The MCCQE

The MCC Qualifying Examination: what it is, who needs it, applying, attempts, booking, exam day, results, reconsideration and fees. 24 answers, each linked to the official page it comes from.

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What the MCCQE is 5

What is the MCCQE, and what does it test?

The Medical Council of Canada Qualifying Examination (MCCQE) is a summative exam. It assesses the critical medical knowledge and clinical decision-making ability of a candidate at the level expected of a medical student who is completing their medical degree in Canada.

The exam is based on the MCC Examination Objectives, which are organized under the CanMEDS roles. The objectives describe the attributes expected of medical graduates entering residency in Canada, and the MCC uses them to develop questions for both the MCCQE and the NAC Examination.

The exam follows a blueprint that assesses your performance across two broad categories: "Dimensions of care, covering the spectrum of medical care" and "Physician activities, reflecting a physician's scope of practice and behaviours".

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Where and when can I take the MCCQE, and can I take it outside Canada or from home?

The MCCQE is a one-day, computer-based exam delivered in Canada and in over 70 countries. You take it in person, at an available Prometric test centre. You cannot take it from home.

Because it runs at test centres internationally, you can write it before you move to Canada, while keeping your clinical responsibilities in the country where you live. Remotely proctored appointments are no longer offered, so you must schedule an in-person appointment at a Prometric test centre. Places are first-come, first-served.

Session dates

The MCC describes the exam as offered during four sessions a year. Dates are subject to change, so confirm them on the MCC's scheduling page before you plan anything around them.

2026: January 20 to February 17; April 22 to May 30; August 19 to October 21. The MCC lists three windows for 2026 because it combined the August and October sessions, to offer candidates additional opportunities to take the exam.

2027: January 19 to February 11; April 27 to June 1; August 10 to September 7; October 5 to 26.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Can I take the MCC exams in French?

Yes. The MCCQE and the TDM Examination can be booked in English or French, and the NAC Examination can be taken in English or French at designated centres.

The MCCQE

You choose English or French when you book: go to the MCCQE Prometric landing page and find the section for the language you want for your appointment.

The TDM Examination

The TDM Examination is offered in English and French. You book it the same way, through the section for your language on the TDM Examination Prometric landing page.

The NAC Examination

The NAC Examination can be taken in English or French at designated centres.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How many questions are on the MCCQE, what do the questions look like, and how long is the exam day?

230 multiple-choice questions, in two sections of 115. Each question has 3 to 5 options. Your appointment is 6.5 hours long.

What a question looks like

You can expect between 3 and 5 response options. The list includes 1 best answer and 2 to 4 incorrect options, known as distractors.

The timing

You have up to 2 hours and 40 minutes for each of the two sections. On average, the MCC says to allow 1 minute and 23 seconds for each question to complete all the questions.

What the 6.5-hour appointment holds

  • Your sign-in and security check. A check-in takes place before the appointment starts.
  • A tutorial on how the exam delivery application works, and a video on test security.
  • 2 hours and 40 minutes for the first MCQ section.
  • An optional 45-minute break.
  • 2 hours and 40 minutes for the second MCQ section.
  • An optional survey at the end of the exam.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

What changed in the MCCQE in 2025, and can I compare a score from before then?

The exam changed format in 2025. A score from before 2025 cannot be compared with a score from 2025 onwards.

What changed in the format

The MCC removed the short-menu and short-answer write-in questions. Critical medical knowledge and decision-making skills are still assessed, through multiple-choice questions. You get more time to answer each question, and the overall exam appointment is shorter.

Why an older score does not compare

Before 2025 the score was reported on a different scale. It ran from 100 to 400, with a mean of 250 and a standard deviation of 30. Because the format changed in 2025, scores from before 2025 cannot be directly compared with scores from 2025 and later.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Do I need the MCCQE? 4

Which exams do I need for the CaRMS residency match, and by when must I take them?

Plan on both the MCCQE and the NAC Examination, and then check the criteria for the province you are applying to, because each province sets its own exam requirements.

What the MCC says

The MCC says passing the MCCQE is a requirement for international medical graduates applying for entry into a Canadian residency program. For the CaRMS R-1 Main Residency Match it says international medical graduates, graduates from a U.S. School of Osteopathic Medicine, and graduates from a U.S. School of Allopathic Medicine who graduated on or after July 1, 2025 need to provide results for both the MCCQE and the National Assessment Collaboration (NAC) Examination. For the 2027 R-1 match it says you can take the NAC Examination and the MCCQE in the order you prefer.

What CaRMS says

CaRMS says the MCC exams required for the R-1 match are set by each province. They can vary by province and from one year to the next, so what you need depends on where you wish to apply. For a future match, CaRMS can only go by the exam requirements for the current matches, because the provinces may change their requirements from one year to the next.

The last sessions that count for the 2027 R-1 match

CaRMS sets these out in a table, as an image in its article. For the first iteration: the MCCQE from the April 22 to May 30, 2026 session or the August 19 to October 21, 2026 session, and the NAC Examination of September 19 and 20, 2026. The January 19 to February 11, 2027 MCCQE session does not count for the first iteration. For the second iteration: any of those three MCCQE sessions, and the same September 2026 NAC Examination. CaRMS says some provinces may allow exceptions, and points to its R-1 Summary of MCC Examination Requirements.

Outside the residency match

The MCC says the MCCQE is also used by some Practice-Ready Assessment programs as an eligibility criterion, to select internationally trained physicians into their programs.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Which exams do I need for a clinical assistant or associate physician licence?

Most provinces require the MCCQE or an accepted alternative. As of July 2026, the exceptions are Manitoba, which accepts the MCCQE (LMCC) or the NAC Examination; British Columbia and the Prince Edward Island associate physician class, which list no exam requirement; and Ontario, where the role is unlicensed and no exam is required by law. British Columbia and Prince Edward Island (for its associate physician class) are the only provinces that issue a limited-role licence without the MCCQE, the NAC Examination or an accepted alternative.

By province

  • British Columbia (associate physician): the MCCQE, the NAC Examination or an accepted alternative is not required.
  • Alberta (associate physician): a pass result on the MCCQE is required, along with acceptable proof of English language proficiency.
  • Saskatchewan (clinical assistant): a pass on the MCCQE, successful completion of United States licensing examinations acceptable to CPSS, or other proof of appropriate medical knowledge acceptable to CPSS, plus English proficiency.
  • Manitoba (clinical assistant): a pass on the MCCQE, which leads to enrolment as a Licentiate of the Medical Council of Canada (LMCC), or a pass on the NAC Examination. English proficiency is also required.
  • Ontario (clinical assistant): none are required by law or CPSO policy. Individual employers may ask for evidence of a pass on the MCCQE or the NAC Examination.
  • New Brunswick (clinical assistant): the LMCC, which follows a pass on the MCCQE, or an acceptable alternative to the LMCC. Language requirements follow the CPSNB Language Proficiency Policy, in English or French.
  • Nova Scotia (clinical assistant): the LMCC (which follows a pass on the MCCQE) or an acceptable alternative to the LMCC: USMLE Steps 1, 2 and 3; FLEX Components 1 and 2; NBME Parts I, II and III; COMLEX-USA Levels 1, 2 and 3; an assessment of practice satisfactory to the Registrar; a recognized MD with a pass on the MCCQE and at least one year of verified postgraduate training; or at least five years of postgraduate training and/or independent practice in the specialty you intend to practise.
  • Prince Edward Island: the associate physician class requires no jurisdictional examination but does require certification in family medicine or your discipline from another jurisdiction. The clinical assistant class requires the MCCQE (or an equivalent) and LMCC enrolment or an accepted alternative. The two licences are not interchangeable.
  • Newfoundland and Labrador (clinical assistant): a pass result on the MCCQE or an acceptable alternative, if applicable, plus successful completion of Advanced Cardiac Life Support (or the equivalent for your area of practice) and English proficiency.

More on this site: Eligibility Screener

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Do I need the MCCQE as a specialist, for the PER or for a specialist PRA?

Not for the PER itself. For licensure and for a specialist PRA, it depends on the province.

The PER (Royal College)

The PER is a Royal College process, and the training assessment does not require the MCCQE.

Licensure (provincial regulators)

Licensure is separate: each provincial regulator sets its own requirements, and some provinces require the MCCQE for licensure. That requirement is independent of the PER: a province that requires the MCCQE requires it whether or not you hold Royal College certification.

Specialist PRA programs

  • Alberta: requires a nationally recognized standardized registration exam, such as the MCCQE; confirm with CPSA which other exams it accepts.
  • Manitoba: does not require the MCCQE.
  • Quebec: sets its own requirements through the Collège des médecins du Québec, including proof of French proficiency, so verify directly with the Collège.
  • Nova Scotia: the specialist PRA policy lists no examination requirement. It asks for a recognized medical degree, equivalent specialty training, specialty recognition where you trained, currency of practice and English proficiency.

More on this site: PER guide

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Which exams do I need for a family medicine PRA?

It varies by province. The MCC says most provincial PRA programs use the MCCQE as a screening requirement, some use the National Assessment Collaboration (NAC) Examination, and most require a pass on the Therapeutics Decision-Making (TDM) Examination as part of their eligibility criteria.

British Columbia, Manitoba and Nova Scotia do not list the MCCQE as required. NS PACE in Nova Scotia is the only program with no MCCQE, NAC Examination or TDM Examination requirement.

By province

  • British Columbia (PRA-BC): the MCCQE and the NAC Examination are not required, but you must have passed the TDM Examination within the previous three years before PRA-BC can refer you to health authorities for interviews.
  • Alberta (PRA-AB): you need a registration exam: a nationally recognized standardized examination, such as the MCCQE, or one from an approved jurisdiction as approved by the Registrar. Family medicine applicants must also pass the TDM Examination.
  • Saskatchewan (SIPPA): a pass on the MCCQE, plus the NAC Examination (or the MCCQE Part II taken in 2021 or before), plus the TDM Examination.
  • Manitoba (PRAMB-FP): a pass on the NAC Examination or the MCCQE Part II, and the TDM Examination, which top-ranked candidates are nominated to sit. The MCCQE is not listed. Applicants first apply to CPSM through physiciansapply.ca; eligible applicants are referred to the University of Manitoba for shortlisting and interviews.
  • Ontario (Practice Ready Ontario): a pass on the MCCQE with the Licentiate of the Medical Council of Canada (LMCC), plus the NAC Examination (or the MCCQE Part II taken in 2021 or before). Shortlisted candidates sit the TDM Examination.
  • Quebec (restrictive permit): a pass on the MCCQE, the USMLE Step 2 CK, or the former MCC Evaluating Examination (taken before 2019). Quebec accepts the USMLE Step 2 CK on its own; other provinces that accept the USMLE ask for Steps 1, 2 and 3. Quebec does not use the TDM Examination.
  • New Brunswick (PRA-NB): a pass on the MCCQE. Preference is given to candidates who have also passed the NAC Examination. The TDM Examination is required if not previously passed.
  • Nova Scotia (NS PACE): no MCCQE, NAC Examination or TDM Examination requirement.
  • Newfoundland and Labrador (PRA-NL): a pass on the MCCQE (needed for the CPSNL eligibility letter), plus the NAC Examination (or the MCCQE Part II taken in 2021 or before), plus the TDM Examination in phase 1.

More on this site: Eligibility Screener

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Applying: eligibility, degree verification and accommodations 5

Who can apply for the MCCQE, and how early can a medical student apply?

To apply for the MCCQE, you must be a graduate from, or a student who is expected to complete all requirements to graduate from, one of these: a medical school accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS); a medical school listed in the World Directory of Medical Schools and identified by a Canada Sponsor Note indicating it is an acceptable medical school in Canada; or a United States School of Osteopathic Medicine accredited by the American Osteopathic Association.

A student can apply up to 15 months before their expected date of graduation. Once the application is accepted, the eligibility window begins 12 months before the expected date of graduation.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How do I apply for the MCCQE, and can I apply while my medical degree is still being verified?

If you meet the eligibility requirements, you can apply for the MCCQE at any time through your physiciansapply.ca account. If you do not already have an account, you need to create one.

If you have not already done so, create a source verification request (SVR) for your medical degree through your physiciansapply.ca account. The MCC says you can proceed with the exam application as soon as you have submitted and paid for the SVR for your medical degree.

Allow up to 4 weeks for your documents and application to be processed. Your application is only complete once your documents are approved and your medical degree shows as reviewed and accepted in your physiciansapply.ca account. You then receive a message that your application is complete, and only then can you schedule your exam appointment with Prometric.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How do I request a test accommodation for an MCC exam?

A test accommodation is a change to the standard administration of an exam to address a human rights-related functional limitation. Examples you may request include additional testing time, break time, and access to assistive equipment, assistive personnel, or personal items (for example, breast pumps).

Requesting one for an MCC exam

If you have a documented functional limitation and associated accommodation need, you request the accommodation when you apply for the exam. As well as indicating in your application that you need one, you must complete the Request for test accommodations form and gather the required supporting documentation. A granted accommodation is valid for one exam only, so you must submit a new request with each future exam application. If you did not indicate the need when you applied, your request is considered a late request: the MCC reviews requests received at any time, but late requests cannot be guaranteed.

The MCCQE

An MCCQE application with an accommodation request can take up to 9 weeks to process, once all the eligibility requirements have been fulfilled and all the required supporting documentation has been received.

The NAC Examination

You request the accommodation when you submit your NAC Examination application. An application that includes an accommodation request is processed only once all the eligibility requirements have been fulfilled and all the required supporting documentation has been received.

MCC preparatory products

Accommodations cannot be granted for the MCC preparatory products, because they are self-administered.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

What is the MCCQE eligibility window, and can I extend it?

After your application is accepted, you have a 12-month eligibility window to schedule and write the MCCQE at an available Prometric test centre. Unless you extend it, the window expires after 12 months or when you write the exam, withdraw from it, or are absent from it, whichever comes first.

If you are not ready to write the MCCQE within your window, you can extend it once by an additional 12 months. You can only do this when your current window is within 60 days of expiring, and not before. The extension costs $120.00. If the MCCQE application fee has increased since you originally applied, you also pay the difference. The extension fee is non-refundable.

If you have not taken the MCCQE within your original window and did not extend it, you are automatically withdrawn and given a partial refund.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

When I reapply for the MCCQE, do I need to submit my medical degree again?

It depends on how you applied before. In either case, when reapplying you may need to provide new acceptable identity documents if your identity validity period has expired.

If you applied as a graduate

If you already submitted your final medical degree diploma for source verification, you do not need to resubmit the diploma.

If you applied as a student and have now graduated

You must submit an SVR for your medical degree through your physiciansapply.ca account.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How many times can I take it? 1

How many times can I take the MCCQE, and what counts as an attempt?

The MCC allows up to four attempts at the MCCQE. A fail result or a Denied Standing counts as an attempt. A No Standing does not. Attempts before 2018 do not count toward the limit.

If you choose to start the exam, it counts as an attempt even if you cannot finish it, and your application fee may be forfeited.

After your third attempt, you must wait 1 year from the time you receive the result before reapplying for your fourth and final attempt. The MCC says the wait is there to give candidates time to prepare, and it cannot be shortened or waived.

You cannot retake the exam if you have a pass result.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Exam day 1

Can I use a question bank or a third-party prep course, and what happens if real exam questions are shared?

You can study with outside material, but the MCC does not endorse any of it, and no question bank legitimately holds real exam questions.

The MCC says external resources are not endorsed by it and are not created by the people who develop its examination content. It also says it is illegal for any test preparation service or program to use, disclose, distribute or solicit content from candidates, or to otherwise provide access to questions or answers from actual MCC examinations. If a course or a question bank claims to have real MCCQE questions, that claim describes something the MCC says is illegal.

What happens if you breach exam security

The MCC says that if something is deemed a violation of test security, the consequences can be significant:

  • You may be denied a standing on your examination.
  • You may be banned from taking future MCC examinations.
  • Your physiciansapply.ca account may be suspended.
  • A permanent annotation may be made on your physiciansapply.ca account.
  • A report may be made to medical regulatory authorities and other organizations.
  • Legal action may be taken against you.
Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Results, scores and sharing them 5

When do MCCQE results come out?

Results are available 4 weeks after the last day of the January, August and October sessions, and 5 weeks after the last day of the April session.

For the extended August to October 2026 session, results are released in three batches, each 4 weeks after the last exam date in that batch: Batch 1, August 19 to September 11, 2026; Batch 2, September 12 to 29, 2026; Batch 3, September 30 to October 21, 2026. Whenever you take the exam during that session, the MCC says you will receive your result in time for the 2027 CaRMS R-1 Main Residency Match.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How is the MCCQE scored, what is the pass score, and what will my result tell me?

Your total MCCQE score is reported on a scale from 300 to 600. The pass score is 439.

Each correct answer scores 1 point and each incorrect answer scores 0 (raw scores). Your total score is calculated from both the questions' individual scores and their level of difficulty.

The MCCQE is criterion-referenced, not graded on a curve. Your pass or fail result comes from comparing your score with a standard, the pass score, regardless of how others perform.

What you receive with your result

Two documents. The Statement of Results (SOR) gives your final result, your total MCCQE score, and the score that was required to pass. The Supplemental Information Report (SIR) gives further feedback on your performance, including your subscores and a comparison with other candidates.

How the pass score was set

The pass score was set in July 2025, when the MCC completed a standard-setting exercise based on expert judgments from a panel of 23 physicians from across the country, representing various faculties of medicine, specialties and years of experience supervising students and residents. The panel recommended a pass score of 439 on the 300 to 600 scale, and the EOC approved it.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

If I fail the MCCQE and pass on my second attempt, will CaRMS programs see the fail?

No. Programs only see your latest result and what you consent to share. When you connect physiciansapply.ca to CaRMS, the MCC lists "only the latest" MCCQE and NAC Examination results, and "only the most recent examination document" is added to your CaRMS account. You then choose whether each exam is shared with programs, and separately whether to share it if the result is a pass, a fail or other. Programs filter the scores you share by how far they sit above the pass score; there is no filter for attempts.

Programs also rarely ask about failed exams. In my census of all 875 program descriptions for the 2027 R-1 match, none asks how many attempts you took, and one program, University of Saskatchewan Pediatrics (its Regina and Saskatoon streams), asks for an explanation and a remediation plan if an exam was unsuccessful.

Previous unsuccessful matches: CaRMS says it "is not able to provide previous year match results" to programs. 39 of the 875 program descriptions ask you to explain an unmatched cycle: Dalhousie Family Medicine and Family Medicine integrated Emergency Medicine, Simon Fraser Family Medicine, and anesthesiology and pathology at Saskatchewan and Calgary.

One open question: documents from an earlier match stay in your CaRMS account, and CaRMS has not said whether a fail transferred in an earlier match year is replaced when a newer pass comes in. Many programs also ask you to explain failures during medical school, which your transcript and MSPR show. If a program or a form asks about your exam history, answer truthfully.

Correction, September 2026: I first answered that most programs ask you to mention a failed exam or a previous unmatched cycle. A follower questioned it, I checked the program descriptions and the CaRMS help centre, and they were right.

Official source: Medical Council of Canada: physiciansapply.ca transfers to CaRMS Online (MCC guide, November 2020) Checked 2026-09-30

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Do I have to transfer my MCC exam results to CaRMS every match year?

Yes. Every match year, international medical graduates (IMGs) must transfer their Medical Council of Canada (MCC) exam results and documents from physiciansapply.ca to their CaRMS Online account. This applies to new and returning applicants alike, even if you took part in an earlier match.

Canadian medical graduates should not transfer their scheduled MCCQE exam.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

What is the LMCC, what are the requirements, and do I need to apply and pay for it?

The Licentiate of the Medical Council of Canada (LMCC) is granted by the Medical Council of Canada (MCC). It is part of the requirements set by the provincial and territorial medical regulatory authorities (MRAs) for issuing a licence to practise medicine in their jurisdictions.

Requirements

The MCC says that as of January 26, 2026, to be eligible for inclusion in the Canadian Medical Register a graduate in medicine must:

  • be a graduate of a medical school accredited by the Committee on Accreditation of Canadian Medical Schools, or of a medical school listed in the World Directory of Medical Schools with a sponsor note indicating it is an acceptable medical school in Canada, or of a United States School of Osteopathic Medicine accredited by the American Osteopathic Association;
  • have been awarded a pass result on the MCC Qualifying Examination (MCCQE), formerly the MCCQE Part I;
  • have the required medical credentials, including the medical degree or diploma, successfully source verified through the MCC or, in exceptional circumstances, have provided evidence of the required medical credentials that is deemed acceptable by the executive director and CEO;
  • have paid the LMCC application fee to the MCC and not have any outstanding fees payable to the MCC.

Applying and paying

It depends on when you applied for the MCCQE.

  • Applied for the MCCQE after January 26, 2026: the LMCC is issued automatically at no additional cost. There are no additional steps, fees or follow-up required.
  • Applied for the MCCQE before January 26, 2026: log in to your physiciansapply.ca account, click Other Service Requests, select Apply for LMCC, and pay the LMCC application fee as well as any other outstanding fees to the MCC. The LMCC application fee is $50.00 and is non-refundable.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Problems on exam day, reconsideration and appeals 2

What if something goes wrong on MCCQE exam day?

Tell the staff on exam day. You must also report every exam day incident (procedural irregularities and extenuating circumstances) to the MCC through your physiciansapply.ca account within 7 days of your exam.

Extenuating circumstances are incidents that arise unexpectedly near to or on exam day and could affect your performance, such as acute illness or injury, or the death of an immediate family member. They must be supported with official documentation.

A No Standing means that procedural irregularities or extenuating circumstances you experienced may have materially affected your performance or prevented a reliable assessment of your knowledge and abilities. A No Standing does not count as an exam attempt. For extenuating circumstances, a No Standing is awarded only in rare cases.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

How do I ask for a reconsideration or appeal of my MCCQE result?

Send the MCC a message through your physiciansapply.ca account within 15 calendar days of receiving your exam result. You are not eligible for reconsideration if you received a pass result, or if you did not report the incident directly to the MCC within 7 days of your exam. You cannot request a reconsideration based on the content of the exam.

A pass or additional marks cannot be granted through reconsideration. The process is expected to take about 11 weeks from when you receive your result to when you receive the decision.

If you are eligible to reapply for the MCCQE, you do not need to wait for the outcome of the reconsideration before applying to retake the exam.

Once you receive a reconsideration decision, you may appeal it by sending the MCC a message through your physiciansapply.ca account within 30 calendar days of the date on the reconsideration decision letter. A pass or additional marks cannot be granted through the appeal process either.

Official sources:

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Fees, refunds and withdrawing 1

How much does the MCCQE cost, and can I get a refund if I withdraw?

The MCCQE application fee is $1,500.00. The full fee is non-refundable. In certain circumstances you may be eligible for a refund, but a $750.00 withdrawal fee is charged.

You receive a partial refund only if you have not scheduled an appointment with Prometric and then withdraw your MCCQE application or let your eligibility window expire, or if you cancel your scheduled Prometric appointment more than 120 hours before your exam appointment time and then withdraw your application or let your eligibility window expire.

If you have not scheduled your appointment, withdraw through your physiciansapply.ca account: click Examinations in the left panel, then Withdraw from an exam at the bottom of the centre panel, and follow the steps. If you have already scheduled your appointment, you must first cancel it directly with Prometric. A withdrawal request is processed within 15 business days.

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

This answer is my reading of the official source, not official or legal advice. It may be incomplete, out of date or wrong, and I take no responsibility for decisions made on it: confirm on the official page before you act. Disclaimer

Practise with a free MCCQE-style question every day, every option explained: MCQ of the Day

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