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[ Home ](https://mdster.com) 2. [ Family Medicine ](https://mdster.com/speciality/family-medicine) 3. FRACGP FRACGP Exam Preparation ========================= Fellowship of the Royal Australian College of General Practitioners Royal Australian College of General Practitioners Australia The RACGP Fellowship examinations are the standard assessment route toward FRACGP, a key general practice credential in Australia. The RACGP notes that candidates who successfully complete all exam segments—Applied Knowledge Test (AKT), Key Feature Problem (KFP) and Clinical Competency Exam (CCE)—can apply for admission to Fellowship. The RACGP provides candidate guidance and resources for each segment, including detailed exam-day information for AKT and KFP. Applied Knowledge Test (AKT) Key Feature Problem (KFP) Clinical Competency Exam (CCE) 2,926+ Questions 2,345+ Flashcards 73+ Podcasts About the FRACGP Exam ----------------------- The Fellowship of the Royal Australian College of General Practitioners (FRACGP) examination is the standard assessment route for medical practitioners seeking specialist recognition as a General Practitioner in Australia. The assessment consists of three segments: the Applied Knowledge Test (AKT), the Key Feature Problem (KFP), and the Clinical Competency Exam (CCE). Successfully completing all three segments allows candidates to apply for admission to Fellowship with the RACGP. ### Eligibility Candidates must typically be enrolled in a recognized RACGP training pathway (such as the Australian General Practice Training program or the Fellowship Support Program) and have completed the prerequisite amount of comprehensive Australian general practice experience. Active medical registration in Australia is also required. ### Exam Format The exam is divided into three parts. The AKT is a written examination delivered on paper using computer-readable multiple-choice answer sheets. The KFP is a scenario-based written exam testing clinical reasoning, where candidates provide short answers or select options. The CCE is a clinical assessment utilizing simulated general practice consultations to evaluate communication and applied knowledge. ### Duration The AKT generally takes 4 hours to complete. The KFP is typically 3.5 to 4 hours in duration. The CCE is conducted across multiple clinical stations, usually scheduled over a weekend or a two-day period. ### Passing Criteria Each exam segment must be passed independently. The RACGP typically uses standard-setting methods, such as the modified Angoff method, to determine the pass mark for each cohort. In the KFP, while there is no negative marking, candidates incur an overall score penalty for selecting more options than requested. ### Exam Fees Exam fees are charged per segment. Historically, the AKT and KFP cost approximately AUD $2,000 to $2,500 each, while the CCE is typically around AUD $3,000 to $3,500. Candidates should verify the exact current fees on the RACGP website. ### Exam Frequency The FRACGP examinations are generally held twice a year, organized into two primary assessment cycles (e.g., 202X.1 and 202X.2). ### Registration Process Registration is conducted online via the RACGP candidate portal. Candidates must ensure they meet the training and experience prerequisites for the specific cycle and submit their application along with the required fees before the strict closing dates. FRACGP Key Syllabus Topics ---------------------------- Core topics and subject areas covered in the FRACGP examination ### Cardiovascular Health Assessment and management of common cardiovascular conditions including hypertension, ischemic heart disease, and heart failure. ~High yield ### Mental Health Diagnosis and management of depression, anxiety, severe mental illnesses, and substance use disorders in primary care. ~High yield ### Respiratory Medicine Management of asthma, COPD, upper and lower respiratory tract infections, and recognizing respiratory emergencies. ~High yield ### Women's Health and Pregnancy Contraception, cervical screening, menopause management, antenatal care, and common gynecological presentations. ~High yield ### Child and Adolescent Health Pediatric milestones, immunization schedules, managing the febrile child, and adolescent mental and sexual health. ~High yield ### Musculoskeletal and Sports Medicine Evaluation of joint pain, osteoarthritis, back pain, sports injuries, and rheumatological conditions. ~High yield ### Endocrinology and Metabolic Disorders Comprehensive management of Type 2 Diabetes, thyroid disorders, and obesity. ~Moderate to High yield ### Dermatology Skin cancer screening and diagnosis, management of eczema, psoriasis, acne, and cutaneous infections. ~Moderate yield ### Preventative Care and Health Promotion Application of the RACGP Guidelines for preventive activities (Red Book), including screening and lifestyle interventions. ~High yield ### Aboriginal and Torres Strait Islander Health Culturally safe care, understanding the RACGP National Guide, and addressing specific health inequalities. ~Moderate yield ### Aged Care and Geriatrics Polypharmacy, cognitive impairment, osteoporosis, falls prevention, and palliative care. ~Moderate yield ### Acute and Emergency Medicine Triage and initial management of acute presentations in the general practice setting. ~Moderate yield **12** key topics covered Start Your FRACGP Preparation Today ------------------------------------- Comprehensive study materials designed to help you pass the FRACGP with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the FRACGP ---------------------------------------- A complete preparation platform with tools designed for Family Medicine professionals ### Practice Questions 2,926+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 2,345+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 73+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics FRACGP Exam Structure ----------------------- Our materials cover all parts of the FRACGP examination ### Applied Knowledge Test (AKT) The Applied Knowledge Test (AKT) is a summative examination designed to evaluate a candidate's applied clinical knowledge within the context of Australian general practice. Rather than testing simple rote memorisation, it assesses the ability to make safe, evidence-based diagnostic, management, and preventative decisions expected of an unsupervised GP. 150 single best answer (SBA) multiple-choice questions delivered on paper using computer-readable answer sheets. 4 hours (comprising a standard 3.5 hours plus a universal 30-minute allowance granted to all candidates). Pass: The pass mark varies each exam cycle and is established by practicing RACGP Fellows using an internationally recognised standard-setting methodology. There is no negative marking. Key Topics Chronic Disease Management Preventative Care and Public Health Women's Health Paediatrics and Child Health Mental Health Emergency Presentations +2 more ### Key Feature Problem (KFP) The Key Feature Problem (KFP) is a written examination designed to assess clinical decision-making and reasoning within the context of Australian general practice. Candidates are presented with clinical scenarios and must identify the critical steps in diagnosis, investigation, and management that most significantly affect patient outcomes. 70 Multiple Selection Questions (MSQs) based on individual clinical scenarios, completed on a paper bubble sheet where candidates select 2 to 6 correct options from a provided list. 4 hours Pass: Each question contributes equally (1.43%) to the final score. The pass mark is criterion-referenced and varies by exam cycle. There is no negative marking, but selecting more options than requested incurs a 0.35% penalty per extra response. Key Topics Cardiovascular Health Mental Health Respiratory Medicine Women's Health Paediatrics Musculoskeletal Medicine +4 more ### Clinical Competency Exam (CCE) The Clinical Competency Exam (CCE) is the final clinical assessment for the FRACGP, designed to evaluate a candidate's competence, communication skills, and professional attitudes in a simulated general practice setting. Delivered entirely online via Zoom, it replaces the traditional OSCE and assesses readiness for safe, unsupervised clinical practice in Australia. Remote clinical assessment consisting of 9 cases delivered via Zoom. This includes 4 case discussions (conversations directly with an examiner) and 5 clinical encounters (interacting with a simulated patient or role-player while the examiner observes). Nine 15-minute cases, each with 5 minutes of pre-case reading time. The exam is delivered across two sessions on consecutive weekends, with each session lasting up to three hours. Pass: The pass mark (cut score) is determined using the borderline regression method for each specific exam cycle. There is no fixed passing percentage or quota of candidates who can pass. Key Topics Communicationandconsultationskills Clinical information gathering and interpretation Clinical management and therapeutic reasoning Making a diagnosis, decision-making and reasoning Preventive and population health Managing uncertainty and seriously ill patients +2 more How to Prepare for the FRACGP ------------------------------- A practical guide to help you plan your FRACGP preparation effectively ### Recommended Timeline 6-12 months of structured study per cycle, typically starting with preparation for the written segments (AKT and KFP). ### Study Tips - Familiarize yourself intimately with the RACGP curriculum and Australian therapeutic guidelines. - Practice KFP scenarios regularly to master the specific formatting and avoid the over-answering penalty. - Form a study group specifically for the CCE to practice role-playing simulated patient consultations. - Read the Australian Journal of General Practice (AJGP) monthly, as exam topics frequently correlate with recent journal articles. - Take official RACGP practice exams to understand the interface and time constraints of the assessments. - Focus heavily on the RACGP Red Book for preventative care and the Silver Book for aged care. ### High-Yield Topics - Diabetes screening, monitoring, and medication escalation - Hypertension management guidelines - Mental health care plans and suicide risk assessment - Pediatric fevers, rashes, and asthma action plans - Contraception choices and menopause management - Skin cancer identification and excision margins - Aboriginal and Torres Strait Islander health assessments ### Common Pitfalls - Over-answering in the KFP: Providing 4 answers when only 3 are requested will result in a penalty for that question. - Poor time management in the AKT, leading to unanswered multiple-choice questions. - Failing to read the exact phrasing of KFP questions (e.g., confusing 'initial investigation' with 'gold standard diagnostic test'). - Treating the CCE as an oral knowledge test rather than a demonstration of clinical communication and patient-centered care. - Studying international guidelines instead of focusing strictly on Australian therapeutic guidelines (eTG). ### Recommended Resources - Therapeutic Guidelines (eTG) - RACGP Clinical Guidelines (Red Book, Silver Book, Green Book, National Guide) - Australian Journal of General Practice (AJGP) - John Murtagh's General Practice (latest edition) - RACGP gplearning online modules and practice exams Study Pathways ---------------- Choose the pathway that matches your FRACGP preparation stage ### Family Medicine Core Pathway Core pathway for Family Medicine covering foundational exams and initial certification steps. #### What's Included 738 MCQ Questions 500 SAQ Questions 1,474 Flashcards 39 Podcasts 2,751 total study resources #### Exam Coverage FRACGP Applied Knowledge Test (AKT) FRACGP Key Feature Problem (KFP) [ Start Learning ](https://mdster.com/user/dashboard) ### Family Medicine Advanced Pathway Advanced pathway for Family Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 856 MCQ Questions 722 SAQ Questions 110 SOE Questions 871 Flashcards 34 Podcasts 2,593 total study resources #### Exam Coverage FRACGP Clinical Competency Exam (CCE) [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your FRACGP study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all FRACGP features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Family Medicine Core Pathway Core pathway for Family Medicine covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Family Medicine Advanced Pathway Advanced pathway for Family Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Family Medicine Bundle (Core + Advanced) Bundle subscription for Family Medicine: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest FRACGP Updates ----------------------- Recent changes and developments for the FRACGP examination 2025 ### KFP Format Changes The RACGP has updated candidate resources to reflect changes to the Key Feature Problem (KFP) format starting from the 2025.2 exam cycle. Candidates should verify the specific formatting and syllabus updates directly with the Royal Australian College of General Practitioners. 2023 ### Transition to College-Led Training The RACGP transitioned to a college-led training model, directly managing the Australian General Practice Training (AGPT) program. This streamlined the exam eligibility and registration process through a centralized portal. Recent ### CCE Format Stabilization Following pandemic-related disruptions, the Clinical Competency Exam (CCE) has stabilized into a robust simulated general practice consultation format. Candidates should review current CCE handbooks for exact station timings and modes of delivery. Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official Royal Australian College of General Practitioners website. Related Family Medicine Exams ------------------------------- Other examinations in Family Medicine you may be interested in [ ### ABFM American Board of Family Medicine USA ](https://mdster.com/speciality/family-medicine/abfm) [ ### ABHS Arab Board of Health Specializations Middle East / North Africa ](https://mdster.com/speciality/family-medicine/abhs-family-medicine) [ ### AOBFP American Osteopathic Board of Family Physicians USA ](https://mdster.com/speciality/family-medicine/aobfp) [ ### CFPC College of Family Physicians of Canada Canada ](https://mdster.com/speciality/family-medicine/cfpc-family-medicine) [ ### FACRRM Fellowship of the Australian College of Rural and Remote Medicine Australia ](https://mdster.com/speciality/family-medicine/facrrm) [ ### FCFP(SA) Fellowship of the College of Family Physicians of South Africa South Africa ](https://mdster.com/speciality/family-medicine/fcfp-sa) Frequently Asked Questions ---------------------------- Everything you need to know about FRACGP preparation What is the FRACGP exam? The FRACGP exam is the primary fellowship assessment for general practitioners in Australia. It consists of three parts: the Applied Knowledge Test (AKT), Key Feature Problem (KFP), and Clinical Competency Exam (CCE). Passing all three allows a candidate to apply for Fellowship with the RACGP. Who is eligible to sit for the FRACGP exams? Eligibility generally requires enrollment in an RACGP-approved training program (such as AGPT or FSP) and completion of specific general practice training time. Candidates must hold current Australian medical registration and have their exam eligibility explicitly approved by the RACGP before registering. What is the difference between the AKT and the KFP? The AKT is a multiple-choice written exam testing a broad spectrum of applied general practice knowledge. The KFP is a scenario-based written exam that evaluates clinical reasoning, decision-making, and the identification of crucial steps in patient management. How does the KFP over-answering penalty work? In the KFP, candidates are asked to provide a specific number of answers (e.g., 'list three investigations'). While there is no negative marking for a wrong answer, if a candidate provides more answers than requested, an overall score penalty is applied to that question to discourage guessing or 'shotgunning'. Do I need to pass the AKT and KFP before taking the CCE? Yes, candidates are typically required to pass both written examinations (the AKT and the KFP) before they are permitted to enroll in and sit the Clinical Competency Exam (CCE). How many times can I attempt the FRACGP exams? The RACGP has a cap on the number of times a candidate can attempt the fellowship exams. Usually, candidates are permitted up to six attempts per exam segment over a maximum timeframe of three years, known as the 'candidate limit'. Candidates should verify current policies on the RACGP website. How much does it cost to take the FRACGP exams? The exams are paid for per segment. Historically, the written exams cost between AUD $2,000 and $2,500 each, and the clinical exam costs upwards of AUD $3,000. Total fees can exceed AUD $7,500, so candidates should verify exact pricing with the RACGP prior to registration. How long are my exam passes valid? Passes in the RACGP exams typically have a validity period, usually three years. This means candidates must complete all remaining exam segments and apply for fellowship within this timeframe before their initial passes expire. What is the pass rate for the FRACGP exams? Pass rates fluctuate depending on the cohort and the specific exam segment, but they generally range between 60% and 75% for each part. The RACGP publishes public exam reports after each cycle detailing the exact pass rates and candidate performance trends. How should I prepare for the CCE? Preparation for the CCE should focus heavily on clinical communication, patient-centered care, and applying knowledge in a simulated environment. Candidates are strongly advised to form study groups to practice role-playing clinical scenarios under timed conditions. Specialty reading hub Related Family Medicine Articles ---------------------------------- Reinforce your FRACGP preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Family Medicine articles ](https://mdster.com/blog?speciality=family-medicine) [ ![Anxiety, Depression, and Breathlessness in Severe COPD/Asthma Overlap](https://mdster.com/storage/blog/images/anxiety-depression-and-breathlessness-in-severe-copdasthma-overlap.jpg) Medical Education / 6 min read ### Anxiety, Depression, and Breathlessness in Severe COPD/Asthma Overlap A focused Family Medicine review of anxiety, depression, and dyspnea in severe COPD/asthma overlap, with safer prescribing, breathing retraining, and board-style pitfalls. 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Mar 30, 2026 Read article ](https://mdster.com/blog/stimulant-use-disorder-supportive-management-in-family-medicine) Ready to Pass the FRACGP? --------------------------- Join medical professionals who are preparing for the Fellowship of the Royal Australian College of General Practitioners with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ ](/) Master your medical exams with evidence-based learning. 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