The MCCQE Part II is an Objective Structured Clinical Examination (OSCE) that assesses the candidate’s core abilities to apply medical knowledge, demonstrate clinical skills, develop investigational and therapeutic clinical plans, as well as demonstrate professional behaviours and attitudes at a level expected of a physician in independent practice in Canada. You are assessed on your physical examination and history taking abilities as well as on your clinical and ethical decision making.
You are presented with problems related to 12 clinical scenarios: eight on day 1 (Saturday) and four on day 2 (Sunday). You are expected to complete 12 stations, even though two stations could be wait or pilot stations that do not contribute to your total score.
There are two types of stations included in the MCCQE Part II: 14-minute stations and 6-minute paired stations.
- Consists of seven stations that will count towards your total score. The eighth is a wait or pilot station that will not count. There are no content linkages between stations.
- Involves encounters with standardized patients or standardized professionals (SPs) such as physicians, nurses or other health-care professionals
- Features in most stations observations and scoring by an examiner based on your interaction with the SP. The examiner may be a physician or a trained non-physician.
Note: You may be assigned to start at any station.
- Consists of three stations that will count towards your total score. The fourth is a wait or pilot station that will not count.
- Comprises of two 6-minute components in any combination:
- Encounter component
- Consists of encounters with SPs. In most cases, you are observed and scored by an examiner based on your interaction with the SP. The examiner may be a physician or a trained non-physician.
- Non-encounter component
- Consists of a reading task or responding to one or more extended match questions
- Content dependencies exist between the odd and even numbered stations
- One component (odd-numbered room) usually provides information required to complete the second component (even-numbered room)
- You must complete station 2 immediately after station 1, station 4 immediately after station 3, etc.
- You start the exam at the odd-numbered station to which you have been assigned
- You will rotate through all stations on your own (i.e. you are not paired with another candidate in this type of station)
- Encounter component
The examiners score you based on standardized scoring instruments. We supply the appropriate materials and score sheets for each station along with any necessary props such as X-rays or photographs. We also provide case materials for training the SPs for each role.
What is assessed in the stations?
- Obtaining a focused history
- Conducting a physical examination
- Managing an acute patient problem
- Organizing a discharge
- Discussing goals of care
- Delivering difficult news
- Dealing with forgetful or angry patients
- Providing advice
- Interacting with colleagues
- Addressing conflicts within the health-care team