The Medical Council of Canada Qualifying Examination (MCCQE) is a two-part exam designed to test whether applicants’ clinical skills and medical knowledge are at the level expected of an Australian final-year medical student. The exam is the national standard for medical schools across Canada, which is why it is administered at the end of schooling.
Obtaining a pass result on the MCCQE Part 1 is one of the eligibility criteria you must meet to apply for the Licentiate of the Medical Council of Canada (LMCC). Canadian medical regulatory authorities may require you to have the LMCC to apply for a medical licence within their province or territory.
Exam Format (2025 Update)
As of April 2025, the exam is a one-day, computer-based test consisting of 230 multiple-choice questions (MCQs) split into two sections of 115 questions each. Candidates have about 160 minutes per section, with one optional 45-minute break between sections.
The new 2025 format eliminates the Clinical Decision-Making cases, focusing solely on MCQs. It is delivered globally through Prometric test centres (in Canada and 70+ countries) or via secure remote proctoring.
The questions align with the MCC Examination Objectives based on the CanMEDS framework. The exam evaluates two broad categories – Dimensions of Care and Physician Activities – each with four domains (e.g., health promotion, acute and chronic care, communication, etc.). This ensures a balanced test of medical knowledge, decision-making, communication, and professional behaviour expected of a Canadian-trained physician.
Each correct MCQ scores 1 point, and there is no penalty for wrong answers. The total score is calculated using the questions’ individual scores and their difficulty level. Results are reported on a 100–400 scale. Passing is criterion-based: you pass if your score meets or exceeds the pass threshold, regardless of others’ performance. The current pass score is around 226, but a new pass score for the MCCQE Part 1 will be established through a standard-setting exercise that will take place in July 2025.
2025 MCCQE Part 1 Exam Schedule
For the 2025 exam sessions, the MCCQE Part 1 will be offered three times:
- April 9–May 21
- August 19–September 11
- October 1–22
August 2025 Session
The August 19–September 11, 2025 session is a key window. Scheduling for each session opens 5 months before the start of the season. For example, scheduling for the August session opened in March 2025.
Candidates must apply and have their application approved before they can schedule a date in this window. Appointments are on a first-come, first-served basis via Prometric, so applicants should try to book early to secure their preferred centre and date. Once scheduling opens, you must visit the Prometric website to schedule an appointment.
If no seats are available at your preferred centre or time, you may need to choose another date or centre or use remote proctoring.
If you decide not to take a scheduled exam, ensure you cancel at least 120 hours (5 days) before the appointment to avoid forfeiture of your fee. Cancellations made more than 120 hours in advance allow you to withdraw via physiciansapply.ca and receive a partial refund (minus a $750 withdrawal fee). Cancellations within 30 days incur Prometric fees (CAD 85 + tax), and within 120 hours, you will forfeit the full exam fee.
You can extend your 12-month eligibility window by 12 more months for a $120 fee if you cannot write the exam within the original period.
The exam is available at Prometric centres across Canada and worldwide (70+ countries). There are centres in major cities for Canadian residents, while an international list is on Prometric’s MCCQE1 page. Remote proctoring is also offered (with stricter tech requirements). French-language proctors are available by appointment on limited days.
Results are released some weeks after each session. For April 2025 (a transition session), results take about 12 weeks due to standard-setting for the new pass score. For August and October 2025, results will be available approximately 4 weeks after the session’s last day. When scores are ready, the MCC will email you and post a notification in your physiciansapply.ca account.
MCCQE Part 1 Registration Process
To apply, you must be a current student or graduate of a qualifying medical school – either a CACMS-accredited Canadian MD program, a US MD/DO program, or a WDOMS-listed school with a Canada Sponsor Note. (Note: US MD graduates typically also need ECFMG certification, separate from the MCCQE registration.) The eligibility rules apply equally to CMGs and IMGs.
Application Steps
- Create an account at physiciansapply.ca (if you don’t have one) and log in.
- In the portal, go to Examinations → Apply for an exam → MCCQE Part 1.
- Upload certified ID documents (e.g., passport, driver’s licence) and any required medical credentials.
- IMG students must submit a Student Attestation form signed by their medical school.
- IMGs must submit a Source Verification Request (SVR) for their medical degree, which is done in the same portal before or along with the exam application. (Processing the SVR and verifying your degree is mandatory before MCC approves your exam application.)
Fees
- MCCQE Part 1 application fee: CAD 1,500 (non-refundable)
- SVR fee for IMGs: CAD 232
- One-time account setup fee for all applicants: CAD 335
Fees are paid in CAD through the portal via credit card. All documents must be in English or French.
After submission, allow up to 4 weeks for MCC to review your application and documents. Once accepted, you will receive a notification in your physiciansapply account confirming eligibility. At that point, you can schedule your exam with Prometric.
Once your application is accepted, a 12-month eligibility window opens during which you can schedule and write the exam. If you cannot write within one year, you may extend this window by another 12 months (for $120). If you exceed your window without taking the exam (or withdrawing), the application will be cancelled and a partial refund issued.
Tips for the Exam
Prep Courses and Books
Several review courses and question banks cater to MCCQE1. CanadaQBank offers QBank subscriptions and timed mock exams. Toronto Notes and Preptest are commonly recommended books. Local medical schools sometimes run weekend review courses open to CMGs and IMGs. MCC itself sells preparatory exams (full-length MCC PEs) on its site.
Retakes
If you do not pass, you may register to retake the exam (following the same application steps and paying fees again). You have a 4-attempt limit. You cannot retake once you have passed. After a third attempt, a 1-year waiting period is required before your fourth and final attempt. Use any waiting period to strengthen your study plan.
Canadian Clinical Knowledge
The MCCQE1 tests medical facts and how well you understand Canadian healthcare practice. Clinical expectations like multidisciplinary teamwork, patient communication, and public health may differ from your training background. So, it is advisable to review sample Canadian patient cases and practice answering MCQs with a Canadian lens.