A Guide for UK Surgeons Navigating the RACS Specialist Assessment Pathway

The Royal Australasian College of Surgeons (RACS) is accredited by the Australian Medical Council (AMC) to train surgeons and maintain surgical standards across Australia.

UK-trained surgeons with formal postgraduate specialist qualifications who wish to practice in Australia can apply to RACS for assessment of their qualifications and experience to determine comparability with Australian-trained surgeons.

This guide provides a step-by-step overview of how UK SIMGs can obtain recognition, complete the assessment process, and achieve specialist registration.

Step 1: Eligibility/Documents 

UK-trained surgeons should first confirm that their qualifications and experience meet RACS requirements.

All applicants must undertake PSV of their medical qualifications through the Australian Medical Council (AMC) prior to applying. 

Primary Source Verification (PSV):

• Complete PSV through the Australian Medical Council (AMC).

You’ll need the following documents:

• Identity & Registration: Certified copy of passport, medical registration certificates (e.g., GMC), and AMC verification of your medical degree.
• Qualifications: Certified copies of your primary medical degree (MBBS/MBChB) and postgraduate surgical qualifications (e.g., FRCS, CCT).
• CV: A detailed CV with your medical school, postgraduate training, specialist experience, and subspecialty exposure (e.g. colorectal, cardiothoracic, vascular surgery
• References: 2–3 references from senior physicians confirming your competence and professionalism.
• Clinical Experience: Logbooks, case summaries, or performance evaluations.
• English Proficiency (if required): IELTS, OET, or equivalent (usually not required for UK-trained doctors).

Step 2: Application Form & Pathway Selection

RACS offers several pathways depending on training background and country of practice. 

Application Forms:

• Standard Specialist Assessment: For most international surgeons seeking recognition
• Expedited Pathway (UK & Ireland only): For applicants with qualifications deemed highly comparable to Australian standards, often requiring less documentation

Pathway Options:

General Surgery

• For surgeons practising broad-based general surgery
• Assesses comparability to Australian general surgical standards

Subspecialty Surgery

• For surgeons with formal subspecialty training (e.g., cardiothoracic, neurosurgery)
• Assessment includes both general and subspecialty competencies

Area of Need (AoN)

• For surgeons applying to work in regions with a shortage of surgical specialists
• May allow for expedited placement approvals

Important Notes for UK Applicants:

• Must submit a Certificate of Completion of Training (CCT) or equivalent as evidence of specialist qualification
• FRCS alone is not sufficient as a stand-alone specialist qualification

Step 3: Logbook Completion

Applicants must submit a surgical logbook or case summary demonstrating scope and volume of practice

If a logbook is unavailable, a summary of procedures performed during training or recent practice is acceptable

A detailed logbook improves comparability assessment and may reduce the need for extended supervised practice

Step 4: Submit Application & Payment

Applications, logbooks, and proof of payment must be submitted to RACS (check latest on RACS website).

Note: Fees are non-refundable and payable in Australian dollars.

Step 5: Interim Assessment & Interview

• If the application is deemed eligible for interview, the candidate will be invited to attend a structured interview
• Interviews may be conducted online or in person

Interview Focus:

• Overseas surgical training, qualifications, and clinical experience
• Knowledge of the Australian healthcare system and hospital environment
• Continuing Professional Development (CPD) history
• Demonstration of technical skills, decision-making, and professionalism

Expected Timeline: Typically 2–4 months after submission to receive interview invitation.

Step 6: Assessment Outcomes

RACS will determine comparability to Australian surgical standards:

Substantially Comparable

• Training closely matches Australian standards
• May require up to 12 months supervised practice in Australia

Partially Comparable

• Training is strong but has gaps
• May require additional supervised practice, workplace-based assessments, or examinations

Not Comparable

• Training does not meet RACS standards
• Candidate may be required to complete the full RACS training program

Appeals: Decisions can be reconsidered, reviewed, or formally appealed under RACS regulations.

Step 7: Certification & Specialist Registration

• Upon successful completion of supervised practice and assessments, candidates may apply for:
• Fellowship of RACS (FRACS)
• Subspecialty certification (if applicable)
• The SIMG Assessment Committee reviews applications and recommends endorsement to RACS Council
• Certification can take up to three months from submission

Registration in Australia:

• The Medical Board of Australia (MBA) makes the final decision on registration type based on RACS assessment.

Final Thoughts

The RACS SIMG Pathway provides UK-trained surgeons with a clear route to specialist recognition in Australia.

Preparation of documents, understanding pathway options, and planning for associated fees ensures a smooth transition to clinical practice abroad.

Want to Know More?

With surgical roles in high demand across Australia now is the perfect time for UK-trained specialists to advance their careers overseas.

Email your CV to: aus@bdirecruiting.com 

A member of our team will be in touch to guide you through the process and connect you with opportunities across Australia.