RACGP Fellowship exam guide
The KFP asks you to prioritise when several actions may be clinically defensible. Marks come from selecting what is safest, most relevant and most timely - without over-selecting.
Practise the current multiple-selection format, read the requested number of responses, and rank every option by whether it directly addresses the key clinical decision.
Viewing RACGP KFP
At a glance
Each question stands alone in the current RACGP format
Select the exact number requested in the lead-in
Avoid unsafe, irrelevant or lower-priority actions
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 KFP is really assessing
The medicine is familiar. The difficulty lies in deciding which diagnoses, investigations or management actions deserve a place in the limited answer set.
Identify the most likely and most consequential possibilities without turning the response into an unranked list.
Choose tests that are necessary now, alter management or safely exclude a high-risk alternative.
Separate immediate action from reasonable later care and avoid answers that are correct but mistimed.
Account for contraindications, interactions, monitoring, escalation and the harm of unnecessary intervention.
How to prepare effectively
Every practice question should force you to justify both the selections you keep and the plausible options you leave out.
Practise unrelated one-stem questions with multiple selections, not legacy linked short-answer cases.
Identify exactly whether the question asks for diagnoses, investigations, immediate actions or ongoing management.
Ask whether each option is necessary for this presentation now, rather than whether it could ever be appropriate.
The learning often sits in why a plausible action is lower priority, redundant, unsafe or outside the requested task.
Common mistakes
Over-selection usually reflects uncertainty about priority rather than a true knowledge gap.
Swipe or scroll horizontally to see all columns.
| Mistake | Why it costs marks | What to do instead |
|---|---|---|
| Selecting everything defensible | The task is to choose the requested highest-priority responses, not write a complete care plan. | Rank options and stop when the requested number has been selected. |
| Missing the lead-in verb | A diagnosis question and a next-investigation question use the same stem differently. | State the task in your own words before reviewing options. |
| Choosing correct but mistimed care | Follow-up care can distract from urgent assessment or initial management. | Order decisions by what must happen now, next and later. |
| Practising legacy KFPs only | Short-answer fluency does not train option discrimination or controlled selection. | Use current multiple-selection questions under exam conditions. |
Agentic study support
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Turn the guide into practice
Explore the PassGP pathway for KFP, 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.
The current KFP contains 70 independent multiple-selection questions. Each question tells candidates how many responses to select.
Practise unrelated one-stem questions with multiple selections rather than relying only on legacy linked short-answer cases. Before considering the options, identify whether the lead-in asks for diagnoses, investigations, immediate actions or ongoing management. Rank the options against that specific task and stop at the requested number instead of selecting everything that might be defensible in a complete care plan.
Current RACGP guidance describes questions with two to six correct responses. There is no general negative marking, but selecting more responses than requested attracts the published 0.35% overall penalty for each excess selection.
It assesses clinical reasoning, decision-making, prioritisation and the ability to select safe, relevant actions in Australian general practice.
The practical challenge is deciding which actions matter for this patient now. That includes choosing investigations that alter management or exclude a high-risk alternative, separating immediate management from reasonable later care, and considering contraindications, interactions, monitoring and escalation. An option can be correct in general yet still fall outside the requested task or be mistimed for the presentation.
Review why each selected option was essential and why each tempting alternative was lower priority, irrelevant, unsafe or outside the lead-in.
Restate the lead-in in your own words, then compare the retained and rejected options by safety, relevance and timing. Ask whether each action is necessary for this presentation now, not whether it could ever be appropriate. Where you over-selected, review the priority decision and distinguish what must happen now, next and later rather than treating every extra tick as a missing fact.
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.
