RACGP Fellowship exam guide
The AKT is not a recall contest. It asks whether you can apply broad clinical knowledge to the next safe, efficient decision in Australian general practice.
Build breadth with exam-standard questions, learn what the lead-in is actually asking, and practise selecting the single best action when several options seem plausible.
Viewing RACGP AKT
At a glance
Single best answer across the current RACGP format
Applied primary-care decisions, not isolated textbook facts
Several options may be reasonable; only one best fits the stem
Examiner perspective
Use the discussion to identify the assessment task and the reasoning pattern to rehearse next. Playback starts only when you choose it.
What the AKT is really assessing
The breadth is large, but the repeated task is consistent: interpret the clinical context, identify the decision point and choose the most appropriate action.
Recognise the presentation, separate urgent from routine and choose investigations that will change management.
Select safe treatment, review, escalation and follow-up in the right sequence.
Apply screening, immunisation, risk reduction and culturally safe care in Australian general practice.
Use evidence, medication safety, public-health duties and professional judgement together.
How to prepare effectively
Guidelines matter, but performance improves when knowledge is repeatedly retrieved through realistic clinical choices.
Practise with complete clinical stems, plausible distractors and explanations for both the correct and incorrect options.
Decide whether the question wants a diagnosis, investigation, immediate action, definitive management or prevention step.
Return to errors and near-misses after a delay, then explain why the best answer outranks the tempting alternative.
Use timed mocks late in preparation so pacing, concentration and second-guessing are trained before exam day.
Common mistakes
Most avoidable errors come from the way knowledge is applied, not from one missing fact.
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| Mistake | Why it costs marks | What to do instead |
|---|---|---|
| Memorising without applying | A familiar fact does not automatically identify the next best clinical action. | After every topic, answer decisions rather than rereading notes. |
| Ignoring Australian context | Prescribing, screening, public health and escalation depend on the local setting. | Anchor review to current Australian guidance and general-practice scope. |
| Using low-fidelity questions | Easy recall prompts do not reproduce close distractors or examiner logic. | Prioritise questions built to the current AKT structure and difficulty. |
| Never timing practice | Overthinking one question steals time and accuracy from the rest of the paper. | Build from short timed sets to complete exam rehearsal. |
Agentic study support
The PassGP AI Virtual Tutor can unpack a difficult stem, compare two plausible options and help you articulate the cue that changes the answer.
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Candidate experience
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Turn the guide into practice
Explore the PassGP pathway for AKT, or return to the complete Exam Essential Information directory.
Quick answers
Use these summaries as orientation, then check current official guidance before enrolment or exam day.
It assesses the application of knowledge in Australian general practice, including diagnosis, investigation, management, prevention, prescribing, evidence and professional judgement.
The repeated task is to interpret the clinical context and choose the most appropriate next decision, rather than retrieve an isolated textbook fact. For example, you may need to separate urgent from routine investigation, sequence treatment and follow-up safely, or apply screening, immunisation and medication-safety guidance to the Australian general-practice setting. Several options can sound reasonable while only one best fits the stem.
The current RACGP guidance states that the AKT contains 150 single best answer questions. Candidates should check the RACGP guide for current delivery details before each sitting.
Current RACGP delivery information provides all candidates with four hours for the AKT, reflecting the universal 30-minute time allowance. Candidates should confirm the details for their sitting in the official guide.
Combine broad, structured revision with realistic question practice, careful review of distractors, spaced retrieval and timed full-length rehearsal.
Before working through the detail, decide whether the lead-in asks for a diagnosis, investigation, immediate action, definitive management or prevention step. Review explanations for both correct and incorrect options, anchor decisions to current Australian guidance, and return to errors and near-misses after a delay. Build from short timed sets to full-length rehearsal so you practise pacing and concentration as well as knowledge.
Sick of second guessing what the examiner wants? Hear from our Chief Examiner, A/Prof Eskander, as he explains how to display perfect exam technique for the CCE and not run out of time.
