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Registrar examinations

College exam preparation and failure can cause enormous stress for many registrars, so it is important as a supervisor to be aware of how best to support your registrar, both educationally and in terms of pastoral care – stress and mental health.

CCE, or Clinical Competency Exam, is a new assessment for the 2021.2 cycle which will be held over two consecutive weekends in November. Candidates will be notified of their allocated times 4 weeks ahead of the exam.  

This is the final exam for doctors seeking fellowship with the Royal Australian College of General Practitioners (RACGP), replacing  the OSCE (Objective Structured Clinical Exam) and interim RCE (Remote Clinical Exam).

Exams – Supporting GP Registrars Who Have Failed an Exam

This resource aims to help you support your registrar to prepare effectively for their next exam attempt.

Managing the stress and mental health of registrars

As a GP supervisor it is vital you teach your registrar how to manage their stress and mental health. This resource aims to help you start the conversation.

Managing underperforming GP registrars

Provides answers to commonly asked questions about managing GP registrars in difficulty.

Exam preparation

  1. Communication and consultation skills
  2. Clinical information gathering and interpretation
  3. Making a diagnosis, decision making and reasoning
  4. Clinical management and therapeutic reasoning
  5. Preventative and population health
  6. Professionalism
  7. General practice systems and regulatory requirements
  8. Procedural skills
  9. Managing uncertainty
  10. Identifying and managing the significantly ill patient
  • Focus on skill development, not knowledge 
  • Teach to your strengths 
  • Consider non-clinical domains 
  • Don’t get bogged down with the new format – teach  generic skills 
  • Ask registrar to document their reasoning in the notes
  • Ask the registrar to review the competency rubric and  self-rate to prioritise learning needs 
  • Use the GPSA guides and teaching plans 
  • Monitor your registrar’s anxiety and stress
  • Understand what is being assessed: RACGP curriculum and domains; Competency rubric 
  • Undertake focussed practice-based teaching
  • Direct your registrar to appropriate clinical resources
  • Provide pastoral care 
  • Encourage your registrar to use RACGP exam preparation resources and activities and learn from their clinical  exposure

Although not part of the RCE, interrogating your registrar’s learning through RCA is arguably the best way to help them with their exam preparation. Random case analysis will help them to prepare for the case discussions with peers/ mentors/ supervisors. To develop a process of random case analysis, you as the supervisor can refer to: