The Bottom Line
- Pick the correct pathway first (Standard vs Competent Authority vs Specialist) or you will waste months.
- Most delays come from (1) document sequencing, (2) job-first requirements for certain routes, and (3) supervision/recency misunderstandings.
- Treat this like a project plan: dependencies, lead-times, and parallel workstreams.
Australia’s IMG landscape is not “one process”. It is a set of pathways with different prerequisites, different sequencing, and (critically) different points at which you need an employer.
If you want to move fast, the meta-skill is **choosing the right pathway and then running the steps in the correct order**. The most common failure mode is doing things that *feel* productive (e.g., broad job hunting or collecting random certificates) before you’ve resolved the pathway decision and the few high-friction prerequisites.
The 60-second pathway decision
**A) Standard pathway (general registration via AMC assessments):** If you are *not* eligible for Competent Authority or Specialist routes.
**B) Competent Authority pathway:** If you have recent training/registration in a “competent authority” system that the pathway recognises.
**C) Specialist pathway:** If you’re a specialist (SIMG). This includes:
- **Expedited Specialist pathway** (only if your qualification appears on the accepted list)
- **Specialist recognition** (college comparability assessment)
- **Specialist area of need** (role-driven)
**D) Short-term training pathway:** If you’re a specialist / specialist-in-training coming for a defined training period (usually up to 24 months), typically returning afterwards.
Think of the pathway as the *operating system* for everything else:
- It determines **which exams/assessments** you need.
- It determines **what registration type** you apply for first (provisional vs limited vs specialist).
- It determines whether you can progress **without a job** (e.g., you can sit AMC clinical without already working, but WBA requires you to be working at an accredited site).
- It determines the **supervision and reporting** burden during your first year.
Where people lose time (and how to avoid it)
1) **Doing WBA planning without understanding the job-first dependency.**
2) **Treating “registration” as one step instead of a staged sequence** (provisional/limited → supervised practice → general).
3) **Underestimating supervision/reporting obligations** and then scrambling after arrival.
4) **Medicare/provider-number restrictions** (especially relevant for GP/private billing) not being considered until too late.
5) **State-based recruitment eligibility** (e.g., some match processes are effectively closed unless you hold (or will imminently hold) the right registration status by start date.
Where iatroX fits (without changing your pathway choices)
Use iatroX as a **structured revision layer** while you navigate the admin: build a routine around short daily sessions so you don’t lose momentum during credentialing delays.
Recommended internal links to embed:
- iatroX Quiz landing: /quiz-landing
- Study Systems (for exam routines): /academy/study
- IMG Hub (your pathway library): /academy/img
- Toolkits (admin + career systems): /academy/toolkits
For UK-practising clinicians, iatroX also functions as a high-utility guideline/Q&A layer; for Australia-bound IMGs, it’s primarily a performance + study scaffold while you execute the move.