FRACGP Training and Education 2 — Questions and Answers
Question 1: During the FRACGP assessment, what is the primary purpose of the Key Feature Problems (KFPs)?
- To test recall of pharmacology facts
- To assess decision-making at critical points in clinical management (Correct answer)
- To evaluate communication skills with patients
- To measure procedural competency in general practice
Correct answer: To assess decision-making at critical points in clinical management
KFPs are designed to assess a candidate's ability to identify and act on key decision points in clinical scenarios.
Question 2: A GP registrar in their second year of training wants to count a hospital term toward their FRACGP training. What is the maximum proportion of training time that can be completed in a hospital setting?
- One quarter
- One half (Correct answer)
- One third
- Two thirds
Correct answer: One half
Up to half (50%) of FRACGP training time may be completed in approved hospital or non-GP settings.
Question 3: What does the RACGP's 'Curriculum for Australian General Practice' primarily guide?
- The structure of the RACGP fellowship examinations only
- The scope of knowledge, skills, and attributes required across general practice training (Correct answer)
- Administrative requirements for GP practices
- Eligibility criteria for specialist registration
Correct answer: The scope of knowledge, skills, and attributes required across general practice training
The Curriculum outlines the expected competencies, knowledge, and professional attributes spanning the breadth of general practice.
Question 4: A registrar receives a poor result on a formative mini-CEX. What is the most appropriate next step for the supervising GP?
- Refer the registrar to the training program for formal remediation immediately
- Provide immediate written feedback and co-create an action plan with specific learning goals (Correct answer)
- Repeat the assessment without providing feedback to avoid bias
- Notify AHPRA of the performance concern
Correct answer: Provide immediate written feedback and co-create an action plan with specific learning goals
Formative assessments are learning tools; the supervisor should give structured feedback and work with the registrar on targeted improvement strategies.
Question 5: Which RACGP examination component specifically assesses the application of evidence-based medicine to clinical cases?
- Applied Knowledge Test (AKT) (Correct answer)
- Clinical Examination (CE)
- Objective Structured Clinical Examination (OSCE)
- Case-Based Discussion (CBD)
Correct answer: Applied Knowledge Test (AKT)
The AKT tests the application of current best evidence and clinical knowledge to general practice scenarios.
Question 6: Under the RACGP Training Program, what triggers a formal 'at-risk' process for a registrar?
- Failing one formative assessment during training
- Identified concerns about progress that may jeopardize successful completion of training (Correct answer)
- Requesting an extension of training time
- Changing training post mid-term
Correct answer: Identified concerns about progress that may jeopardize successful completion of training
An at-risk process is initiated when there are documented, persistent concerns about a registrar's progress toward competency.
Question 7: What is the significance of the 'Teaching the Teacher' or educational supervisor training requirement in the RACGP framework?
- It is optional and only for GPs seeking additional income through supervision
- It ensures supervisors have formal skills in adult education, feedback delivery, and assessment (Correct answer)
- It replaces the requirement for supervisors to hold Fellowship
- It is a one-time certification valid for a GP's entire career
Correct answer: It ensures supervisors have formal skills in adult education, feedback delivery, and assessment
Supervisor training equips GPs with structured educational skills so they can effectively support registrar development and deliver valid assessments.
FRACGP Training and Education 2
During the FRACGP assessment, what is the primary purpose of the Key Feature Problems (KFPs)?