Why vague answers fail exams even when clinically correct

One of the most frustrating experiences for candidates is failing after giving answers that feel “basically right”. This usually happens because the response is vague. In RACGP exams, vague answers are difficult to reward because they do not demonstrate decision-making.

“Vague answers create doubt, not credit.” - A/Prof George Eskander

Why vagueness loses marks

Vague answers make it hard to tell whether a candidate:

• recognises the key risk
• understands priorities
• knows what to do next
• can act safely and decisively
• would escalate appropriately

Examiners cannot award marks for intent that is not demonstrated.

Common examples of vagueness

Candidates lose marks when they say:

• “investigate further” without specifying tests
• “treat accordingly” without naming actions
• “refer if needed” without thresholds
• “monitor closely” without timeframe
• “come back if worse” without specific red flags

These phrases sound reasonable but do not show clinical precision.

What specificity signals

Specificity signals:

• guideline awareness
• risk-based thinking
• reproducible practice
• clear escalation logic
• safe safety-netting

It also makes it easier for examiners to confidently award marks.

Conclusion

In RACGP exams, the difference between passing and failing is often not correctness, but specificity. Specific answers demonstrate safe intent and score more reliably.

Reference
Schuwirth LWT, van der Vleuten CPM. Programmatic assessment: from assessment of learning to assessment for learning. Medical Teacher. 2011.