Anaesthesia exams

In order to qualify as a specialist anaesthetist and become eligible for ANZCA fellowship, trainees need to successfully complete two exams.

Each exam consists of written and viva components. Some specialist international medical graduates may need to sit certain components of the exam.

Trainees should familiarise themselves with the format, minimum marks, and eligibility requirements for each of these important exams.

Primary exam

The primary exam (PEx) is taken during basic training and assesses a trainee's knowledge and understanding of applied physiology, pharmacology, anatomy, measurement, equipment, quality and safety through a combination written and viva components. Success in the primary exam is necessary to progress to advanced training. 

Learning outcomes

The learning outcomes in the ANZCA Training Program curriculum guide the range of content that may be assessed. Trainees are expected to demonstrate an understanding of the subject matter and show their ability to integrate relevant information so that it is applicable to the practice of clinical anaesthesia.

Eligibility criteria

To be eligible to sit the PEx, trainees must:

  • Be registered as a trainee with the college.
  • Have completed all requirements for introductory training and commenced basic training at the time of the written exam.
  • Been in clinical anaesthesia time or other clinical time within the previous 52 weeks.
  • Paid all outstanding training fees and the primary exam application fee.

Format

The PEx consists of the following three sections, completed in two parts. 

 

Section

Format

Duration

 % total marks

Multiple-choice questions (MCQs)

150 questions.

150 minutes

Pass/fail

Short-answer questions (SAQs)

15 questions 

150 minutes

50%

Viva voce

3 vivas

20 minutes each with a two-minute reading time (66 minutes in total)

50%

 
Additional information regarding the exam components on the day of the exam is available on Learn@anzca.

Requirements for passing the primary exam

Trainees will be invited to attend the viva section of the primary exam if they pass the multiple-choice question section and score 40 per cent or higher in the short-answer question section.

To be successful at the exam, trainees must obtain a mark of at least 50 per cent in the sum of the short-answer (50 per cent) and viva (50 per cent) sections. If a trainee fails to attend the written exam (no show) after enrolling for the primary exam, it will be counted as an unsuccessful attempt at the primary exam.

Candidates who have failed to achieve the standard in the written components of the exam are considered unsuccessful and this will count as an unsuccessful attempt at the primary exam. 

Primary exam reports

We've made all past primary exam (PEx) reports available to help you prepare for your final exam.

Dates and venues

2024 primary exam dates

2024.1

2024.2

Closing date

9 January 2024

11 June 2024

Withdrawal fee date

19 February 2024

5 August 2024

Written

5 March 2024

20 August 2024

Written Venues

Auckland, Adelaide, Brisbane, Cairns, Canberra, Darwin, Hobart, Launceston, Melbourne, Newcastle, Perth, Sydney, Townsville and Wellington.  

Viva

15-17 May 2024
Melbourne

14-16 October 2024
Brisbane


2025 Primary exam dates

2025.1

2025.2

Closing date

8 January 2025

10 June 2025

Withdrawal fee date

17 February 2025

4 August 2025

Written

4 March 2025

19 August 2025

Written Venues

Auckland, Adelaide, Brisbane, Cairns, Canberra, Darwin, Hobart, Launceston, Melbourne, Newcastle, Perth, Sydney, Townsville and Wellington.  

Viva

14-16 May 2025
Melbourne

13-15 October 2025
Brisbane

Updated : 11 September 2024

 

Final exam

The final exam is taken during advanced training and is the final formal assessment of competence and knowledge. Trainees must successfully complete the final exam as part of the training program requirements.

 

Learning outcomes

The purpose of this exam is to determine whether trainees can integrate knowledge, judgement and skills to address realistic anaesthetic scenarios. The curriculum guides the range of content that may be assessed. As this is the final exam, responses should demonstrate a consistent level of prioritisation, judgement, integration and decision making.

Eligibility criteria

To be eligible to sit the final exam, trainees must have:

  • Completed introductory training and basic training.
  • 26 weeks full-time equivalent (FTE) of approved vocational training in advanced training.
  • At least 88 weeks FTE clinical anaesthesia time as part of approved vocational training.
  • Been in clinical anaesthesia time or other clinical time within the previous 52 weeks.
  • Paid all outstanding training fees and the final exam application fee (paid in full).

Format

The final exam consists of four sections, completed in two parts.  
 

Section

Format

Duration

Multiple-choice questions (MCQs)

150 questions

150 minutes

Short-answer questions (SAQs)

15 Questions

150 minutes

Medical vivas

2 vivas

15 minutes each

Anaesthesia vivas

8 vivas

15 minutes each

 

The SAQ and the MCQ exam are held on the same day with the medical vivas held on alternate days with the anaesthetic vivas.

Requirements for passing the final exam

Candidates will be invited to attend the medical and anaesthetic vivas if they get:

  1. A mark of at least 40 per cent in the multiple choice exam (MCQ) and
  2. A mark of at least 40 per cent in the short answer exam (SAQ). 

We'll confirm eligibility to attend the medical and anaesthesia vivas approximately three weeks before.

Candidates must achieve:

  • A mark of at least 50 per cent overall.
  • A pass in the anaesthetic viva section.
  • A pass in at least one other section of the exam
  • A candidate must pass (achieve a score of ≥5 of 10) at least four (4) out of the eight (8) anaesthesia vivas.
  • A candidate who scores 3 marks or less (≤ 3 out of 10) in three (3) or more anaesthesia vivas will be deemed to have failed the Final Examination
 

Candidates who do not achieve the above criteria will be counted as an unsuccessful attempt of the final exam.

Final exam reports

We've made all past final exam (FEx) reports available to help you prepare for your final exam.

Dates and Venues

2024 final exam dates

2024.1

2024.2

Closing date

15 January 2024

18 June 2024

Withdrawal date

4 March 2024

29 July 2024

Written date

19 March 2024

13 August 2024

Written venues

Adelaide, Auckland, Brisbane, Cairns, Canberra, Darwin, Hobart,
Melbourne, Newcastle, Perth, Sydney, Townsville, Wellington

Medical viva

31 May 2024

1 November 2024

Anaesthesia viva

30 May and 1 June 2024
Melbourne

31 October and 2 November 2024
Brisbane

2025 final exam dates

2025.1

2025.2

Closing date

13 January 2025

16 June 2025

Withdrawal date

3 March 2025

28 July 2025

Written date

18 March 2025

12 August 2025

Written venues

Adelaide, Auckland, Brisbane, Cairns, Canberra, Darwin, Hobart,
Melbourne, Newcastle, Perth, Sydney, Townsville, Wellington

Medical viva

30 May 2025

 31 October 2025

Anaesthesia viva

29 May and 31 May 2025
Melbourne

30 October and 1 November 2025
Brisbane

updated : 11 September 2024

 

Information for SIMG candidates

Specialist international medical graduates (SIMGs) who are required to sit the final exam - regardless of when they were assessed - will no longer need to sit the written components; only the medical and anaesthesia viva sections.

To be eligible to sit the SIMG exam, candidates must have:

  • A satisfactory CPA report covering at least three months. 
  • The most recent CPA report must be satisfactory and within 12 months of the date of sitting the exam
  • Paid all outstanding college fees and the final exam application fee (paid in full).


Candidates will need the following scores to pass the exam:

  • A pass in the anaesthesia viva section and
  • An overall score of 30 marks or more.
  • A candidate must pass (achieve a score of ≥5 of 10) at least four (4) out of the eight (8) anaesthesia vivas.
  • A candidate who scores 3 marks or less (≤ 3 out of 10) in three (3) or more anaesthesia vivas will be deemed to have failed the Final Examination

SIMG candidates assessed after 1 December 2018 will be allowed up to five attempts at the exam. SIMGs assessed before 1 December 2018 will continue to be allowed seven attempts.

 

Frequently asked questions

Important information for all candidates participating in ANZCA exams, including our conditions of application and entry.

Find out more

Anaesthesia trainee toolkit

Access all the resources, documents, and forms you need to meet your training requirements at the click of a button.

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Training & Exams Resource Hub

This hub has been designed for trainees and educators participating in the ANZCA, FPM, RGA and DHM training programs to identify suitable training and education resources, and includes program-specific guides and online access to the Primary Exam reading list and ETA reference readings.

Find out more

Becoming a primary examiner

Information on the eligibility and application process for becoming an ANZCA primary examiner.

Find out more
Last updated 10:02 11.09.2024