Medical Council of Canada



The MCCQE Part I is scored independently of the MCCQE Part II. To be awarded the Licentiate of the Medical Council of Canada (LMCC), you must pass both the MCCQE Part I and Part II.

The MCCQE Part I contains 210 Multiple-Choice Questions (MCQs) and 38 Clinical Decision Making (CDM) cases (60-70 questions). Of the 210 MCQs, 35 are pilot questions that are being used for the first time and do not count towards candidates’ total scores. Of the 38 CDM cases, eight of the cases are pilot cases and do not count towards candidates’ total scores. The pilot questions and cases are not identified on the exam; you should try to do as well as you can on every question and case.

The MCCQE Part I is a criterion-referenced exam. This means that those of you who meet or exceed the standard will pass the exam regardless of how well other candidates perform on it.

How MCCQE Part I scores and subscores are calculated

The total score is calculated by combining MCQs and CDMs. For both MCQs and CDM questions, each correct answer is scored 1 point and each incorrect answer is scored 0. Some CDM questions, such as a question whose answer includes multiple correct elements, allow candidates to receive more than 1 point. For example, for a question with four correct elements, candidates can receive up to 4 points. The final total score is calculated taking into account the individual score for questions and the level of difficulty of each question.

Your total MCCQE Part I score is reported on a scale from 100 to 400.

The MCCQE Part I assesses your performance across two broad categories with exam question classified on both categories:

Dimensions of care, covering the spectrum of medical care;

Physician activities, reflecting a physician’s scope of practice.

Each category has four domains:

Dimensions of Care Physician Activities
Health Promotion and Illness Prevention Assessment and Diagnosis
Acute Care Management
Chronic Care Communication
Psychosocial Aspects Professional Behaviours

MCCQE Part I subscores are presented graphically to indicate your relative strengths and weaknesses in each of the domains.

For more information on the Blueprint and content weightings for each domain, please visit the following page:

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How the MCCQE Part I 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 MCCQE Part I through a standard-setting exercise. The panel then recommends its pass score to the Central Examination Committee (CEC) for approval. The CEC, composed of physicians and medical educators from across the country, is responsible for awarding pass/fail results to MCCQE Part I candidates.

The next standard-setting exercise will take place in June 2018. The panel will recommend a pass score to the CEC, and the resulting pass score will be applied to results from the spring 2018 MCCQE Part I. This pass score will remain in place until the next scheduled standard-setting exercise, which typically takes place every three to five years.

For more information on the past MCCQE Part I standard-setting exercise, see the Technical Report on this topic.  A report on the June 2018 standard setting exercise, using the same standard setting method as in the past, will be available on later in 2018.

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How a pass/fail decision is made

Your final MCCQE Part I 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, and a total score less than the pass score is a fail. This means that all candidates who meet or exceed the pass score will pass the MCCQE Part I regardless of how well other candidates perform.

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How your score can be used to assess relative performance

Following the results release of the spring 2018 MCCQE Part I in early July 2018, we will publish the pass score, mean and standard deviation.

Results from the spring 2018 and subsequent exam sessions will be reported using the same scale of 100 to 400, allowing you to compare candidate performance across sessions beginning with the spring 2018 session.

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How MCCQE Part I results are presented

Each candidate receives two score reports. The Statement of Results (SOR) includes your final result and total score, as well as the examination pass score. Additional information about domain subscores is provided on the Supplemental Information Report (SIR). Prior to 2018, this document was called the Supplement Feedback Report (SFR).

We have made available a sample of the SOR and a sample of the SIR, containing mocked-up, random data, which depicts how information is presented to exam candidates. Following the results release of the spring 2018 MCCQE Part I in early July 2018, both your SOR and the SIR will be made available through your account.

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