The History Behind the MCCQE Examination

MCCQE Examination

The MCCQE examination, or the Medical Council of Canada Qualifying Examination, is required for becoming a Licentiate of the Medical Council of Canada, or LMCC. It has a long and interesting history, and it has been updated numerous times over its many years. Today, many believe that the MCCQE Part II examination is no longer relevant and could be replaced with other material. Here’s what you should know about this exam.

The Medical Council of Canada

The Medical Council of Canada formed in 1912 and provided with a legislated mandate by the country’s government to ensure patients that their physicians were held to consistent and demanding standards. Essentially, the group’s goal was to create a set of standards that would ensure quality care. Soon after, the Council created the LMCC designation to ensure that future physicians received a higher quality education to promote a safer medical industry.

The Changing LMCC Designation

The LMCC designation has changed throughout the history of the MCCQE. Before 1954, students who were awarded the designation after passing the MCCQE exam received a license to practice medicine as a doctor in their respective provinces. However, in 1954, things changed; the LMCC was only awarded after students completed the MCCQE as well as another year of training. Over time, this change led to the rotating internship year, and once a student completed it, he or she received a General Practitioner (GP) license.

More Changes in the 80s and 90s

Several decades later, the licensing bodies specific to individual provinces began to see the need for more stringent training. As a result, they started moving toward a new set of requirements. These included the same requirements as before but added on a minimum of two years postgraduate training as well as certification through one of the country’s colleges. It was after these changes that the Council introduced the MCCQE Part 2, a simulated exam that students could only take after a one-year postgraduate residency.

Is the MCCQE Part 2 Still Relevant?

Though there is little argument that the MCCQE Part 2 was necessary at the time of its introduction, there are many who believe that later changes in the licensing procedures rendered it relatively useless. Because all new doctors (of any kind) in Canada must get further certification through a national college, it is virtually impossible to practice as even a General Practitioner with only a successful MCCQE Part 2 examination. As such, many believe should no longer be part of the requirements, especially since aspiring doctors must participate in two years of postgraduate residency, which is far superior to the simulated cases presented by the examination.

The MCCQE examination and the requirements for becoming a physician in Canada have evolved over the course of many years, and there is plenty of evidence to suggest that it will continue to evolve in the future, as well. The MCCQE is a topic of great debate, and while aspiring doctors realize that their education and training must be thorough, many believe the addition of the MCCQE Part 2 is redundant and unnecessary.

USMLE Step 2 Test Prep Questions You Should Focus On

USMLE Step 2 Test Prep

Preparing for the USMLE Step 2 is a daunting task. There are so many questions in so many categories, it can be hard to know where to even start. Each scenario is different from the next, and since you can’t guess which questions you’ll be asked, it can be nerve-wracking to say the least. Here are some examples of particularly difficult USMLE Step 2 questions to study alone or with a group.

Which Screening Would You Recommend?

In this scenario, a man who is 48 years old visits his doctor for a routine checkup. He appears healthy and has no complaints. He weighs 203 pounds, is 5’ 8” tall, and has a BMI of 29. His blood pressure is 145/82, and his pulse is 92bpm. Upon questioning, the patient reports he does not drink alcohol, smoke cigarettes, or use any drugs, and he has had no chest pains, palpitations, or shortness of breath. The physician cannot find any abnormalities in this man’s exam, and his medical history is unremarkable. Blood tests reveal normal serum electrolytes, normal blood count, and normal cholesterol. Which screening test would you recommend for this patient?

Why Does This Patient Have Diarrhea and Fatigue?

In another case, a 54-year-old man comes to the emergency room claiming he has had diarrhea for two months. He says he is a lawyer, and he also notes fatigue, weight loss, and shortness of breath. He says he has lost 10 pounds over the last few months, and the symptoms are worsening progressively. He doesn’t smoke or drink, and he does not take any medications. His medical history reveals no related conditions or episodes. During the exam, his blood pressure is 115/75 and his pulse is 108bpm. The physician notes the patient’s skin is pale, and upon a neuro exam, it is revealed that he has a positive Babinski sign, spasticity, and a loss of vibration sense. Lab results are as follows:

  • Hematocrit – 26%
  • WBC – 3700/mm3
  • Platelets – 110,000 mm3
  • MCV – 116 um3
  • Reticulocytes – 0.5%
  • Serum lactate dehydrogenase – 650 U/L
  • Serum total bilirubin – 2mg/dL

What is this patient’s most likely diagnosis?

Why Is This Patient Losing Weight and In Pain?

Finally, in this scenario, an HIV-positive woman who is 45 years old comes to her doctor because she has been losing weight for a month, is experiencing pain when she swallows, and has substernal chest pain. She reports she is taking no medications. Her temperature is roughly 100 degrees, and her T-cell count is 41/mm3. An upper endoscopy is performed, and it reveals a large and deep ulcer in the distal esophagus as well as significant inflammation. A biopsy shows inflammation and small blood vessel endothelial cells along with large and smudged eosinophilic nuclei. Why is this patient experiencing pain and weight loss?

These are some of the toughest questions asked on the USMLE Step 2, and they provide a good indication of other questions you may encounter. The ability to accurately recommend treatments and diagnose these conditions will serve you well when it is time to sit for the real exam.

 

 

What’s Included in CanadaQBank’s MCCQE Part 2 Question Bank?

With so many study tools available to students who are planning to take the MCCQE Part 2 exam, it can be difficult to choose the right software. CanadaQBank provides a complete online question bank that makes it easy for you to study in a true-to-life environment, wherever you may be. Here’s what you’ll get when you subscribe.

Numerous Cases

The MCCQE Part 2 is based on unique cases in which you’ll provide diagnoses, treatments, and medical advice for simulated illnesses and injuries. CanadaQBank provides 153 of the best MCCQE Part 2 cases, 74 Couplet Station cases, and 79 10-minute cases, all of which make up the second part of the Medical Council of Canada Qualifying Examination. This diverse selection of cases provides a very broad range of simulations, which allows you to put your knowledge to the test. Studying the cases frequently can improve your performance and knowledge retention when your test day arrives.

True-to-Life Preparation

Aside from simply providing cases which simulate those frequently found in the MCCQE Part 2, you’ll also receive lists and helpful tips. For example, the five-minute clinical encounters and 10-minute station cases come with lists of questions that you’ll need to ask while you’re taking a medical history, and they also list the things you should check during your examination. You’ll also have access to the questions your examiner is likely to ask during each case, which can help you prepare for these questions and others. All of this is presented to you in a true-to-life simulation, which can help you feel more at ease when your testing date arrives.

Constant Updates

Unlike many other software providers that may update their cases and questions only once per year, CanadaQBank is quite vigilant in ensuring that their cases and questions are kept up-to-date. For this reason, CanadaQBank’s software updates frequently; you’ll never be without a piece of information that may be crucial to passing your examination. Everything is revised frequently, too, which means you’ll be able to view expert feedback from the most recent MCCQE Part 2 examinations.

Pricing to Fit Your Budget

CanadaQBank allows students to choose subscription lengths that best fit their unique budgets. There are options for one, two, three, six, nine, and 12-month subscriptions, and a year-long subscription to CanadaQBank costs less than a single new medical textbook, making it a great value. Students who purchase an MMCQE Part 2 subscription will also receive 41 bonus USMLE Step 2 CS cases, and CanadaQBank is so confident that you’ll pass your examination the first time you take it, they’ll give you a free three-month subscription if you don’t.

Thousands of doctors in Canada have used CanadaQBank to study and prepare for the most challenging and rigorous examinations of their lives. The company is constantly reviewing and expanding its software to provide students with the most true-to-life and helpful scenarios, cases, and encounters possible. These things will allow you to arrive for your examination feeling confident in your knowledge, which is one of the biggest factors in passing.