RACGP Exam Success: Mastering AKT and KFP for Your GP Career

For doctors pursuing a career in general practice in Australia, the RACGP exam is a critical milestone. Achieving Fellowship with the Royal Australian College of General Practitioners (RACGP) requires passing key assessments that evaluate both theoretical knowledge and clinical decision-making skills.

Among these, the AKT (Applied Knowledge Test) and KFP (Key Feature Problems) exams are essential components. Understanding their structure, purpose, and preparation strategies can make the difference between success and failure.

 

 

What is the RACGP Exam?

The RACGP Fellowship examination is designed to ensure that candidates meet the high standards expected of general practitioners in Australia. It consists of multiple components, but the two major written exams are:

• AKT (Applied Knowledge Test): A multiple-choice question exam that assesses your clinical knowledge across a broad range of general practice topics.
• KFP (Key Feature Problems): A written exam that evaluates your clinical reasoning and decision-making skills through case-based scenarios.

Passing both the AKT and KFP is mandatory before attempting the Clinical Competency Exam (CCE), which assesses hands-on clinical skills.

 

Understanding the AKT

The AKT is a three-hour, computer-based test that includes 150 multiple-choice questions. It focuses on applied knowledge rather than rote memorization. Questions are based on real-world general practice scenarios, covering areas such as chronic disease management, mental health, pediatrics, and emergency care.

Key features of the AKT:

• Format: Single best answer multiple-choice questions
• Duration: 3 hours
• Content areas: Clinical practice, population health, and professional & ethical practice

To succeed in the AKT, you need a strong understanding of evidence-based guidelines and the ability to apply them to patient situations.

 

Understanding the KFP

The KFP exam is different from the AKT because it assesses clinical reasoning. Rather than just recalling facts, you need to demonstrate how you approach diagnostic and management decisions. The exam presents short clinical cases with key decision points, and you must provide written responses.

Key features of the KFP:

• Format: Short-answer written responses
• Duration: 3 hours
• Focus: Decision-making and prioritization in patient care

This exam tests how you think as a GP, making it essential to practice case-based learning.

 

 

How to Prepare for the RACGP Exams?

1. Create a Structured Study Plan

Start by mapping out your study schedule well in advance. Allocate time for each subject area and include revision periods. A balanced AKT and KFP study plan is critical because the exams require different approaches.

 

2. Use Reliable Resources

Focus on high-quality resources such as:

• RACGP Guidelines for preventive activities in general practice
• Murtagh’s General Practice
• Therapeutic Guidelines

These are considered essential references for both exams.

 

3. Practice Past Questions

Doing practice questions under timed conditions helps you familiarize yourself with the exam format. Try to attempt as many mock exams for AKT and KFP as you can to master the exam format.

 

4. Focus on Clinical Reasoning

For the KFP, think like a GP. Avoid unnecessary investigations and always consider the most cost-effective and evidence-based management options. The exam rewards logical, structured thinking.

 

5. Manage Your Time

Both the AKT and KFP are time-pressured. During preparation, practice pacing yourself so you can complete all questions within the allotted time.

 

 

Common Challenges and How to Overcome Them

• Time Pressure: Simulate real exam conditions during practice.
• Over-Reliance on Memorization: Both AKT and KFP require applied knowledge, not just facts.
• Stress and Anxiety: Maintain a balanced routine with regular breaks, exercise, and adequate rest.

The RACGP exam is a demanding process, but with the right preparation, success is achievable. By understanding the structure of the AKT and KFP, creating an effective study plan, and focusing on practical application, you can approach the exams with confidence. These assessments are more than tests, they reflect the skills and knowledge you’ll use daily as a GP in Australia.