Skip to content

How Hard Is the RANZCP Fellowship Examinations (FRANZCP)?

The honest answer

The RANZCP Fellowship Examinations (FRANZCP) is a Fellowship examination where structured MEQ answers and broad MCQ coverage are the main differentiators. Plan for 26-52 weeks of structured preparation. Treat the examination as a fixed standard, not a ranking against other candidates: success comes from meeting the bar, and the bar is high but well-defined.

Honest difficulty calibration starts with the real pass-rate position: RANZCP publishes per-component pass rates: MCQ 90% (Mar 2025, all attempts); MEQ 78% (Mar 2025, all attempts); MCQ 79% (Aug 2024, all attempts). RANZCP publishes per-sitting pass rates, not a single headline figure. Overall pass rates (all attempts) for the March 2025 sitting were MCQ 90% (267 of 296 assessments) and MEQ 78% (213 of 273), per the RANZCP Training and Assessment 2025 End-year Report. The August 2024 MCQ Post-Examination Report separately records a 79% cohort pass rate (227 candidates who sat). First-attempt and per-stage rates run higher (for example, MCQ Stage 1 first-attempt was 92% in March 2025), so figures vary by component, sitting, stage and attempt; the pass mark is set by standard-setting each sitting rather than a fixed published cut-score. For authoritative figures and any sitting-specific reports, consult the examining body directly rather than relying on a single headline percentage.

What makes this examination challenging

Difficulty in the RANZCP Fellowship Examinations (FRANZCP) comes from a small number of consistent sources:

What separates pass-tier from fail-tier candidates

Examiner reports and feedback consistently flag these preparation pitfalls among candidates who fall short:

How to calibrate your preparation

How PRIMEX helps you cross the pass line

Start your 7-day free PRIMEX trial for the RANZCP Fellowship Examinations (FRANZCP) and see exactly where your preparation stands.

Start free trial

7-day free trial · Cancel anytime

Frequently asked questions

Is the RANZCP Fellowship Examinations (FRANZCP) considered a difficult examination?

Yes. It is a Fellowship examination where structured MEQ answers and broad MCQ coverage are the main differentiators. Plan for 26-52 weeks of structured preparation and assess the standard, not the cohort.

What makes it hard in practice?

Content breadth, structured answer technique under time pressure, and the gap between everyday clinical practice and examiner expectations of a complete answer.

What separates candidates who pass from those who do not?

Consistent question practice volume, structured answer technique, and targeted revision of weak domains identified through analytics. Clinical experience alone is rarely sufficient.

What is the RANZCP Fellowship pass rate?

RANZCP publishes per-component pass rates: MCQ 90% (Mar 2025, all attempts); MEQ 78% (Mar 2025, all attempts); MCQ 79% (Aug 2024, all attempts). RANZCP publishes per-sitting pass rates, not a single headline figure. Overall pass rates (all attempts) for the March 2025 sitting were MCQ 90% (267 of 296 assessments) and MEQ 78% (213 of 273), per the RANZCP Training and Assessment 2025 End-year Report. The August 2024 MCQ Post-Examination Report separately records a 79% cohort pass rate (227 candidates who sat). First-attempt and per-stage rates run higher (for example, MCQ Stage 1 first-attempt was 92% in March 2025), so figures vary by component, sitting, stage and attempt; the pass mark is set by standard-setting each sitting rather than a fixed published cut-score.

How does PRIMEX help?

PRIMEX provides curriculum-mapped practice, AI-graded answers and weak-domain analytics for the RANZCP Fellowship Examinations (FRANZCP), so revision time lands where it matters most.