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AMC MCQ Pass Standard Changes 2026: What International Medical Graduates Need to Know

Important changes to the AMC MCQ examination pass standard from 2026. Understand what's changing, why, and how to prepare for the slightly higher bar.

GdayDoctor Team

Medical Education Specialists

19 December 2025

4 min read

AMC MCQ Pass Standard Changes 2026: What You Need to Know

The Australian Medical Council has announced adjustments to the MCQ examination pass standard beginning in 2026. Here's what this means for your preparation and exam strategy.

What's Changing?

From 2026, the AMC is implementing a slight increase to the pass standard for the MCQ Examination.

Key Points:

  • Scores continue to be reported on a 0-500 scale
  • The pass mark is still described as 250
  • The underlying cut score (the actual threshold) will be slightly higher
  • This change is integrated seamlessly into the existing scale

Why Is This Happening?

The AMC periodically reviews its assessment standards to ensure:

  1. Patient Safety - Maintaining appropriate standards for medical practice
  2. International Recognition - Ensuring AMC certification remains respected globally
  3. Quality Assurance - Reflecting current expectations of medical knowledge
  4. Alignment with Practice - Matching the competencies needed in Australian healthcare

What This Means for You

If You're Sitting in 2025

  • Current pass standards apply
  • Consider scheduling before year-end if you're nearly ready
  • Use the remaining 2025 sessions strategically

If You're Sitting in 2026

  • Plan for thorough preparation
  • The change is described as "slight" - not a dramatic increase
  • Focus on comprehensive understanding, not just passing

How to Prepare for the Higher Standard

1. Deepen Your Clinical Knowledge

Don't just memorize - understand the reasoning behind clinical decisions:

  • Why certain treatments are preferred
  • How to interpret investigations in context
  • When to refer vs. manage

2. Focus on Australian Healthcare Context

The AMC tests knowledge applied to Australian practice:

  • PBS medication availability
  • Medicare and healthcare system basics
  • Rural and remote considerations
  • Indigenous health priorities

3. Use the Free AMC Prep App

The AMC provides a free preparation app with 210 practice questions:

  • Available to all scheduled candidates
  • Includes feedback on answers
  • New questions coming in April 2026

4. Practice Adaptive Test Strategy

The CAT format adjusts difficulty based on your performance:

  • Don't panic if questions seem harder - it may mean you're doing well
  • Manage your time across all 150 questions
  • Read each question carefully

Understanding the Scoring System

The 0-500 Scale Explained

Score RangeInterpretation
250+Pass
240-249Near miss - close to standard
Below 240Below required standard
Above 300Strong performance

What "Slight Increase" Likely Means

While specific numbers aren't published, a slight increase might mean:

  • Perhaps 1-3 additional questions correct needed
  • Not a dramatic shift in difficulty
  • Thorough preparation remains the key

Impact on Pass Rates

The AMC adjusts standards based on:

  • Item difficulty statistics
  • Candidate performance patterns
  • Comparison with previous cohorts
  • External benchmarking

This means the actual pass rate may remain relatively stable despite the standard increase, as the change is calibrated against expected performance.

Timeline for Implementation

DateWhat Happens
Now - Dec 2025Current standards apply
Jan 2026 onwardsNew pass standard in effect
April 2026New AMC prep app questions released

Practical Preparation Tips

Study Resources

  1. Official AMC Materials

    • Free prep app (210 questions)
    • AMC handbook
    • Curriculum documents
  2. GdayDoctor Course

    • Thousands of CAT-format questions
    • Australian healthcare focus
    • Updated for 2026 standards
  3. Clinical References

    • Australian Medicines Handbook
    • Therapeutic Guidelines
    • eTG Complete

Study Schedule Recommendations

For 2026 candidates, consider:

  • 3-6 months of dedicated preparation
  • 500+ practice questions minimum
  • Regular mock exams in timed conditions
  • Focus on weak areas identified early

Don't Let the Change Worry You

The AMC describes this as a "slight" adjustment. With proper preparation:

  • Most candidates who would have passed will still pass
  • The exam remains achievable with dedicated study
  • Comprehensive preparation trumps last-minute cramming

Ready to Prepare?

GdayDoctor offers comprehensive AMC MCQ preparation designed to exceed the required standard:

  • Extensive question bank regularly updated
  • Detailed explanations for every answer
  • Performance analytics to identify weak areas
  • Australian context throughout

Start Your Preparation Today


Information based on AMC announcements as of December 2024. The AMC will provide further details as 2026 approaches.

Frequently Asked Questions

Is the AMC exam getting harder in 2026?

The AMC has announced a 'slight increase' to the pass standard from 2026. The exam format and pass mark description (250/500) remain the same, but the underlying cut score will be marginally higher. Thorough preparation should still lead to success.

What is the AMC MCQ pass mark in 2026?

The pass mark continues to be reported as 250 on a 0-500 scale. While the underlying cut score will be slightly higher from 2026, the reporting system remains unchanged. Candidates scoring 250 or above will pass.

Should I rush to sit the AMC before 2026?

Only if you're genuinely prepared. Taking an underprepared attempt to avoid the standard change could waste your fee and authorization period. The increase is described as 'slight' - proper preparation is more important than timing.

Is there a free AMC preparation resource?

Yes, the AMC provides a free MCQ preparation app with 210 practice questions for all scheduled candidates. A refreshed set of questions is planned for April 2026.

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