FANZCA · ANZCA Final Examination

ANZCA Fellowship
consultant-ready.

164 sourced study notes, 763 mapped learning objectives, AI SAQ grading on the Fail / Borderline / Pass / Distinction tier, a four-phase clinical viva simulator, 4,261 flashcards, and an unlimited Fellowship-level MCQ bank. Built for the Final Exam.

763 LOs mapped AI SAQ grading 4-phase viva simulator 7-day free trial
Pass rate
~60%
approximate per sitting
Sittings per year
2
Written: March & Aug · Vivas: June & Nov
Format
Written then oral vivas
Written day, then ten clinical vivas over 3 days
Topics covered
164
study notes · 763 curriculum LOs
Organising college
ANZCA
Not affiliated with Primex
· Exam domains ·

Four domains.
One integrated curriculum.

~30%
Core Clinical Anaesthesia
Airway management, general anaesthesia, regional techniques, and neuromuscular blockade. The foundation of independent consultant practice.
Difficult airway algorithms · RSI · Spinal and epidural · LAST · Ultrasound-guided blocks
~35%
Subspecialty Anaesthesia
Cardiac, thoracic, neuroanaesthesia, obstetric, and paediatric anaesthesia. Each brings distinct physiology, equipment, and crisis demands.
Cardiopulmonary bypass · One-lung ventilation · Obstetric failed intubation · Congenital heart disease · Craniotomy
~25%
Perioperative Medicine & ICU
Pre-operative assessment and optimisation across all major comorbidities, trauma, burns, crisis management, and ICU care for anaesthetists.
Cardiac risk stratification · Massive transfusion · Malignant hyperthermia · ARDS · End-of-life care
~10%
Pain Medicine
Acute, chronic, and cancer pain. Multimodal analgesia, opioid tolerance, interventional procedures, and transitional pain applied to high-risk surgical patients.
Multimodal analgesia · Neuropathic pain · Opioid dependence · ERAS protocols · Interventional pain

Feature 01 · SAQ Grader

Marking points. Every time. No guessing.

Write a Fellowship SAQ and get an examiner-style debrief: a Fail / Borderline / Pass / Distinction tier, every clinical point flagged as present or missing, an examiner comment, and a full model answer at consultant level with specific drug doses, monitoring choices and contingency plans. The grader rejects basic-science answers; the bank is unlimited.

  • Fail / Borderline / Pass / Distinction tier with score estimate
  • Every marking point checked against ANZCA Final curriculum learning objectives
  • Distinction-pitched model answer: specific doses, monitoring, and contingency plans
  • Examiner comment flags the single most important gap
  • Unlimited AI-generated SAQs in Final Exam format, no repetition
Primex SAQ grader showing a Distinction tier, 5/5 score and examiner comment praising structure, mechanistic detail and clinical relevance
Primex SAQ grader marking grid showing every required point with a green Present tick or red Missing flag, plus structure and priority action feedback

Feature 02 · MCQ Practice

Fellowship-style MCQs. Full explanations. Community data.

Clinical application MCQs across all Fellowship subspecialties, mapped to the ANZCA Training Program curriculum. These are not basic-science questions. Every option has a full written explanation, and a community answer distribution shows how other candidates responded after each question.

  • Fellowship-level MCQs across all 13 clinical sections
  • Full explanation for every option, including the distractors
  • Community answer distribution after each question
  • Unlimited AI-generated, curriculum-mapped questions
  • Timed practice mode replicating real exam conditions
Primex MCQ showing a clinical stem with the correct answer revealed and a community answer distribution bar across all five options
Primex MCQ explanation panel breaking down why the correct answer is correct and why each distractor is wrong, ending with a take-home candidate pearl

Feature 03 · Viva Simulator

Ten clinical vivas. An AI examiner. Any time.

The real Fellowship viva consists of ten structured clinical vivas over three days (eight anaesthesia, two general medicine), each with two minutes of reading time followed by fifteen minutes of active examination. The Primex viva simulator runs the same timed format, moving through pre-operative assessment, intra-operative management, an intra-operative crisis, and post-operative handover in a single case. Voice mode transcribes spoken answers using medical speech recognition.

  • Timed format matching the real exam: 2-minute reading, 15-minute active viva
  • Four phases per case: pre-op, intra-op, crisis management, post-op handover
  • Pushes for specific drugs, doses, monitoring choices, and plan B throughout
  • Voice mode: speak your answer, medical speech recognition transcribes it
  • Per-phase debrief: tier, strengths, gaps, and key learning point
Primex viva simulator screenshot for the ANZCA Fellowship, showing examiner debrief with Borderline tier and per-phase pass breakdown for a burns crisis station

Feature 04 · Flashcards

4,261 cards. Spaced repetition. All 13 clinical sections.

Curriculum-mapped flashcard decks with spaced repetition across every Fellowship section. Cards cover clinical management scenarios, drug selection and dosing, subspecialty physiology, crisis protocols, and technique steps. Cards you struggle with come back sooner; cards you know drop back automatically.

  • 4,261 cards across 164 topics, all curriculum-mapped
  • Clinical scenario cards, drug dosing cards, and crisis management protocols
  • MCQ drill mode for rapid-fire Fellowship question practice
  • One click from any card to the full study note on that topic
  • Image cards: monitoring waveforms, TOE views, and regional anatomy
Primex spaced-repetition flashcard screenshot for the ANZCA Fellowship, showing a cardiac and thoracic anaesthesia answer revealed with Again, Hard, Good, Easy rating buttons

Feature 05 · Study Notes

164 topics. Sourced. Linked from every result.

Structured study notes for all 164 topics in the Fellowship curriculum. Written to a consistent seven-section format and aligned to the published ANZCA Fellowship curriculum, Australian guidelines and primary literature. They surface automatically alongside SAQ and viva debriefs so you move from feedback to the relevant note in one click.

  • 164 study notes across 13 clinical sections
  • Consistent 7-section structure: scannable, not a wall of text
  • Aligned to the published ANZCA Fellowship curriculum and Australian guidelines
  • Full-text search across all notes
  • Linked from SAQ debrief, viva feedback, and flashcards
Primex sourced study note screenshot, showing a Fellowship-level anaesthesia topic in the seven-section structure with referenced citations to core texts

Feature 06 · ANZCA Curriculum Tracker

763 learning objectives. The full Fellowship curriculum tracked.

The ANZCA Training Program Curriculum (v1.14, December 2024) defines 763 Fellowship-assessed learning objectives across Advanced Training, Specialised Study Units, and Roles in Practice. Primex surfaces all 763 in a Curriculum tab with a checkbox checklist and per-section progress bars; the majority click through directly to the mapped study note, and Roles-in-Practice LOs are tracked alongside clinical knowledge.

  • All 763 ANZCA Fellowship LOs across 13 sections, verbatim from the v1.14 curriculum document
  • Most LOs click through directly to the mapped study note
  • Roles-in-Practice LOs (Health Advocate, Leader/Manager, Medical Expert, Professionalism) tracked alongside clinical knowledge
  • Checkbox completion persisted across sessions, with per-section progress bars
Primex curriculum tracker screenshot for the ANZCA Fellowship, showing the 763 learning objectives from the v1.14 curriculum with the progress bar and Advanced Training Airway and General sections expanded

Feature N · Study Plan & Readiness

One readiness score. Always know where you stand.

An adaptive study plan that counts down to your ANZCA Fellowship exam date and tells you what to study next. A single readiness score blends coverage, accuracy, retention and consistency into one number out of 100, so you can see at a glance whether you are tracking ahead or behind pace.

  • Days-to-exam countdown and pace tracking, ahead or behind
  • Readiness score out of 100, blended from four signals
  • Coverage, accuracy, retention and consistency broken out
  • Streak counter and weekly attempt target
  • Study this next: the topic queued for today, one tap to open
Primex ANZCA Fellowship study plan dashboard showing days to exam, percent complete, exam readiness score out of 100 with coverage, accuracy, retention and consistency breakdowns, plus a Study this next card
· About this exam ·

The Final Examination

The ANZCA Final (Fellowship) Examination is the culmination of advanced anaesthesia training. It tests consultant-level clinical reasoning across the full breadth of anaesthetic practice: general, regional, obstetric, paediatric, cardiac, thoracic, neuroanaesthesia, perioperative medicine, and pain. The written component (SAQ and MCQ, sat on the same day) must be passed before candidates sit the vivas. The ANZCA Training Programme Curriculum maps 763 Fellowship-assessed learning objectives across these domains. The overall pass rate across both stages is approximately 60% per sitting.

  • OrganiserAustralian and New Zealand College of Anaesthetists (ANZCA)
  • FormatWritten day: 150 MCQs over 150 minutes and 15 SAQs over 150 minutes. Candidates who pass the written then sit ten clinical vivas over three days (eight anaesthesia vivas, two general medicine vivas), each with 2 minutes reading and 15 minutes active examination.
  • Pass markAt least 40% on the SAQ and 50% overall on the written component. For the vivas, candidates must pass at least four of the eight anaesthesia vivas.
  • SittingsTwice yearly. Written component typically in March and August. Vivas in June and November.
  • Pass rateApproximately 60% per sitting overall (written and viva combined). Not officially published per sitting by ANZCA.
Standard candidate reading
  • Standard advanced clinical anaesthesia references
  • Standard clinical anesthesiology references
  • Standard co-existing disease references
  • Standard anaesthetic pharmacology references
  • Standard viva preparation books
Useful free resources
  • ANZCA Final Exam curriculum, past SAQ papers and examiner reports (anzca.edu.au)
  • ANZCA Finals Notes (anzcafinalsnotes.com)
  • ICN Anaesthetic Fellowship Exam Notes (intensivecarenetwork.com)
  • BJA Education; free anaesthesia review articles (bjaed.org)
· Primex by the numbers ·

ANZCA Fellowship, in numbers.

Curriculum learning objectives mapped
763
Sourced study notes
164
Spaced-repetition flashcards
4,261
Clinical sections covered
13
SAQ grading tier
Fail / Borderline / Pass / Distinction
Viva format
2-min reading + 15-min active, 4 phases
Curriculum version
v1.14 (December 2024)
Trial
7 days, free

· How Primex compares ·

Primex differs from ANZCA Finals Notes and the Intensive Care Network (ICN) Anaesthetic Fellowship Exam Notes (both excellent open reference texts) by running timed exam-format practice (MCQ, SAQ, viva), grading written reasoning at consultant standard, and tracking coverage against the official ANZCA syllabus.

It differs from BJA Education, which publishes peer-reviewed review articles, by adding a four-phase clinical viva simulator with timer-driven transitions, an AI examiner persona calibrated to ANZCA Final examiner-report language, and voice mode with medical speech recognition.

It differs from generic flashcard apps by including AI-graded long-form SAQ feedback on the holistic Fail / Borderline / Pass / Distinction tier, a model answer at consultant standard surfaced with every result, and per-question community answer distributions.

The 763 ANZCA Fellowship learning objectives are taken verbatim from the ANZCA Training Program Curriculum (v1.14, December 2024). The Curriculum tab persists checkbox progress across sessions and shows per-section progress bars, so candidates can see exactly how much of the syllabus they have covered before exam day.

· Pricing ·

Every plan starts with
a 7-day free trial.

Starter
$9.99
7 days free, then $9.99/mo
  • One specialist exam (your choice)
  • Study notes for every curriculum topic
  • Flashcards with spaced repetition
  • 10 MCQs per topic (sampler)
  • Study plan with pace tracking
  • MCQ drill mode
  • SAQ question bank & sessions
  • SAQ Grader & AI marking
  • AI Viva simulation
  • Community feed
Start free trial
Monthly
$24.99
7 days free, then $24.99/mo
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Community feed
Start free trial
3 Months
$59.99
7 days free, then $59.99/3mo
= $19.99/mo · save 20% vs monthly
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Save 20% vs monthly
Start free trial
Important: Step 2 of 2

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Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with ANZCA
· Questions ·

Frequently asked

The ANZCA Final has a written day (150 MCQs over 150 minutes and 15 SAQs over 150 minutes), and ten clinical vivas over three days for candidates who pass the written. The vivas comprise eight anaesthesia stations and two general medicine stations, each with two minutes of reading time and fifteen minutes of active examination. The pass mark is at least 40% on the SAQ and 50% overall on the written component, and at least four of the eight anaesthesia vivas must be passed.
Each Fellowship SAQ is graded on a holistic Fail / Borderline / Pass / Distinction tier with a marking checklist, examiner comment, and a model answer at consultant standard with specific drug doses, monitoring choices, and contingency plans. The grader is calibrated to ANZCA Final examiner-report language and rejects basic-science answers as below tier. Candidates can vote each grade too lenient, too harsh, or about right, and those votes recalibrate the grader.
The Primex simulator runs the same timed structure as the live exam: two minutes of reading time, then fifteen minutes of active examination divided into four phases (pre-operative assessment, intra-operative management, an intra-operative crisis, and post-operative handover). The AI examiner moves through phases on timer-driven transitions and pushes for specific drugs, doses, monitoring choices, and plan B throughout. Voice mode transcribes spoken answers using medical speech recognition. It is not identical to a live examiner, but covers the same ground in the same structure.
Yes. Fellowship MCQs test clinical application: management decisions, drug selection for specific patient scenarios, monitoring interpretation, and subspecialty-specific content. They are not physiology or pharmacology theory questions. Distractor types and question structure reflect the Fellowship written paper, and the bank is unlimited.
Yes. Primex maps all 763 learning objectives from the ANZCA Training Program Curriculum (v1.14, December 2024) across 13 clinical sections plus the Roles in Practice domains. The Curriculum tab shows every LO with checkboxes and per-section progress bars. The majority of LOs link directly to a topic study note; the Roles-in-Practice LOs (Health Advocate, Leader/Manager, Medical Expert, Professionalism) remain trackable in the Curriculum tab.
ANZCA Finals Notes and the Intensive Care Network (ICN) Anaesthetic Fellowship Exam Notes are excellent open reference texts but do not run timed practice or grade your written reasoning. BJA Education publishes peer-reviewed review articles, but does not provide an exam workflow. Primex adds AI-graded long-form SAQ feedback, a four-phase clinical viva simulator with voice mode, an unlimited Fellowship-level MCQ bank, and a Curriculum tab that tracks coverage of all 763 LOs.
Yes. The SAQ grader and MCQ bank can be filtered by section or topic, and the study plan lets you set a pace focused on the written component. The viva simulator is there when you are ready for that stage. Everything links back to study notes, so the workflow is the same regardless of which component you are preparing for.
Email primex.study.ai@gmail.com and we'll get back to you.