RACGP fellowship · pathways for IMGs & Australian doctors · 2026
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FRACGP Pathway Selector

Pick your starting situation and the relevant RACGP pathways highlight — with current eligibility, costs, exam structure, and the closures you need to know about (PEP Standard is no longer taking applications). A reference, not advice — confirm everything with the RACGP before deciding.

📋 Sources: RACGP — Fellowship programs for IMGs; FSP 2026.2 program page; FSP 2027.1 program page; RACGP — AGPT; RACGP — AKT & KFP; RACGP — CCE; RVTS Ltd; AHPRA. Verified June 2026.
Reference for orientation only — pathway eligibility, fees, intakes, MMM/DPA classifications and exam structures change. Confirm current details with the RACGP, RVTS, AHPRA and your training organisation before any decision. This page does not provide career, legal, or immigration advice.
⚠ Big change since older guides. PEP Standard has CLOSED — it is no longer taking applications. Non-VR doctors who would previously have applied to PEP Standard now apply to the Fellowship Support Program (FSP). FSP 2027.1 intake has a new structure, education model, and eligibility — different from FSP 2026.2. Older blog posts and forums often still describe the closed program. Always check the current RACGP page.

Pick your starting point

Filter to highlight the pathways most likely to apply. Pathways that don't match the filters are dimmed but still visible — eligibility nuances are complex and the RACGP makes the final call.

Your qualification
Where can you work? (MMM classification)
Funding preference
Interested in rural generalist scope?

RACGP fellowship pathways

All current routes to FRACGP — plus what's closed. Each card expands for full details.

What an IMG also needs to know

Beyond the program itself, these are the documents and assessments most IMGs encounter on their RACGP journey.

PESCI — Pre-Employment Structured Clinical Interview
A structured interview administered by an approved provider (RACGP, ACRRM, or IME — Australasian Medical Council assessment service). Most IMGs need a successful PESCI for general registration in general practice, particularly under Specialist Pathway or for limited registration. The PESCI verifies the doctor's clinical decision-making for the proposed scope. See the RACGP PESCI page.
Letters of Status
RACGP-issued letters confirming the IMG's status in the College's training/recognition processes — used for immigration, employment, and AHPRA registration purposes. Request via the RACGP Letters of Status page.
National Entry Assessment (NEA)
Required for FSP applicants. A structured assessment used by the RACGP at program entry. Details on the FSP applicant handbook.
Section 19AB & Distribution Priority Areas (DPA)
Most IMGs are subject to section 19AB of the Health Insurance Act 1973 — the 10-year moratorium during which Medicare benefits attach only where a section 19AB exemption is held. Most exemptions require the doctor to work in a Distribution Priority Area (DPA). Check current designations on the Health Workforce Locator. See our IMG Medicare / billing guide for the full explainer.
Modified Monash Model (MMM) — what the numbers mean
The MMM categorises locations 1–7: MMM1 = major city, MMM2 = regional centre, MMM3 = large rural town, MMM4 = medium rural, MMM5 = small rural, MMM6 = remote, MMM7 = very remote. FSP placements are generally in MMM2–7; RVTS focuses on MMM3–7. Check classifications on the Health Workforce Locator (select MMM 2019 + DPA layer).
The exams — AKT, KFP, CCE
The RACGP fellowship exams are the Applied Knowledge Test (AKT), Key Feature Problem (KFP), and Clinical Competency Exam (CCE). The CCE replaced the older OSCE-style clinical exam. See the RACGP AKT & KFP page and CCE page.
Educational reference only. Pathway eligibility, intakes, fees, MMM/DPA classifications, exam structures and program names change — sometimes annually. This page summarises publicly available RACGP information as of June 2026 for orientation. Confirm every detail with the RACGP, RVTS, AHPRA, the IME (Australasian Medical Council assessment service), and your prospective training organisation before relying on it for any career, registration, immigration, or financial decision. Not legal, immigration or financial advice.

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IMG Medicare & Billing
Moratorium, DPA exemptions, MBS items, billing models.
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IMG Hub
Overview of becoming a GP in Australia.
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RACGP vs ACRRM
College comparison for Australian graduates choosing between the two.
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Exam preparation
AKT, KFP, CCE prep resources.