RACGP Fellowship (FRACGP): everything you need to know to pass.

AKT — Applied Knowledge Test

Approximately 150 multiple-choice questions in ~3.5 hours. Tests applied knowledge across the RACGP Curriculum — clinical conditions, prescribing (per eTG), preventive care (per RACGP Red Book), Indigenous health, and Australian general practice administration. Computer-based delivery at designated venues across Australia.

KFP — Key Feature Problem

Approximately 70 short-answer or multi-selection questions structured around real consultation scenarios. Tests clinical reasoning — what to do next at the key decision points in primary care presentations. Each problem identifies "key features" (must-know decision points) marked individually.

CCE — Clinical Competency Exam

Remote Clinical Exam (RCE) format — multiple simulated patient cases of approximately 15 minutes each, conducted remotely via online platform. Candidates demonstrate consultation, history-taking, examination, management planning, communication, and Australian primary care framework application.

Eligibility

Candidates must be on an approved RACGP training pathway, hold current Medical Board of Australia registration, and meet specific clinical experience requirements. The AKT and KFP can be taken before CCE; both must be passed before sitting CCE. CCE enrolment closes before AKT/KFP results — if you fail, your CCE enrolment is refunded.

Standard Pathway after Fellowship

Successful FRACGP candidates become Fellows of the RACGP, eligible to practise independently as Australian GPs and access Medicare unrestricted billing. Some IMGs use FRACGP as their specialist registration pathway via the RACGP Specialist Pathway.

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.