RACGP Fellowship (FRACGP): question practice and revision.

Choose a topic for focused revision and check your plan against the official specification.

• Cardiovascular medicine in general practice — HT, IHD, AF, HF, CVD risk
• Respiratory — asthma (Australian Asthma Handbook), COPD (COPD-X), smoking cessation
• Mental health and addictions — depression, anxiety, suicide risk, AOD, GP mental health plans
• Diabetes and endocrine — T2DM management, thyroid, osteoporosis (Australian guidelines)
• Women's health — contraception, antenatal care, menopause, cervical screening
• Paediatrics in general practice — fever, immunisations (NIP), growth, development, asthma in children
• Musculoskeletal and pain — chronic pain, OA, opioid prescribing, work-related MSK
• Geriatrics and aged care — frailty, falls, polypharmacy, end-of-life, advance care planning
• Aboriginal and Torres Strait Islander health — CARPA, social determinants, cultural safety
• Dermatology — common rashes, skin cancer recognition (high-yield in Australian context), STIs
• Gastroenterology — GERD, IBS, IBD, hepatitis (BBV testing per NSW/national)
• Preventive care — RACGP Red Book schedule, screening, vaccination, lifestyle
• Procedural skills and minor procedures — joint injections, IUD, skin lesion management
• Ethics, communication, GP business, MBS framework

Drawn from the RACGP Curriculum, eTG Therapeutic Guidelines, RACGP Red Book, and item density across the iatroX bank.

• eTG Therapeutic Guidelines Australia — the central prescribing reference for Australian GP. First-line antibiotic choices, antihypertensive sequencing, asthma/COPD step-up, mental health prescribing. Tested directly in all three exams.
• Skin cancer — disproportionately important in Australia due to high incidence. Recognising melanoma (ABCDE), BCC, SCC, dermatoscopy basics, when to biopsy vs refer, photoprotection counselling. High-yield in both AKT and CCE.
• Aboriginal and Torres Strait Islander health — CARPA Standard Treatment Manual, Closing the Gap framework, MBS Item 715 (Indigenous health check), social determinants, cultural safety in consultations. Examined directly.
• Australian Immunisation Schedule (NIP) — primary course, school-age boosters, HPV (universal from 2024), MenB introduction, RSV maternal and infant programs (recent introduction). Adult schedules including over-65 RSV and shingles.
• Mental health framework — Australian GP mental health plans (Medicare item 2715/2717), suicide risk assessment, AOD (alcohol and other drugs) management, MBS rebates for psychology referrals, perinatal mental health
• Cervical screening (Australian) — HPV-based screening every 5 years from age 25, exit at 70-74. Specific Australian pathway differs from UK and US. Test of cure for treated HSIL.
• Chronic disease management plans — GP Management Plans (MBS Item 721), Team Care Arrangements (723), reviews. Eligibility, content, claiming pattern. Specifically Australian framework.
• Common KFP themes — undifferentiated abdominal pain, headache with red flags, chest pain in primary care, fatigue workup, polypharmacy review, mental health crisis. Practise the "key feature" identification approach.

Observations from recent FRACGP candidates. Verify against the current RACGP Curriculum, eTG, RACGP Red Book and Australian clinical guidelines.

Candidate-reported observations — not official guidance.

1. KFP selection technique — read the requested number of responses in each independent multiple-selection question. Justify each selected option and identify why plausible alternatives do not address that decision point.
2. Skin cancer under-preparation — disproportionately important in Australia. Many IMGs from non-sun-belt countries under-prepare on melanoma recognition, BCC vs SCC vs benign, dermatoscopy basics, when to biopsy.
3. Aboriginal health framework — Closing the Gap, MBS Item 715, CARPA standard treatments. Recognising historical context, cultural safety, social determinants. Examined directly in all three exam components.
4. Australian-specific prescribing — eTG is the reference. UK/US sources do not align. Common differences: antibiotic first-line choices, antihypertensive sequencing, mental health prescribing, antimicrobial stewardship principles.
5. Cervical screening pathway — Australian HPV-based 5-yearly from 25 differs from UK (5-yearly from 25 also but pathway different) and US (Pap and HPV co-test). Australian-specific item.
6. GP Management Plan eligibility and content — chronic conditions, frequency, MBS billing requirements. Often muddled by IMGs new to Australian Medicare framework.
7. CCE remote format — practise on the actual online platform (or similar) before exam day. Tech setup, lighting, audio, camera angle, consultation style for remote delivery. Different feel from in-person OSCE.
8. Plan exam enrolment separately from results — you may enrol in all three exams in one semester while awaiting AKT/KFP results, but must hold both passes before sitting CCE. Check the enrolment deadline rather than waiting for results.

A pragmatic phased approach used by recent FRACGP candidates, integrated with GP registrar clinical rotations.

1. Months 1–4 (build foundation)

   Foundation pass across all 14 blueprint topics. 30 questions/day with the iatroX adaptive engine. Read eTG and RACGP Red Book paired to weak topics. Daily Aboriginal health and cultural safety reading.

2. Months 5–7 (AKT/KFP focus)

   Target weak areas with question review. For KFP, rehearse independent multiple-selection decisions: follow the requested number of responses and explain each inclusion and exclusion. Add timed AKT practice and identify the key decision in each clinical problem.

3. Months 8–9 (AKT/KFP final preparation)

   Two timed AKT papers per week + KFP papers per week under exam conditions. Practise common KFP themes (undifferentiated chest pain, abdominal pain, mental health crisis). Sit AKT and KFP.

4. Months 10–12 (CCE preparation)

   Check the CCE enrolment window while awaiting AKT/KFP results; both passes are needed to sit. Rehearse case discussions and role-player encounters with peers, including chronic disease review, mental health, paediatric presentations, Aboriginal health and women's health.

Dedicated RACGP Fellowship (FRACGP) question practice with answer explanations, guided Tutor review and study planning.

• Focused question practice — Choose the relevant bank and use your answers to identify what to study next.
• Guided reasoning — Explore a difficult answer with Tutor, then apply the distinction independently.
• Review and timed practice — Return to important mistakes and choose a timed practice set where available.

Choose the relevant bank and use the official exam guidance to plan your preparation.

The FRACGP (Fellowship of RACGP) is the qualifying credential for independent general practice in Australia. Three-exam structure: AKT (Applied Knowledge Test — 150 MCQs), KFP (Key Feature Problem — clinical reasoning), CCE (Clinical Competency Exam — remote OSCE-style). All three must be passed. AKT and KFP must be passed before sitting CCE.

AKT is 15 January and KFP 16 January 2027; enrolment is closed. The 2027.1 CCE is allocated across 18–20 June, with all nine cases on one day. Its enrolment runs 18 February–22 March 2027. Check the RACGP calendar for your sitting.

AKT (Applied Knowledge Test) is 150 MCQs testing applied knowledge across the RACGP Curriculum. KFP (Key Feature Problem) has 70 independent clinical scenarios, each with a multiple-selection question, testing clinical reasoning at key decision points. The KFP no longer uses short-answer responses.

The CCE is an online assessment with nine cases: four examiner-led case discussions and five clinical encounters with a role player. Prepare for both tasks and check the current candidate guidelines for technical arrangements.

Examined directly across all three exam components. Key areas: Closing the Gap framework, CARPA Standard Treatment Manual for remote/Aboriginal health, social determinants, cultural safety, MBS Item 715 (Indigenous health check), and recognition of historical context (intergenerational trauma).

Yes. The RACGP Specialist Pathway allows internationally qualified GPs to gain Australian GP specialist registration through assessment of comparability, supervised practice, and FRACGP exam passes. Specific eligibility and assessment varies — confirm with the RACGP IMG advice page.

Full RACGP Fellowship (FRACGP) bank access is included in all-access. Up to 10 new sample questions per day are shared across exams, with no account required. A verified free account includes one guided Tutor session; continued Tutor use is included in all-access.