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Specialty Intelligence

Respiratory and Sleep Medicine

Royal Australasian College of Physicians

Competition

High

Qualification

FRACP (Respiratory and Sleep Medicine)

Training duration

3 years BPT + 3 years Advanced Training in Respiratory Medicine and Sleep Medicine (36 months FTE, minimum 24 months core in Australia/New Zealand) = approximately 6 years total

Applications

BPT: state/hospital network selection, typically September–November for February start. Advanced Training: register with RACP by 28 February or 31 August (annual re-registration). Positions at accredited respiratory and sleep medicine departments applied for directly.

Selection format

BPT selection is hospital-based. Respiratory and Sleep Medicine AT positions are secured at the hospital/department level. Procedural skills (bronchoscopy, pleural procedures) and research are valued.

When to apply

FRACP Written and Clinical Examinations must be completed. Respiratory and general medicine exposure during BPT is expected.

Competition

Respiratory and sleep medicine has more positions available than the most competitive FRACP subspecialties (cardiology, neurology). Still competitive at major tertiary centres. Sleep medicine component is a growing subspecialty.

Selection criteria

Clinical experience

Rotations, logbooks, procedures, and exposure

  • Procedural skills logbook — bronchoscopy, tube thoracotomy, pleural aspiration are required during AT
  • Respiratory medicine rotations during BPT — inpatient respiratory, outpatient clinics
  • 4 Direct Observation of Procedural Skills per training year during AT

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

Nothing captured yet — verify with RACP.

Academic

Exams, qualifications, courses, and teaching

  • FRACP Divisional Written Examination — sat during Basic Training (sitting early is strongly recommended)
  • FRACP Divisional Clinical Examination — both Divisional exams must be passed to complete Basic Training and become eligible for Advanced Training

Publications & research

Papers, impact factor, audits, and QI

Nothing captured yet — verify with RACP.

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

  • 36 months FTE Advanced Training (minimum 24 months core in AU/NZ)
  • One FRACP Fellow supervisor per rotation throughout AT

Entry tips

01Sleep medicine is a distinct and growing subspecialty within the combined program — exposure to sleep laboratories and sleep studies during BPT is increasingly valued.
02Procedural skills (bronchoscopy in particular) are directly assessed in AT — seek supervised bronchoscopy opportunities during BPT if possible.
03New curriculum implemented from 2026 — trainees starting AT from 2026 follow new curricula; those already in training continue under PREP requirements.
04Regional and rural respiratory medicine positions may be less competitive and can provide broad procedural and clinical exposure.

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

Recent updates

2026-01

New curriculum for Advanced Training in Respiratory Medicine and Sleep Medicine implemented from 2026. Trainees starting AT from 2026 follow new curricula; those in training earlier continue under PREP.

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 South Australia yet — the selection criteria and requirements above apply Australia-wide regardless of state. See the Queensland figures.

Community discussions

Recent discussion about Respiratory and Sleep Medicine 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.

Respiratory and Sleep Medicine training — entry requirements and selection