Medical Council of Canada

Clinical stations

Clinical stations

If you are taking the spring 2018 MCCQE Part II, please click here.
The information below applies to the fall 2018 MCCQE Part II session and future sessions.

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. Candidates are assessed on their ability to conduct a physical examination and history-taking. They are also assessed on their clinical and ethical decision-making.

The examination stations are developed based on the Objectives for the Qualifying Examinations and include problems in:

  • Medicine
  • Pediatrics
  • Obstetrics and Gynecology
  • Preventive Medicine and Community Health
  • Psychiatry
  • Surgery

Candidates are presented with problems related to 12 clinical scenarios: 8 on day 1 (Saturday) and 4 on day 2 (Sunday). Candidates are expected to complete 12 stations, even though 2 stations could be either a wait or a pilot station and do not contribute to the candidate’s total score.

There are 2 types of stations included in the MCCQE Part II: 14-minute stations and 6-minute paired stations. The characteristics and components of each of these stations are provided below:

  • 8 stations of which 7 stations will count towards a candidate’s total score. The 8th is a wait or pilot station that will not count towards the candidate’s total score
  • Consist of encounters with standardized patients or standardized professionals (SPs) such as physicians, nurses or other health care professionals
  • In most stations, candidates are observed and scored by an examiner based on their interaction with the SP. The examiner may be a physician or a highly-trained non-physician.
  • There are no content linkages between stations
  • Candidates may be assigned to start at any station in the track
Day 1 (Saturday) – 14-minute encounter stations (T stations) – 8 rooms
  • 4 stations of which 3 will count towards a candidate’s total score. The 4th is a wait or pilot station that will not count towards the candidate’s total score
  • Each station is comprised of 2 6-minute components in any combination:
    • Encounter component
      • Consists of encounters with SPs. In most cases, candidates are observed and scored by an examiner based on their interaction with the SP. The examiner may be a physician or a highly-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)
      • The candidate 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 to
    • You will rotate through all stations on your own (i.e. you are not paired with another candidate in this type of station)
Day 2 (Sunday) – 6-minute paired stations (C stations) – 8 rooms

The examiners score the candidates according to scoring instruments developed by the MCCQE Part II Test Committee. The appropriate materials and score sheets corresponding to a station are supplied by the MCC along with any necessary props such as X-rays or photographs. The MCC also provides 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