Changes to the TDM Examination in 2026

The Medical Council of Canada (MCC) continuously strives to improve and modernize its examinations, and is pleased to announce the implementation of a new assessment model for the Therapeutics Decision-Making (TDM) Examination, planned for January 2026. Administered by the MCC on behalf of the Practice-Ready Assessment (PRA) programs, the TDM Examination is part of the selection process for qualified internationally trained physicians to enter most PRA programs.

To enhance the candidate experience and increase the efficiency of the exam process, we will implement a new format featuring multiple-choice questions and short-menu questions divided into two sections, and we will introduce an optional 20-minute break between the sections. We anticipate these changes will also allow for a faster release of results.

The revised TDM Examination will maintain its integrity, validity and reliability, with the questions assessing the competence of candidates at the level required of a family physician practising independently and safely in Canada.

The exam will continue to be delivered globally through Prometric both at test centres and via remote proctoring.

Our website will be updated with additional information as it becomes available.