Application and eligibility

To take the National Assessment Collaboration (NAC) Examination, you must have graduated or be within 12 months of graduating from a:

  • medical school outside Canada or the U.S. that is listed in the World Directory of Medical Schools and identified by a Canada Sponsor Note
  • U.S. School of Osteopathic Medicine

Please note that a pass on the Medical Council of Canada Evaluating Examination (MCCEE) is no longer required to apply to the NAC Examination. Candidates can attempt both exams in whichever order they prefer.

Applying for the NAC Examination

You can apply for the NAC Examination during designated periods through your account. You will only be able to apply if you meet the eligibility requirements. For approximate application dates, see Examination at a glance.

During the application process, you will be asked to choose up to three exam centres in order of preference. You do not have to take the exam in the province where you will be applying for residency.

We will make every attempt to accommodate your centre preference(s). If you choose only one centre, your likelihood of being assigned to it does not improve.

If you are a student, you may need to submit:

  • Student Attestation Form if you have not previously submitted one or if there have been changes since your previous exam application.

If you are a graduate: your medical degree/diploma must be in progress of source verification or have been successfully source verified.

If the MCC has previously reviewed all the necessary documentation, you may receive quick notification that your NAC Examination application has been accepted. Otherwise, please allow up to three weeks after your documents have been received for your application to be processed.

Accessibility and test accommodations

If you have a documented disability or special need, you may be able to receive accommodations to help you take the NAC Examination. Visit the Accessibility and test accommodations page to learn more.

Reapplying for the NAC Examination

You can take the NAC Examination to a maximum of three times overall, regardless of whether you passed or failed your previous attempt. Only your most recent result on the examination remains valid indefinitely and does not expire. Starting in 2018, the NAC exam cannot be taken in consecutive sessions (e.g., a candidate who will take the March 2018 NAC exam will be able to retake it at the earliest in March 2019).

If you want to apply for the CaRMS R-1 Main Residency Match

If you want to apply for the Canadian Resident Matching Service (CaRMS) R-1 Main Residency Match and provide results for both the MCCEE and the NAC Examination, you can choose to take the NAC Exam first – or the MCCEE – in the order that you prefer, or even in the same month.

For students graduating in spring 2019, the timing to apply and take both of these exams for the match process is as follows:

  • You will be able to apply for the MCCEE 20 months before your graduation date. If you are graduating in spring 2019, you will be able to apply to take the MCCEE in the fall of 2017.
  • Once your application to the MCCEE is accepted, you can take the MCCEE at any session up to and including the September 2018 session.The September 2018 session is the last possible chance for you to take the MCCEE if you wish to provide MCCEE results for the 2019 CaRMS R-1 Match.
  • You must also apply for the September 2018 NAC Examination in spring 2018
  • Results from the September 2018 NAC Examination will be provided in time for the CaRMS application process for the 2019 R-1 Residency Match
  • Note that you can choose to take the MCCEE before the NAC Examination (in the January, March or May MCCEE sessions), or take both exams in September 2018

Can I be notified when application opens to a future session?

If you would like to be notified when application opens for a future session, submit your email address below. Please ensure that you enter the correct address.

Once you submit your email address, you will receive a welcome email, which is your confirmation that you have been added to the distribution list.

We will send you the application opening notification through your email account, and not through your account. Unfortunately, the MCC cannot guarantee that the email notification will reach your inbox.

Will the NAC Examination change?

As of 2018 and 2019, we will be making changes to our examination program, impacting all of our examinations, including the NAC Examination. For more information on these changes, please visit