Process of obtaining a licence to practise medicine in Canada


New Member
Overview of the process of obtaining a licence to practise medicine for IMGs

The information below is geared to international medical graduates (IMGs) looking to begin the process of obtaining a licence to practise medicine in Canada. Individuals are always encouraged to contact the medical regulatory authority in the province or territory in which they would like to practise. They should also contact the international medical graduate program in the province they would like to practise, if such a program exists. We have included links to these organizations on our website.

There are general steps that IMGs should take before arriving in Canada, and steps they should take after their arrival.

Steps IMGs can take before arriving in Canada

You can start the licensure process from outside Canada by:

Confirming that your medical degree is from a recognized medical school.
Taking an online self-assessment exam.
Submitting your credentials with the Medical Council of Canada's (MCC) Physician Credentials Repository.
Taking the Medical Council of Canada Evaluating Examination (MCCEE).
1. Confirm that your medical degree is from a recognized medical school

Visit the International Medical Education Directory (IMED), part of the Foundation for Advancement of International Medical Education and Research's (FAIMER) website. Your medical school, the name of the medical degree and the year of your graduation must be listed on the FAIMER International Medical Education Directory to be accepted in Canada.

2. Are you exam ready?

IMGs can test their readiness for the Medical Council of Canada Evaluating Examination (MCCEE) through the Medical Council of Canada Self Administered Evaluating Examination (SAE - EE). IMGs who take the SAE - EE will receive the number of questions correctly answered as well as a percentile table that compares their performance to the results achieved by other MCCEE candidates.

Fees: C$66 per examination

3. Submit your credentials

IMGs can use the MCC's Physician Credentials Repository to establish a confidential professional electronic portfolio of their credentials prior to arriving in Canada. IMGs can request that the Repository share their portfolio with provincial/territorial medical regulatory authorities, certifying and qualifying bodies. The MCC requires IMGs who are applying for the first time to the MCCEE to open an application with the Physician Credentials Repository and send a certified copy of their final medical diploma. The diploma must be successfully source verified through the Repository for the candidate to be eligible to the Medical Council of Canada Qualifying Examination (MCCQE) Part II.

Fees: To open a Repository account, IMGs are charged a one-time account fee of C$250. C$140 is charged for each medical documents submitted for source verification.

Note: Document fees are in addition to the account fee.

4. Take the Medical Council of Canada Evaluating Examination (MCCEE)

IMGs must pass the MCCEE to apply for a residency position through the Canadian Resident Matching Service. The MCCEE is offered in 500 sites in more than 70 countries. For a list of countries where the MCCEE is offered, please see Prometric centres -- list of countries.

If IMGs have obtained Canadian or American board specialty certification, they may apply to the Medical Council of Canada for an exemption from the MCCEE.

Fees: All MCCEE candidates will be charged C$1,645.

Note: The MCC requires all first-time MCCEE candidates to open an application with the MCC's Physician Credentials Repository and send a certified copy of their medical diploma.

Exams available once in Canada

All provinces have the right to request additional assessments to qualify for residency positions in their province. These assessments may include the National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE), which is only administered in Canada. Candidates must take the MCCEE before being eligible to take the NAC OSCE, and certain jurisdictions may add region-specific eligibility criteria or may require the Medical Council of Canada Qualifying Examination Part I for certain provincially funded training positions.

IMGs may be required to pass the Medical Council of Canada Qualifying Examination (MCCQE) Part I and Part II (additional fees apply). Candidates may also take a self-assessment exam to help prepare for the multiple-choice component of the MCCQE Part I. This self-assessment is offered over the Internet and can be completed prior to arriving in Canada. The MCCQE Part I and the MCCQE Part II are administered in Canada and are the same requirements for graduates from Canadian faculties of medicine. All jurisdictions also require a minimum of two years of postgraduate training for licensure. When IMGs pass the MCCQE Part II, they are awarded the Licentiate of the Medical Council of Canada. The Licentiate is required for candidates to meet the Canadian Standard for full licensure, as defined through the Federation of Medical Regulatory Authorities of Canada.

Steps in Registration for talking EXAM

Exam Scoring

The Medical Council of Canada Qualifying Examination Part I (MCCQE Part I) is scored independently of the Medical Council of Canada Qualifying Examination Part II (MCCQE Part II); the scores are not combined for the purpose of awarding the Licentiate of the Medical Council of Canada (LMCC). The candidate must pass both the MCCQE Part I and Part II.

MCC examination scores are reported as standard scores, which are typically scaled to have a predetermined mean and/or standard deviation. A candidate's pass/fail standing is based on where his or her standard score falls in relation to the pass/fail mark established for the examination. A candidate's performance is judged in relation to the pass score for the examination and not judged on how well other individuals have performed on the examination. Candidates can, however, compare their performance to other candidates' because standard scores also provide information on where a candidate stands in relation to other candidates.

The MCCQE Part I results are reported on a standard score scale that ranges from 50 to 950. The pass mark is set at 390. The mean score may vary from one administration to another and is reported in the candidates' Statement of Results. The standard deviation is set at 100 for all administrations.

How are scores calculated for the clinical decision-making component?

There is a maximum of one point per question. Some questions, such as a question whose answer includes four correct elements, allow candidates to receive partial marks, in this case 0.25, 0.5, 0.75 or 1.

After scoring each question, the MCC scores each case, which may have between one and five questions. A case score is calculated using the average of all questions included in the case. Scores are also calculated for groups of cases covering the different disciplines (Medicine, Surgery, Pediatrics, Obstetrics and Gynecology, Psychiatry as well as Population Health, Ethical, Legal and Organizational Aspects of Medicine).

How are overall scores calculated for the MCCQE Part I?

The total score is calculated by combining the multiple-choice question and clinical decision-making component scores. However, the multiple-choice question component counts for 75 per cent of the score, while clinical decision making counts for 25 per cent of the score.

How is a pass/fail decision made?

A candidate’s standing (i.e. whether someone passes or fails the examination) is determined based on their total examination score. Therefore, strong performances in some disciplines may compensate for weaknesses in others.

What will appear on the Statement of Results?

The Statement of Results includes the candidate’s examination standing and total score as well as the score that was required to pass the examination. Additional information is provided on the Statement of Results, which is made available through the candidate's online account.

What will appear in candidates’ MCC-Online accounts?

The MCC provides the Statement of Results as well as the supplemental feedback report through candidates’ MCC-Online accounts. The MCC has prepared a help file to assist candidates in interpreting their MCCQE Part I supplemental feedback report.