Here is the short version. Undergraduate medicine is direct entry from Year 12, using your ATAR, the UCAT, and an interview. Graduate, or postgraduate, medicine comes after you complete a bachelor's degree, and uses your university GPA, the GAMSAT, and an interview, with no ATAR at all. Roughly half of Australian medical students enter via the graduate route. Some universities, including Sydney, Melbourne, and ANU, are graduate only.
Many students assume medicine means a 99 ATAR straight from school. That is only one of two main pathways, and the other does not use ATAR at all.
Below is how the two compare. To explore your options, use our medicine ATAR calculator.
Key takeaways
- Undergraduate medicine is direct entry from Year 12.
- It uses your ATAR, the UCAT, and an interview.
- Graduate medicine comes after a bachelor's degree.
- It uses your GPA, the GAMSAT, and an interview, with no ATAR.
- Roughly half of students enter via the graduate route.
- Some universities are graduate only.
Two pathways to the same career
There are two main ways to become a doctor in Australia, and both lead to the same qualification. The difference is when you enter and what you are assessed on.

Undergraduate entry is from school. Graduate entry is after a first degree. Knowing the difference helps you plan, especially if your ATAR is not at the top end.
Undergraduate entry
Undergraduate medicine is direct entry from Year 12. It uses three things: your ATAR, the UCAT, and an interview. The ATAR needs to be very high, often 95 and above, with many successful applicants at 99 or higher.
This is the fastest route, but also the most competitive, with fewer than 1,000 places nationally. For the detail, see our medicine ATAR guide.
Graduate entry
Graduate, or postgraduate, medicine comes after you complete a bachelor's degree, in any approved field. It does not use your ATAR at all. Instead, you apply with your university GPA, the GAMSAT, and an interview.
So your Year 12 result becomes much less important. A strong university record can put you on equal footing, whatever your ATAR. This is how roughly half of medical students enter.
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Neither is easier, exactly; they are different. The undergraduate route is faster but demands a top ATAR straight from school. The graduate route takes longer, since you do a degree first, but it gives a fresh start based on university performance.
For students who did not get the ATAR they wanted, the graduate route is a genuine second chance. For those who thrive at school and want the fastest path, undergraduate entry suits better. The right one depends on you.
It helps to compare the two routes on the things that actually differ, because "easier" is the wrong lens. The undergraduate path is shorter and cheaper overall: you enter medicine directly from school and finish sooner, but the price of admission is a top ATAR (often 95 as a floor and 99 plus in practice) plus the UCAT and an interview, all while you are seventeen. The graduate path is longer and costs more, since you complete a full bachelor degree first, then apply with your university GPA, the GAMSAT and an interview; your Year 12 ATAR plays no part at that stage. Neither is a soft option, because both funnel far more strong applicants than there are places, but they reward different strengths at different moments. The undergraduate route suits a student who peaks at school, is certain about medicine early, and wants the most direct line to practising. The graduate route suits a student whose ATAR fell short, who wants to be sure medicine is right before committing, or who simply matures into a stronger candidate at university; it also leaves them with a full second qualification as a fallback. So the useful question is not which is easier but which fits your circumstances: your current ATAR, your certainty about medicine, your appetite for a longer path, and where your strengths are likely to show best.
Which universities offer which
Some universities offer undergraduate entry, some graduate, and some both. Notably, Sydney, Melbourne, and ANU are graduate only and do not admit school leavers directly into medicine.
A few universities also offer provisional entry: you apply in Year 12 with your ATAR and UCAT, and secure a conditional place in a graduate program after completing a bachelor's there. So check each university's structure. See our pathways guide.
Common questions
What's the difference between postgrad and undergrad medicine?
Undergraduate medicine is direct entry from Year 12, using your ATAR, the UCAT, and an interview. Graduate medicine comes after a bachelor's degree, using your GPA, the GAMSAT, and an interview, with no ATAR at all.
Does graduate medicine need an ATAR?
No. Graduate, or postgraduate, medicine does not use your ATAR. You apply after completing a bachelor's degree, using your university GPA and the GAMSAT, plus an interview. Your Year 12 result is not part of it.
Is graduate medicine easier than undergraduate?
Neither is easier, just different. Graduate entry takes longer, since you do a degree first, but gives a fresh start based on university performance. Undergraduate entry is faster but demands a top ATAR straight from school.
How many students enter via the graduate route?
Roughly half of Australian medical students enter through the graduate route. It is a mainstream pathway, not a backup, and a genuine option for students whose ATAR was not at the very top.
Which universities are graduate only for medicine?
Several, including Sydney, Melbourne, and ANU, are graduate only and do not admit school leavers directly into medicine. Others offer undergraduate entry, and some offer both, so check each university's structure.
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Open the medicine ATAR calculator →Related guides
This guide is general information for students and parents, not formal admissions advice. ATAR cut-offs, UCAT and GAMSAT requirements, interview formats and pathways vary by university and change every year. For graduate entry, applications run through GEMSAS, and the UCAT and GAMSAT are run by their own bodies. Any figures here are approximate and based on recent years, so always confirm the current details with each university and your state admissions centre (such as UAC, VTAC, QTAC, SATAC or TISC). Reviewed by the ATARCalculators Editorial Team.