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Specialty Intelligence

Medical Oncology

Royal Australasian College of Physicians

Competition

High

Qualification

FRACP

Training duration

Basic Physician Training (3 years) plus 3 years of Advanced Training in medical oncology (36 months FTE: at least 24 months core, up to 12 months non-core) — about 6 years total to FRACP

Applications

Entry is after Basic Physician Training — there is no single national scored round. RACP registration by the twice-yearly deadlines (28 February and 31 August) is administrative; actual Advanced Training positions are secured at hospital or network level, and most states appoint per site. Victoria and Tasmania are the exception — they run a centralised, merit-based PMCV Medical Oncology Advanced Training Match. Check your target state and department.

Selection format

There is no single national scored CV matrix for medical oncology (unlike the surgical specialties). The gateway is completing Basic Physician Training and passing both FRACP Divisional Examinations, after which accredited Advanced Training positions are filled at the hospital or network level. One documented example is the PMCV Victoria/Tasmania match: it is competitive and merit-based, candidates and health services each rank preferences, a shortlist is interviewed (continuing trainees are exempt), and applicants nominate 3 referees (2 medical oncologist consultants plus 1 nurse unit manager).

When to apply

Entry follows the 3-year Basic Physician Training program (typically PGY4–PGY5 or later) and requires passing both FRACP Divisional Examinations, general (unconditional) AHPRA registration, and securing an accredited Advanced Training position before the training time can be certified.

Competition

Medical oncology is one of the more sought-after RACP subspecialties and core positions are capped per accredited site, but neither RACP nor MOGA publishes national applicant or position counts — so competitiveness is inferred from the documented merit-based selection rather than a hard ratio.

Selection criteria

Clinical experience

Rotations, logbooks, procedures, and exposure

  • Accredited settings — core training must be at RACP-accredited medical oncology sites; from the 2022 intake, at least 2 different settings with a maximum 24 months at any one site
  • Supervision — core rotations need 2 RACP Fellow supervisors (at least one a practising medical oncologist); adult sites run 3+ outpatient clinics and 3+ new patients weekly
  • Non-core options — the 12-month non-core period can include cancer genetics, palliative medicine, radiation oncology, or malignant haematology exposure (elective, not mandatory)
  • Work-based assessments — each year: 4 mini-CEX (at least one on chemotherapy prescribing), 2 case-based discussions, 2 learning-needs analyses, a professional-qualities reflection, and a supervisor report per rotation

Rural & regional

Rural, regional, and remote experience

Nothing captured yet — verify with RACP.

First Nations

Selection points and pathways for Aboriginal, Torres Strait Islander, and Māori applicants

  • Cultural safety — from the 2023 intake, an Aboriginal, Torres Strait Islander and Māori cultural safety course is mandatory
  • First Nations — Aboriginal, Torres Strait Islander, Māori and Pasifika trainees can access the RACP Fee Reimbursement Initiative or the RACP Indigenous Health Scholarship Program

Academic

Exams, qualifications, courses, and teaching

  • Gateway — complete RACP Basic Physician Training and pass both FRACP Divisional Examinations (Written and Clinical) before starting Advanced Training in medical oncology
  • Courses — a communication-skills workshop (for example breaking bad news) is required for all adult-medicine advanced trainees

Publications & research

Papers, impact factor, audits, and QI

  • Research — an Advanced Training Research Project (or an approved research year) is required for trainees who commenced from 2017

Extracurricular

Leadership and roles beyond clinical work

Nothing captured yet — verify with RACP.

Distinction

Prizes, awards, and academic standing

Nothing captured yet — verify with RACP.

Eligibility & application

Prerequisites, referees, interviews, and fees

  • Advanced Training length — 3 years (36 months FTE): at least 24 months core medical oncology plus a maximum of 12 months non-core
  • Registration deadlines — register or re-register each Advanced Training period with RACP by 28 February or 31 August; late applications are accepted up to a month later, possibly for a fee
  • Fees — the 2026 RACP Advanced Training annual fee is AUD $4,230; the FRACP Divisional Written and Clinical examination fees are paid separately during Basic Training

Entry tips

01Sit the FRACP Written exam as early as you are eligible — it is the hard gate before any Advanced Training application counts.
02Chase oncology-heavy Basic Training rotations — most states appoint at hospital or network level, so being known to the unit matters.
03Build a research or clinical-trials track record early — medical oncology is an unusually academic field and the Advanced Training Research Project is compulsory.
04For Victoria or Tasmania, register for the centralised PMCV match and line up your 3 referees (2 medical oncologist consultants plus 1 nurse unit manager) well before the deadline.
05Network with your target department — there is no national CV-scored process, so local reputation carries real weight.
06Get set up for outpatient life before day one — sort a prescriber number early and learn how your unit runs its multidisciplinary team meetings.
07Join MOGA as a trainee (free until fellowship) for its Advanced Trainee Guide, state trainee representatives, and annual scientific meeting.

Sourced from Australian medical community discussion. Always verify with RACP.

Recent updates

2026-06

The RACP accredited-settings list for medical oncology (per-site trainee caps and accreditation-expiry dates) was current as of the June 2026 edition.

2025-06

RACP is rolling out new competency-based Advanced Training curricula (Curricula Renewal; medical oncology is in Wave 2) on a new training management platform, with new curricula continuing through 2026; earlier cohorts continue on the existing curriculum.

2026-01

RACP applied a 4% fee increase for the 2026 training year; the Advanced Training annual fee is AUD $4,230 including GST.

Indicative only. Check the RACP website for current information.

Official resources

State workforce data

Queensland Health’s medi-nav is the only state health department currently publishing the workforce and selection figures this section shows. We have not verified equivalent data for Western Australia yet — the selection criteria and requirements above apply Australia-wide regardless of state. See the Queensland figures.

Community discussions

Recent discussion about Medical Oncology training from Australian doctors.

Search r/ausdocs and r/doctorsofaustralia

Requirements, windows, and criteria change annually. Verify with Royal Australasian College of Physicians (RACP) before making career decisions. Report an error on this page.

Medical Oncology training — entry requirements and selection