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GAMSAT vs UCAT-ANZ — which test should I sit?

2027 Entry · Decision matrix · Schools · Prep time · Cost

For most Australian medical applicants, the choice between GAMSAT and UCAT-ANZ is decided by pathway rather than preference. School leavers applying to a 5-6 year undergraduate Doctor of Medicine sit UCAT-ANZ; graduates applying to a 4-year postgraduate MD sit GAMSAT. This guide walks through the decision matrix, lists every Australian medical school by the test it uses, compares prep time and cost head-to-head, and identifies the small group of dual-pathway schools where sitting both tests opens additional options.

24
AU medical programmes
2 hrs / 5.5 hrs
UCAT-ANZ / GAMSAT
Jul-Aug / Mar+Sep
Test windows
$335 / $568
AUD per sitting (2026)

The decision matrix

Three variables drive the choice: your degree status (already hold a bachelor or finishing year 12), your target programme length (4-year graduate or 5-6 year undergraduate), and your strongest academic profile (sciences vs humanities, depth vs speed).

If you…Recommended testWhy
Finish year 12 in 2026, target undergraduate MDUCAT-ANZAlmost every Australian undergraduate medical programme uses UCAT-ANZ + ATAR for school-leaver entry — the exceptions are JCU, which uses no admissions test, and Bond, which runs its own psychometric testing instead.
Hold a bachelor degree, target graduate-entry MDGAMSATEvery 4-year graduate-entry Australian MD uses GAMSAT (plus GPA and interview) except Monash, whose graduate stream takes no admissions test and is open only to graduates of specified Monash degrees. Several other schools also admit their own undergraduates through assured or provisional pathways that waive GAMSAT.
Hold a bachelor but want maximum school flexibilityBothSitting both unlocks undergraduate MDs (Monash, UWA, UQ, Griffith, Flinders and Tasmania among others) and graduate-entry MDs in one cycle. Sydney is graduate entry only — it does not use UCAT-ANZ.
Hold a bachelor and prefer a shorter, faster programmeGAMSATGraduate-entry MD = 4 years vs undergraduate MD = 5-6 years. Twelve 4-year GAMSAT programmes run across the country — the ten GEMSAS schools plus Sydney and Flinders, which take direct applications.
Apply to dual-pathway schools (UWA, UQ, Griffith, Flinders, Tasmania)Depends on streamUndergraduate stream uses UCAT-ANZ; graduate stream uses GAMSAT. Commit to one stream. Casper is not a dual-pathway rule — it is a separate school-by-school requirement, notably at Curtin (undergraduate) and at Notre Dame and Wollongong (graduate).

Head-to-head — what each test is

GAMSAT

Graduate Medical School Admissions Test · ACER

  • Length: 5 hr 15 min of testing, split across two windows — Written Communication by remote proctoring, then Humanities + Sciences at a test centre about three weeks later
  • Sections: Humanities (62 MCQ), Written communication (2 essays), Sciences (75 MCQ)
  • Frequency: March + September each year
  • Cost: AUD $568 / sitting (2026)
  • Score validity: 2 years
  • Schools: 13 Australian medical programmes

UCAT-ANZ

University Clinical Aptitude Test - ANZ · Pearson VUE

  • Length: 2 hours, single sitting
  • Sections: Verbal reasoning, Decision making, Quantitative reasoning, Situational judgement
  • Frequency: one window a year — 1 July to 5 August in 2026
  • Cost: AUD $335 (2026); AUD $240 concession
  • Scoring: three cognitive subtests, 300-900 each, totalling 900-2700; Situational Judgement is reported separately as its own 300-900 scaled score and is not in the cognitive total
  • Score validity: Current cycle only — one shot per year
  • Schools: 12 Australian medical programmes

Cost — total spend, not just registration

Registration is the smallest line item. The full cost of a competitive prep cycle includes materials, mocks, tutoring hours and (for some) a year of postgraduate science to bridge into GAMSAT Section 3.

GAMSAT — typical total cost

  • Registration: AUD $568 per sitting, 2026 (often x2)
  • ACER practice material: individually priced AUD $22-$62, with Practice Test A included in the registration fee; about AUD $200 buys everything else
  • Third-party question banks: AUD $250-600
  • Tutoring (10-30 hours): AUD $800-3,000
  • Realistic total: AUD $2,000-4,500 over 6-12 months

UCAT-ANZ — typical total cost

  • Registration: AUD $335, 2026 (single sitting; $240 concession)
  • Question bank subscription: AUD $200-450
  • Mock-test platform: AUD $100-250
  • Tutoring (10-25 hours): AUD $700-2,500
  • Realistic total: AUD $1,200-3,500 over 2-3 months

Every Australian medical school by test (2027 entry)

24 programmes across two streams (4 dual-pathway) — click any school for the full how-to-get-in guide including UCAT-ANZ/GAMSAT cut-offs, interview format and intake size.

Prep time and study load

GAMSAT and UCAT-ANZ ask completely different things of your prep. The mistake is to budget the same hours for each — UCAT-ANZ rewards a sharp, short build; GAMSAT rewards a structured, sustained one.

  1. UCAT-ANZ — 6 to 12 weeks. 60-90 minutes per day, mostly question banks and timed mini-sections. The skill is pacing and pattern recognition: a candidate who has done 3,000+ practice questions under timed conditions will out-score one who has memorised theory but never raced the clock.
  2. GAMSAT (science background) — 6 months. 90-120 minutes per day. Content review on Section 3, daily reading practice for Section 1, weekly essay practice for Section 2 from month four onwards. Three full timed practice papers in the final month.
  3. GAMSAT (humanities background) — 12 months. First-year university biology + chemistry + physics from scratch in months 1-6, then reasoning practice from month 7 onwards. The longest, hardest prep path of any Australian medicine route.

See the full preparation timelines in our UCAT-ANZ guide and GAMSAT guide.

Which test plays to your strengths?

The honest answer comes from sitting a diagnostic of each — not from guessing. If you can spare the AUD $903 in combined registration (AUD $568 GAMSAT plus AUD $335 UCAT-ANZ at 2026 rates), sit a March GAMSAT diagnostic AND a UCAT-ANZ practice mock in your first month of prep. The score gap will tell you the right test more reliably than any self-assessment.

That said, the heuristics are real:

  • Strong science degree + comfortable with timed essays? GAMSAT plays to your hand.
  • Fast quantitative thinker + good under time pressure? UCAT-ANZ rewards that profile.
  • Humanities degree + slow careful reader? GAMSAT Section 1 will favour you, but Section 3 is a real climb.
  • Anxious under timed conditions + need recovery time? GAMSAT's longer breaks suit you better than UCAT-ANZ's rapid-fire pacing.

Frequently asked questions

Yes. Several applicants sit both each cycle, particularly graduates targeting both undergraduate dual-pathway streams (UWA, UQ, Griffith, Flinders, Tasmania) and 4-year graduate-entry programmes. It is expensive (AUD $903 combined at 2026 rates — $568 GAMSAT plus $335 UCAT-ANZ) and time-consuming, but maximises school choice. Most candidates with a clear pathway commit to one test.

Free GAMSAT and UCAT-ANZ diagnostics

Sample GAMSAT and UCAT-ANZ questions from our tutoring team — built to the same difficulty as official released materials. Sit both, then book a one-to-one with a tutor who has cleared the test you choose.

Reviewed by Isaac Butler-King, medical student at the University of Glasgow. Last reviewed: 14 September 2026