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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) worth 20%
  • A 150-minute short answer paper (SAQ) worth 20%
  • 2 Medical vivas worth 12%
  • 8 Anaesthetic vivas worth 48%


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.

Further information on the final examination can be found in regulations 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 at least 40% combined mark in the SAQ and MCQ papers i.e. more than 16/40 possible marks and pass at least one section of the MCQ paper, SAQ paper or medical viva’s.


All candidates will be notified as soon as possible after the written and medical sections, approx 4 weeks, of their eligibility to attend the anaesthetic viva section.


To pass the examination candidates must achieve a:


1.         Mark of at least 50% overall


2.         Pass in the anaesthetic viva section


3.         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.


IMGS candidates


Criteria for progressing to the anaesthetic vivas and passing overall may vary depending on the sections of the exam attempted.


Feedback interviews


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

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: No Mobile phones, Ipads, smart watches, tablets, computers or calculators etc. No audible alarms.
  • Water is provided and available at all times during the exam. No food is provided. Ample paper is provided at each exam station for discussion.
  • 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. Candidates will be directed appropriately by exam personnel.


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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