Results for 2022’s final Fellowship exam

Morgan Liotta

15/12/2022 4:19:13 PM

The RACGP has released its report outlining how candidates performed in the 2022.2 Clinical Competency Exam.

Young woman studying
For the college’s 2022.2 Clinical Competency Exam, 578 candidates passed out of a total of 686.

Introduced in 2021 to replace the Remote Clinical Exam (RCE) and the Objective Structured Clinical Examination (OSCE), the Clinical Competency Exam (CCE) is the final exam on the pathway to Fellowship of the RACGP (FRACGP).
The CCE aligns with the RACGP Curriculum and the clinical competency rubric, and is designed to assess clinical competence and readiness for independent practice as a specialist GP at the point of Fellowship.
The RACGP has now released the 2022.2 CCE report, detailing how candidates performed for the exams, delivered remotely via videoconferencing, across 5–6 and 12–13 November.
The report shows a total of 686 candidates sat the 2022.2 CCE, with 578 passing.
This translates to a pass rate of 84.26%. The pass rate is the percentage of candidates who achieved the standard expected at the point of Fellowship.
Consisting of nine clinical cases, average reliability of the exam was 0.73, reflecting the clinical performance of the candidates.
Successful candidates were ‘able to demonstrate an empathic and non-biased approach to patient management, taking into consideration the patient’s context’, the report states.
For those who did not perform as well as anticipated, the report outlines areas which require improvement.
Key areas were not demonstrating a patient-centred approach, as well as a lack of clinical reasoning ability and understanding of individual patient context and needs, for example culturally and linguistically diverse patients.
The college recommends competent candidates should demonstrate a non-judgemental and tailored approach to all patients, rather than formulaic responses or assumptions without considering individual circumstances, which may lead to incorrect conclusions.
The exam report also reveals the pass rate by number of attempts for the 2022.2 CCE, highlighting the importance of exam preparation:

  • First attempt: 88.72%
  • Second attempt: 55.36%
  • Third attempt: 54.55%
  • Fourth and subsequent attempts: less than 1%
To assist with exam preparation, the RACGP recommends reflecting on areas of practice with which a candidate might be less familiar and addressing these gaps, and ongoing work in, and reflection on, comprehensive clinical practice.
‘A structured and systematic approach will assist candidates to encompass important potential
diagnoses that guide their history, examination, investigations and management,’ the report states.
To further help candidates prepare for the exam, the RACGP recommends a two-part CCE course available on gplearning. The first module includes information on the competencies being assessed in the CCE and how they can be demonstrated by candidates, with the second a guided exam preparation activity that includes cases, marking grids and video examples.
The college also has a suite of exam support resources.
This guidance may also support candidates who are preparing for the 2023.1 CCE and the other FRACGP exams – the Key Feature Problem (KFP) exam and Applied Knowledge Test (AKT).
The CCE 2023.1 is scheduled for:
  • Day one: Saturday and Sunday, 17–18 June 2023
  • Day two: Saturday and Sunday 24–25 June 2023
Results will be released Thursday 27 July 2023. More information is available on the RACGP website.
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