Medical Council of Canada Evaluating Examination (MCCEE)
The MCCEE is a four-hour, computer-based general assessment of the candidate’s basic medical knowledge in the principle disciplines of medicine offered in English and French at more than 500 centres in 80 countries all over the world. The exam is administered in January, in March, in May, in September and in October/November throughout the year.Scheduling for a particular examination date closes 120 hours before the examination date and time. Results are available approx. 7 weeks after the last day of the examination session. The pass score is 250 of 500. The MCC does not limit the number of times a candidate may attempt the MCCEE. However, candidates with a pass result on the MCCEE cannot retake the examination in an attempt to obtain a higher score. On successful completion of this examination, an applicant can write the MCCQE1 or NAC-OSCE.The fee to write this examination is $1,737.00. http://mcc.ca/examinations/examination-service-fees/
Medical Council of Canada Qualifying Examination – Part 1 (MCCQE1)
The MCCQE1 is actually the first of the two MCC licensing exams and must be taken by both IMGs and Canadian medical graduates seeking for licensure in Alberta. The exam is a prerequisite for AIMGP applicants. It is a full day, computer-based test consisting of two parts. The first part contains 196 multiple-choice questions to be completed for 3.5 hours; the second part allowed to be completed for 4 hours consists of short-menu and short-answer write-in questions based on clinical reasoning skills. The exam is administered twice a year only in examination centres within Canada available in different provinces.In Alberta, there are examination centres in Calgary and in Edmonton with examination sessions in the spring (April /May) and in the fall (October/November) each year.The MCC does not limit the amount of times a candidate attempts the Part 1; however, once a passing mark (427) is awarded the candidate cannot retake the examination. The fee to write this examination is $1,005.00 as applications after the deadline dates include additional fee charges. http://mcc.ca/examinations/examination-service-fees/
NOTE: Before trying for the actual MCCEE and MCCQE1 exams, IMGs may consider taking an online self-assessment exam – the Self-Administered Evaluating Examination (SAEE) and the Self-Administered Qualifying Examination Part 1(SAQE1) in order to test their level of preparedness. Although their versions don’t cover all of the material tested by the actual MCC exams and contain only multiple-choice questions, they provide a good example of the type and style of questions encountered in the MCCEE and in the MCCQE1 and are a beneficial study tool for preparation. http://mcc.ca/examinations/self-administered-exam/
Medical Council of Canada Qualifying Examination – Part 2 (MCCQE2)
The MCCQE2 is the last of the MCC licensing exams required for obtaining LMCC. It assesses the knowledge, skills, and attitudes essential for a medical licensure in Canada prior to entry into independent clinical practice. This exam is not required, but recommended for a residency application. However, only IMGs who have completed at least 12-months of a recognized post-graduate training in another country are eligible to take this exam. The examination consists of a series of clinical station simulations where a candidate is expected to interact with a “standardized” patient and evaluates a physician’s ability to carry out the tasks of clinical communication. Although the MCC does not limit the number of attempts a candidate may write the MCCQE2, candidates with a passing mark (509) are not eligible to rewrite the exam in an attempt to gain a higher mark. The exam is offered twice a year with spring and fall sessions. The fee to write this examination is $2,409.00. http://mcc.ca/examinations/examination-service-fees/
NOTE: After successful completion of the MCCQE1 and MCCQE2, candidates will be enrolled in the Canadian Medical Register as Licentiate of the Medical Council of Canada (LMCC). LMCC is not a license to practise medicine in Alberta as the authority to issue such is reserved by the College of Physicians and Surgeons of Alberta (CPSA). However, in order to be eligible for independent practice in Alberta, in addition to LMCC, an applicant must also receive certification from the Royal College of Physicians and Surgeons of Canada (http://www.royalcollege.ca/rcsite/home-e), or the College of Family Physicians of Canada (http://www.cfpc.ca/Home/) prior to obtaining a license to practice from the CPSA.
National Assessment Collaboration-Objective Structured Clinical Exam – (NAC-OSCE)
The NAC- OSCE is an MCC exam that only IMGs applying for residency need to take. It tests the knowledge, skills and attitudes essential for entrance into a Canadian residency program. IMGs are assessed based on the NAC-OSCE, interviews, and a summative review.The exam consists of 12 different 11 minute clinical stations which are based on presentations of clinical scenarios. NAC-OSCE can only be taken once which means that candidates with a passing score (65 of 100) will not be able to retake the examination for a possible higher grade. Achieving a pass or even good standing on the exam does not guarantee a residency position. The mark, however, is used to support the residency application. In the event of fail standing, the NAC-OSCE can be attempted to a maximum of three attempts. The exam is offered twice a year – in September and in March. In Alberta, the exam is administered only in September in Calgary and Edmonton. The cost of the exam is $2,309.00. http://mcc.ca/examinations/examination-service-fees/
English Language Proficiency Exams
Currently, all IMGs aiming to obtain licensure in Alberta, who have completed their education and practised in a country whose official language is other than English, are required to present proof of English language proficiency by completing either:
- The academic version of the International English Language Testing System (IELTS-Academic), or
- The Internet Based Test of English as a Foreign Language (iBT-TOEFL)
The English language proof of proficiency must be completed within 24 months, or within 12 months before submitting their application depending on the specific requirements of the licensure option they have decided to undertake, by demonstrating the scores of:
- IELTS Academic = a minimum 7.0 band score in each of the 4 test components (Listening, Speaking, Reading and Writing)
- iBT-TOEFL = a minimum score of 24 in each test component***
*** The iBT-TOEFL score/testing option will no longer be valid, effective December 31, 2017.
IELTS (Academic) will be the only English language proficiency test accepted as of January 1, 2018. It is essential that an applicant check the most current updates on the provincial English language proficiency requirements, prior to the time when it is necessary to take the required test and provide proof of results.
Explore the options for licensure in Alberta and choose the pathway you are eligible to undertake in order to plan and move on to the next step of the process – Residency, Practice Readiness Assessment (PRA) and Alberta Clinical and Surgical Assistant Program (ACSAP)
Depending on their specific qualifications, IMGs who would like to practice medicine in Alberta have the following options:
- Residency Training via Alberta International Medical Graduate Program (AIMGP)
- Independent Practice through Practice Readiness Assessment (PRA) and upon its successful completion, registration on the CPSA Provisional Register
- Supervised Practice via Alberta Clinical and Surgical Assistant Program (ACSAP)
NOTE: To move on to either of these options, the IMG applicant should meet the specific eligibility criteria for each corresponding option, before applying to it.