The Pharmacy Examining Board of Canada (PEBC) is the national certification body responsible for assessing and certifying the qualifications of pharmacists and pharmacy technicians in Canada. The Board was created in 1963 and has since been in charge of ensuring that pharmacists who seek to work for and serve Canadians are well-trained and knowledgeable of the customs, regulations, ethics, and standards required to practice safely and effectively in Canada.
The PEBC exam is the gateway for Canadian and internationally trained pharmacists to become licensed and practice in Canada. The exam has two primary components for pharmacists: the Evaluating and Qualifying examinations. Candidates trained in Canada will only have to write the qualifying exam. In contrast, internationally trained pharmacists must write the evaluating exam before they can write the qualifying exam.
The PEBC evaluating exam is a 4.25-hour computer-based exam that assesses general pharmaceutical, biomedical, and behavioral knowledge to ensure that candidates are on par with Canadian educational standards. The qualifying exam has two parts: first is the single day, computer-based MCQ, and Part 2 is an objective structured clinical examination (OSCE) that simulates common and emergency practical situations with a series of interactive and non-interactive stations. Part 2 exam must be conducted in person as examiners seek to find out how well you can gather, process, and understand information about your patient and how you can solve their problem. Your ability to communicate effectively with your patient, caregiver, or other healthcare professionals will also be watched and scored.
Eligibility criteria
Before you can apply for the PEBC exam, there are a few pre-requistes you have to complete. The first and perhaps most obvious is that you have to be a graduate of a pharmacy program from an institution recognized by the board. Next, you must show you have a solid grasp of either English or French, depending on what province you are applying to and the language of the exam.
Most places require that you have completed a minimum amount of internship or practical training to ensure you are sound in more than just theory. Finally, you must be in the good books of the regulatory bodies, meaning you must have no outstanding case with them and have committed no crime. Fulfilling these prerequisites will allow you to begin the application process.
How to apply
The first step to becoming licensed in Canada (except in Quebec) is registering with the Pharmacists’ Gateway Canada for a fee of $380 to create a profile and obtain a NAPRA ID number. The ID number is necessary because it allows you to apply for document evaluation with the PEBC. The created profile will serve as a document repository and a way to track your application progress.
Next, you have to register with the PEBC to begin the Document evaluation, which checks if your qualifications are legitimate. You must complete your profile and then pay the application fee of $705 or $250 for US graduates before you mail or courier a printed and filled application form, documents to prove your identity and support that you graduated from an acceptable program, and proof of licensure.
Graduates from U.S institutions need only submit their documents for evaluation, while candidates from other international schools will have to write and pass the PEBC Evaluating exam before they can apply for the Qualifying exam. The Qualifying exam is the final step to acquiring the PEBC Certificate of Qualification, and it tests how competent you are in safely and efficiently working in an ‘entry-level’ position.
The exam results will be posted on your profile with either pass or fail. Those who do not pass are allowed up to four retrials, but the candidates must petition the PEBC to be allowed a fourth attempt after undergoing remediation.
Who can apply
The PEBC is open to everyone who meets the abovementioned requirements and can pay the various fees. Canadian citizens and permanent residents who meet the educational and language proficiency requirements can apply for the exam. International graduates who completed a pharmacy program recognized by the PEBC, pass the language requirements, and have submitted validated credentials are also eligible to apply. Finally, pharmacists already working in other countries may be allowed to apply for the exam. Still, they will be required to submit the necessary documents that prove their education, experience, and license are up to Canadian standards.
Exam Difficulty
The PEBC qualifying exam is known for being difficult, especially for internationally trained pharmacists. The exam not only tests theoretical knowledge but also practical and clinical decision-making skills in real-world pharmacy scenarios. The OSCE portion, in particular, can be difficult as it simulates clinical tasks that require quick and accurate judgment, communication, and problem-solving. Previous results have shown that candidates trained in Canadian schools have an 86.5% pass rate for Part 1 and a pass rate of 93.7% for the OSCE. However, international first-time test takers had a pass rate of 43.3% for Part 1 and 59.8% for Part 2. The lower pass rate for international applicants has mainly been attributed to a lack of familiarity with Canadian practice standards and ethics.
To help combat that, there are bridging programs offered by recognized Canadian institutions developed for international pharmacy graduates to help fill in the gaps in their knowledge. These programs typically focus on Canadian pharmacy practice, legal and ethical aspects, clinical skills, and Canadian culture and communications. Alberta, British Columbia, Ontario and Quebec have made it mandatory that internationally trained applicants enroll in a bridging program before gaining licensure.
However, even without the bridging programs, candidates can still perform excellently in the exams if they prepare with the right resources. CanadaQBank is one such resource that can make studying for the exam easier, especially for IPGs who may be unaware of Canadian standards. CanadaQBank is a highly regarded question bank with over 1,000 challenging MCQs, detailed explanations, and similarities to the actual exam format. It allows you to practice for the exam in a timed or untimed mode, generates customized tests from single or multiple subjects, and has an upgraded MCQ interface with normal lab values that accurately simulate the exam.