This is the practical RACP Specialist Pathway guide for ANZSCO 253322 Renal Medicine Specialist. For pathway view, see the pathway guide. For costs, see the cost case study.

RACP Specialist Pathway sequence
- Application + qualifications + experience evidence
- RACP Specialist Assessment with renal medicine endorsement (6-12 months)
- Outcome: Substantially Comparable / Partially Comparable / Not Comparable
- Medical Board Specialist Registration
- 12 months supervised practice (Substantially Comparable)
- FRACP + Renal Medicine Fellowship granted
- ANZSN membership post-arrival
Qualification evidence
Submit:
- Primary medical degree (MBBS / MD / equivalent) certificate + transcript
- Internal medicine Fellowship (MRCP / FRCPC / ABIM)
- Renal medicine sub-specialty CCT / Fellowship
- Origin-side specialist registration
- Continuing professional development records (5+ years recent)
Clinical experience evidence
Each role:
- Hospital employer letter
- Title — Consultant Nephrologist / Senior Nephrologist / Lead Nephrologist
- Dates and FTE hours
- Caseload (CKD, dialysis, transplant, glomerular disease)
- Sub-specialty interests (transplant, glomerular, ICU nephrology, etc.)
For locum / agency:
- Agency letters
- Hospital reference letters

English requirement
RACP + Medical Board requires:
- OET — grade B each component
- IELTS Academic — 7.0 each band
- PTE Academic — 65 each

Common reasons assessments stall
- Insufficient consultant-level renal evidence. Need post-Fellowship consultant practice
- Origin-side registration restrictions. Unrestricted essential
- English test too old. Test must be valid (typically 2 years for OET)
Tools
Where to verify
Next step
Want a RACP pre-flight on your renal medicine profile? Book a 30-minute free strategy call.
Nephrologist
ANZSCO 253322
RACP
FRACP
AHPRA
ANZSN
Skills Assessment
Skilled Migration
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