Rejected by HCPC? This Sri Lankan Physiotherapist Passed the APEP Exam While Working Night Shifts

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Created On : Apr 04, 2026 Updated On : Apr 10, 2026 4 min read

After a career gap, a license rejection, and a life reduced to care-assistant shifts, a Sri Lankan physiotherapist found the immense courage to reclaim her profession. Let’s get inspired.

There is a particular kind of professional grief that sets in when a career you have trained for years. The one that defines who you are. Everything suddenly becomes blurred. Supipi Lakshika Dharmasiri, a physiotherapist from Anuradhapura, Sri Lanka, was quite literally grieving her life. She was subjected to a forceful resignation in October 2021 amid the pandemic. Then a year-long career gap happened. She then decided to move to the UK to pursue a master’s degree and cherish new beginnings. But alas, her HCPC registration was cancelled due to the career gap.

How did she succumb to the pressure?

In a tete-a-tete with Tahreem Mirza (BPT, Registered Physiotherapist and Program Manager of Physiotherapy at Academically), our APEP-qualified candidate, Lakshika, poured her heart out. Let’s get reading.

The Pivot from Failure to Success with Structured Guidance

Before Lakshika’s story became one of triumph, it passed through years of detour. After resigning in 2021, she secured a 1-year contract as a demonstrator and assistant lecturer at a Sri Lankan university, keeping her close to medicine, but not to clinical practice. 

She then moved to the UK for her graduate programme, hoping it would strengthen her registration case with the HCPC all by herself. It did not. The gap in her physiotherapy career was the deciding factor. What happened after is a rejection letter after a long wait.

What could have been the end of the story was, instead, a pivot point. Her husband introduced her to Academically, a global healthcare ed-tech platform founded by Dr. Akram Ahmad (PhD, University of Sydney) specifically to bridge the gap between qualified international healthcare professionals and the licensing systems of their destination countries. 

The premise was simple and, for Lakshika, a revelation. 

After browsing through the website and social channels of Academically and a thorough consultation, she enrolled for the Australian Physiotherapy Entry Pathway (APEP) written exam coaching on 25 November 2025. Why so?

Because you don’t have to budget and visit all the way to Australia for an exam. You can stay in the comfort of your home and complete almost the entire registration pathway here itself. When you qualify all the important steps, you just have to attend a small clinical workshop in Australia and voila! You are a licensed physiotherapist in Australia.

How did she prepare for the physiotherapy exam in just 3 months?

Study Routine for the Australian Physiotherapy Entry Pathway (APEP) Exam While Working Full Time

Lakshika’s day job as a care assistant ran from 8:00 AM to 8:00 PM. She would arrive home around 10 PM, sit down, and open one set of Academically’s lecture notes. From 10:00 PM to midnight, she would read, summarise, and internalise. 

At 6:00 AM, she was back up for another shift. On her days off, she extended her sessions to two or three consecutive hours. Sometimes she would add an evening block on top.

Lakshika could not attend Academically’s live sessions due to her shifts. She relied entirely on recorded video lectures and the accompanying notes. She studied asynchronously, but no less rigorously. 

In her words, “The recording videos of Academically are really well done,” she said. “I summarised the lecture notes, and from those summaries I could recall information whenever I had free time.

APEP COMPLETE PREPARATION TOOLKIT

  • Live+Recorded lecture videos
  • Lecture notes (self-summarised)
  • AI-based mock tests
  • Community support for doubt clearance
  • Full registration guidance 

No external materials, no textbooks, no additional resources.

 

 

3 Months

of preparation

2 hrs/night

post 12-hr shift

1st Attempt

passed

 

 

 

 

Cracking the MCQs based on the Australian Physiotherapy Council’s Norms

The Australian Physiotherapy Council’s written exam is known within the profession for a specific kind of question pattern. Multiple-choice questions where two of the four options are plausible. The ability to quickly eliminate the two obviously incorrect answers is rather easy. But your real skill lies in distinguishing between the remaining two through deep clinical reasoning.

This is precisely what Academically’s faculty trains candidates to do. Rather than teaching students to memorise answers, the programme focuses on the underlying clinical logic. Why one answer is correct, and why the close-but-wrong option is not. And why not! Our faculty members are trained physiotherapists who are well-settled, AHPRA-registered and working in Australia.

apep exam faculty

Lakshika describes applying this method under exam pressure: “I went to the strong reason, ticked it, and moved on. Even when I doubted about two answers, I trusted the reasoning.

The MCQ mock tests were particularly important here. Regular exposure to timed practice in a format mirroring the actual exam built not just knowledge, but confidence, a quality that is easy to underestimate when, as Lakshika put it, “50 cameras are watching you.” 

Tried and Tested APC Exam Preparation Strategy for APEP

When asked what she would tell candidates currently preparing for the APC written exam, Lakshika’s answer had the directness of someone who has earned every word of it:

  • Put in the effort your goal deserves. There is no shortcut. Lakshika studied two hours every night after a twelve-hour shift. The result was proportional to the input.
  • Consistency is the actual strategy. Cramming is not an option for a high-stakes clinical reasoning exam. Daily, sustained contact with the material is what builds the recall you need under pressure.
  • Do not avoid your weak subjects. Lakshika’s instinct was to pour extra time into cardiorespiratory physiotherapy. Her initial weakness is the opposite of what most candidates do. It is also why she topped that section. In her own words,

“Cardio was my weakest subject. So I gave it the most effort. I ended up with the highest score in cardio out of all three sections.”

  • Remember why you chose this. “We are learning what we like,” she said. When the 10:00 PM fatigue sets in and the notes blur, that sense of vocation is what keeps the page open.

Passed the APC Written Exam? Does Academically Guide for APEP Capability Assessment also?

Passing the APC written exam is a significant milestone, but it is one last step in a journey towards full physiotherapy registration in Australia. Lakshika’s next phase is the capability assessment preparation of APEP. She will be navigating with continued guidance from Academically. 

In her words, 

The results directly reflect the effort you invested.

That statement cuts both ways. It is an affirmation of Lakshika’s work. But it is also a promise to every physiotherapist sitting in a similar position right now stuck in a country that does not yet recognise them, doubting whether the career they trained for is still available to them. It is.

apep success story

To Conclude with…

Lakshika’s story is not exceptional because it is rare. It is exceptional because it is possible and repeatable. A career gap, a visa setback, a 12-hour shift: none of these is the end of the story for a qualified physiotherapist who refuses to stop. The new APEP pathway is a much more streamlined route to practising physiotherapy in Australia. With the right preparation that’s structured, consistent, and clinically grounded. Passing on the first attempt is well within reach. Academically exists precisely for this to make sure that the only thing standing between a qualified healthcare professional and their career is the effort they choose to put in.

FAQs

Q: What is the APEP written exam for physiotherapists?

A: The Australian Physiotherapy Entry Pathway (APEP) written exam is a mandatory assessment for internationally qualified physiotherapists who wish to practise in Australia. It tests clinical reasoning, physiotherapy knowledge, and decision-making across multiple specialties including musculoskeletal, cardiorespiratory, and neurological physiotherapy, according to Australian standards. You can attempt this exam from the comfort of your home without having to travel to Australia.

Q: Who is eligible to sit for the APEP exam?

A: Any physiotherapist who trained outside Australia and wishes to obtain registration with the Physiotherapy Board of Australia must pass the APEP written exam as part of the skills assessment pathway. This includes physiotherapists from Sri Lanka, India, Pakistan, the Philippines, and other countries.

Q: How long does it take to prepare for the APEP written exam?

A: Preparation time varies, but most candidates take between 3 and 6 months. Supipi Lakshika Dharmasiri passed after just 3 months of focused preparation, studying 2 hours per night alongside full-time work. Consistency matters more than total hours.

Q: Can I study for the APEP exam while working full-time?

A: Yes. Lakshika prepared for and passed the APEP written exam while working 12-hour care assistant shifts. She studied from 10:00 PM to midnight every night and used her days off for longer sessions. The key is a fixed daily routine and high-quality, structured study material.

Q: What is the best study material for the APEP licensure exam?

A: Academically’s APEP (Australian Physiotherapy Exam Preparation) programme is purpose-built for the APC exam. It includes recorded video lectures, summarised lecture notes, and MCQ mock tests. Supipi used no external materials and passed on her first attempt.

Q: What is the format of the APC written exam?

A: The APEP written exam is a multiple-choice question (MCQ) paper. It is known for presenting questions where two answer options are very close, requiring deep clinical reasoning to identify the correct answer. Candidates must be able to eliminate incorrect options and justify their final choice.

Q: How do I handle difficult MCQs in the APEP exam?

A: The recommended strategy is to eliminate the two obviously incorrect options first, then use clinical reasoning to decide between the remaining two. Always identify why one answer is correct and why the other is not. Academically’s faculty teaches this method explicitly throughout the APEP programme and lets you test yourself in real exam simulated conditions through AI-based mock tests.

Q: What happens if my HCPC registration is denied due to a career gap?

A: A denial of HCPC registration does not end your physiotherapy career. You can pursue registration through other pathways, such as the Australian Physiotherapy Council (APC) exam route for Australia. Academically specialising in helping internationally qualified physiotherapists navigate these alternative pathways.

Q: Can a physiotherapist with a career gap register in Australia?

A: Yes. APEP assesses candidates based on their exam performance, not solely on continuous work experience. This makes it a strong option for physiotherapists who have gaps in their clinical employment history.

Q: Which subjects are most important for the Australian Physiotherapy written exam?

A: All core physiotherapy subjects are tested, including musculoskeletal, cardiorespiratory, neurological, and paediatric physiotherapy. Cardiorespiratory (cardio) is commonly reported as a challenging area. Supipi focused extra effort on cardio, her initial weakest subject and scored highest in that section.

Q: How many hours a day should I study for the APEP exam?

A: A minimum of 2 focused hours per day over 3 months is sufficient if the study material is high quality and the approach is structured. Passive reading is not enough. Summarising notes, practising MCQs, and reviewing the reasoning behind answers are all essential.

Q: What is the difference between HCPC registration and AHPRA registration?

A: HCPC (Health and Care Professions Council) registration is required to practise physiotherapy in the UK. It was one of the most preferred pathways, but due to Visa issues, there has been a lot of rejection lately. APC (Australian Physiotherapy Council) assessment leads to registration with the Physiotherapy Board of Australia (helmed by AHPRA). It is a much more streamlined pathway because almost the entire pathway, including assessments and clinical scenarios, can be completed from the comfort of your home.

Q: What comes after passing the APEP written exam?

A: After passing the APEP written exam, candidates typically proceed to the capability assessment, which evaluates clinical skills in a structured setting. Academically provides guidance and preparation support for this stage as well. After you qualify that, you can head to Australia for the clinical workshop for a day and henceforth become eligible to get your registration from the board.
Aritro Chattopadhyay
about the author

Aritro Chattopadhyay is a seasoned content professional, lifestyle blogger, and English language teacher with 9 years of experience. His expertise ranges from education, healthcare, food, and travel. Featured in Amar Ujala, Vistara in-flight magazine, and The Dehradun Street. Having worked with 270+ brands, he continues to fulfil his passion with words that influence thoughts, minds, and actions. Currently, Aritro is heading the content team at Academically Global.