The assessments you need to pass for Fellowship — RACGP (AKT, KFP, CCE) and ACRRM (MCQ, StAMPS + workplace-based). Pick your college to see the format, sequence and how to prepare.
⚠️ General training information, verified against the RACGP and ACRRM published handbooks in June 2026. AskMyGP is not affiliated with or endorsed by the RACGP or ACRRM. Exam formats, eligibility, fees and dates are set by the colleges and change regularly — always confirm current details with your college and training provider via the official links below.
The RACGP assesses readiness for unsupervised general practice through three Fellowship exams. The AKT and KFP can be sat in any order, but you must pass both before sitting the CCE. You can enrol in all three within one semester. Exams run twice a year, and candidates have up to six exam semesters across three years to pass all three.
1 · Applied Knowledge Test (AKT)
Format: 150 multiple-choice questions, computer-based at designated venues across Australia.
Tests: application of knowledge across the breadth of Australian general practice — clinical medicine, population health, professional and ethical practice, organisational knowledge, and the health system.
2 · Key Feature Problem (KFP)
Format: 70 individual multi-selection questions, each independent of the others; at designated venues.
Tests: clinical decision-making and reasoning — identifying the critical steps in a case rather than recalling facts.
3 · Clinical Competency Exam (CCE)
Format: an online assessment by multiple examiners across nine clinical cases — four case discussions with an examiner and five clinical encounters with a role-player. (The CCE replaced the earlier OSCE / Remote Clinical Exam.)
Prerequisite: a pass in both the AKT and the KFP.
Formats and sequencing as at June 2026 — confirm current details via the official link.
ACRRM (rural generalist) Fellowship is assessed through a program of workplace-based assessments plus two summative exams and Advanced Specialised Training (AST), over a minimum of four years full-time-equivalent training. Rather than a single end-point, evidence is gathered continuously across your training.
Format: all candidates sit on the same day and time (AEST). Questions are mostly a clinical case with a targeted lead-in and four options — choose the single best answer. No negative marking. May be sat remotely where invigilation and IT requirements are met.
StAMPS (summative exam)
Format: Structured Assessment using Multiple Patient Scenarios — blends an OSCE-style format with a viva, focused on clinical reasoning in context rather than fact recall.
Eligibility (typical): around two years of Core Generalist Training, a pass in the MCQ, completed MSF and all mini-CEX, and at least one formal College StAMPS preparation activity.
Advanced Specialised Training (AST)
Format: additional time, training and assessment in a chosen discipline (for example emergency medicine, obstetrics, anaesthetics), with requirements set out in each AST handbook.
Components and eligibility as at June 2026 — confirm current details via the official link.
• Start early and map a study schedule across the whole semester, not the final weeks.
• Use your college's own published resources first — candidate handbooks, sample questions, and exam blueprints set the standard you are assessed against.
• For clinical exams (CCE, StAMPS), practise timed cases and verbalising your reasoning, ideally with peers, a study group, or mock sessions.
• Check eligibility and enrolment deadlines well ahead — venues and places are limited, and deadlines are strict.
• Confirm fees, dates and any format changes directly with the college before you enrol.
AskMyGP is an independent resource and is not affiliated with, or endorsed by, the RACGP or ACRRM. This page is general training and career information, not official college guidance and not medical advice. We do not endorse any paid exam-preparation course. Exam structure, eligibility, fees and dates are set by the colleges and change — always confirm current details with the RACGP or ACRRM and your training provider.
📋 Sources: RACGP Fellowship examinations handbook (racgp.org.au); ACRRM Fellowship assessment handbook, training program policy and curriculum (acrrm.org.au). Verified June 2026.