Medical Council of Canada

Preparation resources

Preparation resources

The following resources will help you prepare for the Medical Council of Canada Qualifying Examination (MCCQE) Part I.

Sample questions and instructional videos

The Medical Council of Canada (MCC) has developed a walkthrough video for candidates taking the Medical Council of Canada Qualifying Examination (MCCQE) Part I. It includes a tutorial explaining how to complete the Multiple-Choice Questions (MCQ) and Clinical Decision-Making (CDM) sections. In addition, it presents the testing platform features that are available to you.

Testing your knowledge with preparatory products

The full-length Preparatory Examination, as well as the MCQ and CDM Practice Tests, are now available within our Practice Test Portal.

Preparatory products offer you the opportunity to test your level of preparedness for the new MCCQE Part I. These tests are designed to help you familiarize yourself with the types of questions you could encounter based on the new Blueprint as well as an online delivery platform with features similar to that of the MCCQE Part I. Preparatory content is created by physicians and experts who have experience with the MCC’s content development process.

For more information on these new resources, visit Test your knowledge.

Clinical Decision Making tips

This video features Tanya Rivard, Senior Test Development Officer at the MCC, who shares tips that will help you understand and prepare for this component of the MCCQE Part I. Time management, question instructions, scoring and scenario details are themes explored in this video.

Please note that the graphical elements in the video are not representative of the examination.

CDM write-in questions – what counts as one answer?

The MCCQE Part I CDM component includes questions where you will need to provide written answers. At times, you are asked to list up to a fixed number of responses. To offer extra guidance and to prevent you from exceeding the maximum allowable responses, the following examples depict what counts as “one” answer:

  • Electrolytes including Na, K, Cl, CO3 (does not include glucose)
  • CBC and differential
  • Liver enzymes (includes AST, ALT, GGT, ALP, bilirubin)
  • LFT (bilirubin, INR, albumin)
  • Cardiac enzymes (includes CK, TNI, TNT)
  • Urinalysis (Urine R&M)
  • Urine Culture & Sensitivity
  • Vital signs (includes BP, HR, Temp, Sats)
  • Lipids (includes LDL, HDL, total cholesterol, TG)
  • Type & cross match
  • FSH/LH
  • Thyroid function (TSH only)
  • Immunoglobulins
  • Lumbar fluid analysis
  • Gonorrhea/chlamydia
  • Renal function (includes creatinine, eGFR, BUN/Urea)
  • INR, PTT

Please note, these examples are included on exam day, under candidate instructions, for you to reference at any time.

Transition to DSM-5

In May 2013, the American Psychiatric Association published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The MCC has worked with its test committees to review the classification changes in DSM-5 and update the language in its exam content from the previous edition, DSM-IV-TR.

As of 2017, any questions that use the DSM-5 wording on the MCCQE Part I will no longer include equivalent language from the DSM-IV-TR. You will be required to answer with DSM-5 terminology as of 2017 to receive full marks.

Objectives for the Qualifying Examination

When creating MCCQE Part I questions, the MCC’s test committees are guided by the Objectives for the Qualifying Examination, a document that outlines what candidates must know for any MCC examination. For this reason, the Objectives may be useful in your MCCQE Part I preparation. We recommend you go through each clinical presentation and carefully read the related objectives. If you feel your knowledge or skill for any given objective is weak, this could indicate that you need further study in that area.

Reference materials

The MCC has compiled a list of reference books and online reference materials that may be helpful in preparing for the examination.