Rural generalist guides · Exam format

The ACRRM exams explained: format, timing and how they are passed

The FACRRM is awarded by the Australian College of Rural and Remote Medicine. On the way, rural generalist registrars sit 3 examinations: Multiple Choice Question assessment; Case-Based Discussion; Structured Assessment using Multiple Patient Scenarios (StAMPS). Here is how each is put together and how it is passed.

Multiple Choice Question assessment

When: Second half of core generalist training.

MCQ
125 single-best-answer questions · 4 options · clinical vignettes · 3 hours online
How it is passed: Auto-marked with no negative marking; the cut score is set for each sitting (about 56–59% of scored items in 2026).

Case-Based Discussion

When: Later in core generalist training; all three sessions within six months.

CBD
6 of your own cases · 3 one-hour video sessions · 2 cases × 30 min each, different assessor per session
How it is passed: Each case is judged at or below the expected FACRRM standard across communication, history, examination, management and professionalism; you need at least 5 of 6 at standard.

Structured Assessment using Multiple Patient Scenarios (StAMPS)

When: Final core assessment, after a Mock StAMPS or study group.

CGT StAMPS
8 scenarios in StAMPSville · 5 min reading · 10 min viva, 3 questions each · about 3 hours online
How it is passed: Each scenario scores 5 items 0–7 (three management questions, problem definition, communication and professionalism), 280 in total; the cut was 161 in 2025B and 165 in 2026A.

What the exams draw on

Aboriginal and Torres Strait Islander health · Adult internal medicine · Chronic disease · Dermatology · Mental health · Musculoskeletal · Obstetrics and gynaecology · Paediatrics · Surgery · Emergency and retrieval · Aged care · Anaesthetics · Palliative care · Sexual health · Addictive behaviours · Population and remote health.

Answers are expected to reflect Australian and New Zealand practice. The references the questions assume include: ACRRM Rural Generalist Curriculum (8 domains, learning areas); CARPA Remote Primary Health Care Manuals; Therapeutic Guidelines, AMH, PBS, Australian Immunisation Handbook; ARC/ANZCOR, RFDS and state retrieval services, telehealth; National Guide to preventive health assessment for Aboriginal and Torres Strait Islander people; ASHM STI guidelines; State Mental Health Acts, Gillick competence, mandatory reporting.

Formats change. Always confirm the current format, eligibility and dates on the ACRRM website before you sit.

Where do you stand?

Thirty questions across every area, scored by area with a plain verdict. Free.

Am I ready? Free check →Read a marked sample

Next: Why candidates lose marks in the ACRRM exams →

Not affiliated with the Australian College of Rural and Remote Medicine.