Foundations MCQ exam
The Foundations Multiple Choice Question (MCQ) Examination is a three hour, 150-question examination that is designed to be sat between 3-9 months after commencement of training. To pass the examination, a trainee needs to reflect the level of knowledge and application of this knowledge expected of a trainee halfway through the core training stage.
Any applications for special consideration are due four weeks prior to the closing date for the examination you plan to sit. Usually, candidates requiring special consideration will need to sit this exam in Melbourne.
Learning outcomes
The Foundations MCQ examination is mapped to the learning outcomes of the pain medicine training program curriculum. Questions assess foundational knowledge across the key domains of pain medicine, including mechanisms of pain, clinical assessment, pharmacological and non-pharmacological management, and multidisciplinary approaches to patient care. Candidates are expected to demonstrate understanding of core concepts and the ability to apply this knowledge in clinical contexts.
Eligibility criteria
Trainees may present for the examination if by the published closing date, they have:
- Completed at least three months full time equivalent (FTE) of pain medicine training.
- Received approval from their SOT for their application and submitted the ‘preparedness to sit form’
- Applied and paid the nominated examination fee.
Late applications cannot be accepted.
How to prepare
It is suggested that trainees preparing to sit the Foundations MCQ examination start by:
- Reviewing the curriculum, identifying the areas you are less familiar with and focusing your study on these areas.
- Engaging with FPM activities including courses, tutorials and online modules.
- Using the recommended reading list developed to support preparation for the Foundations MCQ examination. The reading list provides key resources aligned with the curriculum and commonly tested knowledge areas.
- Completing the practice exam so that you can familiarise yourself with the look and feel of the platform and understand the functionality that will be available during the exam.
Supervisor of training (SOT) confirmation process
As part of the application process, trainees must obtain confirmation from their Supervisor of Training (SOT) that they are ready to sit the examination.
Trainees can complete this by submitting the required preparedness to sit form in accordance with the eligibility criteria
Format
The Foundations MCQ examination consists of 150 single best answer questions and is delivered as a computer-based examination at designated test centres.
Questions are presented in a randomised order for each candidate. The exam includes approximately 100 basic knowledge questions and 50 applied knowledge questions, designed to assess both foundational understanding and the ability to apply knowledge to clinical situations.
The examination uses a standard-setting method to determine the pass mark.
Dates and venues
| Sitting | Date | Venue(s) | Exam application closing date | Application form |
|---|---|---|---|---|
| Sitting one | Thursday 11 June, 2026 | Brisbane Melbourne Perth Sydney | Thursday 7 May 2026 | Registration link |
| Sitting two | Thursday 15 October 2026 | Brisbane Melbourne Perth Sydney | Thursday 10 September 2026 | N/A |
Frequently asked questions
Related resources
Available 24/7, the ANZCA Doctors' Support Program is a professional counselling service that offers confidential support for a variety of work-related and personal problems that may be affecting you at work or at home. It's free for all ANZCA fellows, trainees, SIMGs and immediate family members.
Doctors' HelplineRelated content
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