PESCI Interview Preparation: How IMGs Can Stand Out in 2025

Introduction

The Pre-Employment Structured Clinical Interview (PESCI) is a critical step for many IMGs entering Australian general practice. It assesses readiness for safe, independent practice.

What PESCI Assesses:

• Clinical reasoning.
• Knowledge of Australian guidelines.
• Professionalism and communication.
• System awareness.

Common Scenarios:

• Depression and mental health consultations.
• Safe prescribing in chronic disease.
• Acute emergency triage in rural practice.

“The PESCI isn’t about catching you out — it’s about proving you’re safe and system-ready,” explains A/Prof George Eskander.

How to Prepare

• Practise structured interviews with examiner feedback.
• Focus on system navigation and safety-netting.
• Use role-play to improve cultural safety and communication.

Final Thoughts

The PESCI can feel intimidating, but it is simply a structured test of your readiness to practise safely. With the right preparation, IMGs can excel.

Reference: AHPRA & AMC PESCI Guidelines, 2025.