The PassGP RACGP KFP 2026 Strategy Guide
The RACGP KFP exam has entered a new era. In 2024, it shifted from short-answer questions to a new Multiple Selection Question (MSQ) format - a change that’s left many candidates feeling uncertain.
At PassGP, we’ve already rebuilt our entire KFP bank to mirror the new structure. Under the leadership of A/Prof George Eskander, PassGP’s Chief Examiner and former National KFP Lead for RACGP, our focus has remained clear: to teach clinical reasoning, not just content.
Here’s everything you need to know to succeed in the new format.
What You Need To Know About The KFP Exam
What Is the New KFP MSQ Format?
Unlike the old KFP, which asked for typed short answers across 3–5 parts of a case, the new KFP format presents:
- Standalone clinical scenarios (one stem per question)
- A multiple-selection question following each stem
- 10–14 answer options, of which 2–4 are correct
- No linked questions
- Partial credit marking, with penalties for unsafe or irrelevant selections
For example:
“Select the most appropriate next investigations (Select 3).”
Candidates must think like a real GP:
- What is safe?
- What is necessary?
- What avoids wasteful or harmful care?
What Does the KFP MSQ Actually Assess?
The goal remains the same: to determine whether you think like an unsupervised, safe and efficient GP. However, the structure has changed — making your clinical reasoning even more important.
You are being assessed on:
- Diagnosis and differential reasoning
- Initial and follow-up investigations
- Management decisions (acute and chronic)
- Medication safety
- Clinical prioritisation and judgement
According to A/Prof Eskander:
“It’s not enough to pick the right answer — you must also avoid the wrong ones. One unsafe choice can cancel out two correct ones. Precision matters.”
Common KFP MSQ Topics in 2026
Based on PassGP analytics:
- Emergency presentations (chest pain, headache, shortness of breath)
- Chronic disease (type 2 diabetes, asthma, heart failure, chronic kidney disease)
- Women’s health (post-coital bleeding, contraception, early pregnancy issues)
- Mental health (risk assessment, SSRIs, eating disorders, PTSD)
- Skin conditions and minor procedures
- Infectious diseases (STIs, cellulitis, COVID-related public health)
- Paediatrics (fever, rash, asthma)
- Population health (screening and preventative care)
- Medicolegal medicine (capacity assessment, fitness to work, impairment)
How to Prepare Effectively
- Use Full-Length MSQs, Not Old-Style KFPs
The old short-answer KFP format is now outdated. You need practice with:
- One-stem, one-question MSQs
- 10–14 answer options
- Ambiguous distractors
- Penalty-style marking
PassGP has 1,500 KFP MSQs built specifically for this format.
- Think Like an Examiner: Safe, Relevant, Timely
Don’t select everything that could be done. Select what must be done first, safely and efficiently.
- Unsafe but correct = score loss
- Correct but irrelevant = no points
- Read the Lead-In Carefully
Does the question ask you to:
- “Select the most appropriate next steps”?
- “Select the most likely diagnoses”?
- “Select the most appropriate investigations”?
Small differences in wording can completely change the correct approach.
- Use PassGP’s Exam-Mode Practice
With live timing, realistic stem design and partial scoring, PassGP mirrors the true exam pressure. You will learn:
- Time control
- Option elimination skills
- Confidence in high-stakes decisions
Why PassGP Is Your KFP Power Tool
- Created by real examiners — including A/Prof George Eskander — PassGP is built for the exact exam format you are sitting.
- 1,500 MSQs
- Live mock scoring engine
- Immediate feedback
- Mobile-friendly platform
- 1:1 coaching and structured study guides
We don’t just teach medicine — we teach how to pass.
Why Doctors Fail the KFP
Most candidates fail not from lack of effort, but from the wrong strategy. They might conquer the knowledge of Medicine, but many fail to master exam technique.
The KFP demands high-level clinical reasoning, applied pharmacology, and fast, confident decision-making. That’s exactly what PassGP prepares you for:
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Cramming doesn’t work. Rote learning falls apart under real-time pressure.
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Low-quality questions mislead. Many providers offer poor imitations of real AKT logic.
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Time pressure is intense, especially for IMGs. You get just over one minute per question.
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The syllabus is vast. Without structured coverage, key gaps emerge.
PassGP gives you more than just content. We teach you how to think like the Examiner.
Start your journey.
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Leveraging Cognitive Science
The AKT is not just about content - it’s about performance under pressure.
PassGP is grounded in cognitive science: We use high-yield recall questions that strengthen long-term retention and clinical transfer, not passive recognition.
This means you’ll learn while you test—mastering the reasoning you’ll need in the real exam.
PassRACGP Digital Flashcards With Every KFP/AKT Package
- A perfect balance of mastery
- The entire PassRACGP Digital Flashcards series
- Focus on knowledge retention, while practice questions allow you to apply that knowledge.
- Using both tools ensures you’re well-prepared for both the material and the exam format
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