The Medical Council of Canada Evaluating Examination (MCCEE) contains 180 multiple-choice questions. Of these, 150 count toward your total MCCEE score. The remaining 30 are non-scored questions that do not count toward your total MCCEE score. These are included for evaluation purposes to help develop future versions of the MCCEE. The non-scored questions are not identified on the exam, meaning you should try to do as well as you can on every question.

How MCCEE scores and sub-scores are calculated

Your total MCCEE score is reported on a scale from 50 to 500. Every MCCEE question is assigned a difficulty level. Your total score takes into account each question’s difficulty level as well as whether or not you answered the questions correctly. Points are not deducted for incorrect answers, so you should always make a “best guess” even when you are unsure.

MCCEE sub-scores are presented graphically to indicate your relative strengths and weaknesses in the following interrelated areas:

Patient groups:

  • Adult health
  • Child health
  • Maternal health
  • Mental health
  • Population health and ethics

Clinician tasks:

  • Data gathering
  • Data interpretation and synthesis
  • Management


  • Medicine
  • Obstetrics/gynecology
  • Pediatrics
  • Psychiatry
  • Surgery
  • Population health and ethics
  • Psychiatry
  • Surgery

How the MCCEE pass score is established

Approximately every three to five years, the MCC brings together a panel of Canadian physicians to define an acceptable level of performance and establish the pass score for the MCCEE through a standard setting exercise. The panel then recommends its pass score to the MCC Evaluating Examination Composite Committee (EECC) for approval. (The EECC, composed of physicians and medical educators from across the country, is responsible for awarding pass/fail results to MCCEE candidates.)

The most recent standard-setting exercise was conducted in 2010. The panel recommended a pass score of 250. This pass score was approved by the EECC and has remained in place since September 2011.

The next standard setting exercise will take place in November 2016. The outcome of this exercise will be applied starting with the May 2017 session of the MCCEE, which may result in a change in the pass score for the examination. The new pass score will apply to all subsequent MCCEE sessions until the next standard setting exercise takes place. Information about the new pass score will be provided in April 2017.

How an MCCEE pass/fail decision is made

Your final MCCEE result (e.g., pass, fail) is based solely on where your total score falls in relation to the pass score. A total score equal to or greater than the pass score is a pass; a total score less than the pass score is a fail. This means all candidates who meet or exceed the pass score will pass the MCCEE regardless of how well other candidates perform.

How your MCCEE score can be used to assess relative performance

Using the September 2011 results of all MCCEE candidates, a scale of 50 to 500 was established to have a mean of 271 and a standard deviation of 50.  Results from the September 2011 exam session and subsequent exam sessions are reported using this scale allowing us to compare candidate performance across sessions beginning with the September 2011 session.  This means that a score of 321 is one standard deviation above the mean (271 + 50), a score of 371 is two standard deviations above the mean (271 + 50 + 50), and so on.

MCCEE scores can be compared easily across sessions (e.g., to compare candidates who took the exam within a year or between years). However, it is important to note that the MCCEE was scored differently before September 2011, meaning any scores from before that date should not be compared to those obtained since then.

How MCCEE results are presented

Your final MCCEE result and total score are presented in a Statement of Results (SOR). Additional information about your sub-scores and comparative information is provided in a Supplemental Feedback Report (SFR). Both the SOR and the SFR are available through your account.

Please see our sample SOR and sample SFR (which contain mocked-up, random data) if you would like a preview of how your exam results will be presented.