ISAT
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ISAT vs GAMSAT: Which Test Do You Need?

Published on
July 31, 2026
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ISAT vs GAMSAT: Which Test Do You Need?

If you're planning a path into medicine in Australia, it's easy to see "ISAT" and "GAMSAT" mentioned in the same breath and assume they're interchangeable. They're not. Both are developed by the Australian Council for Educational Research (ACER), but they exist for different applicants at different stages of their journey. Here's how to tell which one actually applies to you.

The Core Difference: Degree Stage, Not Nationality

The biggest misconception is that ISAT is simply "the international version of GAMSAT." In reality, the two tests sit at different entry points:

  • ISAT (International Student Admissions Test) is for international students applying to a small group of universities that offer direct-entry undergraduate medicine, dentistry, or related health programs — meaning you can apply straight from high school (or equivalent), without first completing a separate bachelor's degree.
  • GAMSAT (Graduate Medical School Admissions Test) is for anyone — domestic or international — applying to graduate-entry (postgraduate) medicine, dentistry, or related programs, which requires you to have already completed, or be near completing, a bachelor's degree.

So the real question isn't "am I an international student?" — it's "am I applying straight from school, or after finishing an undergraduate degree?"

Quick Comparison

ISAT GAMSAT
Who it's for International students, direct-entry undergraduate pathway Domestic and international applicants to graduate-entry programs
Prior degree required? No Yes (completed or near-completed bachelor's degree)
Format 3-hour, fully computer-based, remote-proctored Longer, hybrid format: in-person test centres plus a remote-proctored written section
Sections 2 — Critical Reasoning, Quantitative Reasoning 3 — Humanities & Social Sciences reasoning, Written Communication (essays), Biological & Physical Sciences reasoning
Content knowledge required? No — reasoning only Yes — Section III assumes science knowledge
Scoring 100–200 scaled score per section and overall 0–100 per section, converted to a percentile, with Section III typically double-weighted
Sittings per year 4 test windows 2 sittings (March and September)
Universities A specific short list, e.g. Monash, UNSW, UWA, Western Sydney University The majority of Australian graduate-entry medical schools, plus programs in Ireland and the UK

Why GAMSAT Is Harder to Compare Apples-to-Apples

GAMSAT is a considerably bigger undertaking than ISAT. Beyond testing reasoning, its Section III draws on biology, chemistry, and physics knowledge, and Section II requires you to write two timed essays under exam conditions. ISAT, by contrast, doesn't test any specific body of knowledge — both of its sections are built entirely around interpreting the material given to you in the question itself. If you're deciding which to prepare for, GAMSAT generally demands a longer runway of preparation simply because there's more ground to cover.

Could You Need Both?

For most applicants, no — your degree stage determines which single test applies. An international student applying straight from high school to a direct-entry program will sit ISAT; the same student, if they instead complete an undergraduate degree first and later apply to a graduate-entry medical school, would sit GAMSAT for that later application instead. It's unusual to need both for the same application cycle, though some students do end up sitting GAMSAT years after an earlier ISAT attempt, simply because their pathway changed.

Getting the Right Guidance Early

Because these tests reward completely different preparation strategies — reasoning-only practice for ISAT versus content review plus essay writing for GAMSAT — the most costly mistake is preparing for the wrong one, or preparing generically for both. If you're unsure which pathway fits your situation, Fraser's Medical runs dedicated one-to-one coaching for both the ISAT and the GAMSAT, and can help you map out which test — and which universities — actually match your circumstances.

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