Thoracic Medicine Specialist (ANZSCO 253324)
On the Medium and Long-term Strategic Skills List and Core Skills Occupation List
From the official Home Affairs skilled occupation lists, as at 2026-08-12. Lists change at each government update — always confirm on the official page before acting.
Which lists is Thoracic Medicine Specialist on?
MLTSSL — Medium and Long-term Strategic Skills List. The widest list — occupations on the MLTSSL can access the points-tested permanent skilled visas including the Skilled Independent visa (subclass 189), which needs no state nomination or employer.
CSOL — Core Skills Occupation List. The employer-sponsorship list — occupations on the CSOL can be nominated for the Skills in Demand visa (subclass 482) and the Employer Nomination Scheme 186.
Visas this occupation can access
Being on a list makes the occupation nominatable for these visas — each visa still has its own requirements (points, age, English, a positive skills assessment, and for sponsored visas a willing employer or state).
- Skilled Independent visa (subclass 189) — Permanent, points-tested, no sponsor needed · all occupations for the 189
- Skilled Nominated visa (subclass 190) — Permanent, state or territory nominated · all occupations for the 190
- Skilled Work Regional visa (subclass 491) — Provisional, regional, points-tested · all occupations for the 491
- Skills in Demand visa (subclass 482) — Temporary, employer sponsored · all occupations for the 482
- Employer Nomination Scheme visa (subclass 186) — Permanent, employer sponsored · all occupations for the 186
- Skilled Employer Sponsored Regional visa (subclass 494) — Provisional, regional employer sponsored · all occupations for the 494
- Temporary Graduate visa (subclass 485) — Temporary, recent Australian graduates · all occupations for the 485
- Training visa (subclass 407) — Temporary, workplace training · all occupations for the 407
Skills assessment
A positive skills assessment for Thoracic Medicine Specialist comes from:
- Medical Board of Australia (MedBA) (official site)
What the assessment actually involves
RACP assesses this code, but under a different name again: its own published list of 26 assessable subspecialties names Respiratory Medicine, not "Thoracic Medicine" — the ANZSCO label and the college's working term diverge, as they do for Renal Medicine/Nephrology elsewhere in this family. An applicant should search RACP's site for Respiratory Medicine to find the relevant category. The assessment structure otherwise follows RACP's standard shape: Standard interview-based pathway up to six months, or Accelerated paper-based pathway for the UK, Ireland, India, Hong Kong and Sri Lanka only, around six weeks.
Where these applications come unstuck
Beyond the naming mismatch, the standard RACP-wide traps apply: Accelerated eligibility does not extend beyond the five named countries regardless of how comparable an applicant's training looks, and RACP — not the applicant — makes the routing decision, with the option to move an Accelerated case to Standard if the paper review finds gaps. Time under the Board's Short-Term Training, Standard, or Competent Authority pathways in Australia is not counted toward comparability here either.
An honest read on this pathway
Once the terminology gap is resolved, Respiratory Medicine follows RACP's standard timeframes and criteria: up to twelve months FTE supervised practice for a substantially comparable finding, twenty-four for partially comparable, in an RACP-approved position. The pathway is genuinely open and clearly documented — the naming difference is the only thing likely to trip up an applicant searching by the ANZSCO title alone.
Whichever authority assesses you, the paperwork is the part applicants underestimate. The Document Vault keeps a single register of every document, what it was needed for, and what is still missing.
Talk it through with a registered agent
Whether nominating Thoracic Medicine Specialist is your best route depends on your points, experience evidence and timing — exactly what a MARA-registered agent works through in an initial consultation. Describe your situation once through Migratio and compare real consultation quotes from registered agents, free.
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