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:
- Patient Safety - Maintaining appropriate standards for medical practice
- International Recognition - Ensuring AMC certification remains respected globally
- Quality Assurance - Reflecting current expectations of medical knowledge
- 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 Range | Interpretation |
|---|---|
| 250+ | Pass |
| 240-249 | Near miss - close to standard |
| Below 240 | Below required standard |
| Above 300 | Strong 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
| Date | What Happens |
|---|---|
| Now - Dec 2025 | Current standards apply |
| Jan 2026 onwards | New pass standard in effect |
| April 2026 | New AMC prep app questions released |
Practical Preparation Tips
Study Resources
-
Official AMC Materials
- Free prep app (210 questions)
- AMC handbook
- Curriculum documents
-
GdayDoctor Course
- Thousands of CAT-format questions
- Australian healthcare focus
- Updated for 2026 standards
-
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
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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