No BPT, no divisional exam. Stage A entry needs general registration, at least 2 years of postgraduate general clinical experience, enrolment in (or completion of) a postgraduate diploma or higher in occupational/enviro…

Who picks youthe employerthe employer hires you, then the college registers you
Typical entryPGY3PGY3 (earliest); many enter later from GP
Unaccredited1 yrstypical, before a training post
To fellowship7 yrs3.5 minimum from the start of training
Competitiveness1.5 / 5●●○○○

Pathway, med school to consultant

Occupational and environmental medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8Internship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsInternship + PGY2: two years general clinical experience (the gate); ED/gen med/…Find an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enrol in an occ/env health diplomaFind an employer: accredited post with >=20 hrs/wk OEM practice + Educat…Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A Written examStage A Written examStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B (>=24 months) — ALS + 'comparable abilities' gate (veri…Stage B Written (2 days) + Practical (six stations)Stage B Written (2 days) + Practical (six stations)Stage C (>=6 months)Stage C (>=6 months)FAFOEM awardedFAFOEM awardedOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational and environmental medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8Internship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsInternship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsFind an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enrol in an occ/env health diplomaFind an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enro…Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A Written examStage A Written examStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B Written (2 days) + Practical (six stations)Stage B Written (2 days) + Practical (six stations)Stage C (>=6 months)Stage C (>=6 months)FAFOEM awardedFAFOEM awardedOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-…
prevocationalselectiontrainingexamfellowship

Typical start years; people vary by a year or two. Diamonds are exams. Stage list and sources in the pathway tab.

How competitive, against the other 31 guides

Competitiveness rating by specialty, 1 to 512345Dermatology: 5DermatologyNeurosurgery: 5NeurosurgeryOrthopaedic Surgery: 5Orthopaedic SurgeryPlastic & Reconstructive Surgery: 5Plastic & Reconstructive Su…Cardiothoracic Surgery: 5Cardiothoracic SurgeryClinical radiology: 4.5Clinical radiologyGeneral Surgery: 4General SurgeryOtolaryngology Head & Neck Surgery (ENT): 4Otolaryngology Head & Neck…Sport and exercise medicine: 4Sport and exercise medicineUrology: 4UrologyAnaesthetics: 4AnaestheticsPaediatric Surgery: 4Paediatric SurgeryOphthalmology: 4OphthalmologyPaediatric emergency medicine: 4Paediatric emergency medici…Vascular Surgery: 4Vascular SurgeryPaediatrics (Basic Training in Paediatrics & Child Health): 3.5Paediatrics (Basic Training…Obstetrics and gynaecology: 3.5Obstetrics and gynaecologyGeneral practice and rural generalism: 3General practice and rural…Basic Physician Training (Adult Internal Medicine): 3Basic Physician Training (A…Radiation oncology: 3Radiation oncologyPathology: 3PathologyPublic health medicine: 3Public health medicinePalliative medicine: 2Palliative medicineMedical administration: 2Medical administrationEmergency Medicine: 2Emergency MedicineIntensive Care Medicine: 2Intensive Care MedicinePsychiatry: 2PsychiatryRehabilitation medicine: 2Rehabilitation medicineSexual health medicine: 2Sexual health medicineOccupational and environmental medicine: 1.5Occupational and environmen…Addiction medicine: 1.5Addiction medicine
15
Dermatology5
Neurosurgery5
Orthopaedic Surgery5
Plastic & Reconstructive Surgery5
Cardiothoracic Surgery5
Clinical radiology4.5
General Surgery4
Otolaryngology Head & Neck Surgery (ENT)4
Sport and exercise medicine4
Urology4
Anaesthetics4
Paediatric Surgery4
Ophthalmology4
Paediatric emergency medicine4
Vascular Surgery4
Paediatrics (Basic Training in Paediatrics & Child Health)3.5
Obstetrics and gynaecology3.5
General practice and rural generalism3
Basic Physician Training (Adult Internal Medicine)3
Radiation oncology3
Pathology3
Public health medicine3
Palliative medicine2
Medical administration2
Emergency Medicine2
Intensive Care Medicine2
Psychiatry2
Rehabilitation medicine2
Sexual health medicine2
Occupational and environmental medicine1.5
Addiction medicine1.5

The bottleneck is finding an employer with an accredited >=20 hr/wk OEM role, not a selection panel. Ratings are the encoder's 1–5 call from college numbers and r/ausjdocs; applicant-to-place ratios double-count people who apply in several states. Evidence rows are in getting selected.

In one paragraph

mental health, an accredited position with at least 20 hours a week of OEM practice and an approved Educational Supervisor. 42 months FTE across Stages A, B and C with written and practical exams; new curriculum from 2026. The bottleneck is an employer, not a panel — industry and mining, Defence, insurers and workers'-comp bodies, private occupational health clinics — and the jobs live on Seek and the ANZSOM board, not hospital portals. Best hours-to-income ratio on the list; the trade is fitness-for-work and medicolegal assessment, not treatment.

Two cautions, two encouragements

Most IMEs are simply soulless people who unofficially work for insurance companies. Horrible clinicians who are mercenaries for hire.

u/Dull-Initial-9275 · Dec 2025 · comment

Better yet, occupational medicine.

u/chickenthief2000 · Feb 2025 · comment

I encourage you to read the Victorian Ombudsman's 2 reports into workers' compensation in Victoria. IMEs are guns for hire who take payments from insurers to kick injured workers off of workcover, some of whom then go on to commit suicide.

u/recoup202020 · Dec 2025 · comment

Have you thought about occupational health? I don’t know much about the field in general but I did aviation medicals on the side as a DAME for a while which was quite interesting. Was just a two week course in Melbourne to get the qualification.

u/gibda989 · FACEM and pilot · June 2025 · comment

All 22 curated quotes by topic, trajectories and threads.

racp.edu.au for the facts and summary, read 12 Sept 2026 · rating and pathway encoded by hand from the same sources · quotes are verbatim r/ausjdocs comments, community view not policy

Pathway

Occupational and environmental medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8Internship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsInternship + PGY2: two years general clinical experience (the gate); ED/gen med/…Find an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enrol in an occ/env health diplomaFind an employer: accredited post with >=20 hrs/wk OEM practice + Educat…Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A Written examStage A Written examStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B (>=24 months) — ALS + 'comparable abilities' gate (veri…Stage B Written (2 days) + Practical (six stations)Stage B Written (2 days) + Practical (six stations)Stage C (>=6 months)Stage C (>=6 months)FAFOEM awardedFAFOEM awardedOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational and environmental medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8Internship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsInternship + PGY2: two years general clinical experience (the gate); ED/gen med/GP termsFind an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enrol in an occ/env health diplomaFind an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enro…Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A (>=12 months) — Stage A Written (120 MCQ)Stage A Written examStage A Written examStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + PracticalStage B Written (2 days) + Practical (six stations)Stage B Written (2 days) + Practical (six stations)Stage C (>=6 months)Stage C (>=6 months)FAFOEM awardedFAFOEM awardedOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-callOccupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-…
prevocationalselectiontrainingexamfellowship
Show the 9 stages with their sources
  1. Internship + PGY2: two years general clinical experience (the gate); ED/gen med/GP terms — from PGY1, 24 months racp.edu.au
  2. Find an employer: accredited post with >=20 hrs/wk OEM practice + Educational Supervisor; apply to enrol in an occ/env health diploma — from PGY3, 6 months racp.edu.au
  3. Stage A (>=12 months) — Stage A Written (120 MCQ) — from PGY3, 12 months racp.edu.au
  4. Stage A Written exam — from PGY4, 1 months racp.edu.au
  5. Stage B (>=24 months) — ALS + 'comparable abilities' gate (verify); Stage B Written + Practical — from PGY4, 24 months racp.edu.au
  6. Stage B Written (2 days) + Practical (six stations) — from PGY6, 1 months racp.edu.au
  7. Stage C (>=6 months) — from PGY6, 6 months racp.edu.au
  8. FAFOEM awarded — from PGY7 racp.edu.au
  9. Occupational physician — salaried industry/Defence/insurer roles plus IME/medicolegal work; 9-5, no on-call — from PGY7 reddit.com

Terms to pick

Term advice: nothing encoded yet — not published.

Stages: racp.edu.au, reddit.com · terms: r/ausjdocs term-strategy collection, counted by distinct author, community view not policy

Requirements

"Mandatory" is the college's word. Amber "community" rows are what the sub says panels actually want.

Before you can be selected 3

two_years_postgraduate_clinical mandatoryfrom the 2027 intake
General registration + at least 2 years postgraduate general clinical experience.
postgraduate_diploma_enrolment mandatoryfrom the 2027 intake
Must have applied for or completed 'an appropriate postgraduate course at diploma level or higher in occupational and environmental health or a related field'. You only need to have applied to enrol to register — don't…
course · racp.edu.au
accredited_post_20_hours_oem mandatoryfrom the 2027 intake
An accredited position with >=20 hours/week of OEM practice and an approved AFOEM Educational Supervisor.
other · racp.edu.au

During training 2

stage_b_comparable_abilities mandatoryfrom the 2027 intake
Stage B additionally requires ALS plus 'evidence of comparable abilities' — one of RACP Basic Training completion, a relevant fellowship, or equivalent training. Reads as a later clinical-competence gate rather than a h…
other · racp.edu.au
caveat

UNCERTAIN — verify with AFOEM before advising that AFOEM is fully BPT-free end-to-end. A GP Fellow can bypass the first exams and begin in Stage B but still does the full 3.5 years (trainee report).

stage_exams mandatoryfrom the 2027 intake
Stage A Written (120 MCQ, 3 hrs); Stage B Written (two scenario papers over 2 days); Stage B Practical (six stations). 42 months FTE — Stage A >=12 months, Stage B >=24, Stage C >=6; max 10 years. New curriculum from 20…
exam · racp.edu.au

By state

NATIONAL

Employers are unusual: industry and mining, Australian Defence Force, insurers and workers-comp bodies, private occupational health clinics (Sonic HealthPlus, Jobfit, Resile), state health staff-health units, Comcare. Advertised on Seek, the ANZSOM job board and industry sites — low state-health-board yield. Locum rates ~$140/hr appear in ads. College re-application typically by 30 November and 30 May.

  • AFOEM application deadline — 30 May 2026 (2026 intake)
  • AFOEM application deadline — 30 Nov 2026 (2027 intake)

anzsom.org.au

Dates drift a week or two each year; the calendar has confirmed vs expected windows.

What the CV rubric scores

  • A masters is not scored here.
  • No exam is required before selection.

Employer-set selection; 0% college; no interview or rubric published. Gate: must have applied for or completed 'an appropriate postgraduate course at diploma level or higher in occupational and environmental health or a related field'; accredited post >=20 hrs/wk OEM practice.

Referees and attempts

Refereessee noteemployer_set
Attempt capnone publishedNo cap — employer-led; re-apply to the College annually, typically by 30 November and 30 May.

Requirements and rubric: racp.edu.au · state mechanics: anzsom.org.au · community rows from r/ausjdocs

Exams

  • Stage A Written (120 MCQ, 3 hrs) — Stage A
  • Stage B Written (two scenario papers over 2 days) — Stage B
  • Stage B Practical (six stations) — Stage B

What it costs

Cost to get on$1,939Late submission of application fee, AHPRA/Medical Board general registration - application fee (one-off, national)
College schedule$13,5257 published items over the whole of training

College schedule

Occupational and environmental medicine official feesRACP Faculty and Chapter training fee (annual): $4,230$4,230RACP Faculty clinical examination: $3,484$3,484RACP written examination: $2,329$2,329AHPRA/Medical Board general registration - application fee (one-off, national): $1,661$1,661AHPRA/Medical Board general registration - annual renewal (from 1 Oct 2026; NSW $925): $1,102Recognition of Prior Learning: $441Late submission of application fee: $278
RACP Faculty and Chapter training fee (annual) $4,230RACP Faculty clinical examination $3,484RACP written examination $2,329AHPRA/Medical Board general registration - application fee (one-off, national) $1,661AHPRA/Medical Board general registration - annual renewal (from 1 Oct 2026; NSW $925) $1,102Recognition of Prior Learning $441Late submission of application fee $278

"Cost to get on" is a name-based pick of the one-off fees paid before or at selection. The college schedule is a lifetime-of-training list at each item's own year, not one bill; community amounts overlap it and are never summed. Courses, travel and repeat sittings are the part the sub complains about.

Exams and fees: racp.edu.au, medicalboard.gov.au · claims, prep and costs quoted: r/ausjdocs exams-and-costs collection, community view not policy · paid prep products need three independent non-suspect authors and a free alternative to appear

Open jobs that count

Scored by the Occupational and environmental medicine rules — whether or not the title names the specialty — highest first, closing soonest next.

No open job scores for Occupational and environmental medicine right now.

Main campaigns for 2027 closed between May and August.

Next windows: ACT main round closes 27 Sept · NSW second round opens 29 Sept · QLD early round closes 19 Oct · SA late vacancies open 22 Oct.

Show the 3 feeder posts the sub keeps recommending
  • Occupational Medicine Registrar / Occupational Physician RegistrarSonic HealthPlus / Jobfit / Resile (ALL)
    Private occupational health clinics are the most visible accredited employers; base rate plus a share of clinic revenue as you learn to bill.
  • Occupational and Environmental Medicine RegistrarAustralian Defence Force (ALL)
    One of the deepest employers; rarely on hospital boards.
  • Occupational Medicine Registrar / Medical AdvisorInsurers / workers-comp bodies / Comcare (ALL)
    Deep, government-proof employer base; not reliant on Medicare.

2027 intake campaign windows

2027 intake campaigns by stateJunJulAugSepACTACT · applications 2026-06-29 → 2026-08-02NSWNSW · applications 2026-07-14 → 2026-08-04NSW · offers 2026-09-02NTNT · applications 2026-06-01 → 2026-06-28QLDQLD · applications 2026-06-01 → 2026-06-29QLD · offers 2026-08-03SASA · applications 2026-06-10 → 2026-07-01SA · offers 2026-09-17TASTAS · applications 2026-05-25 → 2026-06-22VICVIC · applications 2026-07-27 → 2026-08-21VIC · interviews 2026-08-24VIC · offers 2026-09-23WAWA · applications 2026-05-25 → 2026-06-22WA · offers 2026-08-17
applications openinterviews / offers

Faded bars are expected, not confirmed. Full detail on the calendar.

Jobs: last night's scrape, scored by hand-written rules (no AI) · units and offer reports: r/ausjdocs, counted by distinct author · campaign windows: canberrahealthservices.act.gov.au, health.nsw.gov.au, healthjobs.nt.gov.au +4

What the regs say

Verbatim, one caution beside one encouragement per topic where both exist, the rest folded. Every quote links to the comment.

Jobs 8

Not an OccPhysician but in my experience in a past life: • Most are FRACGP who did additional training on the side • Training is 3.5 years full-time, however most training programs are only part time - so you’ll be looking at far longer time in training • Work **seems** to be less stable and very much contract…

Better yet, occupational medicine.

u/chickenthief2000 · Feb 2025 · comment
Show all 8 quotes on jobs

It's pretty niche. You're basically going to be doing corporate/industrial work - advising enterprise leaders about matters related to the health of their employees. They don't accept referrals per se as I have my doubts they even do clinical work. It's closer to Med Admin or Public Health. OEMPs would do things like…

Have you thought about occupational health? I don’t know much about the field in general but I did aviation medicals on the side as a DAME for a while which was quite interesting. Was just a two week course in Melbourne to get the qualification.

u/gibda989 · FACEM and pilot · June 2025 · comment

It's a specialty within General Medicine and General Practice. Seems most are Physicians/GP's who work on a part time basis with regulators and insurers doing IMEs and pre-employment reviews. Others seem to be full-time employees with larger companies in high risk industries. From the outside, it looks more like…

Its a growing specialty in Australia particularly in Qld and WA. Most start off in private occ heath clinics that service large businesses- medicals, health surveillance and injury management - all clinical, seeing generally healthy workers with a musculoskeletal injury. Then many take on a significant proportion of…

u/Odd-Restaurant-9528 · occupational physician (20 years) · May 2023 · read full

The other DAMEs I know do it at their usual GP practice. With a nurse who will do ECGs, VA, urine etc and the patient will fill out a long questionnaire that covers most of the history so time with the doc is a fairly quick physical and covering any points of concern on the questions. Most charge quite a high fee as…

u/gibda989 · FACEM and pilot · June 2025 · read full

A proportion of GPs delve into Medical Admin or Public Health or Occupational Health, which is more high-level policy, epidemiological and management stuff, rather than seeing patients at the coalface. Some really enjoy it and end up getting Masters and Fellowships in these other specialty areas. Apart from working…

u/Familiar-Reason-4734 · GP/rural generalist · June 2025 · read full

Getting on 7

I am an accredited AFOEM (Occupational and Environmental) trainee. Which questions do you have in mind. I could do an AMA if there is enough interest. Given you're already a GP Fellow you can bypass the first set of exams and begin in Stage B, but still need to do the full 3.5 years.

u/AFOEMTrainee · accredited AFOEM trainee · Nov 2023 · comment

Hi, I think you'll have better luck looking through the old posts about occupational medicine on the Creative Careers for Medicine facebook page. From what has been said there, I believe the entire entry process has changed. https://www.facebook.com/groups/creativecareersinmed/permalink/1617006198986700/?app=fbl

u/Vast-Expanse · June 2025 · comment
Show all 7 quotes on getting on

I have some mates that did it and spoken to them about it. As an experienced GP, you can already do quite a bit of occupational health assessments and reporting without needing to become an OccPhys, such as fitness for work or injury management consultant or pre-employment medicals. However, if you want to do more…

u/Familiar-Reason-4734 · GP/rural generalist · Nov 2023 · read full

I'm a trainee and I agree with much of what you've said. If you're an experienced GP and plan to do compensation work you don't need to do the formal training. Even with consulting you don't need the training, I know of an experienced GP who was working as the Chief Medical Officer of a mining company you've all heard…

u/AFOEMTrainee · accredited AFOEM trainee · Nov 2023 · read full

I'm not an occupational physician, but I don't believe it's a "specialty within Gen Med/GP". It's a faculty within the RACP but has its own training programme and fellowship.

Occupational Physicians (OPs) have their own training Faculty within RACP. To become an OP, you can go via the BPT route or jump straight onto the last couple years of advanced training if you’re already a qualified fellow of another relevant specialty, typically GP. Either way, you have to do a GradDip/Cert or Masters…

u/Familiar-Reason-4734 · GP/rural generalist · Dec 2025 · read full

The easiest way to get into occupational medicine is through general practice, although many Rehab consultants also do this. Although if you want to do environmental medicine to a high level the best way would be through the physician college I believe since the AFOEM is part of the RACP.

Red flags 3

Most IMEs are simply soulless people who unofficially work for insurance companies. Horrible clinicians who are mercenaries for hire.

u/Dull-Initial-9275 · Dec 2025 · comment

I encourage you to read the Victorian Ombudsman's 2 reports into workers' compensation in Victoria. IMEs are guns for hire who take payments from insurers to kick injured workers off of workcover, some of whom then go on to commit suicide.

u/recoup202020 · Dec 2025 · comment
Show all 3 quotes on red flags

The I doesn't standard for Indepedent. It stands for Insurance.

u/Dull-Initial-9275 · Dec 2025 · comment

Pay 3

Can anyone elaborate on the billing practices for occ health? I’m a PGY3 and looking for a change, interviewing at a private occ health clinic in Adelaide and they have said the starting salary is a base rate (albeit quite good) but then as I learn the processes I can bill more and receive from the overall clinic…

u/IllustratorLow732 · PGY3 interviewing at a private occ health clinic · Dec 2024 · SA · read full

I will preface this my saying I’m not an OEP, but most of the doctors I’ve seen work in this space are GPs who have built a special niche in the area. The training program does exist but I’ve never met anyone who’s been on. The pay for those GPs are quite good (well over 300K a yr is possible) but can be quite boring…

u/Ok-Gold5420 · addiction medicine advanced trainee (GP background) · Nov 2024 · read full
Show all 3 quotes on pay

What is the pay like?

Lifestyle 1

As a GP/RG, you don’t “have” to see workers comp cases, just like you don’t have to do any skin procedures or antenatal care if you don’t wish to. However, it is an inevitable and not uncommon reality that often GPs/RGs are primary care physicians are often the nominated treatment provider for injured workers. Also…

u/Familiar-Reason-4734 · GP/rural generalist · Dec 2025 · read full

Best threads

r/ausjdocs comments and posts, hand-curated from the occupational collection; scores as at the dump · community view, not policy

Knowledge rows last loaded 13 Sept 2026, encoded by hand from the sources linked on each panel; no AI wrote any of it. Compare specialties · calendar · all guides.