AMC Standard Pathway — General Licensing

The AMC Standard Pathway is how international medical graduates work toward general registration with the Medical Board of Australia. The AMC certificate itself is not a licence — it is evidence you submit to AHPRA as part of a separate registration application. To earn it, you pass the AMC Computer Adaptive Test (CAT) MCQ Examination, then either the AMC Clinical Examination or a Workplace-Based Assessment if you are already working in an eligible clinical role.

Pathway Snapshot

Complete EPIC credential verification, pass the AMC CAT MCQ at a Pearson VUE centre, meet the AHPRA English language standard, secure a supervised clinical position, and complete either the AMC Clinical OSCE or a Workplace-Based Assessment. After 12 months of supervised practice, apply for general registration with AHPRA.

Complete Journey: EPIC Credential Verification → AMC Portfolio & MCQ Authorisation → AMC CAT MCQ Examination → English Language Test → Secure Employment → AHPRA Limited Registration → AMC Clinical Exam or WBA → 12 Months Supervised Practice → AHPRA General Registration.

On this page

Main Links

1 Eligibility 2 Credential Verification (EPIC / MyIntealth) 3 AMC CAT MCQ Examination 4 English Language Requirement (AHPRA) 5 AMC Clinical Examination (OSCE) or WBA 6 Applying for AHPRA Registration 7 Complete Fee Summary

Section

Eligibility

Before initiating your application, confirm:

Your primary medical degree, medical school, and graduation year appear on the AMC Medical School Eligibility List (derived from the World Directory of Medical Schools).
You do not qualify for the Competent Authority Pathway (reserved for doctors who completed primary training or internship in the UK, USA, Canada, Ireland, or New Zealand).
You have completed a 12-month medical internship or equivalent recognized postgraduate clinical training.

Section

Credential Verification (EPIC / MyIntealth)

Primary Source Verification runs through ECFMG’s EPIC service via the MyIntealth portal — not ECFMG Certification, which is strictly for USMLE candidates. Selecting the wrong service at signup is a common and costly mistake.

Verification steps:

Create a MyIntealth account and complete identity verification (including online notarization via NotaryCam). Your account is typically confirmed within 2 to 3 business days.
Select EPIC as your service, not ECFMG Certification.
Upload your Final Medical Diploma, Final Medical Transcript, or Alternate Graduation Document.
Nominate the Australian Medical Council (AMC) as the official recipient of your EPIC Reports for each credential.
ECFMG contacts your medical school directly to authenticate your credentials. This is the biggest source of delay and is outside your control.

If you have already been verified through ECFMG Certification or EICS for another purpose, those credentials carry over to your EPIC Portfolio at no extra cost, reviewed within about 10 business days rather than starting from scratch. ECFMG processes approximately 80% of credential verifications within 30 days and 90% within 90 days.

EPIC Fees (USD, current as of April 2026):

Component	Fee (USD)
MyIntealth Account & Identity Confirmation (includes NotaryCam notarization)	$110
Establish EPIC Portfolio (one-time)	$35
Credential Verification (per document)	$110
First EPIC Report to AMC (per credential)	Free
Each Additional EPIC Report (per credential)	$60
Previously verified credential (ECFMG Certification or EICS)	Free
Optional courier, US institutions	$15
Optional courier, non-US institutions	$30

Section

AMC CAT MCQ Examination

The AMC Computer Adaptive Test (CAT) MCQ assesses core clinical knowledge across adult medicine, surgery, child health, women’s health, and mental health. Questions are constructed around three clinician tasks: data gathering, data interpretation and synthesis, and management.

Feature	Details
Format	150 MCQs (120 scored + 30 pilot items). Computer Adaptive.
Duration	3.5 hours continuous single session
Pass Mark	Passing standard is determined using AMC’s scaled scoring methodology (reported on a 500-point scale). Candidates must achieve the current AMC passing standard rather than a fixed raw score.
Testing Centers	Pearson VUE centres worldwide and within Australia
Fee	AUD $2,920 (12-month scheduling authorization window)
Result Validity	AMC CAT MCQ results currently do not expire; however, candidates should always confirm any future policy changes with the AMC.
Attempts	No published cap

MCQ Subject Blueprint

Clinical Domain	Approximate Weight
Adult Health — Internal Medicine	30%
Adult Health — Surgery	20%
Child Health (Pediatrics)	12.5%
Women’s Health (OB/GYN)	12.5%
Mental Health (Psychiatry)	12.5%
Population Health & Ethics	12.5%

What we offer

Full AMC CAT MCQ question bank mapped to the AMC clinician task framework, adaptive mock exams, flashcards, a trained AI study companion, mentorship, and peer study groups.

Start MCQ Prep →

Section

English Language Requirement (AHPRA)

English language standards are set by AHPRA, not the AMC, and are required before you apply under any pathway. Results are valid for 2 years from your test date. Which scores apply depends on your test date, not your application date. AHPRA also allows approved combinations of tests under its current English Language Skills Registration Standard.

Test	From 23 April 2026	On or Before 22 April 2026
IELTS Academic	Overall 7.0 (L: 7.0, R: 7.0, W: 6.5, S: 7.0)	Overall 7.0 (L: 7.0, R: 7.0, S: 7.0, W: 6.5)
OET Medicine	L: 350, R: 360, W: 350, S: 360 (numerical)	Grade B across L, R, S; Grade C+ in Writing
PTE Academic	Overall 63 (L: 58, R: 59, W: 60, S: 76)	Overall 66, Writing 56
TOEFL iBT	Overall 91 (L: 22, R: 22, W: 23, S: 24)	Overall 94
Cambridge C1 Advanced	Overall 178 (L: 175, R: 179, W: 180, S: 194)	Overall 185 (W: 176)

What we offer

A dedicated English exam prep course built for physicians, covering IELTS, OET, PTE, and TOEFL.

Start English Exam Prep →

Section

AMC Clinical Examination (OSCE) or WBA

After passing the MCQ, you must complete either the AMC Clinical Examination or a Workplace-Based Assessment.

AMC Clinical OSCE:

Feature	Details
Eligibility	Must hold a confirmed pass on the AMC CAT MCQ Examination
Format	16 stations (14 scored + 2 pilot), 10 minutes each (2 min reading + 8 min active)
Pass Requirement	Pass 9 or more of the 14 scored stations
Locations	In-person at the National Test Centre (Melbourne) or Online (prioritized for IMGs working in rural/remote Australia)
Fee	AUD $3,000 (In-person) / AUD $3,400 (Online)
Scheduling	Released in blocks; priority tiers and waitlists apply
Attempts	No published cap

What we offer

Station-by-station practice scenarios, mock OSCEs, a trained AI companion for talk-through practice, mentorship, and peer study groups.

Start Clinical Exam Prep →

Section

Applying for AHPRA Registration

Create an AMC account and establish your AMC portfolio. The initial portfolio setup fee is $642 AUD. Adding a second qualification later costs $107 AUD per additional credential.
Complete EPIC verification, naming AMC as a recipient.
Once verified, apply for MCQ authorisation through your AMC account and schedule your Pearson VUE date.
After passing the MCQ, secure a supervised clinical position (Junior House Officer, Resident Medical Officer, or Registrar) and apply for AHPRA Limited Registration with employer backing.
Complete the AMC Clinical OSCE or WBA.
Complete 12 months of supervised practice (minimum 47 weeks full-time equivalent).
Apply for AHPRA General Registration.

Section

Complete Fee Summary

Stage / Component	Fee (AUD)	Approx. Fee (USD)	Notes
EPIC Qualification Verification	~$550 AUD	~$350 USD	Account setup + per-document verification
AMC Portfolio Establishment	$642 AUD	~$420 USD	One-time portfolio setup fee
AMC CAT MCQ Examination	$2,920 AUD	~$1,910 USD	12-month authorization window
AMC Clinical Exam (In-Person)	$3,000 AUD	~$1,960 USD	National Test Centre, Melbourne
AMC Clinical Exam (Online)	$3,400 AUD	~$2,220 USD	Includes administrative levy
English Language Test (OET)	$587 AUD	~$390 USD	IELTS/PTE options ~$410 AUD
AHPRA Application Fee (One-off)	$720 AUD	~$470 USD	Non-refundable initial assessment
AHPRA Annual Registration Fee	$1,058 AUD	~$690 USD	$908 AUD for NSW
Total Standard Pathway (Estimated)	~$9,300–$10,000 AUD	~$6,100–$6,500 USD	First-pass scenario, excluding travel

Note on Fees: All fees are set by the AMC, AHPRA, ECFMG, Pearson VUE, and the respective English test providers. Figures shown are for the 2026 cycle and are subject to change. Always confirm exact fees on the official websites before payment.