International
Fellowship Royal Australasian College of Physicians - Written
The written component of FRACP for physician trainees in Australia and New Zealand.
- Exam body
- Royal Australasian College of Physicians (RACP)
- Frequency
- Annually
- Eligibility
- Advanced physician trainees in Australia/NZ
- Format
- Written examination (multiple papers)
FRACP Written: overview
Fellowship Royal Australasian College of Physicians - Written is administered by Royal Australasian College of Physicians (RACP). The written component of FRACP for physician trainees in Australia and New Zealand.
In practical terms the assessment is delivered as Written examination (multiple papers), and candidates are measured against a standard setting. It is scheduled annually, so building a realistic timeline back from the sitting you intend to take is the first planning step.
Exam pattern at a glance
- Exam format
- Written examination (multiple papers)
- Pass / selection standard
- Standard setting
- Frequency
- Annually
- Eligibility
- Advanced physician trainees in Australia/NZ
Subjects covered
Syllabus
- Advanced Internal Medicine
- Specialty-specific
- EBM and clinical governance
Subject focus and weightage
Candidates who score well tend to protect time for the highest-yield areas rather than reading everything evenly. For FRACP Written, the topics that repeatedly carry weight include racp-specific guidelines, specialty advanced medicine, critical appraisal. Working these to mastery first, then broadening outward, is a more reliable use of limited revision time than a single linear pass through the syllabus.
The syllabus spans core subjects including Advanced Internal Medicine, Specialty-specific, EBM and clinical governance. A blueprint-led plan - allocating study hours in proportion to how heavily each subject is examined - usually beats spending equal time on every subject.
High-yield areas
Study priorities
- RACP-specific guidelines
- Specialty advanced medicine
- Critical appraisal
How to prepare
A dependable preparation cycle for FRACP Written moves through three repeating phases. Learn: build the core concept for each topic once, from structured notes, so the framework is solid before you test it. Recall: convert that understanding into durable memory with active recall and spaced repetition rather than re-reading. Practise: apply it under exam conditions with question banks, reviewing every wrong answer until you understand why the correct option wins - which for this exam is where clinical-reasoning gaps surface.
Timed, full-length practice in the exam's own format is what converts knowledge into a score: it trains pacing, and the stamina a long paper demands. Analyse each mock not just for the total but for which subjects and question-types are dragging the score, then feed that back into the next study block.
Frequently asked questions
What is the FRACP Written exam and who conducts it?
Fellowship Royal Australasian College of Physicians - Written is conducted by Royal Australasian College of Physicians (RACP). The written component of FRACP for physician trainees in Australia and New Zealand.
What is the FRACP Written exam pattern?
The stated format is Written examination (multiple papers). The pass or selection standard is Standard setting. Because pattern and marking can be revised between cycles, confirm the current structure on the official notification before you sit.
Who is eligible for the FRACP Written?
Broadly, eligibility is: Advanced physician trainees in Australia/NZ. This is a summary only - the definitive eligibility criteria, documentation and any registration or attempt limits are published by Royal Australasian College of Physicians (RACP) for each sitting.
Sources and currency
Sources: official examination-body notifications and information bulletins (NBEMS, NMC, GMC, the relevant UK Royal College, USMLE/NBME, AMC, MCC and the Gulf health authorities as applicable). Exam patterns and eligibility change between cycles - always confirm the current sitting's rules, dates and fees on the official body's own notification before you apply. Last verified July 2026.
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