Primex General Medicine FRACP
FRACP · Fellowship of the Royal Australasian College of Physicians (Adult Medicine)

FRACP
consultant-ready.

DWE MCQ practice, consultant-level clinical reasoning grader, DCE long case and short case simulator, spaced-repetition flashcards, and referenced study notes across all advanced internal medicine subspecialties. Built to the standard of the FRACP Divisional Written and Clinical Examinations.

Pass rate
~60%
per sitting (DWE + DCE)
Sittings per year
2
Written: May & November
Format
Written + DCE
~130 MCQs + Long & Short Cases
Topics covered
147
study notes · 35 curriculum LOs
Organising college
RACP
Not affiliated with Primex
· Exam subspecialties ·
Four domain clusters.
One fellowship standard.
~25%
Cardiovascular & Respiratory
Advanced cardiology and respiratory medicine at FRACP consultant level: guideline-specific management, subspecialty referral thresholds, and targeted therapy decisions with named drugs and doses.
HFrEF GDMT · AF anticoagulation · ILD antifibrotics · PAH targeted therapy · NSCLC molecular targets · NIV thresholds
~30%
Systemic Medicine
Advanced gastroenterology, hepatology, renal medicine, and endocrinology. KDIGO, NHF and subspecialty guidelines applied to complex multi-system patients with end-organ complications.
Liver cirrhosis complications · Lupus nephritis classes · CKD-MBD · Type 2 diabetes SGLT2i evidence · Adrenal disease · Pituitary
~25%
Haematology, Oncology & Rheumatology
Haematological malignancies, oncological emergencies, checkpoint inhibitor toxicity, ANCA vasculitis induction, and connective tissue diseases with organ-specific complications.
ANCA vasculitis (rituximab) · SLE + lupus nephritis · Multiple myeloma · DLBCL staging · CML targeted therapy · APS management
~20%
Neurology, Infection & General Medicine
Advanced neurology, infectious disease, and geriatric medicine. DCE long case themes: complex multi-system patients requiring systematic problem-list presentation and evidence-based prioritisation.
Stroke secondary prevention · HIV ART · MDR-TB · Frailty + CGA · Delirium · Palliative symptom management
Feature 01 · Clinical Reasoning Grader
Consultant-level marking. Every time.

The FRACP DWE tests subspecialty guideline knowledge and clinical synthesis at consultant-entry level. Write a structured clinical reasoning response and get an FRACP-standard debrief: tier (Fail to Distinction), every key point flagged, examiner comment on guideline knowledge, and a Distinction-level model answer with named drugs, doses, and guidelines.

  • Fail / Borderline / Pass / Distinction tier with score estimate
  • Every key point checked: guideline citations, drug doses, monitoring parameters
  • Distinction-level model answer in DCE long case format
  • Penalises unsafe decisions and missing contraindications, like the real exam
  • AI question generation mapped to FRACP curriculum subspecialties
SAQ grading result with examiner comment, present and missing marking points
Feature 02 · MCQ Practice
DWE-format MCQs. Full explanations. Community data.

Exam-style single-best-answer MCQs across all FRACP subspecialties, modelled on the RACP Divisional Written Examination format (~130 SBA questions). Full explanations for every option. Community answer distributions show how other FRACP candidates responded after each question.

  • DWE-format SBA MCQs across cardiology, respiratory, renal, neuro, haematology, and more
  • Explanation for every option at FRACP subspecialty depth
  • Community answer distribution after each question
  • AI-generated, curriculum-mapped, high clinical complexity
  • Timed mock mode: 130 questions, 3 hours
MCQ answer revealed with per-option colour coding, explanations and community data
Feature 03 · DCE Long & Short Case Simulator
An AI FRACP DCE examiner. Day or night.

Simulates both DCE formats. Long case: present a complex multi-system patient to two consultant examiners for 25 minutes; problem list, differentials, investigations, evidence-based management with named guidelines and doses. Short case: interpret specific physical examination findings and construct a targeted management plan. Voice mode included.

  • Long case: structured 5-7 min summary, then systematic probing
  • Short case: physical findings described, then immediate interpretation
  • Probes for named guidelines (KDIGO, NHF, ARA, TSANZ, AHA/ACC)
  • Voice mode: speak your answer, no typing needed
  • Debrief with tier across: clinical acumen, reasoning, management, communication
FRACP DCE viva; acute pancreatitis management with BORDERLINE grade breakdown and per-phase feedback
Feature 04 · Flashcards
Spaced repetition at FRACP subspecialty depth.

Curriculum-mapped flashcard decks across all FRACP subspecialties with spaced repetition. Covers guideline-specific management thresholds, drug doses and monitoring parameters, staging systems, diagnostic criteria, and clinical vignettes with evidence-based management decisions.

  • Spaced repetition: review what you're forgetting, not what you know
  • Card types: staging systems, guideline targets, drug doses, DCE clinical vignettes
  • Covers ANCA vasculitis, CKD-MBD, lupus nephritis, HFrEF GDMT in detail
  • MCQ drill mode for rapid-fire subspecialty practice
  • One click from card to full study note
FRACP flashcard revealed; phaeochromocytoma genetic testing, all-patients rule with RET/VHL/NF1/SDH variants
Feature 05 · Study Notes
Every topic. Referenced. Linked from every result.

Sourced, structured study notes for all 147 topics in the FRACP advanced training curriculum. Written to a consistent seven-section format and referenced to subspecialty guidelines and primary literature. Surface automatically alongside MCQ explanations and DCE case debriefs.

  • All 147 FRACP advanced training curriculum topics covered
  • Consistent 7-section structure: scannable, not a wall of text
  • Referenced to KDIGO, NHF, ARA, TSANZ and other named clinical guidelines
  • Full-text search across all notes
  • Linked from MCQ explanations, DCE case feedback, and flashcards
FRACP DCE study note; Cardiomyopathies covering DCM, HCM, ATTR amyloidosis and ARVC with pathophysiology
· About this exam ·
The FRACP Fellowship

The FRACP (Adult Medicine) fellowship examination is the endpoint of advanced physician training, assessing consultant-level subspecialty clinical knowledge and complex case management. The Divisional Written Examination is a ~130-question MCQ paper demanding named guidelines and specific drug doses. The Divisional Clinical Examination follows at a separate hospital site, assessing long case presentation and short case interpretation with real patients. Pass rates across the combined DWE and DCE sit around 60% per attempt.

  • OrganiserRoyal Australasian College of Physicians (RACP)
  • FormatDivisional Written Examination (~130 SBA MCQs, 3 hours) and Divisional Clinical Examination (2 long cases: 60 min with patient + 25 min with examiners; 4 short cases: 15 min each)
  • SubspecialtiesCardiovascular, Respiratory, GI/Hepatology, Renal, Neurology, Endocrinology, Haematology, Oncology, Rheumatology, Infectious Diseases, Geriatric & General Medicine
  • SittingsTwice yearly, typically May and November
  • Pass rateApproximately 60% per sitting
What you get inside Primex
  • Sourced study notes covering all 147 FRACP advanced training topics
  • Per-LO focused notes mapped to the RACP Advanced Training Curriculum
  • Curriculum tab with checkboxes and per-section progress bars
  • Spaced-repetition flashcards across 13 card types
  • Unlimited curriculum-mapped MCQ practice with named-guideline explanations
  • AI long-case and short-case debriefs with consultant-standard model answers
Official RACP and Australian resources
  • RACP Advanced Training page (racp.edu.au)
  • RACP Advanced Training Curriculum document
  • Subspecialty guidelines: KDIGO, NHF, ARA, TSANZ, AHA/ACC
  • Therapeutic Guidelines (eTG Complete); UpToDate
· 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
  • AI DCE Long & Short Case simulation
  • Clinical Reasoning Grader & AI marking
  • MCQ drill mode
  • SAQ question bank & sessions
  • 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

After payment, you'll land on a confirmation page. Click the button there to create your account and your subscription links automatically. If you pay with Apple Pay or Google Pay, use the button on that confirmation page before closing it. No email matching needed; it connects via a one-time link.

Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with RACP
· Questions ·
Frequently asked
You're given a complex multi-system patient presentation based on a real FRACP DCE long case theme. After a brief reading period you present your case summary to an AI examiner, who then probes you systematically across problem list prioritisation, investigation rationale, evidence-based management with named guidelines and drugs, monitoring parameters, and any communication or safety issues. After 5-6 exchanges you get a structured debrief with tier and specific learning points. Voice mode lets you speak your answer.
They're written at FRACP consultant-entry level: subspecialty guideline knowledge, specific drug choices, named staging systems, and realistic clinical complexity. The questions distinguish FRACP-level knowledge from BPT-level; so questions about HFrEF ask about sacubitril/valsartan and SGLT2i evidence, not just diuretics. Community answer distributions show how other FRACP candidates responded.
Yes. The short case simulator has the AI examiner describe a patient with specific positive and negative physical examination findings; then probes your interpretation, differential, discriminating investigations, and management. Common short case themes include ILD with extrathoracic features, aortic stenosis, stigmata of chronic liver disease, cushingoid features, vasculitic rash, and peripheral neuropathy.
Yes, and you can install it as an app. On iPhone: open in Safari, share button, Add to Home Screen. On Android: open in Chrome, Install app. Works offline and updates automatically.
Email primex.study.ai@gmail.com and we'll get back to you.