AFRM Fellowship Written Examination (Adult)

The Fellowship Written Examination (Adult) assesses your readiness for independent practice as a Rehabilitation Medicine Physician. You must apply and demonstrate the application and integration of your medical and rehabilitation knowledge and skills.

Overview

Assessment changes 

The Fellowship Written Examination has been reviewed and updated in line with the implementation of the new curriculum and the Learning, Teaching and Assessment (LTA) Program. The changes are intended to clarify, not alter, the function and expectations of the exam and align the exam to the new curriculum standards and LTA Program. 

Key information
  • The format, delivery, pass criteria and content scope remain the same. This exam assesses readiness for competent, independent practice as a Rehabilitation Medicine Physician; therefore, all learning goals are assessable.
  • PREP trainees aren't required to transition to the new curriculum. The exam content is relevant and linked to both the PREP and the new curricula.
  • The Paper B (Multiple-Choice Question) curriculum focus has been updated to align with the new curriculum Knowledge Guides. Compare the previous subject weightings with the new Curriculum focus weightings (PDF).

Key dates

Applications open Monday 10 November 2025
Applications close 5pm AEDT, Monday 24 November 2025
Pre-exam special consideration requests close
(for provisions on exam day)
5pm AEDT, Monday 24 November 2025
Exam 
Tuesday 3 March 2026
Exam day special consideration requests close
(for technical and procedural issues)
Monday 9 March 2026
Results release – Paper A (MEQ) and Paper B (MCQ)  From 3pm AEST, Thursday 9 April 2026
Information correct as of Monday 19 January 2026.

Locations

Exam venues will be sourced in major cities across Australia and Aotearoa New Zealand based on your preference provided upon application. Your preference isn't guaranteed, and you may be required to travel.

Risk management and contingency planning

In addition to quality assurance, a comprehensive risk management framework safeguards exam integrity and minimises disruptions. Lessons from the COVID-19 pandemic have strengthened this framework, enhancing the ability to respond to unforeseen challenges.

Risk management plans outline strategies for mitigating potential disruptions and ensuring coordinated responses to unexpected events. Crisis communications support timely updates, and contingency plans outline alternative exam delivery methods if required.

These plans are reviewed before each exam cycle and published on our website for transparency. Through proactive risk management and rigorous quality assurance, we remain committed to upholding the highest assessment standards, providing candidates and stakeholders with confidence in the exam process.

Plan A 

The exam proceeds as scheduled as a paper-based exam at exam venues across Australia and Aotearoa New Zealand.

Plan B 

If significant events or disruptions prevent the exam from going ahead at one or multiple exam venues, a back-up exam paper and logistical arrangements are in place to hold the exam at alternate venues across Australia and Aotearoa New Zealand on the contingency date of Tuesday, 25 March 2026.

Recommendations from the Review of the Paediatric Clinical Examination in Australia and Aotearoa New Zealand are being implemented to enhance exam safety for candidates, examiners, patients and their families/whānau/carers. To find out more, read the Review of Paediatric Clinical Examination in Australia and Aotearoa New Zealand

Exam format overview 

The exam consists of 2 papers which are separate assessments taken on the same day. 

Paper A 

Modified Essay Question (MEQ) – 8 clinical, administrative or research-based scenarios 

Paper B 

Multiple Choice Question (MCQ) – 130 MCQ questions 

The Prepare and Exam Day tabs provide detailed information on the content and processes for each paper. 


Exam development

The exam content is developed through a structured, multi-stage process designed to ensure that questions accurately and reliably assess the targeted knowledge and skills. Exam content is developed in alignment with approved exam blueprints, which define the intended coverage across relevant domains and specialties.

Questions are written and reviewed by a working party of subject matter experts. Each scenario and question undergoes collective review to evaluate clinical accuracy, clarity, relevance and alignment with the intended assessment outcomes. No question is written or approved by a single individual and only those that meet the required standards progress through quality assurance processes for potential inclusion in the exam.

In Paper B (MCQ), a proportion of previously used questions is included to monitor examination difficulty across different assessment forms (sittings) and to support post hoc analysis of exam performance. All questions count towards candidates’ total score on the exam.

Final exam papers are assembled through collaboration between the working party leads, relevant committees and RACP staff. Once submitted to the RACP, questions undergo technical editing and further review to confirm internal consistency, alignment with assessment standards, and overall suitability for inclusion in the examination. Final proofreading, approval and standard-setting processes ensure that each question meets the required performance expectations before materials are prepared for examination delivery.


Performance standard criteria

Standard-setting processes are used to ensure that all candidates are assessed fairly and consistently. The exam uses criterion-referenced assessment, meaning candidate performance is assessed against pre-determined standards rather than in comparison with other candidates. This approach ensures that all candidates who meet the required standard can pass.

The required standard is established using a recognised standard-setting approach: the Modified Angoff method. A panel of diverse subject matter experts who are familiar with the training environment review every question on the examination to estimate the probability that a minimally competent candidate would answer them correctly. The standard to pass the examination is the aggregate average of these judgements. This approach is used to determine the pass mark for each scenario in Paper A (MEQ) and the overall pass mark in Paper B (MCQ).

After the examination, psychometric analysis identifies item performance (e.g. level of difficulty) and items that require qualitative review due to unexpected performance on psychometric criteria. From time to time, one or more items may be removed from scoring of candidates’ final results. No candidate is disadvantaged by this process.


Marking

Paper A - Modified Essay Question

Each short-answer question is marked by 2 examiners using a predetermined marking scheme developed by subject-matter experts and reviewed by the Faculty Assessment Committee (FAC). Markers receive training to support fairness and consistency. Each scenario is equally weighted and has its own pass mark, set using the Modified Angoff method. Because this method reflects expert judgement of the examination, scenario pass marks may vary from year to year depending on the paper’s difficulty.

The overall pass mark for Paper A is the sum of the 8 scenario pass marks. You pass Paper A if your aggregate score is greater than or equal to the overall pass mark and you pass at least 5 scenarios. The RACP reviews the examination and candidate performance statistics before results are released.

Paper B - Multiple Choice Question

The pass mark for Paper B is also set using the Modified Angoff method and may vary each year in line with the paper’s difficulty. One mark is awarded for each correct answer, and marks are not deducted for incorrect responses. Answer sheets are computer‑marked.

You pass Paper B if your score meets or exceeds the pass mark. Before finalising results, the RACP reviews all items and performance data. Question performance is analysed, anomalies are investigated and the pass mark is reviewed without identifying candidates.

See previous exam pass rates.


Quality assurance

A robust quality assurance framework governs the exams to ensure fairness, accuracy and consistency across all assessments. Each stage of the exam process follows detailed business rules tailored to the exam’s purpose, format and potential risks.

From planning and development with relevant committees through to scenario and question selection, item creation, marker recruitment and training, stringent measures uphold rigorous assessment standards.

Data integrity is prioritised through comprehensive quality checks before results are finalised, while results meetings and ratification procedures provide additional oversight, particularly for candidate results close to the minimum expected standard and for any unforeseen circumstances that may impact outcomes.

Clear and timely communication ensures transparency for candidates and stakeholders, and structured feedback mechanisms support continuous improvement of future assessments.


Results

You'll receive your exam result by email. Ensure your contact details are up to date in MyRACP, including your current email address and phone number. If you don't receive your result email, contact us for assistance.

To ensure fairness, accuracy and integrity, results undergo the following quality assurance process:

Post-exam steps Description
Answer sheet data collection Scanning and processing of answer sheets by an external company.
Paper A (MEQ) marking session Markers convene face-to-face to complete training and marking of Paper A candidate answer sheets against
pre-determined marking guides. One pair of markers individually mark half the questions in each scenario, then agree on a consensus score for each question.
Data collection Scanning and processing of consensus score sheets for Paper A.
Data verification Checking for anomalies and data comparison.
RACP item analysis Review of item statistics by internal experts.
Item review by SMEs Subject Matter Experts (SMEs) review flagged items.
Item analysis meeting Discussion and finalisation of item decisions.
Cut-score determination Establishing the final pass threshold. 
Results meeting Discussion of candidate exam results and decisions on incidents and post-exam special consideration applications. All candidate details are de-identified.
Results confirmation Confirmation of results for release.
Results administration Final preparation of results for release.
Results release Results are typically released mid-week and before end of day to ensure candidates can access support within business hours.

To protect the integrity of scoresheets, robust security and quality assurance processes are in place. All scoresheets are photocopied before leaving the exam venue and are securely transported via person-to-person courier from each site. Upon arrival, the exam management supplier conducts thorough checks to confirm that all scoresheets have been received and reconciled against trainee attendance records. These steps are critical to ensuring the fairness, accuracy and reliability of results. 


Candidate Feedback

Paper A – Modified Essay Question

A personalised feedback report summarising the performance band you achieved for each scenario is included in your results email. Each scenario is reported using one of 6 performance bands:

  • Excellent performance
  • Better than expected standard
  • Meets expected standard
  • Below expected performance
  • Poor performance
  • Very poor performance

All candidates receive a copy of the general feedback report, which provides a cohort overview of key strengths and areas for improvement, as summarised by examiners during marking.

Previous years feedback reports:

Paper B – Multiple Choice Question

All candidates receive their overall score as a percentage against the pass mark for the assessment. Unsuccessful candidates receive a summary of the number of correct responses within each Knowledge Guide addressed in the paper.

We understand that you may be seeking more detailed individualised feedback; however, further personalised feedback can't be provided. You're encouraged to discuss your results with your Advanced Training Supervisor or mentor, who can help you reflect on your performance, recognise your strengths and identify areas for continued development.

To support equitable access and fairness for all candidates, the AFRM Annual Trainees Meeting includes sessions on examinations, preparation strategies and related processes, with opportunities for questions.


Next steps

To gain Fellowship of the Australasian Faculty of Rehabilitation Medicine, you must pass this exam and:

If you’re unsuccessful in either paper, you only need to resit the unsuccessful paper. The exam fee is for the set of exams, and there's no discount for attempting only 1 paper.

Refer to the eligibility criteria and exam attempts set out in the Progression Through Training Policy and your Adult Rehabilitation Medicine Training Program handbook or LTA Program. 

Note: The Reconsideration Review and Appeals By-law (PDF) applies exclusively to decisions made by College bodies and doesn't apply to exam results, as these reflect outcomes of assessments against established criteria rather than discretionary decisions.

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