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 subscores 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 subscores are presented graphically to indicate your relative strengths and weaknesses in the following interrelated areas:
- Adult health
- Child health
- Maternal health
- Mental health
- Population health and ethics
- Data gathering
- Data interpretation and synthesis
- Population health and ethics
How the MCCEE pass score is established
Every few years, the Medical Council of Canada (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 Evaluating Examination Composite Committee (EECC) for approval. (The EECC is comprised of physicians and medical educators from across the country).
In November 2016, the MCC conducted a rigorous standard-setting exercise with a diverse panel of 21 physicians from across the country. The method used was called the Bookmark Method, which has been widely employed for multiple-choice question exams. Following the standard-setting exercise, the panel recommended a pass score of 261 on the current reporting scale of 50-500. This pass score was reviewed and approved by the EECC.
The new pass score of 261 will be applied starting with the May 2017 session of the MCCEE and will remain in place until the next standard-setting exercise takes place.
Prior to May 2017, the pass score for the MCCEE was 250 on the reporting scale of 50-500. If you took the MCCEE prior to May 2017, your final result (e.g., pass fail) remains valid.
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 (for example, to compare candidates who took the exam within a year or between years). However, it is important to note that the MCCEE scores before and after 2008 should not be compared as the test design, test length, scoring method, delivery mode, and reporting scale are different.
How MCCEE results are presented
Your final MCCEE result and total score are presented in a Statement of Results (SOR). Additional information about your subscores and comparative information is provided in a Supplemental Feedback Report (SFR). Both the SOR and the SFR are available through your physiciansapply.ca account.