Overview - PESCI

International Medical Graduates (IMG) applying for registration to practise in Australia via the Standard Pathway must attain a satisfactory outcome in a Pre-Employment Structured Clinical Interview (PESCI).

The PESCI is a fitness-for-task assessment and interview conducted by a panel of assessors. The panel assesses each applicant’s skills, knowledge, and experience relevant to the position for which they are seeking registration. The assessment is designed to measure an applicant’s ability to practise safely and effectively in Australia.

Each PESCI result is only relevant to and valid for the role indicated in the position description provided by the applicant. The result of the PESCI is not transferrable to another position.

A separate PESCI is required for each position application. All results are reported to the Australian Health Practitioner Regulation Agency (AHPRA).

ACRRM now offers PESCIs for Level 1

What is Level 1 supervision?

Under level 1 supervision, the supervisor takes direct and principal responsibility for each individual patient.

  1. The supervisor must be physically present at the workplace at all times when the IMG is providing clinical care
  2. The IMG must consult their supervisor about the management of all patients at the time of the consultation and before the patient leaves the practice
  3. Supervision via telephone contact or other telecommunications is not permitted.

The guidelines for all supervision levels are available on the Medical Board’s website.

PESCI online application process

An International Medical Graduate must complete an application for PESCI online through the ACRRM website.Start the application process.

PESCI Preparation Module

ACRRM offers a free online module to assist IMGs to prepare for and understand how ACRRM conducts PESCIs. This module is available once an application has been submitted.

ACRRM’s PESCI preparation module has been designed to answer commonly asked questions about the interview structure and the assessment criteria.

This module will provide an overview and understanding of:

  • What to expect during the interview
  • Format and criteria of the interview
  • The role of ACRRM and our PESCI panel members
  • The assessment criteria used during the interview
  • Steps an IMG can take to prepare for the interview.

For more information about the module or requirements and pathway options for IMGs and ways in which ACRRM can assist, contact