Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination

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The Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) is one of the most prestigious post-graduate achievements for dentists in the Southern Hemisphere. For many, the FRACDS Primary Examination represents the most significant hurdle in this journey. This examination tests the candidate’s fundamental knowledge of the basic sciences as they apply to clinical dentistry. Whether you are aiming for a career in academia, a specialty training program, or simply seeking clinical excellence, this guide provides the definitive roadmap to success.

What is the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination?

The FRACDS Primary Examination is the first formal assessment phase for dental practitioners seeking Fellowship with the College. It is designed to ensure that candidates possess a deep, comprehensive understanding of the scientific foundations of dental practice.

  • Official Exam Name & Acronym: Fellowship of the Royal Australasian College of Dental Surgeons Primary Examination (FRACDS Primary).
  • Conducting Body/Authority: The Royal Australasian College of Dental Surgeons (RACDS). Established in 1965, the RACDS is the peak body for providing post-graduate education and qualifications to dentists in Australia and New Zealand.
  • Purpose of Exam: It serves as a Professional Certification and a prerequisite for the FRACDS Final Examination. It is also highly regarded by specialist training programs (such as Oral and Maxillofacial Surgery) as a benchmark for entry.
  • Geographic Validity: Primarily recognized in Australia, New Zealand, Hong Kong, and Singapore. It is also held in high esteem globally by other Royal Colleges (e.g., UK and Ireland).
  • Level of Competence: Specialist-entry level. While taken by general dentists, the depth of knowledge required matches that of the basic science component of specialist training.
  • Brief History: The exam was established to elevate the standards of dental practice in the Australasian region. It has evolved from a purely paper-based format to a rigorous multi-subject assessment involving both Multiple Choice and Short Answer Questions.

Who Can Take the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination? (Eligibility Requirements)

The RACDS maintains strict eligibility criteria to ensure that candidates have sufficient clinical context before tackling the advanced science curriculum.

Eligibility Summary Table

Requirement Details
Academic BDS, BDSc, DDS, or equivalent dental degree registrable in Australia or NZ.
Experience Minimum of 12 months of full-time clinical practice (post-graduation).
Language IELTS 7.0 (all bands) or OET Grade B (if degree was not in English).
Registration Current, unconditional registration in the jurisdiction of practice.

Documentation Checklist

  • Certified Academic Transcripts: Proof of completion of a dental degree.
  • Certificate of Good Standing: From the relevant dental board (e.g., AHPRA in Australia, NZDC in New Zealand).
  • Identification: Certified copy of passport or birth certificate.
  • Professional Reference: Usually one or two references from senior colleagues or mentors.
  • Application Form: Completed via the RACDS candidate portal.
  • Passport-size Photographs: High-resolution digital upload meeting standard visa specifications.

How to Register for the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination

Exam Schedule & Availability

  • Exam Frequency: Held once a year, typically in July.
  • Registration Windows: Applications generally open in January and close in March of the examination year.
  • Scheduling Flexibility: The dates are fixed by the College; candidates do not choose their own dates.

Exam Fees (2024/2025 Estimates)

Fee Component Estimated Amount (AUD)
Enrolment/Application Fee $850
Examination Fee (All 6 Subjects) $4,245
Late Registration Fee $350
Withdrawal Fee (Before closing date) $250
Total Estimated Cost ~$5,095 AUD

Booking Process

  1. Create Account: Register on the RACDS Official Portal.
  2. Enrol as a Candidate: Pay the enrolment fee to gain access to candidate resources.
  3. Submit Documents: Upload certified PDFs of your degree and registration.
  4. Exam Application: When the window opens, select “Primary Examination” and pay the exam fee.
  5. Confirmation: Receive an “Authority to Sit” letter 4-6 weeks before the exam.

Test Centers & Locations

Physical centers are typically located in: Sydney, Melbourne, Brisbane, Adelaide, Perth, Auckland, Hong Kong, and Singapore. Remote proctoring has been utilized in exceptional circumstances but is not the standard delivery method.

Retake Policy

  • Waiting Period: Since the exam is annual, the wait is usually 12 months.
  • Maximum Attempts: There is currently no hard cap on attempts, but candidates must pass all subjects within a specific timeframe (usually 3 years) to avoid re-sitting passed subjects.
  • Remedial Training: Not mandatory, but the College offers a “Primary Orientation Course” which is highly recommended for unsuccessful candidates.

Score Validity

Passing the Primary Examination remains valid for 10 years. Candidates must complete the Final Examination within this window to achieve Fellowship.

Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination Exam Format & Structure

Exam Format

The exam is a Mixed Format delivery, involving both Computer-Based Testing (CBT) for MCQs and written/digital responses for Short Answer Questions (SAQ).

Timing & Duration

Paper Section Format Duration
Paper 1: Anatomy & Histology MCQ + SAQ 120 Minutes
Paper 2: Physiology MCQ + SAQ 120 Minutes
Paper 3: Cell Biology & Biochemistry MCQ + SAQ 120 Minutes
Paper 4: Pathology MCQ + SAQ 120 Minutes
Paper 5: Microbiology MCQ + SAQ 120 Minutes
Paper 6: Pharmacology MCQ + SAQ 120 Minutes

Syllabus & Content Domains

Domain Topics Covered Weightage
Anatomy Head/Neck, Neuroanatomy, Thorax, Gross Anatomy 16.6%
Histology General tissues, Oral mucosa, Dental pulp, Enamel/Dentine 16.6%
Physiology Neurophysiology, Cardiovascular, Respiratory, Renal, Endocrine 16.6%
Pathology Inflammation, Neoplasia, Genetic disorders, Hematology 16.6%
Microbiology Virology, Bacteriology, Mycology, Immunology, Infection Control 16.6%
Biochemistry Metabolism, Molecular biology, Cell signalling, Genetics 16.6%

How is the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination Scored?

Passing Score

The passing threshold is generally 50% in each of the six subjects. However, the RACDS uses a scaled scoring system where the difficulty of the paper is accounted for using the Angoff method.

Scoring Mechanics

  • Negative Marking: There is no negative marking. It is always in your best interest to answer every question.
  • Sectional Cut-offs: You MUST pass all six subjects. If you fail 1 or 2 subjects, you may be granted “credits” for the subjects you passed and only re-sit the failed ones. If you fail 3 or more, you must re-sit the entire examination.
  • Partial Credit: SAQs are marked by two independent examiners; partial credit is awarded for correct keywords and logic.

Score Reporting

Results are typically released 6-8 weeks after the exam via the candidate portal. You will receive a “Pass” or “Fail” for each subject, often accompanied by a quartile ranking to show your performance relative to the cohort.

How Difficult is the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination?

The FRACDS Primary is widely considered Very Difficult. It requires a shift from “clinical thinking” back to “pure science thinking.”

Historical Pass Rates

Category Estimated Pass Rate
First-time Pass Rate 35% – 45%
Overall Pass Rate (including retakes) 55% – 60%

Most Challenging Topics: Physiology and Biochemistry historically have the lowest mean scores due to the sheer volume of detailed pathways required.

FRACDS Primary Exam vs. Similar Certifications

Feature FRACDS (Primary) MFDS (RCS Eng/Edin) MRACDS (PDS)
Authority RACDS (Australasia) RCS (United Kingdom) RACDS (Australasia)
Focus Basic Sciences Clinical/Communication Clinical General Practice
Difficulty Very High Moderate Moderate/High
Best Suited For Specialist aspirants UK-based practitioners General Dentists

How to Prepare for the Fellowship of the Royal Australasian College of Dental Surgeons (FRACDS) Primary Examination

Recommended Study Timeline

  • Total Prep Time: 6 to 12 months.
  • Study Hours: 15–20 hours per week.

The “Three-Phase” Strategy

  1. Phase 1 (Months 1-4): Deep reading of core textbooks (Last’s Anatomy, Guyton’s Physiology).
  2. Phase 2 (Months 5-8): Attending the RACDS Orientation Course and summarizing notes into high-yield “flashcards.”
  3. Phase 3 (Months 9-Exam): Past paper practice and timed SAQ writing.

Best Study Resources

  • Anatomy: Last’s Anatomy: Regional and Applied.
  • Physiology: Guyton and Hall Textbook of Medical Physiology.
  • Pathology: Robbins Basic Pathology.
  • Official Resource: The RACDS Primary Examination Orientation Course (held annually in Jan/Feb).

What to Expect on Exam Day

  • Check-in: Arrive 45 minutes early. You must present your “Authority to Sit” and a valid Passport.
  • Prohibited Items: No watches (including analog), no phones, no hats, and no calculators (unless specifically provided on-screen).
  • Environment: The exam is held in a quiet, invigilated hall. You are provided with digital or physical “scratch paper.”

After Passing the FRACDS Primary Examination

Passing the Primary Exam grants you the status of a “Candidate” for Fellowship. You are now eligible to:

  • Apply for the Final Examination (after a further 12-24 months of clinical practice).
  • Apply for Specialist Training Programs (OMFS, Orthodontics, etc.) with a significantly stronger portfolio.
  • Use the achievement to demonstrate “Commendation” in clinical audits and hospital credentialing.

Frequently Asked Questions

  1. Is the FRACDS Primary mandatory for OMFS? While not legally mandatory, it is a highly weighted criterion for selection into the Oral and Maxillofacial Surgery training program in Australia and NZ.
  2. Can I sit the exam while doing my internship? Yes, provided you will have completed 12 months of practice by the time of the exam.
  3. What happens if I fail one subject? If you fail only one subject, you are usually granted a “credit” for the others and only need to re-sit that specific subject the following year.
  4. Is there a specific “RACDS textbook”? No, the College provides a reading list of standard medical and dental texts.
  5. Are the MCQs “single best answer”? Yes, they typically follow the Single Best Answer (SBA) format.
  6. How much does the Orientation Course cost? Approximately $2,500 – $3,000 AUD.
  7. Can I take the exam in London? No, current centers are limited to the Australasian and Asian regions.
  8. Is the exam recognized in the USA? It is recognized as a high-level achievement but does not grant a license to practice in the US.
  9. How many SAQs are in each paper? Usually 4 to 6 questions per paper.
  10. Does the exam cover dental materials? Dental materials are primarily covered in the Final Examination, not the Primary.

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