GAMSAT
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UCAT or GAMSAT: How To Determine The Ideal Medical Pathway?

Published on
October 28, 2025
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Getting into medicine can feel overwhelming. Beyond choosing the right medical school, many students struggle with finding high-quality preparation materials for entrance exams such as the UCAT and GAMSAT.

Common questions include:

Should I sit the UCAT or GAMSAT? Is one harder than the other? Which pathway is right for me?

These are important considerations, and the answer depends on your academic stage, strengths, and long-term goals.

UCAT vs GAMSAT: Key Differences

Both exams are psychometric assessments designed to test cognitive skills under time pressure. However, they measure different abilities:

  • UCAT (Undergraduate Medicine): Designed for Year 12 school leavers. Focuses on reasoning, decision-making, and speed rather than advanced content knowledge. Strong ATAR performance and time management are crucial.
  • GAMSAT (Postgraduate Medicine): Sat by university graduates. Tests scientific reasoning, written communication, and problem-solving, often requiring assumed knowledge in biology, chemistry, and physics. Candidates come from diverse backgrounds, from mature-age professionals to recent graduates.
Feature UCAT GAMSAT
Pathway Undergraduate entry Postgraduate entry
Format Computer-based, multiple-choice Written + online components
Sections Verbal Reasoning, Decision Making, Quantitative Reasoning, Situational Judgement Reasoning in Humanities, Written Communication, Reasoning in Biological & Physical Sciences
Duration 2 hours ~5.25 hours
Scoring Scale up to 2700 (post-2025 update) Scale 0-100 (median ~59-61)

Is GAMSAT Harder Than UCAT?

The difficulty difference between GAMSAT and UCAT depends on your academic background.

  • For Year 12 students, the UCAT can be challenging because it requires fast reasoning and competing against high-achieving school leavers.
  • For graduates, the GAMSAT may feel harder due to the broad scope of science and written communication skills it tests. Preparation often requires months of review and practice beyond undergraduate coursework.

In essence, UCAT is speed and logic focused**, while GAMSAT is content and reasoning intensive**. The ‘harder’ exam is whichever misaligns with your strengths.

UCAT and GAMSAT Scores in Overseas Medical Schools

Where is UCAT Accepted?

The UCAT originated in the UK and is still used by most UK medical schools. In Australia and New Zealand, the UCAT ANZ is identical in content and scoring, only testing dates and locations differ. UCAT scores are not interchangeable between Australia/NZ and the UK.

Where is GAMSAT Accepted?

The GAMSAT was developed in Australia but is also accepted in Ireland, the UK, and Singapore. Scores can be transferred internationally, though each country applies its own cut-offs. For example, Ireland’s application cycle begins and ends within the same year, unlike the Australian timeline.

This makes GAMSAT a flexible option if you’re open to studying medicine overseas.

UCAT vs GAMSAT: Which Is Better?

There’s no single “better” exam. Instead:

  • UCAT suits students who want to start medicine straight after high school through an undergraduate degree.
  • GAMSAT suits graduates who wish to enter medicine after completing a bachelor’s degree.

Both routes ultimately lead to the same outcome, becoming a medical intern and progressing through training.

If you’re unsure, consider your long-term goals, academic readiness, and preferred universities. For personalised advice, book a free consultation with Fraser’s.

Frequently Asked Questions - The Ideal Medical Pathway

1. Is the GAMSAT harder than the UCAT?

The GAMSAT is often seen as more challenging because it tests university-level science knowledge and is usually taken by graduates with diverse academic backgrounds. However, difficulty depends on the candidate. For Year 12 school leavers, the UCAT may feel intense due to time pressure and critical thinking demands, but it doesn’t require advanced science knowledge.

2. Can I get into medicine in Australia without sitting the UCAT or GAMSAT?

Yes, some pathways do not require UCAT or GAMSAT. For example, certain universities consider ATAR alone or have their own assessments, such as Bond University’s psychometric test. However, these options are limited and highly competitive, so most applicants will need either UCAT or GAMSAT.

3. Which exam is better for me: UCAT or GAMSAT?

The UCAT is best suited for school leavers aiming to enter an undergraduate medical program straight after Year 12. The GAMSAT is designed for postgraduate entry and is usually attempted after completing a bachelor’s degree. The choice depends on whether you want to pursue medicine immediately after high school or after university study.

4. How should I prepare differently for UCAT vs GAMSAT?

UCAT preparation focuses on speed, problem-solving, and critical thinking under extreme time pressure, while GAMSAT preparation requires strong reasoning, essay writing, and advanced science knowledge in biology, chemistry, and physics. Many students use targeted prep courses and practice exams tailored to the exam they are taking.

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