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If you are weighing up UCAT vs GAMSAT — or asking UCAT or GAMSAT for medicine — you are comparing the two main Australian admissions tests for different pathways. The UCAT ® exam is for undergraduate entry; the GAMSAT ® exam is for graduate entry. They share little overlap in format, assumed knowledge, or who should sit them. This guide covers the key differences, whether GAMSAT is harder than UCAT, and how to decide which exam matches your stage of study.
The benefits of a career in the field of Medicine are numerous and as such, it remains one of the most competitive fields to enter. As a result, universities utilise additional entry exams on top of already stringent academic requirements (such as ATAR and WAM/GPA), to help differentiate students for selection. These entry exams come in the form of the UCAT ® exam for undergraduate entry and the GAMSAT ® exam for graduate entry. As these acronyms are often thrown around without much context, this article will explain what they are and which test you should be taking depending on your current qualifications and when you plan to begin your medical degree.
The University Clinical Aptitude Test (or UCAT ® ) is a standardised computer-based test contributing to the selection process for a consortium of Australian and New Zealand universities. More specifically, the UCAT ® exam assesses skills useful in Medicine, Dentistry, and other clinical science programmes. The current format lasts just under two hours with 184 multiple-choice questions across four subtests — Verbal Reasoning, Decision Making, Quantitative Reasoning, and Situational Judgement — with cognitive scores reported on a 900–2700 total. Abstract Reasoning is no longer part of UCAT ANZ. The UCAT ® exam is targeted towards school leavers and opens applications to undergraduate medicine and dentistry. For further information, read our guide: What is the UCAT ® exam?
In contrast, the Graduate Medical School Admissions Test (GAMSAT ® ) is targeted towards applicants who have completed an undergraduate degree and are aiming to enter a graduate-entry medicine program. Whereas the UCAT ® exam may be a sprint, the GAMSAT ® exam is a marathon as a 5.25 hour digital test, divided into 3 unique sections. GAMSAT ® Section 1 is 100 minutes long, consists of 62 MCQs, and is designed to assess your ability to interpret qualitative information as well as your reading comprehension skills. GAMSAT ® Section 2 involves essay writing and assesses your ability to express your thoughts in a clear and logical manner in response to two sets of stimuli. Finally, GAMSAT ® Section 3 is designed to assess your advanced reasoning skills in a scientific context.
Ultimately, given the extreme competitiveness of entry into Medicine, the UCAT ® and GAMSAT ® exams play an important role in admission criteria along with academic marks and the interview.
So should you sit the GAMSAT ® or the UCAT ® exam? This is ultimately dependent on your situation and your goals. Any candidate who is completing or has completed Year 12 is eligible to sit the UCAT ® for entry into undergraduate medical programs. Notably, some universities will only accept highschool leavers - This means that some undergraduate medical schools may not accept students who have already completed or even commenced an undergraduate degree. In contrast, the GAMSAT ® is perfect for students who have already completed an undergraduate degree and are looking for entry into graduate medicine programs.
As mentioned, the UCAT ® exam plays a role in the admissions criteria for several universities offering undergraduate programs. For how UCAT ® fits medicine entry — scores, timelines, and interviews — see our UCAT medicine guide. Consortium universities include:
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| University University |
Programme Programme |
|---|---|
| The University of Adelaide The University of Adelaide |
Medicine Dental Surgery Oral Health Medicine
Dental Surgery Oral Health |
| Central Queensland University Central Queensland University |
Medical Science (Regional Medical Pathway provisional entry to UQ) Medical Science (Regional Medical Pathway provisional entry to UQ) |
| Charles Sturt University Charles Sturt University |
Dental Science Medicine (Joint Program in Medicine) Dental Science
Medicine (Joint Program in Medicine) |
| Curtin University Curtin University |
Medicine Medicine |
| Flinders University Flinders University |
Clinical Sciences/Medicine Clinical Sciences/Medicine |
| Griffith University Griffith University |
Dental Health Science Dental Health Science |
| Monash University Monash University |
Medicine Medicine |
| The University of Newcastle / University of New England The University of Newcastle / University of New England |
Joint Medical Program Joint Medical Program |
| The University of New South Wales The University of New South Wales |
Medicine Medicine |
| The University of Queensland The University of Queensland |
Medicine (Provisional Entry Pathway) Dental Science Medicine (Provisional Entry Pathway)
Dental Science |
| University of Tasmania University of Tasmania |
Medicine Medicine |
| The University of Western Australia The University of Western Australia |
Medicine (Direct Pathway) Dental Medicine (Direct Pathway) Medicine (Direct Pathway)
Dental Medicine (Direct Pathway) |
| Western Sydney University Western Sydney University |
Medicine (Joint Program in Medicine) Medicine (Joint Program in Medicine) |
| The University of Auckland The University of Auckland |
Medicine Medicine |
| University of Otago University of Otago |
Medicine Dentistry Medicine
Dentistry |
For further information, review our breakdown of Australian Medical Schools. It is also important to understand that for these universities, the UCAT ® exam is only one part of the admission criteria. Competitive academic scores (e.g. ATAR) and interview scores are necessary to score a place in an undergraduate medicine program.
The GAMSAT ® exam is part of the admission criteria for graduate-entry medicine programs, which require applicants to have completed an undergraduate degree prior to entry.
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| University University |
Programme Programme |
|---|---|
| Australian National University Australian National University |
Medicine Medicine |
| Deakin University Deakin University |
Medicine Medicine |
| Flinders University Flinders University |
Medicine Medicine |
| Griffith University Griffith University |
Medicine Medicine |
| Macquarie University Macquarie University |
Medicine Medicine |
| The University of Queensland The University of Queensland |
Medicine Medicine |
| The University of Melbourne The University of Melbourne |
Medicine Dentistry Optometry Medicine
Dentistry Optometry |
| The University of Notre Dame (Fremantle) The University of Notre Dame (Fremantle) |
Medicine Medicine |
| The University of Notre Dame (Sydney) The University of Notre Dame (Sydney) |
Medicine Medicine |
| The University of Sydney The University of Sydney |
Medicine Dentistry Optometry Medicine
Dentistry Optometry |
| The University of Western Australia The University of Western Australia |
Medicine Dentistry Podiatric Medicine Medicine
Dentistry Podiatric Medicine |
| The University of Wollongong The University of Wollongong |
Medicine Medicine |
For further information, review our breakdown of Australian Medical Schools. The GAMSAT ® exam is ultimately designed to assess the capacity to undertake and perform well in a challenging medical degree. It does so through evaluating the use of concepts in basic science as well as more broad skills in problem solving, writing and critical evaluation.
Visit our comprehensive guide on Australian Graduate Medical Schools - Admission Requirements for more information about the role the GAMSAT ® exam plays in your medical admissions journey and all the other requirements.
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| Differences Differences |
UCAT UCAT |
GAMSAT GAMSAT |
|---|---|---|
| Eligibility Eligibility
| Must be undertaking or completed the final year of secondary school or higher. Must be undertaking or completed the final year of secondary school or higher. |
Must have completed a Bachelor or undergraduate degree or be in the final/penultimate year of study Must have completed a Bachelor or undergraduate degree or be in the final/penultimate year of study |
| Dates Dates
| The test cycle runs annually in July. The test cycle runs annually in July. |
Two testing windows each year in March and September. Two testing windows each year in March and September. |
| Universities Universities
| The University of Adelaide Central Queensland University Charles Sturt University Curtin University Flinders University Griffith University Monash University The University of Newcastle / University of New England The University of New South Wales The University of Queensland University of Tasmania The University of Western Australia Western Sydney University The University of Auckland University of Otago The University of Adelaide
Central Queensland University Charles Sturt University Curtin University Flinders University Griffith University Monash University The University of Newcastle / University of New England The University of New South Wales The University of Queensland University of Tasmania The University of Western Australia Western Sydney University The University of Auckland University of Otago | Australian National University Deakin University Flinders University Griffith University Macquarie University The University of Queensland The University of Melbourne The University of Notre Dame (Fremantle) The University of Notre Dame (Sydney) The University of Sydney The University of Western Australia The University of Wollongong Australian National University
Deakin University Flinders University Griffith University Macquarie University The University of Queensland The University of Melbourne The University of Notre Dame (Fremantle) The University of Notre Dame (Sydney) The University of Sydney The University of Western Australia The University of Wollongong |
| Format | ||
| Questions Questions
| 184 Multiple Choice Questions 184 Multiple Choice Questions |
137 Multiple Choice Questions and 2 Essay Prompts 137 Multiple Choice Questions and 2 Essay Prompts |
| Timing Timing
| Just under 2 hours (~111 minutes of subtest time) Just under 2 hours (~111 minutes of subtest time) |
5.25 Hours testing time but around 8 hours including administrative time and lunch break 5.25 Hours testing time but around 8 hours including administrative time and lunch break |
| Sections Sections
| Four Subtests: Verbal Reasoning Decision Making Quantitative Reasoning Situational Judgement Four Subtests:
| Three Sections Section I: Reasoning in Humanities Section II: Written Communication Section III: Reasoning in Biological and Physical Sciences Three Sections
|
| Style Style
| Time-pressured exam with many questions Time-pressured exam with many questions |
Long exam with endurance required. Long exam with endurance required. |
| Test Details | ||
| Assumed Knowledge Assumed Knowledge
| No assumed knowledge. No assumed knowledge. |
First year university level Biology and Chemistry Year 12 equivalent level Physics First year university level Biology and Chemistry
Year 12 equivalent level Physics |
| Skills Tested Skills Tested
| Critical evaluation of written and numerical information, decision making, and appropriate behaviour in real-world scenarios Critical evaluation of written and numerical information, decision making, and appropriate behaviour in real-world scenarios |
Critical thinking and logical reasoning in both a scientific context (requiring adequate levels of basic Biology, Chemistry, and Physics knowledge) and within a humanities and social sciences domain. Also tests your ability to effectively communicate ideas in a written format with the essay marking section. Critical thinking and logical reasoning in both a scientific context (requiring adequate levels of basic Biology, Chemistry, and Physics knowledge) and within a humanities and social sciences domain. Also tests your ability to effectively communicate ideas in a written format with the essay marking section. |
| Scoring Scoring
| Cognitive subtests scored 300–900 each (total 900–2700); Situational Judgement reported separately in bands. See our UCAT scores guide. Cognitive subtests scored 300–900 each (total 900–2700); Situational Judgement reported separately in bands. See our
UCAT scores
guide.
| Scores provided in a scale out of 100 marks. Refer to our GAMSAT Scores guide for further information. Scores provided in a scale out of 100 marks. Refer to our
GAMSAT Scores guide
for further information.
|
If you are asking is GAMSAT harder than UCAT, the short answer is yes — the GAMSAT ® exam is generally considered the harder of the two. This is primarily due to the nature of the ‘assumed knowledge’ in the GAMSAT ® , whereby candidates are expected to understand first year university level biology and chemistry and Year 12 equivalent physics. Moreover, despite the longer timeframe provided for each question and the lower number of questions, the questions are of considerably higher difficulty. The exams are fundamentally different: the UCAT ® exam can be considered an aptitude test whereas the GAMSAT ® exam is aimed at testing advanced reasoning skills.
When considering the advantages, or ‘pros’ of the Undergraduate pathway, some include graduating earlier, comparatively easier entry, and being with a cohort of similarly aged students. As mentioned, if your main concern is which of the two entry exams is easier, then yes, the UCAT ® exam is considerably easier when comparing UCAT ® vs GAMSAT ® and as such, entry can be considered less competitive albeit still extremely difficult. A notable counter-argument however is that a greater number of students take the UCAT ® exam, and as such, you will be competing against a larger pool of students, potentially negating the fact that it may be easier.
An additional advantage for some is the fact that most undergraduate medical students will have either just finished high school or only finished within the last couple of years. As such, you will have a cohort of much more similarly aged students graduating together with yourself. This could be seen as both a pro or a con depending on your preferences. However, an undoubted advantage is the fact that you will graduate earlier, and begin working and earning a salary before your graduate-entry counterparts. Getting through medical school however is only the start of your medical journey - Depending on your speciality of choice, you may have many more years of study and development ahead of you.
Conversely, with graduate programs, students come from various backgrounds and as such you may see a higher level of diversity and maturity when it comes to this entry pathway. Many graduate-entry medical students may have worked for a number of years in various professions and bring a greater wealth of experience with them. This is by no means saying that undergraduate students are immature, but if you are someone who values an additional level of maturity or more time to decide on a career path before you lock yourself into a medical pathway, a graduate-entry option may be more suitable. Furthermore, the graduate pathway may be perfect for someone who has only just decided to pursue medicine after completing a full degree. This leaves candidates with more options and is preferable for students who want to explore other disciplines and have a wider education before delving into a medicine degree.
The UCAT ® testing cycle runs in July of each year and Australian testing centre locations can be found in many locations.
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| State State |
UCAT ® Test Centre UCAT<sup> ®</sup> Test Centre |
|---|---|
| ACT ACT |
Canberra Canberra |
| NSW NSW |
Armidale Newcastle Orange Parramatta Port Macquarie Sydney Wagga Wagga Armidale
Newcastle Orange Parramatta Port Macquarie Sydney Wagga Wagga |
| NT NT |
Alice Springs Darwin Alice Springs
Darwin |
| QLD QLD |
Brisbane Cairns Gold Coast Rockhampton Toowoomba Townsville Brisbane
Cairns Gold Coast Rockhampton Toowoomba Townsville |
| SA SA |
Adelaide Port Augusta Adelaide
Port Augusta |
| TAS TAS |
Hobart Launceston Hobart
Launceston |
| VIC VIC |
Ballarat Bendigo Churchill Geelong Melbourne Mildura Ballarat
Bendigo Churchill Geelong Melbourne Mildura |
| WA WA |
Bunbury Perth Bunbury
Perth |
There are also test locations in New Zealand at:
Visit our UCAT ® 2026 page for more detailed information about 2026 dates, registration, fees, and testing centres.
For the GAMSAT ® exam there are two test windows, with a sitting in March and September. It’s important to note that only the March sittings are valid if you wish to apply in the same year - Students sitting the September sitting will need to apply in the following year. Testing centre locations include:
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| March sitting March sitting |
September sitting September sitting |
|---|---|
| Adelaide Albury Alice Springs Ballarat Brisbane Broome Canberra Darwin Dubbo Geraldton Hobart Melbourne Newcastle Perth Sunshine Coast Sydney Townsville Whyalla Wollongong Adelaide
Albury Alice Springs Ballarat Brisbane Broome Canberra Darwin Dubbo Geraldton Hobart Melbourne Newcastle Perth Sunshine Coast Sydney Townsville Whyalla Wollongong | Adelaide Albury Brisbane Canberra Darwin Dubbo Geraldton Melbourne Perth Sydney Townsville Adelaide
Albury Brisbane Canberra Darwin Dubbo Geraldton Melbourne Perth Sydney Townsville |
Visit our GAMSAT ® 2026 page for more detailed information about 2026 dates, registration, fees, and test locations.
For the GAMSAT ® exam, most candidates have much more knowledge and experience due to having completed a degree. As such, candidates are expected to prepare for the exam by having a level of assumed knowledge equivalent to first year university levels of Biology and Chemistry along with a Year 12 level of Physics. It is important to understand that although assumed knowledge is required the GAMSAT ® exam is fundamentally designed to test advanced reasoning skills rather than any recall of content. On the other hand, there is no assumed knowledge at all needed to do the UCAT ® exam.
Candidates applying for the GAMSAT ® exam pay a registration fee of $568 AUD in Australia (confirm current fees in the official ACER GAMSAT Information Booklet). In contrast, the UCAT ® ANZ exam costs $335 AUD for tests taken in Australia and New Zealand in the 2026 cycle. This price is a consideration but ultimately should not alter your decision on UCAT ® or GAMSAT ® exam as they align with different points in your tertiary education pathways. In terms of preparation fees, the UCATANZ, the body that coordinates the UCAT ® exam, offers many free resources on their website whereas ACER, the body that runs the GAMSAT ® exam, offers few materials in the way of official preparation resources.
In saying that, there are GAMSAT ® preparation course providers that provide useful free resources to help you kickstart your preparation. Check out our GAMSAT ® Free Trial for detailed week-by-week plans of how you should be spending your time and tips on the best preparation strategy as well as free practice MCQs.
So which exam should you sit? Well, the UCAT ® exam is designed for those coming out of high school or who have completed highschool and want to pursue an undergraduate medicine degree. The GAMSAT ® exam is for students who have completed, or are currently completing, their undergraduate studies and who are interested in pursuing entry into a graduate medicine program. Now that you know what is the difference between UCAT ® and GAMSAT ® exam, the decision of which one you should sit is yours to make. At the end of the day, upon completing the degree, whether it be graduate or undergraduate, medicine is an extremely rewarding career and the opportunities for graduates remain the same.
Now that you understand the difference between UCAT ® vs GAMSAT ® exam, it’s time to make your decision and start preparing. The below free resources might be helpful: