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Barely, and what is scored is prizes, not your GPA. Three colleges publish a number: RANZCOG gives 6 of 48 points for first place in the medical course 2, RANZCO 0.5 for Honours and 1 for Dux 1, RANZCP weights the CV's "academic performance and work experience" at 20% 3. Everywhere else, pass and move on.
The honest answer. Nobody asks for your transcript. Selection into Australian training programs is scored off a structured CV, referee reports and an interview, and the CV domains are qualifications, publications, presentations, courses, rural origin and specialty-specific clinical experience — not your marks 1. You will hand over a medical school transcript approximately never.
Where an academic record does buy something. Three published exceptions, and note that all of them score prizes and placings, not a GPA. RANZCOG's 2026 CV guidelines give a whole section — 6 points of 48 — to academic excellence: 6 for first place overall in the medical course, first in O&G, or a RANZCOG Women's Health Award; 4 for first place in any other discipline 2. RANZCO awards 2 for a Rhodes or Fulbright, up to 1 for top of year, Dux or a University Medal, and 0.5 each — capped at 1 — for university prizes, a Dean's Award, Honours or a GPA at High Distinction average 1. RANZCP weights "academic performance and work experience based on CV" at 20%, against referee reports 15% and interview 20% 3. The Australasian College of Dermatologists names academic performance as one of five assessed areas without publishing a weighting 4.
Read the size of those numbers. RANZCOG's 6 points are for coming first, not for doing well — in the same rubric rurality and Indigenous identity are worth 15 2. At RANZCO the whole academic-prize category tops out around 2 points, and Honours is worth half a point against 2 for one first-author paper in a decent journal 1.
What this means for fourth year. If you already want O&G, ophthalmology, dermatology or psychiatry, a prize is cheap points and you are standing in the one place that hands them out. For everything else grades are a pass/fail hurdle, and the marginal hour is better spent on a project, a rural term, or a consultant who will remember your name 5. The sub's stock line — what do you call the person who graduated last in their class — is annoying and mostly right 6.
r/ausjdocs — community view, not policy; verbatim, cautionary beside positive where both exist, every quote linked to the comment.
University Medals and Specialty Prizes attract points for several training program CV scoring.
No. Connections, job performance and personality matter. I've never given anyone my grades.
The real headache comes if you decide you want to go for a competitive specialty. In many cases academic prizes will count for extra points on your CV.
Grades mean absolutely zero. No one knows, no one cares. Only thing that matters is how hard you work when you're finished and working.
My med school results have been looked at a total of 0 times since graduation.
Asked 9 times on r/ausjdocs (title-regex count) · encoded by hand from the numbered sources, retrieved 12 Sept 2026; no AI wrote any of it. how the count was made
asked_count = posts in r_ausjdocs_posts.jsonl (19,145 posts, 2022-09-13 to 2026-09-12) whose title matches /(grade|GPA|mark|result|\bWAM\b|honours|honour|distinction|HD|percentile|rank).{0,50}(matter|important|count|affect|care|look at|useful|relevant|impact)|(matter|important|count|care about|look at).{0,40}(grade|GPA|mark|result|honours)/i. Quotes are the highest-scoring comments in the two grades threads, deliberately balanced so the 'prizes do score for competitive specialties' dissent sits next to the 'nobody has ever asked' consensus.