AMC Clinical (Part 2 OSCE)
AMC Clinical Examination
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ExploreAbout this exam
The AMC Clinical Examination is the practical, OSCE-style stage of the Australian Medical Council's Standard Pathway assessment for international medical graduates. Candidates must already have passed the AMC CAT MCQ examination before they can sit it. The circuit comprises 16 assessed stations and four rest stations. Each station lasts 10 minutes, split into two minutes of reading time and eight minutes of assessment time. Stations use simulated patients or videotaped patient presentations and may include charts, digital images and photographs. Cases draw on medical, surgical, women's health, paediatric and mental health presentations in both community and hospital settings. Every station targets one of four areas: history taking, examination, diagnostic formulation, or management, counselling and education. Two stations are pilots and do not normally count. Your pass or fail outcome rests on 14 scored stations: a pass requires pass scores in 9 or more of them. Results are released at 4.00pm on the Friday three weeks after the examination and are downloaded from your AMC account. To prepare, read the clinical examination specifications, watch the candidate briefing video, work through the suggested reading list and review the Tips from Examiners. An online option exists, with strict technology requirements including a Windows 11 desktop or laptop, webcam and plug-in headphones.
What you'll study
About AMC Clinical (Part 2 OSCE) preparation
What does the exam circuit actually look like on the day?
You rotate through 16 assessed stations and four rest stations. Each station gives two minutes of reading time followed by eight minutes of assessment time. Stations may use simulated patients or videotaped patient presentations, supported by charts, digital images and photographs. Rest stations give you a short break between assessed encounters.
Do I need to pass the MCQ first?
Yes. To be eligible for the clinical examination you must have passed the AMC CAT MCQ examination. The clinical exam is a later stage of the Standard Pathway, so plan your study order around clearing the MCQ before you begin intensive OSCE-style practice and station rehearsal.
How is the pass or fail decision made?
You complete 16 assessed stations including two pilot stations, but your overall result is determined by 14 scored stations. You pass by obtaining a pass score in 9 or more of the 14, and fail with 8 or less. Pilot stations normally do not count, though the Clinical Results Panel may substitute one if a non-pilot station has an issue.
What is a pilot station and should I worry about it?
A pilot station is a trial run used to evaluate the station's instructions, materials and overall process before it enters the main examination. Pilot stations are developed by a discipline writing group and approved by the Clinical Assessment Panel, and have no statistics from previous examinations. They are not normally part of your score.
Which four areas are assessed in each station?
Each station focuses on one predominant area: history taking, examination, diagnostic formulation, or management, counselling and education. Stations cover medical, surgical, women's health, paediatric and mental health presentations across community and hospital settings, so build practice across all four domains rather than favouring one.
How difficult is the clinical examination?
The AMC does not publish a difficulty rating. Difficulty is best judged by the breadth of stations and the pass rule: you must clear 9 of 14 scored stations, so a few weak stations can be absorbed but a broad pattern of gaps cannot. Structured practice with feedback on each of the four assessment areas matters more than raw knowledge.
When and how do I get my results?
Results are available to download at 4.00pm on the Friday three weeks following your clinical examination. Sign into your AMC account, select AMC Examinations on your landing page, then Clinical Results, then the examination under the Details column. Each station's result reflects key steps, the relevant assessment domains and your overall performance.
What are common reasons candidates lose stations?
The AMC does not publish a list of common failure modes, so treat this as sensible preparation rather than official guidance. Weaknesses usually show up as incomplete histories, unstructured examinations, premature diagnostic formulation, and counselling that ignores the patient's concerns. Practise each station under an eight-minute timer and get feedback on all four assessment areas.
What technology do I need for the online clinical examination?
You need a desktop or laptop running Windows 11 with administrator privileges, a screen of at least 14 inches, and a webcam at roughly eye level. Plug-in headphones with a microphone are compulsory, with a spare pair ready; wireless or Bluetooth headphones are not permitted. You must be alone in a distraction-free room with reliable high-speed internet.
How should I sequence my preparation?
Start with the clinical examination specifications, which set out format, content, required knowledge, skills and attitudes, topics and suggested reading. Then watch the candidate briefing video, work through the suggested reading list and review the Tips from Examiners. Build timed practice around the four assessment areas before attempting full-circuit rehearsals.