Final examination requirements

The final examination is the final test of competence for approved trainees who have met eligibility requirements. You must successfully complete the final examination as part of the requirements for advanced training.


The purpose of the exam is to determine whether you can integrate knowledge, judgement and skills to address realistic anaesthetic scenarios..


The examination consists of:

  • A 150-minute multiple choice paper (MCQ) 
  • A 150-minute short answer paper (SAQ) 
  • Two medical vivas 
  • Eight anaesthetic vivas 

The curriculum guides the range of content that may be assessed. As this is the final examination, your responses should demonstrate a consistent level of prioritisation, judgement, integration and decision making.

Please note, the following changes will be implemented as of the first sitting of the 2018 examinations:

The maximum number of attempts for the final examination has now reduced from seven attempts to five attempts from 2018.1 onward. This rule would not apply for trainees who have commenced advanced training prior to the 2018 hospital employment year. Any trainees who have already commenced advanced training and/or have already attempted the examination would still be granted seven attempts.

Further information on the final examination can be found in regulation 37.



2004 training curriculum


In order to sit the final examination, trainees must have:

  • Completed basic training and at least one year of advanced training.

    • NOTE: Basic training requires the completion of modules 1, 3 and at least one of modules 4 through 10.

  • Completed 24 months of clinical training in clinical anaesthesia.

  • Passed the primary examination or have been granted exemption.

  • Paid all outstanding training fees and the final examination application fee (paid in full).

  • Completed Final Examination Application Form. The completed application must be received by the College at least eight weeks before the written section of the examination.

Please check your trainee profile and outstanding documentation reports prior to submitting your application to ensure that you meet all eligibility requirements.


2013 training curriculum


In order to sit the final examination, trainees must have:

  • Completed introductory training and basic training.

  • 26 weeks full-time equivalent of approved vocational training in advanced training.

  • At least 88 weeks full-time equivalent clinical anaesthesia time as part of approved
    vocational training.

  • Trainees should be in approved vocational training at the time of the examination, however
    trainees in interrupted training who have been in approved vocational training within 52
    weeks of the start of the written examination are also eligible to sit. A trainee who has been
    in interrupted training for over 52 weeks is not eligible to sit the examination.

  • Paid all outstanding training fees and the final examination application fee (paid in full).

  • Completed Final Examination Application Form. The completed application must be received by the College at least eight weeks before the written section of the examination.



The examination consists of four sections: a written section consisting of a multiple-choice question paper (MCQ) and a short-answer question paper (SAQ), medical vivas and anaesthesia vivas.


1.      MCQ paper. 150 questions of type A structure i.e. a stem followed by five options with one correct answer. No marks will be deducted for incorrect answers.


2.      SAQ paper. 15 questions with one answer per booklet. Ensure your candidate number is written on the top right corner of the front of each booklet. Do not leave blank pages but if you do run a line through the page to indicate the answer continues. 


3.      Medical Vivas. Two vivas each of 18 minutes duration. You will be introduced to a patient and then asked to take a relevant history and examination and present your findings. This is followed by a focused discussion often including a review of investigations.


4.      Anaesthetic vivas. Eight vivas of 15 minutes duration. The vivas commence with two minutes of reading time followed by fifteen minutes of related questions asked by an examiner.  The aim is to create a realistic patient scenario that evolves, progresses and tests the candidates abilities at multiple points in this timeline. There may be other people present during the viva, either observing or assessing the examiner, but candidates should direct their responses to the examiner.


The SAQ and the MCQ papers are held on a Friday, in the morning and afternoon respectively, with the medical viva’s on the following day. 


Requirements to progress to the Anaesthetic vivas

To receive an invitation to the anaesthetic vivas candidates must get a mark of at least 40 per cent in the multiple choice exam and a mark of at least 40 per cent in the short answer exam and a pass in at least one section of the multiple choice, short answer and medical exam.

All candidates will be notified as soon as possible after the writtens and medicals (approximately three weeks prior to the anaesthesia vivas) of their eligibility to attend the anaesthesia viva exams.


To pass the examination candidates must achieve a:

  • Mark of at least 50 per cent overall.
  • Pass in the anaesthetic viva section.
  • Pass in at least one other section of the exam.

Candidates who fail the multiple choice question, short answer question and medical viva section will have failed the exam.


SIMG candidates

The following changes affect all SIMGs required to sit the examination, including those who were assessed prior to April 2017:


Examination Standardisation

All SIMGs required to sit the examination, no matter when they were assessed, will no longer need to sit the written component of the examination; they will only need to sit the medical clinical and anaesthesia viva sections. 

SIMG – full
Specialist International Medical Graduates who choose to sit all components
The criteria required to progress to the anaesthetic vivas are 

  • Achieve a minimum of 40 per cent in each of the written sections. (Multiple Choice Question seciton and Short Answer Question section)

  • Sit the medical section of the examination,

  • Pass at least one section of the examination. 

The criteria required to pass the final examination are 
  • a pass in the anaesthesia viva section, 

  • a pass in at least one other section of the examination and 

  • an overall score of 50 marks or more. 

SIMG  – no written 

The criteria required to pass the Specialist International Medical Graduate – no written examination are

  • a pass in the anaesthesia viva section and 

  • an overall score of 30 marks or more. 

Specialist International Medical Graduates assessed after 1st December 2018 will be allowed up to five attempts at the examination. Specialist International Medical Graduates assessed before 1st December 2018 will continue to be allowed seven attempts. This aligns with changes to regulation

Feedback interviews

Candidates who are unsuccessful in the final exam are encouraged to request a feedback interview within four weeks of their notification.


Remediation interview resources

Remediation interview resources are available to clarify and support the purpose, process and conduct of the remediation interview. Click here for more information and links to resources.

Examination reports

Examination reports are prepared to help candidates and their supervisors prepare for their examinations. These reports are not intended to represent model answers nor imply that all points mentioned are necessary in order to achieve a pass. Supervisors are encouraged to discuss recent reports in detail with candidates they are preparing for future examinations.


(Download PDFs of exam reports here)


Preparation courses

Each year some ANZCA offices offer courses to assist trainees preparing for the final examination. Priority is given to applicants who have registered to sit the examination. Applicants must be registered with the College as a trainee. Information regarding course dates, course descriptions and enrollment forms are available from the regional ANZCA websites.


To prepare for the ANZCA final examination, login to Networks to access the ANZCA final examination resource. This resource offers a series of videos providing insights into the exam process and what happens on the day. It includes examples of mock vivas to demonstrate ways to optimise your performance and also an examiner’s perspective on the exam.


This resource is available in Networks under Anaesthesia learning, in the Curriculum teaching and learning support network. The resources in the network are tailored to each training period and the final examination resource can be found under Advanced training. Login now to Networks to access these resources now.


Useful information

Conditions of entry to the exam:
  • All electronic devices are to be switched off / airplane mode and left either in your bag or with the invigilator for safekeeping.
  • No wrist watches or time keeping devices will be allowed at the exam. Several clocks are placed around the examination room for your perusal.
  • Calculators are not allowed at the exam.
  • No food will be permitted into the exam room.
  • Water is provided and available at all times during the exam.
  • At times in the medical and anaesthesia vivas candidates are requested to have a 'bye'. At these times candidates sit quietly in a separate area for the duration of one viva before resuming the exam. 
  • Ample paper is provided at each exam station for discussion at the vivas.

  • At the vivas you will be advised when your viva is to commence - you may be quarantined in an area with other candidates whilst waiting for your viva to commence or after the conclusion of your viva.

  • You are required to follow the instructions of the invigilators at all times during the exam.

Candidates who do not follow the conditions of the examination may face disciplinary action in accordance with the academic integrity policy.


VIVA booths


Above: An example room layout for the final exam vivas.



For further information about the final examination, please contact the examinations officer on +61 3 9510 6299 or email

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