Primex Psychiatry RANZCP Fellowship
FRANZCP · Royal Australian & New Zealand College of Psychiatrists Fellowship

RANZCP / formulated.

MEQ grader with examiner-style marking, MCQ practice, clinical viva simulator with voice mode, spaced-repetition flashcards, and sourced study notes across all psychiatry disciplines. Built around the depth and clinical nuance the fellowship demands.

Pass rate
~70%
per sitting (Written)
Sittings per year
2
Written: May & November
Format
MEQ + CCA
5 MEQs (150 min) + clinical portfolio
Topics covered
162
study notes · 88 curriculum LOs
Organising college
RANZCP
Not affiliated with Primex
· Exam domains ·
The breadth of psychiatry.
The depth of formulation.
~25%
Neuroscience, Psychopharmacology & Research
Neuroanatomy, neurophysiology, and the pharmacological basis of psychiatric treatment. Mechanism of action, receptor profiles, metabolic interactions, and evidence appraisal at fellowship level.
Antipsychotic mechanisms · Mood stabilisers · Benzodiazepine pharmacology · Neurotransmitter systems · EEG · Neuroimaging
~30%
Psychosis, Mood & Anxiety
Schizophrenia spectrum disorders, bipolar disorder, major depressive disorder, and anxiety disorders. Biopsychosocial formulation, risk assessment, treatment-resistant illness, and crisis management.
Schizophrenia · Schizoaffective · Bipolar I & II · MDD · OCD · PTSD · Panic disorder
~25%
Subspecialty Psychiatry
Child and adolescent psychiatry, old age psychiatry, addiction medicine, consultation-liaison psychiatry, forensic psychiatry, and intellectual disability. Each with distinct diagnostic and management considerations.
ADHD · Autism · Dementia · Alcohol dependence · Capacity · Involuntary treatment · Perinatal psychiatry
~20%
Ethics, Culture & Clinical Practice
Mental health law, consent, involuntary treatment, cultural psychiatry, and therapeutic frameworks. Psychological therapies evidence base, trauma-informed care, and the psychiatrist's role in systemic care.
Mental Health Act · Capacity assessment · CBT evidence · Cultural formulation · Trauma · Suicide risk frameworks
Feature 01 · MEQ Grader
Modified Essay Questions. Marked. Every time.

The RANZCP Written Examination is five MEQs in 150 minutes, each unfolding across multiple sequential questions that build on a clinical vignette. The Primex MEQ grader generates authentic MEQs across all psychiatry domains, marks each response with examiner-style feedback, gives you a tier, and shows a model answer written at FRANZCP level.

  • Authentic MEQ format: sequential unfolding questions across a single vignette
  • Pass / Borderline / Fail tier with marks and examiner commentary per question
  • Every marking point checked: hit, partially hit, or missed
  • Model answer written at FRANZCP examiner standard
  • Timed mock: 5 MEQs, 150 minutes, automatic advance
MEQ result with examiner feedback, marking points hit and missed, model answer
Feature 02 · MCQ Practice
Fellowship-level psychiatric MCQs. Full explanations.

Single-best-answer MCQs covering neuroscience, psychopharmacology, clinical psychiatry, and subspecialties at FRANZCP level. Questions require the depth of knowledge the MEQs draw on: mechanism of action, diagnostic criteria, treatment evidence, and medicolegal reasoning. Community answer distributions after each question.

  • Fellowship-level SBA questions across all psychiatry domains
  • Covers pharmacology, neuroscience, clinical, and subspecialty content
  • Explanation for every option, including the distractors
  • Community answer distribution after each question
  • AI-generated, curriculum-mapped, endless supply
Psychiatry MCQ with colour-coded options, pharmacology explanation and community data
Feature 03 · Clinical Viva Simulator
Formulate the case. Out loud.

The CCA-MPR assesses clinical competencies through portfolio and direct observation. Practising formulation out loud accelerates the thinking the RANZCP examiners want to see in writing. Voice mode lets you work through a clinical vignette by speaking: present the biopsychosocial formulation, risk assessment, and management plan to an AI examiner who probes your reasoning.

  • Voice mode: present formulation by speaking, examiner responds live
  • Biopsychosocial formulation, risk assessment, and management plan structure
  • Examiner probes: aetiology, differential, risk, pharmacological choice
  • Debrief with specific formulation feedback after each session
  • Covers all subspecialties: adult, child, old age, C-L, forensic, addiction
Clinical viva with formulation discussion and examiner probing
Feature 04 · Flashcards
Spaced repetition across all psychiatry domains.

Curriculum-mapped flashcard decks covering all psychiatry domains from psychopharmacology to subspecialty psychiatry. Spaced repetition keeps the detail in memory between MEQ sittings. Cards cover receptor pharmacology, diagnostic criteria, evidence-based therapies, medicolegal principles, and clinical vignettes.

  • Spaced repetition: targeted review of what you're forgetting
  • Receptor profiles, drug interactions, and metabolic considerations
  • Diagnostic criteria cards: ICD/DSM with key distinguishing features
  • MCQ drill mode for rapid-fire pharmacology and neuroscience
  • One click from card to full study note
Flashcard revealed showing antipsychotic receptor profile with spaced repetition buttons
Feature 05 · Study Notes
Every topic. Formulation-ready. Referenced.

Sourced, structured study notes for all 162 topics in the RANZCP curriculum. Written to a consistent seven-section format with biopsychosocial framing throughout: aetiology, investigations, risk assessment, pharmacological and psychological management, and medicolegal considerations for each condition. Referenced to current evidence and guidelines.

  • All 157 RANZCP curriculum topics across all psychiatric domains
  • Biopsychosocial framing in every note: predisposing, precipitating, perpetuating
  • Referenced to DSM-5-TR, ICD-11, RANZCP clinical practice guidelines
  • Pharmacology sections: mechanism, dose, monitoring, interactions
  • Full-text search across all notes
Study note with biopsychosocial structure, pharmacology section and risk framework
· About this exam ·
The RANZCP Fellowship Examination

The RANZCP Fellowship of the Royal Australian and New Zealand College of Psychiatrists has two components. The Written Examination is five Modified Essay Questions (MEQs) in 150 minutes, each a sequentially unfolding clinical vignette requiring biopsychosocial formulation, risk assessment, and management planning. The Clinical Competency Assessment and Multiple Professional Report (CCA-MPR) is a portfolio-based component assessed through workplace competencies and supervisor reports. The MEQ is widely considered one of the most formulation-demanding written exams in Australian specialist training.

  • OrganiserRoyal Australian and New Zealand College of Psychiatrists (RANZCP)
  • FormatWritten Examination: 5 MEQs, 150 minutes (125 marks; increasing to 150 marks from March 2027). CCA-MPR: portfolio and workplace assessment.
  • DomainsNeuroscience, Psychopharmacology, Adult Psychiatry, Child & Adolescent, Old Age, Addiction, Forensic, C-L Psychiatry, Intellectual Disability, Research, Ethics & Law
  • SittingsWritten Examination: May and November each year
  • Pass rateApproximately 70% per sitting for the Written Examination
Core texts
  • Stahl's Essential Psychopharmacology (5th edition); pharmacology standard
  • Sadock & Sadock; Kaplan & Sadock's Synopsis of Psychiatry
  • DSM-5-TR; American Psychiatric Association diagnostic criteria
  • ICD-11; WHO diagnostic classification
  • RANZCP Clinical Practice Guidelines (ranzcp.org)
Useful resources
  • RANZCP MEQ blueprints and past paper advice (ranzcp.org)
  • UpToDate; psychiatry and pharmacology modules
  • Therapeutic Guidelines: Psychotropic; Australian prescribing standard
  • State Mental Health Acts; involuntary treatment and capacity law
· 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 MEQ grader & full simulation
  • Clinical viva & voice mode
  • 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

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Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with RANZCP
· Questions ·
Frequently asked
Each MEQ grader response is assessed against a marking schema that mirrors the RANZCP approach: does your formulation include predisposing, precipitating, and perpetuating factors? Are the biological, psychological, and social dimensions addressed? Is the risk assessment structured and complete? Does the management plan reflect current guideline-based practice? You get a tier (Pass, Borderline, Fail), marks per question, and a model answer showing exactly what an examiner would want to read.
Yes. The MEQ bank covers the full spectrum of psychiatry including child and adolescent, old age, consultation-liaison, forensic, addiction, and intellectual disability. The real RANZCP Written Examination tests the same breadth. Each MEQ is tagged by subspecialty so you can filter to practice areas you want to focus on, or run mixed sets that mirror the exam distribution.
The core clinical content, formulation frameworks, and pharmacology are unchanged. The mark total increase from 125 to 150 marks reflects an additional MEQ question per paper from March 2027, not a change in what is assessed. The Primex MEQ grader will be updated to reflect the new format when the change takes effect.
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.