The Royal Australian College of General Practitioners requires GP registrars to pass three assessments for Fellowship: the Applied Knowledge Test (AKT), the Key Feature Problem (KFP), and the Clinical Competency Exam (CCE). Each tests a different dimension of general practice competence, and each requires a different preparation approach.
AKT (Applied Knowledge Test)
The AKT tests factual and applied clinical knowledge through MCQs. It covers the full breadth of general practice — clinical medicine, population health, professional ethics, organisational knowledge, and the Australian healthcare system. The standard is that of a competent, independent GP.
What it tests: Can you identify the correct diagnosis, investigation, or management for a given clinical scenario? Do you understand the public health, ethical, and organisational dimensions of Australian general practice?
How to prepare: Use a Q-bank mapped to the RACGP curriculum. iatroX Q-Bank is mapped to RACGP exam content, providing adaptive spaced repetition for knowledge building — free. RACGP-specific Q-banks (RACGP Online Learning, gpex) provide Australian-context questions and exam-format familiarity. The combination of an adaptive AI engine for weakness targeting and an Australian-specific Q-bank for exam realism is the strongest preparation stack.
Ask iatroX provides guideline-grounded clarification when you encounter unfamiliar conditions or management pathways. While iatroX's primary guideline corpus is UK-based (NICE, CKS, SIGN, BNF), the clinical knowledge overlaps significantly with Australian practice — particularly in primary care medicine, where evidence-based management pathways are largely consistent across developed healthcare systems.
KFP (Key Feature Problem)
The KFP is the most distinctive RACGP assessment. It tests clinical decision-making through case-based scenarios where you must identify the key actions — the specific decisions that most affect patient outcome. It is deliberately not about exhaustive management plans; it is about recognising which decisions are critical.
What it tests: Can you identify the one or two actions that matter most in a clinical scenario? Can you prioritise under uncertainty? Do you recognise when to act, when to investigate, and when to refer?
How to prepare: The KFP demands structured clinical reasoning — the ability to move from presentation to differential to key decision systematically. iatroX Brainstorm develops exactly this skill, walking you through clinical scenarios step by step with guideline-linked reasoning at each stage.
Practice identifying the "key features" of every case you encounter — in Q-bank practice, in clinical attachments, and in case discussions. For every scenario, ask: what is the single most important thing I could do or miss here? That instinct is what the KFP tests.
CCE (Clinical Competency Exam)
The CCE is an OSCE-format exam testing consultation skills, clinical reasoning, and communication in simulated patient encounters. The format is similar to the UK's SCA, Canada's NAC OSCE, or the UKMLA CPSA — timed stations with standardised patients, marking against defined competency domains.
What it tests: Can you conduct a structured, patient-centred consultation? Can you communicate a diagnosis and management plan clearly? Do you demonstrate the professional values and communication skills expected of an Australian GP?
How to prepare: Practise with peers using standardised patient scenarios with structured feedback. Focus on the RACGP competency domains: communication, clinical reasoning, professionalism, organisational skills, and population health. iatroX Brainstorm supports the reasoning component. Ask iatroX ensures your management plans are guideline-aligned.
The Australian GP Study Stack
Across all three exams: iatroX provides adaptive learning (Q-Bank), clinical reasoning (Brainstorm), and guideline reference (Ask iatroX) — free, mapped to RACGP content, available on mobile and web.
For AKT specifically: Add a RACGP-specific Q-bank for Australian-context exam questions and format familiarity.
For KFP specifically: Practice identifying key features in every clinical scenario. Use Brainstorm for structured reasoning.
For CCE specifically: Peer practice with standardised patients. Focus on communication as heavily as clinical knowledge.
The Australian GP exam system tests a well-rounded GP — not just knowledge, but reasoning, decision-making, and communication. Your preparation stack should cover all three dimensions.