The Bottom Line
- PESCI is a structured, scenario-based interview assessing whether an IMG can practise safely in a specific GP position; the report is position-specific and not generally transferable.
- If you’re an IMG on the Standard/Competent Authority pathway applying for provisional/limited registration to work in general practice, a PESCI is typically required.
- Prep should be role-matched: your job’s scope, supervision level, location risks (rural/underserved), escalation pathways, and Australian guideline-aligned management.
The “secret”: PESCI is a fitness-for-task assessment
PESCI is not a generic exam — it is tailored to a specific position. Panels assess your training, knowledge, clinical experience, and attributes against the demands of the role, factoring in orientation and supervision available.