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The RACP Adult Internal Medicine Basic Training exams — Divisional Written Examination (DWE) and Divisional Clinical Examination (DCE) — gate progression from Basic Training to Advanced Training in adult medicine subspecialties across Australia and New Zealand. Tests breadth of internal medicine across the RACP Curriculum. An AI-adaptive question bank by Australasian physicians mapped to the RACP Curriculum and eTG.
Full RACP Adult Medicine (DWE + DCE) bank, AI Tutor and timed mocks — $29/month or $99/year. All paid exam banks included.
Two papers sat on the same day: Clinical Applications (100 questions — 92 single-best-answer plus 8 extended matching) and Medical Sciences (70 questions — 66 single-best-answer plus 4 extended matching), 6 hours in total. Tests breadth of internal medicine knowledge across the RACP Curriculum — all major subspecialties at the level expected of a Basic Training trainee progressing to Advanced Training.
Long cases (60 minutes with a real patient, 15 minutes of discussion with examiners) and short cases (10-15 minutes per case, multiple cases). Tests clinical examination technique, clinical reasoning, presentation skills, and management planning. Held at accredited DCE centres in Australia and New Zealand.
Completion of Basic Training in Adult Internal Medicine (typically 3 years post-internship) at an accredited Australasian training site. Both DWE and DCE must be passed to progress to Advanced Training in a chosen subspecialty.
Advanced Training is typically 3 years in a chosen subspecialty (cardiology, gastroenterology, nephrology, endocrinology, respiratory, ID, haematology, oncology, rheumatology, geriatrics, IM/dual training, palliative medicine, clinical immunology, etc.) with subspecialty-specific examination and training program requirements.
Successful completion of Basic Training (DWE+DCE) + Advanced Training + subspecialty requirements awards the FRACP (Fellow of the Royal Australasian College of Physicians) in the chosen subspecialty.
DWE: typically held once per year (around February). DCE: held at multiple accredited centres across multiple weeks in the months following DWE. Confirm 2026 specific dates and enrolment deadlines on the RACP website (racp.edu.au).
Approximate distribution across the RACP Adult Internal Medicine Curriculum. The DWE tests breadth across all internal medicine subspecialties at the standard expected of a trainee progressing to Advanced Training.
Source: official Royal Australasian College of Physicians (RACP) blueprint
Drawn from the RACP Adult Internal Medicine Curriculum, Therapeutic Guidelines Australia (eTG), Cardiac Society of Australia and New Zealand (CSANZ) guidelines, and item density across the iatroX bank.
CSANZ Cardiovascular Society of Australia and New Zealand — heart failure management (four-pillar GDMT: ACEi/ARB/ARNI + beta-blocker + MRA + SGLT2i), AF anticoagulation, post-MI secondary prevention. Differs slightly from US ACC/AHA.
Diabetes management — ADS (Australian Diabetes Society) guidelines, A1C individualised targets, SGLT2i and GLP-1 for CV/renal protection, sick day rules, insulin pump and CGM emerging access
eTG Therapeutic Guidelines — central prescribing reference across all medical subspecialties. Antibiotic stewardship, IV-to-oral switch, common Australian-specific drug choices.
Indigenous (Aboriginal and Torres Strait Islander) and Māori health — recognised core RACP competency in the binational Australasian framework. Closing the Gap, Hauora Māori principles, cultural safety in tertiary medicine.
Common DCE long-case themes — multi-morbidity, frailty, complex therapeutics, palliative care decisions, breaking bad news. Examiners assess clinical reasoning, communication, and management planning equally.
DCE short-case themes — examination technique on real patients: cardiovascular (heart sounds, murmurs, signs of HF/RV failure), respiratory (clubbing, signs of consolidation), abdominal (organomegaly, ascites), neurological (cranial nerves, cerebellar signs, gait), endocrine (acromegaly, Cushing's, thyroid)
Critical appraisal and statistics — RACP DWE has explicit statistics block. Recognising RCT methodology, NNT calculations, hazard ratios, meta-analysis interpretation. Often under-prepared.
Voluntary Assisted Dying (VAD) framework — increasingly important in Australian medicine. Recognising VAD eligibility, state-specific frameworks (Victoria 2019, then most states by 2023-2025), physician role boundaries.
Observations from recent RACP Basic Training graduates. Verify against the current RACP Curriculum, eTG, and Australasian specialty society guidelines.
Candidate-reported observations — not official guidance.
A pragmatic phased approach used by recent RACP Basic Training graduates.
A live item from the iatroX bank. Try it before launching a full session.
A 46-year-old woman presents with 12 hours of fever, rigors and left loin pain. Her temperature is 39.1°C, heart rate 116 beats/min, blood pressure 104/64 mmHg and respiratory rate 22 breaths/min. She has left costovertebral-angle tenderness. Serum creatinine is 156 micromol/L (baseline 78 micromol/L), and venous lactate is 2.6 mmol/L. Urinalysis shows nitrites, leucocytes and blood. After blood and urine cultures are collected, CT of the kidneys, ureters and bladder demonstrates an 8 mm left proximal ureteric calculus with moderate hydronephrosis. Which is the most appropriate immediate management?
Why iatroX is built differently for RACP Adult Medicine (DWE + DCE).
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the RACP Adult Medicine (DWE + DCE) bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
Three-phase pathway: (1) Basic Training (~3 years post-internship) culminating in DWE + DCE exams; (2) Advanced Training (~3 years) in chosen subspecialty with subspecialty-specific requirements; (3) FRACP award after successful completion. The DWE+DCE gate progression from Basic to Advanced Training.
DWE: typically held once per year (around February). DCE: held at multiple accredited centres across multiple weeks following the DWE. Confirm 2026 exact dates and enrolment deadlines on the RACP website (racp.edu.au). Plan around state-specific clinical training rotations.
DWE: two papers of approximately 100 MCQs each, sat on the same day, testing breadth of internal medicine. DCE: long cases (60 min with patient + 15 min discussion) and short cases (10-15 min each, multiple cases). Both must be passed.
Specialist IMG pathway is via the RACP Comparability Assessment process. Internationally qualified physicians may have RACP recognise overseas training as comparable, with conditions for supervised practice. The standard RACP Basic Training pathway is typically for graduates progressing through Australian/NZ internship → BPT.
RACP is the binational Australasian framework (Australia + New Zealand). It tests Australasian guidelines (CSANZ, ADS, eTG) and the specific cultural/social context including Aboriginal, Torres Strait Islander and Māori health. The exam structure (DWE + long/short cases) differs from MRCP UK (3-part written + PACES) and US ABIM (single MCQ exam).
Yes — examined directly across both DWE and DCE. The binational RACP framework includes Aboriginal, Torres Strait Islander and Māori health as core competencies. Closing the Gap (Australia), Hauora Māori (New Zealand), cultural safety in tertiary medicine.
Yes. A single iatroX subscription (£29/month or £99/year for UK users; $29/$99 elsewhere) includes the RACP Adult Medicine bank alongside RACP Paediatrics, AMC, RACGP, and every other premium iatroX exam bank. No add-ons or per-exam fees.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
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