Find out more about the process of scoring for the Medical Council of Canada Qualifying Examination Part II.
The Medical Council of Canada Qualifying Examination (MCCQE) Part II is scored independently of the MCCQE Part I. 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 II consists of 12 Objective Structured Clinical Examination (OSCE) stations, where candidates are presented 8 stations on day 1 (Saturday) and 4 stations on day 2 (Sunday). Candidates complete all 12 stations, even though 2 stations could be either a wait or a non-scored pilot station.
The MCCQE Part II is a criterion-referenced exam. This means that candidates who meet or exceed the standard will pass the exam regardless of how well other candidates perform on it.
How the OSCE stations are scored?
There are 2 types of stations included in the MCCQE Part II: 14-minute stations and 6-minute paired stations. For more details, please visit the Exam day web page.
Objectivity is achieved using standardized guidelines for exam administration, the training of examiners and of standardized patients, and the use of predetermined scoring instruments for OSCE stations.
Examiners score 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.
OSCE stations are scored by examiners using a checklist of tasks (see sample OSCE cases section below). In almost all stations, the examiners also score selected rating scale items related to the candidate’s interactions with the patient. For example, the examiners may be rating the candidate on “Interviewing Skills” and/or “Approach to Physical Examination” and/or “Interpersonal Behaviour”.
You are expected to demonstrate appropriate, ethical and professional behaviour. When filling out the examiner checklist, examiners are asked if you demonstrated a critical lapse in professional behaviour. All critical lapses in professional behaviour are evaluated by the Central Examination Committee and could result in a letter to you or you receiving a denied standing on the exam.
How the MCCQE Part II total scores and subscores are calculated?
Each station is worth the same as every other station. Your total score is the average of your station scores.
The total score is adjusted via a statistical process called “linking” to reflect the level of difficulty of the stations experienced by candidates on a given exam date. Your linked total score is reported on a scale ranging from 50 to 250.
The MCCQE Part II assesses your performance across two broad categories with items 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:
MCCQE Part II subscores are presented graphically to indicate your relative strengths and weaknesses in each of the domains. Subscores are calculated by converting the items associated with each domain within Dimension of Care and Physician Activities to a percentage. These items include those found on the checklists, rating scales, and written or oral questions across the 10 scored stations.
For more information on the Blueprint and content weightings for each domain, click here.
How the MCCQE Part II 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 II 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 II candidates.
The next standard setting exercise for the MCCQE Part II will be conducted in December 2018, and the new pass score will apply to the fall 2018 MCCQE Part II and to subsequent sessions.
How the MCCQE Part II pass/fail decision is made?
Your final MCCQE Part II result 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; a total score less than the pass score is a fail. This means all candidates who meet or exceed the pass score will pass the MCCQE Part II regardless of how well other candidates perform.
How your MCCQE Part II score can be used to assess relative performance?
Following the results release of fall 2018 MCCQE Part II in January 2019, we will publish the new pass score and the mean and standard deviation of the fall 2018 exam session.
Results from the fall 2018 and subsequent exam sessions will be reported using the same scale of 50 to 250, allowing you to compare candidate performance across sessions beginning with the fall 2018 session.
How MCCQE Part II results are presented?
The Statement of Result (SOR) includes the candidate’s final result and total score, as well as the examination pass score. Additional information about a candidate’s subscores and comparative information is provided on the Supplemental Information Report (SIR) in graphic form.
The total score is reported on a score scale ranging from 50 to 250. In contrast, the score profile in the SIR displays a candidate’s subscores in terms of a percentage. As a result, total scores cannot be compared to the subscores in the SIR as both are reported on different scales.
A sample of the SOR, and a sample of the SIR, containing mocked-up, random data, depict how information will be presented to candidates. Both the SOR and the SIR are made available through the candidate’s physiciansapply.ca account.
Sample OSCE cases and score sheets
You can take a look at the following station examples, which includes the scored items for the station:
- Case 1: 14-minute station / Ken Scott
- Case 2: 14-minute station / Angela White
- Case 3: 6-minute paired station / Raymond Bedford
In addition to the checklists, the examiners are asked to rate selected interaction rating scale items related to the encounter.