National Assessment Collaboration

The National Assessment Collaboration (NAC) is an alliance of Canadian organizations streamlining the evaluation process for international medical graduates (IMGs) seeking a licence to practise medicine in Canada.

The NAC examination assesses the readiness of an IMG for entrance into a Canadian residency program. It is a national, standardized examination that tests the knowledge, skills and attitudes essential for entrance into postgraduate training in Canada.

Comprising a series of clinical stations, the NAC examination presents typical clinical scenarios. The examination may include, but is not limited to, problems in medicine, pediatrics, obstetrics, gynecology, psychiatry and surgery.

Achieving a pass standing on this examination does not guarantee a training position in Canada. However, candidates receive feedback on their strengths and weaknesses as assessed in the examination. Candidates can then choose to share this information with program directors as part of their application to residency training programs.

All NAC examination candidates are, at a minimum, required to have passed the Medical Council of Canada Evaluating Examination (MCCEE) before being eligible to take the NAC examination. Some jurisdictions may add region-specific criteria.

The Canadian Resident Matching Service (CaRMS) accepts NAC examination results as part of match application packages. Please contact CaRMS for further information on its match application requirements.

The NAC examination is not a prerequisite to obtain the Licentiate of the Medical Council of Canada. However, depending on the provincial IMG assessment program, a pass result on the NAC examination may be a prerequisite for eligibility for residency training programs.

Examination at a glance

The NAC examination can be taken at any of the examination sites and will be accepted by residency program directors regardless of where it was taken. Candidates do not have to take the examination in the province in which they will apply for residency.

March 2017
Examination session Examination centres* Application information Fee Results
March 18
B.C. Vancouver (E) Application for the March session will open mid Nov. 2016 and will remain open until
Dec. 6, 2016.

Centre assignment:
A message will be sent by the end of Jan. to all accepted candidates once the examination centres have been assigned. This message will explain how to view your centre assignment through your account.
$2,390 Results are available
6 to 8 weeks after the examination date.

See results for more information.
Man. Winnipeg (E)
Ont. Toronto (E)
Que. Montreal (E and F)
March 19
(if required)
Ont. Toronto (E)

* The centres are subject to change.

For information regarding centre assignment, please visit the Centre selection page.


The Medical Council of Canada and the provincial programs offering the examination have worked together to establish a national fee which will apply to NAC examinations. For more information on the NAC examination fee, please visit the Examination and Service Fees page.

Application to future NAC examination sessions

If you would like to be notified when registration to future examination sessions opens, submit your email address by clicking on the button below. Please note that the notification will not be sent through candidates’ accounts – it will be sent to the email address that has been provided. Once your email address has been submitted, you will receive a welcome email, which is also your confirmation that you have been added to the distribution list.

This is an added service that the MCC is providing therefore it is the candidate’s responsibility to ensure the correct email address has been entered. It is also the candidate’s responsibility to monitor his or her email account. The MCC cannot guarantee that the email notification will reach the candidate’s inbox.