model (simple and accurate)

Think “Medical Board/AHPRA = registration rules,” and “AMC = assessment/certification for most non-specialist IMGs.” Your pathway choice depends on your background (training jurisdiction, practice history, and whether you are a specialist).

Pick the right pathway in 30 minutes

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1) Confirm whether you are a specialist or non-specialist in Australia’s terms

If you are a specialist with a formal specialist qualification, do not default to the Standard Pathway. Start with specialist pathways and the relevant specialist medical college assessment logic.
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2) If non-specialist, test Competent Authority eligibility first

If you have been assessed by a competent authority and practised in a competent authority country, you may not need AMC exams.
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3) If not eligible for Competent Authority, you are likely in Standard Pathway territory

Standard Pathway typically means AMC CAT MCQ → then AMC Clinical Exam or Workplace Based Assessment (WBA) to obtain the AMC Certificate.
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4) Only then plan the job/visa logistics

Once your pathway is clear, build a timeline that includes exam sessions, document verification, and supervision requirements during provisional registration.
Practice

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Official Sources

Medical Board of Australia — IMG pathways overview
Medical Board of Australia — Standard Pathway
Medical Board of Australia — Competent Authority Pathway
AMC — Assessment pathways to registration